2004, 10-12 Permit App: BLD-04-07903 Pole Bldg10/12/2004 11:5 ( DITJJL410o l
OCT 12 2004 11:34 FR
11707 E. Sprague Ave.. Suite 106
Spokane Valley, WA 99206
Job Address: 424 N MESA LN
SPOKANE WA 99212
Description: 24 X 48 POLE BUILDING
Subdivision:
Owner.
Applicant
Address:
Contractor:
Address:
LAFORD, ARTHUR
SKI CONSTRUCTION
4719 E WINFIELD LN
MEAD, WA 99021
SKI CONSTRUCTION LLC
4719 E WINFIELD LN
MEAD WA 99021
JI\I IL L.I I_
TO 3241567 P.02/05
THIS IS NOTA PERMIT
Penalties will be assessed for
commencing work without a permit
ACCESSORY BUILDING
Application #: BLD -04-07903
Applied:
Issued:
Expires:
Lot Bik: Parcel No: 45184.0568 Zoning:
Phone: (509) 328-3011
Phone: (509) 328-3011
Lic No: SKICOL'976JB
10/1212004
04/10/2005
General Information:
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
21888
18
24 X 48
1
50+
6
15
5
u-1
5-n
2
101 X 124
yoa
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposita/Receipts:
Total Due:
349.25
4.50
363.75
0,00
363.75
CITYCf ` Su
APPROVED FOR �
10211kalabi
e
Building
THIS 19 NOTA RECEIPT
OCT 12 2004 13:00 5093241567 PAGE.01
*Mane
.0•00\Talley
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:
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
a Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
1(5-7gy,
OWNER/APPLICANT INFORMATION
❑ Owner: ,K7- &4 -C -17e) ❑ Applicant:
Phone: Fax: Phone: Fax:
Address: 14:2/.( p404_ L4orr Address:
City State Zip Code City State Zip Code
❑ Contractor: 54/ C...01.)‘ ❑ Architect:
Phone: ?7S yA, p Fax:.�- '' ? ( L,�, Phone: Fax:
Address: .- Address:
State Zip ode �� amity
State Zip Code
WA State Contractor License # -reO4 176j ontact:
PERMIT/BUILDING INFORMATION
HEIGHT TOPEAK: /, t
DIMENSIONS:__
o
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2"" FLOOR SQ. F G:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
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 State
Inspector: Phone: Fax:
Address:
City
State
Zip
Zip
SPECIAL INSPECTIONS
D BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
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.
Ownershi of resulting development rightsgranted byany issued permit inure toproperty- owner.
P 9 P 9 P
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check 0 Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
flTF t1F 01.
Sikakane
4 . %a11ey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 424 N MESA LN
SPOKANE WA 99212
Description: 24 X 48 POLE BUILDING
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
LAFORD, ARTHUR
SKI CONSTRUCTION
4719 E WINFIELD LN
MEAD, WA 99021
SKI CONSTRUCTION LLC
4719 E WINFIELD LN
MEAD WA 99021
ACCESSORY BUILDING
Lot: Blk:
Phone:
Phone:
Lic No:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application #:
Applied:
Issued:
Expires:
Parcel No: 45184.0568
(509) 328-3011
(509) 328-3011
SKICOL"976JB
BLD -04-07903
10/12/2004
04/10/2005
Zoning:
General Information:
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
21888
16
24 X 48
1
50+
5
15
5
u-1
5-n
2
101 X 124
yes
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
349.25
4.50
353.75
0.00
353.75
THIS IS NOT A RECEIPT
ULI ie .ela74 I J= )1 rK
ieff
•
FINAL AS -BUILT 1
' Address/Legal Description:
Subdivtsior lock/Lot:
AMA
zO$E
ROA
F
COM
AE
T
I U '40'+ rG7r�
TION
r.rJaruc
Appliration * g�-42.9,(
is site plan is
raining a building being
submitted forte purpose of
presentation of the propos. is
k d correctnowes/dimensions urb lines, property
ve been id d. Mee Mid epMpenh
b dies of ve
11
h
Signature
is Tank Size: /GM gals.
Grainfield: ,42.015.11 -ft,
ILeachbed: ft.
Double Plumbing )4rres DNo
ri IA MO.C15
ce=p.. eer,
OCT 12 2004 10:43
=nae e4
** TOTRL PRGE.02 **
PAGE.01