2004, 08-23 Permit App: BLD-04-07431 GarageSpgkail�
.� e3'
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION •
Street Address: 5-2 d L, m 4» r ffo jcavAtr led /4 If 2/ 2 -
Assessor's
Assessor's Tax Parcel Number(s):
n: cPe)_' 1c a_.
Legal Descriptio
PERMIT DESCRIPTION:
K. Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: Duo (✓& 7 c(ti
Phone: Fax:
Address: •
w A 4pZc z
Ci StateA� Zip Code City
Contractor: Am( /�,� ( �l�s. ❑ Architect:
Phone: 716-29,0 / Fax: Phone:
Address: c., prt*c&-.}p,,t Address:
.Spa1Cc....c Lilac 'if207
City)
State Zip ode
Applicant: SA-itiLr &g
Phone: cow -V Fax:
Address:
State Zip Code
Fax:
City State Zip Code
WA State Contractor License #:M/'lVEU.Ut92k1/ Contact: /Ws - Feickr tr -290P
%_ /
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK' 3,
DIMENSIONS:
n,
# OF STORIES:
x/
MAIN FLOOR TO SQ. FTG:
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ FTG:
GARAGE SQ. FTG: sey.
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECYS,D0
�%�
30% SLO O�ROPERTY:
f'/�L(�r
SEWER OR ON-SITE SEPTIC
SYSTEM?
1
MANUFACTURED HOME
Width;
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone: Fax:
City
Inspector: Phone:
Address:
City
State
Zip
.Fax:
State
Zip
SPECIAL INSPECTIONS
•
•
❑ BOLTING 0 CONCRETE
❑ REINFORCEMENT •
WELDING
Firm Name: Phone:. ..... Fax: -
nspector(s):
DISCLAIMER
The permitee verifies, acknowledges and agrees by their signature•that: ;1) Itthis 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 Lathe
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 resulting development rights granted by any issued permit inure to the property owner.
Print Name
Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash 0 Check ❑ Mastercard ❑ VISA 0 Other
Bankcard #: , , ••Expires: NVIN#:
Authorized Signature:
ADDRESS 5' D r
ZONE Lye, 3c
ROAD WIDTI4
FRONT `i I FLANKINOp27
COMMENTS
REVIEWED BY
This sNe'Plan {S ung submitted tor the purpose 01
obtaining a building penult and is a hue and correct
lines;
representation s. the tiprnes.
aru
AH known property
lines;dimenc�nns, curb lines. MnlUures�
easements
have- been inentified. Also are critical wetlands..areas.
bodies of ware;. steep slopes
or
Signed
Date:
BUILDING /. I-) iii //JAl/_
SIZE / •2 IL i ,- --
FLOOR y/ p yI e
ROOMS AND GRADE
CONSTRUCTOR
CONSTRUCTON %/Z Am, F - D • -
STORIES /
ROOMS 5' 2._ -
FINISHED
FLOORS F /K
EXT. FEATURES
FOUNDATION Per 1_/J_J0A/r. .LX/o-,q
ROOFG Try
FIREPLACE # 1o Y. 4'+I N
STEMS / FLUESI
SECOND FLOOR
EX. CHIMNEY /✓!!O
ROOMS
1
EXT. WALLS -%*SD S, -- / /-?/
CLASS
INT. WALLS 8// .1.3,e.-7
FLOOR
INT. TRIM .5o F7-
SQ. FT.
PLUMBING .' ri SAJ/,/ /Tr-/- ,
EXT. PLUMBING A/.-
HEATING W10 CCD "
EXTRAS
9/Z
CLASS /1 I- $�
R
SQ. Fr.
PER /up
NOTES
LIFE.-. S0
% COMP. /0a
A.V. ' ...213b
I
0 F -1eit) o, atat.,CK
C-fot -Sy
YR. BLT. 57-8S
)I.S'
- ./!o��_i[ �
:; e% {- d -e fait (PC )
lease Indo yL-av 90 cc -c.c
BUILDING
R.' .11' acid
CONST.
FDN.
/3/1/03 Jy (,// CT//,h/Vr --
F L 0 OR S FLOORS
EXT. WALLS --
ROOF
ROOF CONST.
BASEMENT
PLUMBING
EXTRAS
CLASS
5Q. FT. -
PER
.LIFE
% COMP.
YR. BLT.
BLDG.
CLASS
SO. FT.
PERM.
LIFE
% COMP.
VR. BLT.
A.V.
STvkrG
- .i
•
'992.-
f}•
....Or
T
Land Values
Year
Value
Mak /990
22oo 2.260
ISr58S
, 3(o At
Se CD
a3000
9•l9 8S-.
slLf)/f•
HARRINGTONS-ADD TO hJTCHINSON
LT 4 RLK 6-
vo(cto
4 /SL/.
q3— 2&O/re
L'r3 Values E gs o YI t
j/949 949 I if,
ago 1 SSo %D 0 I $:
-o s')
Year f
Value I
FLD. MAN
INS. DATE
YEAR
Cr
FDL
3-/9-6
7 9Ss�
/9/o9
.%/%4
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A 05C
ae
K -I e-22-
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//-/-P,—
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Promo M/»,)
Land Values
Year I 5773
Value /700
/?69
/ // O
S.c
3J-0
5/D
41647
4,
v
r -a
/9 743
/97.3
t/C v
fL
1590
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