2005, 07-25 Permit App: 05002550 Pole BldgProject Number: 05002550 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/25/2005 Page 1 of 2
Project Information:
Pennit Use: 24 X 36 X 10 POLE BUILDING W/ 24 X 12 X 10
LEAN-TO
Setbacks: Front 100 Left: 22 Right: 64 Rear: 7
Site Information:
Plat Key:
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
ICS STEEL BUILDINGS
2403 S BEST
VERADALE, WA 99037
(509) 270-1341
Name: GREENACRES IRR DISTRICT A
District: East
Parcel Number: 55073.0312
Block:
Lot:
SiteAddress: 17324 E MONTGOMERY AVE Owner: Name: BEATTIE, RH
Address: 17324 E MONTGOMERY AVE
GREENACRES, WA 99016-8542
Location:: GRE
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Hold: ❑
Area: 40,300 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 4 Nbr of Dwellings: 1
Review Information: ,
Review
Site Plan Review
Plan Review
ilak“ 0A4
Released By: U2 C(t intim a..,
Released By:
dry(Jfl/l.trrl
Septic System Review
Permits:
Released -13- y_
te tv
Operator: K_C Printed By: K_C
Print Date:
07/25/2005
Project Number: 05002550
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/25/2005
Contractor: I C S STEEL BUILDING
Address: 2443 S BEST
VERADALE, WA 99037
Building Characteristics
Group: U-1 Type: VB
Total Area 1152
Building Height 0
Stories 1
Description Grp Type
CARPORT U-1 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLAN REVIEW
STATE SURCHARGE
Notes •
Building Permit
Page 2 of 2
Firm: I C S STEEL BUILDING
Phone: (509) 270-1341
Notes
This Application:
Sq Ft Valuation
288 $4,320.00
864 $16,416.00
Totals: 1,152
Units Unit Desc
I SELECT
1 SELECT
I SELECT
Total Project:
So Ft Valuation
288 $4,320.00
864 $16,416.00
$20,736.00 1,152 $20,736.00
Fee Amount
$335.25
$83.81
$4.50
Permit Total Fees:
$423.56
Payment Summar,:
Permit Type
Building Permit
Fee Amount Invoice Amount
$423.56 $423.56
$423.56 $423.56
Amount Paid
$0.00
Amount Owina
$423.56
$0.00 $423.56
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: K_C Printed By: K_C Print Date: 07/25/2005
Si�kine
.000Valleyo
BUILDING PERMIT APPLICATION WORKSHEET
City, of Spokane Valley Community Development Department
E .0 E W Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
(509) 688-0036; Fax: (509) 688-0037
'hone:
REQUIRED SITE INFORMATION
Street Address: 4140 4-' r)r- ')ray -e. thiki 6/ /2
Assessor's Tax Parcel Number(s):
Legal Description: OL
PERMIT DESCRIPTION: ?J -'J
Y ?e e}'r yn u)J ZL/ %(, I z Ntic r-/-
[uilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
IY Owner: i i C1') /MLitt r,
Phone: q27- /L/57Fax:
Address: Z — //ii, •
va
Crty State
[Y Contractor. J03 1-cri )d((
Phone: ZZ- Fax: z - 747
pt de
Address:
V)/(L
City
State
QZl(p
Zip Code
❑ Applicant:
Phone:
Address:
Fax:
City
State hp Code
❑ Architect:
Phone: Fax:
Address:
City
State Zip Code
WA State Contractor License #: r„,16Rq /1{ Contact: 4LLkti,ril (e/ 1J
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
1
HEIGHT TO PEAK:
DIMENSIONS:
7qX G) LOChh ,4Y/7
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG: t/
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:CONSTRUCTION
PE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST 9i P OJECTr 0030%SLOPES
��j,_�[�,
ON PROPERTY:
i�n .
SEWER OR �N-SJTE SEPTIC
SYSTEM? ._117 I C
/
%�5�ds — �,IO/vnc/ /!2d
MANUFACTURED HOME
'1
Width:
Manufacturer:
Length:
`Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
4
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: , , tr..Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City
Inspector: Phone:
Address:
State
Zip
- ,Fax:
City
• State
Zip
SPECIAL INSPECTIONS
❑ BOLTING
Firm Name: • ' Phone: • ,
Inspector(s):
❑ CONCRETE
❑ REINFORCEMENT -
❑ WELDING
Fax:
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 resulting development rights granted by any issued permit inure to the roperty owner.
Print Name cSiYY) Signature cl Vn (� EP.Q r
' J
Method of Payment: (Faxed permit applications, will cnly be accepted with major bankcard)
lli
❑ Cash ❑ Check .❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
3
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CID
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LT)
L G \ cc, i Q
r 471 -07,6
ADDRESS (/1��lhldJQh,
ZONE 3 ' U
AAD FRO TCt RANKING 1/11R
COMMENTS
REVIEWED BY
7/?n
/ idyl,.ic.1011,
Q1O 33.77 (C)
This site plan is being submitted for the purpose of
obtaining a building permit and Is a true and correct
representation of the proposal. All known property
Tines/dimensions, curb lines, structures and easements
have been identified. Also looted are wetlands,
bodies of r; steep slo or Orr critical areas.
Signed''
Dale:
7
1
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