2010, 07-28 Permit App: 10002141 Pole BldgProject Number: 10002141 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 30 x 48 POLE BLDG Contact: BRYAN, PERRY E & JUDY A
Address: 17920 E MONTGOMERY
C - S - Z: SPOKANE VALLEY, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 279-2906
Group Name:
Site Information: Project Name:
Plat Key: 005477 Name: SP -0896-93 District: East
Date: 7/28/2010 Page 1 of 2
Parcel Number: 55074.3203 Block:
Lot:
SiteAddress: 17920 E MONTGOMERY AVE Owner: Name: BRYAN, PERRY E & JUDY A
Address: 17920 E MONTGOMERY
Location:: CSV SPOKANE VALLEY, WA 99016
Zoning: R-3 SF Res District
Water District: 134 CONSOLIDATED ID #19 Hold: E
Area: 38,074 Sq Ft Width: 155 Depth: 315 Right Of Way (ft): 60
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Released By:
Originally Released: 7/16/2010 By: tmelbourn
Landuse/Zoning/HE Conditions
Permits:
Released By:
Originally Released: 7/28/2010 By: KKENDAL
Operator: JD Printed By: JD
Print Date: 7/28/2010
Project Number: 10002141 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/28/2010
Contractor: ZIEGLER LUMBER COMPANY
Address: 4220 N MARKET ST
SPOKANE, WA 99207
Description Grn Tyne Notes
POLE BDLG U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLANS REVIEW
WSBCC SURCHARGE
Building Permit
Page 2 of 2
Firm: ZIEGLER LUMBER COMPANY
Phone: (509) 489-8760
This Application:
Sq Ft Valuation
1,440 $27,360.00
Totals: 1,440 $27,360.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Total Project:
So Ft Valuation
1,440 $27,360.00
1,440 $27,360.00
Fee Amount
$421.55
$105.39
$4.50
$531.44
REQ. WATER PURVEYOR VERIFICAION THAT WATER SUPPLY IS OPERATIONAL.
Payment Summary , Vx F ,,
Permit Type
Building Permit
Fee Amount
$531.44
Invoice Amount
$531.44
Amount Paid Amount Owing
$105.39 $426.05
$531.44 $531.44 $105.39 $426.05
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: JD Printed By: JD
Print Date: 7/28/2010
sji�i;'
j�alley
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@ spokanevalley.orq
RECEIVED
CSV PERMIT CENTER
JUL. 1 : 2010
Project #__10 `2At-4
Name
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
I NEW CONSTRUCTION
DECK
ADDITION/REMODEL IiLACCESSORY BUILDING
OTHER
SITE ADDRESS: I1C'l t: Mo 5Pz::.1L01+-)g
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS:
?EFS
i 30 t M •dr
CITY:
PHONE:
5‘201-41-14._ v Joc(
STATE: V4
ZIp: d lU(
FAX:
CELL:
CONTACT NAME: p�rZ12_•c?
L47 Go-"
PHONE: 71 c k
FAX:
CONTRACTOR NAME: 'Z 1 Fz(;-L L L`Uvvt(5E. CO -
CELL:y,5--i s- 3 ? y
MAILING ADDRESS: `pa{i I
CITY:
PHONE:
5FoN4
vC i Iwo
STATE:
ZIP: 99z,1 cf
FAX:
CELL:
CONTRACTOR LICENSE No.: aty, ZI i'zC-( L3tip3
Cr.
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
328- 04/x9----
DESCRIBE
xra9s
NSA 4k- 12_ R.A.-E gUI c�
PROPOSED USE:
14 e PKA G6(
,Qt` 7W'S Ti/Y(
Effective October 28, 2007 ray
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Residential Construction Permit
App.1.doc
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak:
i 1'
Dimensions:
3C: x<4 a
No. of Stories:
i
Total Habitable
Space: PIA
Main Mgt SQ
FT: C y L f-
Upper Flolor SQ
FT: t -Z I A-
Unfinished B Bement
SQ FT: 01 -
Finished Basement
SQ FT: iv 1 4 -
Garage SQ FT:
NPr 0@
Deck/Cover d Patio
-SQ FT: p.j —
Impervious Surface
Area:
30% Slopes on
Property: NIA
No. of
Bedrooms: i- 0
Constructi
Type: �v LE_
Heat Souce:
NIA-
Sewer or
Septic: N 1 A
TOTAL COST OF PROJECT: $ / 3 Oct D
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 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) The City of
Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
Signature
Date:
Method of payment: ❑ Cash
Bankcard #:
Check ❑ Visa D Mastercard
EXP: VIN#:
Authorized Signature:
i,(A3v /6 2D /
Effective October 28, 2007 Page 2 of 2
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Residential Construction Permit
App.1.doc
Spokane
jUalley
For City Use Only
PLUS Project Number 0 J -' d.'
Project Address
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 • permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. if for
any reason we cannot meet this date, we will contact you with a revised target date.
r {
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re -submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if you haven 't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre -Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re -
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE -APPLICANT PINK - BUILDING FILE REV 9/07
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PLANNING DEPT. APPROVED
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DATE:
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