2004, 03-16 Permit App: BLKD-04-03785 GarageSpokane
,,,,•'''Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 18008 E MONTGOMERY AVE
GREENACRES WA 99016-9306
Description: DETACHED 30 X 60 GARAGE
THIS IS NOT A PERMIT
` Penalties will be assessed for
commencing work without a permit
ACCESSORY BUILDING
Subdivision: Lot: Blk:
Owner: ANDERSON, MARK
Applicant: EXCALIBUR STEEL STRUCTURES INC
Address: PO BOX 14991
SPOKANE, WA 99214
Contractor: EXCALIBUR STEEL STRUCTURES INC
Address: PO BOX 14991
SPOKANE WA 99214
Application #: BLD -04-03785
Applied: 03/16/2004
Issued:
Expires: 09/12/2004
Parcel No: 55074.3102 Zoning:
Phone: (509) 921-1300
Phone: (509) 921-1300
Lic No: EXCALSSOOOC8
General Information:
Fees:
VALUATION
34200 BASIC PERMIT FEE
492.25
BUILDING HEIGHT TO PEAK
18 WSBCC SURCHARGE
4.50
DIMENSIONS
30 X 60 Total Calculated:
496.75
OCCUPANCY GROUP
u-1 Deposits/Receipts:
0.00
CONSTRUCTION TYPE
5-n
STRUCTURES ON PROPERTY
1 Total Due:
496.75
CURRENT PROPERTY SIZE
105 X 316
CURRENT PROPERTY USE
RESDIENCE
SERVED BY SEPTIC SYSTEM
yes
WELLS LOCATED ON PROPERTY
no
THIS IS NOT A RECEIPT
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STREET ADDRESS: t • 18
ASSESSOR'S TAX PARCEL NUMB
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMON/TY DEVEL OPMENT
BUILDINGDIVISION
1170 7 East Sprague A ve Ste 906
Spokane Valley, WA 99206
Phone: (509)688-0036 Fax.- (509)688-0037
REQUIRED SIVE INFORMATION
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LEGAL DISCRIPTION:�•F 1/4 -Trcic--- % Of flog A br e NcLereS Trr,!7k*"'
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PERMIT DESCRIPTION'
IJILDING PERMIT 1 CHANGE IN USE GRADING E MANUFACTURED HOME
[}RELOCATION 1 SIGN ®-TENANT 1201MR
OWNER !APPLICANT INFORMATION
DOWNER: A '-,
X',cry— ® APPLICANT:
PHONE:_ —51 FAX: PHONE: FAX:
ADDRESS.E I Song WA 1?0(� ADDRESS:
' CITY,S�T-�A E,,`ZIP CITY, STATE, ZIP
CONTRACTOR: 1.6�x S ® ARCHITECT.:
PHONE:'9 (Z� I '(0300 FAX: - LZ I -A %% [ � PHONE: FAX:
ADDRESS: f �fl, l�O n �C( c(� .app �! �F 9 � Z ( ADDRESS:
TY,.STATE, ZIP CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE # EXCA L SS Cb0 c g CONTACT-
PERMIT/BUILDING INFORMATION
COST OF PROJECT:
BUILDING HEIGHT TO PEAK: I FS
BUILDING DIMENSIONS: 'So X60
NUMBER OF STORIES:
NUMBER of BEDROOMS:
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:
RIGHT SETBACK:
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
CONSTRUCTION TYPE: Tpp05-� FJYarv��
STRUCTURES ON PROPERTY:
CRITICAL AREAS:
CURRENT PROPERTY SIZE:
CURRENT PROPERTY USE:
CURRENT SEPTIC USE:
CURRENT WELL USE:
IMPERVIOUS SURFACE AREA:
MAIN FLOOR SO FT:
2ND FLOOR SQ FT:
UNFIN BASEMENT:
FINISHED BASEMENT:
GARAGE:
COVERED DECK:
DECK:
_MANUFACTURED HOME SIGN
WIDTH: LENGTH: SQ FT OF SIGN: HEIGHT OF SIGN:
YEAR: PIT SET: # OF SIGNS: AREA OF EXIST SIGN:
MANUFACTURER: TYPE OF SIGN:
RELOCATION FIRE SAFETY
PREVIOUS ADDRESS: FIRE SPRINKLER: FIRE ALARM:
PAINT BOOTH: TENT:
PROPOSED USE: FIREWORKS DISPLAY:
BLASTING: DATE/TIME:
H WA STATE NON-RESIDENTIAL ENERGY CODE II
PLANS EXAMINER: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
INSPECTOR: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
II SPECIAL INSPECTIONS II
® BOLTING ®CONCRETE ® REINFORCEMENT ® WELDING
FIRM NAME: PHONE: FAX:
INSPECTOR(S):
BUILDING STAFF USE ONLY
IS PUBLIC SEWER AVAILABLE: ® YES ®NO IF YES: ® COUNTY ® CITY
IS PUBLIC WATER AVAILABLE: ® YES ® NO IF. YES, WHICH WATER DIST/IRR:
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: ® YES 13 NO
IS THE PROPERTY LOCATED WITHIN ASA: ® YES ® NO PSSA: ® YES [3 NO
'LDATE: 'I STAFF:
METHOD OF PAYMENT.•
® ® ® 13 -u
CASH CHECK •
BANKCARD #; EXPIRES.- V/N#
AUTHORIZED SIGNATURE.
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
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