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2008, 12-09 Permit App: 08004596 Loft in Pole BldgProject Number: 08004596 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW 10 X 24 LOFT IN POLE BLDG Contact: QUALITY STEEL BLDGS Address: 7810 N MARKET ST C - S - Z: SPOKANE, WA. 99217 Setbacks: Front Phone: (509) 468-1606 Group Name: Project Name: Date: 12/9/2008 Page 1 of 2 Site Information: Left: Right: Rear: Plat Key: 003673 Name: GREENACRES EST 1ST ADD District: East Parcel Number: 55181.3823 Block: SiteAddress: 1228 N LONG RD Location:: CSV Lot: Owner: Name: HUNDEBY, PATRICIA Address: 1228 N LONG RD SPOKANE VALLEY, WA 99016-955 Zoning: R-3 SF Res District Water District: 134 CONSOLIDATED ID #19 Area: 1.25 Acres Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Released By: Originally Released: 12/9/2008 By: tmelbourn Building Permit Contractor: QUALITY STEEL BUILDINGS INC Firm: QUALITY STEEL BUILDINGS INC Address: 7810 N MARKET ST Phone: (509) 468-1606 SPOKANE, WA 99207 This Application: Total Project: Description Grp 'Iva Notes Su Ft Valuation Sq Ft Valuation 2ND FLOOR R-3 VB 10 x 24 120 $8,961.60 120 $8,961.60 LOFT Item Description RESIDENTIAL PERMIT FEE ACCESSORY PLANS REVIEW WSBC SURCHARGE Totals: 120 $8,961.60 120 $8,961.60 Units Unit Desc Fee Amount 1 SELECT $167.25 1 SELECT $41.81 1 SELECT $4.50 Permit Total Fees: $213.56 Operator: jmm Printed By: jmm Print Date: 12/9/2008 Project Number: 08004596 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 12/9/2008 Page 2 of 2 Payment Summary: Permit Type Building Permit Fee Amount Invoice Amount Amount Paid Amount Owing $213.56 $213.56 $0.00 $213.56 $213.56 $213.56 $0.00 $213.56 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: jmm Print Date: 12/9/2008 PERMIT NUMBER: PERMIT FEE: (Staff Use Only) 544rs C CITY OF SPOKANE VALLEY Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 permitcenter@spokanevallev.orQ RESIDENTIAL CONSTRUCTION PERMIT APPLICATION S NEW CONSTRUCTION DECK SITE ADDRESS: 1228 N. LONG RD ADDITION/REMODEL ACCESSORY BUILDING OTHER L Fr ASSESSORS PARCEL NO.: 55181.3823 LEGAL DESCRIPTION: BUILDING OWNER NAME:CALAND PATTI GROTH (HUNDEBY, PATRICIA) NAME:CAL GROTH ADDRESS:SAME CITY:SPOKANE STATE:WA ZIP:99216 PHONE: 509-926-5309 Fax: CELL: CONTACT NAME:NATHAN PHONE:509-468-1606 FAx:509-468-3720 CELL: CONTRACTOR NAME:QUALITY STEEL BUILDINGS, INC. MAILING ADDRESS:7810 N. MARKET ST CITY:SPOKANE STATE:WA ZIp:99217 PHONE:509-468-8' C FAx:509-468-3720 CELL: CONTRACTOR LICENSE No.:QUALIBO81 C7 No.:60137059111 EXPIRES:2/09 CITY BUSINESS LICENSE ,/` DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: 10X24 LQFT IN PRE PERMIT POLE BUILDING f 2® tS C= POLE Bt1ILDING PERMIT # 08004487 PROPOSED USE: STORAGE Effective October 28, 2007 Page 1 of 2 C:\Documents and Settings\mbrown.QSBINC\My Documents\permits\Residential Construction Permit App.1.doc ****YOU MUST COMPLETE THE FOLLOWING**** Height to Peak:N/A Dimensions:10X 24 1 O.FT No. of Stories:1 Total Habitable Space:0 Main Floor SQ FT:O Upper Floor SQ FT:240 Unfinished Basement SQ FT:O Finished Basement SQ FT:O Garage SQ FT:1440 Deck/Covered Patio SQ FT:O Impervious Surface Area:O 30% Slopes on Property:0 No. of Bedrooms:0 Construction Type:POLE Heat Source:0 Sewer or Septic:SEWER TOTAL COST OF PROJECT: $ DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or on a dwelling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property owner or has • rmission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Vall-y Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of Spokane Vali - . - mit is not a - rmit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be requir-. 4- submitted and subsequently approved before this application can be processed. Signature Method of payment: ❑ Cash ❑ Check Bankcarri �®P°eo R Date: ® Visa 0 Mastercard Authorized Signature: This document originally contained confidential credit cord inforrnetien which was redacted pursuant to RCW 19.255.010 and the original document destroyed pursuant to SOS DAN GS2014-030. r)I l cxxf-i\J hos (6)ti (ss,),A Effective October 28, 2007 Page 2 of 2 C:\Documents and Settings\mbrown.QSBINC\My Documents\permits\Residential Construction Permit App.1.doc oikTh Vted,h (V—(4--k\DC) ,� CSI C,r�itiL FaflGrZ cod 1 Ride the Bus 1 846ewak� PH. C A 9 - 9yq _ 1 4001 I Nifty, Have ID-Zba- 87