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2005, 09-06 Permit App: 05003198 Residence GasProject Number: 05003198 Inv: 1 Application Date: 09/06/2005 Page 1 of 2 THIS IS NOT •A PERMIT Penalties will be assessed for commencing work without a permit Project Information: ..n ».., °:.. err Permit Use: NEW RESIDENCE -GAS Contact: HOLLEN CONSTRUCTION Address: 11507 E KRONQUIST C - S - Z: MEAD, WA 99021 Setbacks: Front 22 Left: 6 Right: 30 Rear: 18 Phone: (509) 922-1596 Group Name: Site Information: Project Name .zb e'er ;A' Plat Key: 004012 Name: SP -0296-84 District: Nort Parcel Number: 45162.1169 Block: Lot: SiteAddress: 921 N JOHNSON RD Owner: Name: WASHINGTON, ELLA & WRIGHT, Location:: CSV Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: 1,496.00 Acres Width: 115 Nbr of Bldgs: 1 Nbr of Dwellings: 0 Address: 922 N PIERCE RD SPOKANE, WA 99206-5021 Hold: ❑ Depth: 73 Right Of Way (ft): 50 Review Information: Review Site Plan Review Released By: Plan Review Released By: Originally Released: 09/06/2005 By: TMELBOU Sewer Review Released By: Permits:_ Operator: CJJ Printed By: MT Print Date: 09/06/2005 Project Number: 05003198 Inv: I Application Date: 09/06/2005 THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Contractor: HOLLEN CONSTRUCTION Address: 922 N PIERCE RD SPOKANE, WA 99216 Group: R-3 Type: VB Total Area 2137 Building Height 18 Stories I Dwelling Units 1 Building Permit _ - Firm: HOLLEN CONSTRUCTION Phone: (509) 922-1956 Building Characteristics Total Project: Scl Ft Valuation 667 $49,811.56 1,524 $113,812.32 2,191 $163,623.88 Fee Amount $1,352.15 $4.50 $540.86 Permit Total Fees: $1,897.51 Page 2 of 2 Notes. PLUMBING AND MECHANICAL PERMITS MUST BE ISSUED AND INSPECTED BEFORE COMPLETION OF FINAL INSPECTION - MT PaymentSummary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,897.51 $1,897.51 $0.00 $1,897.51 $1,897.51 $1,897.51 $0.00 $1,897.51 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: CJJ Printed By: MT Print Date: 09/06/2005 This Application: Description Grp Type Notes Sg Ft Valuation RES ADD R-3 VB REMODEL 667 $49,811.56 RESIDENCE R-3 VB NEW 1,524 $113,812.32 RESIDENCE Totals: 2,191 $163,623.88 Item Description Units Unit Desc RESIDENTIAL PERMIT FEE 1 SELECT STATESURCHARGE I SELECT RESIDENTIAL PLAN REVIEW I SELECT Total Project: Scl Ft Valuation 667 $49,811.56 1,524 $113,812.32 2,191 $163,623.88 Fee Amount $1,352.15 $4.50 $540.86 Permit Total Fees: $1,897.51 Page 2 of 2 Notes. PLUMBING AND MECHANICAL PERMITS MUST BE ISSUED AND INSPECTED BEFORE COMPLETION OF FINAL INSPECTION - MT PaymentSummary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,897.51 $1,897.51 $0.00 $1,897.51 $1,897.51 $1,897.51 $0.00 $1,897.51 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: CJJ Printed By: MT Print Date: 09/06/2005 0S �3 V116 BUILDING PERMIT APPLICATION WORKSHEET C>z City of Spokane Valley Community Development Department ��k��� I,T. ,-, �_� Building Division �` ��'' �'� �� ��� �` n 11707 E. Sprague Avenue, Suite 106 PU Fj4 —� S okane Valley, WA 99206 ;00a1leyp r � Pho�,(509) 688-0036; Fax: (509) 683-0037 IU) ;( `J REQ'nMn `81TIS'I N FO RIVIATI O N Street Address: N qac J, Assessor's Tax Parcel Number(s): I Legal Description: PERMIT DESCRIPTION: ,Q'Building Permit ❑ Change in Use ❑ Grading ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety OWNERIAPPLIGANT INFORMATION Owner. tom, nrka L. of ❑ Applicant: Phone: �az. Phone: _ Address: Address: Zip Code Contractor: tJn Il-eA Minna ra , ,p✓1 Phone: °[o-- Nilo Fax: 0/) - S�_'V ❑ Manufactured Home ❑ Other Fax: city State Zip Code ❑ Architect: Phone: _ Address: YLV Code City Fax: State Zip Code WA State Contractor License Contact: �� II�� Spokane Valley Bus. Liscense #: Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK:DIMENSI NS: # OF STORIES: I )D _3,V, MAIN FLOOR TO SQ. FTg; �� . -A, N, FLOOR SQ. FTG:UNFIN BASEEIMFp T SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: j n J� DECKICOV 16ATIO SQ. FTG: OCCUPANCY GROUP' CONSTRUCTION TYPE. HEAT SOURCE: 2�2le # OF BEDROOMS: TOTAL HAB[TAB L��S E: IMPERVIO/JS U ASE AREA: z COST OF PROJECT: 3091. SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC Z� SYSTEM? MANUFACTURED HOME Width: Length: Year: Pit Set: Manufacturer: Previous Address: Proposed Use: _ Fire Sprinkler. Tent: Valuation: RELOCATION FIRE SAFETY # of Heads: Fire Alarm: Fireworks Display: Blasting: Above/Underground Storage Tank Size: Paint Booth: Date/Time: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Address: Phone: Fax: city State Zip Inspector: Phone: Fax: Address: city state Zip I SPECIAL INSPECTIONS I ❑ BOLTING ❑ CONCRETE Firm Name: Inspector(s): ❑ REINFORCEMENT Phone: Fax: ❑ WELDING DISCLAIMER The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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 permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. Ownership of resu�ng development rigpts granted by any issued permit inurP4XMeqKbpertyq,0he Print Name �dgl% j,( ' //�- Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard Bankcard #: Authorized Signature: Expires: ❑ VISA ❑ Other VIN#: DATE: 1L N HOLLEN CONST _ 32'0"0 ADDITION TO GARAGE 2X4/2X4 CHORDS LOADING:#30-7-10=47 44'0"8 P m 94 V4 n n i I II i 2 3 1 � U 4 'r8 17 9 7 7 5 4 it O � i ii I i i - _ - it Cf 9 a i 32'6"012'0"0 31'6"8 L. _ .. ----- -- ----------------- ------ — ---- - -= ----- --- --- -- -- --- — Non -Itemized QUOTE Estimate REQ- QUOTE DATE / / ORDER 4 BASE SPAN O/A SPAN LUMBERI ORDER DATE ! / QUOTE # 050732 llMBERMENS DELIVERY DATE ! / CUSTOMER ACCT# 355549108 DATE OF INVOICE / / CUSTOMER PO # LEFT TRUSS DIVISION LEFT I ORDERED BY INVOICE i 10310 E Montgomery Sane. WA 99208-4220 TERMS (509) 924-2420 - (800) 486-9617 Fax (509) 924-2583 SUPERINTENDENT SALES REPCHARLIE CROFT JOBSITE PHONE # 2 SALES AREA 0.00 JACK J1 01-11-11 BOB HOLLEN JOB NAME: 2 X 4 LOT # SUBDIV: 05-11-09 aTAG: $ MODEL: JOB CATEGORY: D 6.00 DELIVERY INSTRUCTMS: JACK J10 02400-00 0240.00 T 0 2 X 4 02-00-00 01-11-11 a I 1524 ADDITION SPECIAL INSTRUCTIONS: P S O 2 6.001 0.00 BY DATE BUILDING DEPARTMENT OVERHANG INF21 HEEL HEIGHT 100-03-12-1 REQ. LAYOUTS REQ. ENGINEERING I QUOTEA_ ! EW CUT RMFW NONE NONE LAYOUT ! ! CUTTING PLUMB YES GABLE STUDS 24 IN. OC ! ! RnnF TRUSSES LOADING TCLLrca eai sraEss wcR ROOF TRUSS SPACING: 24.0 IN. O.C. (TYP.) PROFILE QTY PITCH TYPE ID BASE SPAN O/A SPAN LUMBERI OVERHANG ICANTILEVER STUB PLY Top BOT Top I BoT I LEFT I mw 1. LEFT Rr4ff LEFT I ReGKr 2 6.00 0.00 JACK J1 01-11-11 01-11-11 2 X 4 2 X 4 024)6-00 05-11-09 2 6.00 0.00 JACK J10 02400-00 0240.00 2 X 4 2 X 4 02-00-00 01-11-11 2 6.001 0.00 JACK J11 02-00-00 02400-00 2 X 4 2 X 4 02400-00 03-11-11 2 6.00 0.00 JACK J12 01-11-11 01-11-11 2 X 4 2 X 4 02-0000 01-11-09 2 6.00 0.00 JACK J13 03-11-04 03-11-04 2 X 4 2 X 4 024)0.00 00-00.07 1 6.00 0.00 JACK J14 03-11-04 03-11-04 2 X 4 2 X 402-00-00 01-11-11 2 6.00 0.00 JACK J2 03-11-11 03-11-11 2 X 4 2 X 4 02400.00 03-11-09 2 6.00 0.001 JACK J3 05-11-11 05-11-11 2 X 4 2 X 4 02400-00 01-11-09 2 8.00 0.00 JACK J4 07-11-04 07-11-44 2 X 4 2X4 02-00-00 0040-07 2 6.00 0.00 JACK J5 07-11-04 1 07-11-04 2 X 4 2 X 4 02-00-00 02.004Y7 2 8.00 0.00 JACK J8 07-11-04 07-11-04 2 X 4 2 X 4 02-00-00 04.00.07 2 6.00 0.00 JACK J7 07-11-04 07-11-04 2 X 4 2X4 024X) -W 0600-07 2 8.00 0.00 JACK JS 07-11-04 07-11-04 2 X 4 2 X 4 024000 0800.07 4 6.00 Q.001 JACK J9 01-11-11 01-11-11 2 X 4 2 X 4 0240000 00.00-05 00400.05 / 2 4.24 0.00 GIRDER P1 23-07-08 2307 -OS 2 X 4 02-09-03 2 424 0.00 GIRDER P2 0805-01 08-05-01 2X4_1 102439-03 1 CAL HIP 2 Ply 6.00 0.00 T1 3306-00 33-08.00 2 X 4 02-0000 02-0000 CAL HIP f2X4 1 6.00 0.00 T2 33-06.00 33-0600 2 X 4 02-0000 02-0000 CAL HIP 1 6.00 0.00 T3 33-0600 33-06-00 2 X 4 2 X 4 02-0Oa0 02-0000 CAL HIP 1 6.001 0.00 T4 33 0600 334600 2 X 4 2 X 4 024)0-00102-0000 j�ley DEPARTMENT OF COMMUNITY DEVELOPMENT CURRENT PLANNING ADMINISTRATIVE EXCEPTION APPLICATION AND DETERMINATION 11 PART I APPLICANT: �P�A&6c., 01 MAILING ADDRESS: kSO.1 E fcon, Aid CITY: tAe't STATE: W 19' ZIP: yo2 PHONE: (HOME) C{ 17 -1 SQ (o (WORK) 9 q - 8911 b (CELL) NOTE: IF APPLICANT IS NOT THE OWNER, INCLUDE WRITTEN OWNER AUTHORIZATION FROM THE LEGAL OWNER BELOW LEGAL OWNER: MAILING ADDRESS: CITY: STATE: ZIP: PHONE: (HOME) (WORK) (CELL) TAx PARCEL NO: pis 162. `�y STREET ADDRESS OF SITE: ©J NMkfASoa te a , LEGALDESCRIPTION: 1�E��SCRIPTION:: _©pol��.�v`rg R pT .sk C !e"� ,. 8j -Z% 82"•IC4 n �pQclsan nA -\ I � et , t SECTIONS TOWNSHIP ' ^ RANGE (� ZONING CLASSIFICATION: U�' COMPREHENSIVE PLAN CATEGORY: C TYPE OF ADMINISTRATIVE EXCEPTION REQUESTED: 10% y- hcl'oryA* ©r) rEla r- Se+ v j "i -,j EXPLAIN REASON FOR REQUEST: 'Sege ula,yq_ APPLICABLE SECTIONS) OF ZONING CODE: NOTE: A SITE PLAN AND SUPPORTIVE DOCUMENTS SHALL BE INCLUDED WITH THIS APPLICATION PART II LEGAL OWNER SIGNATURE (Signature of legal owner or representative as authorized by legal owner) I, ,r i&. Vk 1` (print name) SWEAR OR AFFIRM THAT THE ABOVE RESPONSES ARE MADE TRUTHFULLY AND TO THE BEST OF MY KNOWLEDGE. I FURTHER SWEAR OR AFFIRM THAT I AM THE OWNER OF RECORD OF THE AREA PROPOSED FOR THE ABOVE IDENTIFIED LAND USE ACTION, OR, IF NOT THE OWNER, ATTACHED HEREWITH IS WRIT'T`EN PERMISSION FROM THE OWNER AUTHORIZING MY ACTIONS ON HIS/HER BEHALF. ADDRESS: NOTARY (For Part II above) STATE OF WASHINGTON) ss: COUNTY OF SPOKANE ) PHONE: q a r ��- ZIP: (Date) SUBSCRIBED AND SWORN to before me this 21 St—day of , 2015 NOTARY SEAL P�SSNALL a l NOTARY SIGNATURE ,S%ON f �Fy Notary Public in and for the State of Washington Q 0 NOTARY p W CO v Residing at: 0 — 4W z N O PUBLIC My appointment expires: IDI D7 F WA5 PART III (To be completed by the Planning Staf ) DATE SUBMIT1T /ED: I �� RECEIVED BY: '.04y 1.4=� FEE: 1 VIA FILE No.: PART IV DETERMINATION File No: A$E- ft --t6 The Department of Community Development finds that the information provided by the applicant and required compliance with the City of Spokane Valley Zoning Code and all other development regulations, does / does not adverse affect on the adjacent properties nor the public's general health, safety and welfare. The Department of Community Developm t ap�oections enies this "Administrative Exemption" as conditioned below, for the property described in Part I, p 14.506.000 and 14.506.020 of the Zoning Code. This administrative exception is subject to the following conditions of approval: 1) This administrative decision shall apply to the subject property indefinitely and may be transferred to future property owners, heirs or any successor in interest to the property subject to the conditions of approval contained herein. 2) The applicant and property owner shall comply with all requirements and regulations of the Zoning Code. 3) The applicant shall comply with all applicable development regulations and standards. 4) The applicant and property owner shall comply with the following additional conditions: This administrative exception ' hereby approved this day of , 20 Dz�- Approved by' Title: P Under Section 14.412.041 of the City Zoning Code, any person aggrieved by this administrative determination has the right to appeal this administrative decision to the City of Spokane Valley Hearing Examiner. An appeal must be filed by submitting the appropriate appeal application together with the required fee to the Department of Community Development Current Planning, within fourteen (14) calendar days after the decision is issued. Upon receipt of a complete appeal application, a public hearing will be scheduled. For information or questions, please call (509) 921-1000 Rev 6/03