2004, 07-13 Permit App: BLD-04-07056 Garage00
Spokane
4,0•OVAIey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 19111 E NIXON AVE
GREENACRES WA
Description: 22 X 24 ATTACHED GARAGE
ACCESSORY BUILDING
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application #
Subdivision:
Lot:
Bilk:
Parcel No:
Owner:
JOHN MCLUNG TRUST
BUILDING HEIGHT TO PEAK
12
Applicant:
I C CONSTRUCTION
Phone:
(509) 869-8656
Address:
19204 E NIXON AVE
REAR SETBACK
NA
LEFT SETBACK
GREENACRES, WA 99016-9693
RIGHT SETBACK
78
Contractor:
I C CONSTRUCTION
Phone:
(509) 926-3289
Address:
19204 E NIXON AVE
Lic No:
ICCONC*9681-9
CURRENT PROPERTY USE
GREENACRES WA 99016-9693
SERVED BY SEPTIC SYSTEM
yes
Applied:
Issued:
Expires:
BLD -04-07056
07/13/2004
01/09/2005
Zoning:
General Information:
Fees:
VALUATION
10032
Total Calculated: 0.00
BUILDING HEIGHT TO PEAK
12
DIMENSIONS
22 X 24 Deposits/Receipts: 0.00
# OF STORIES
1 Total Due: 0.00
FRONT SETBACK
15-6
REAR SETBACK
NA
LEFT SETBACK
26
RIGHT SETBACK
78
FLANKING SETBACK
78
OCCUPANCY GROUP
u-1
CONSTRUCTION TYPE
5-b
STRUCTURES ON PROPERTY
1
CURRENT PROPERTY USE
RESIDENCE
SERVED BY SEPTIC SYSTEM
yes
WELLS LOCATED ON PROPERTY
no
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Building
Planning
Public Works/ ,
4:
THIS IS NOT A RECEIPT
Street Address:
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
r a � � 1� � 11707 E. Sprague Avenue, Suite 106
-1�;, �. Spokane Valley, WA 99206
` Phone: (509) 68&0036; Fax: (509) 688-0037
i J}`
i
REQUIRED SITE INFORMATION -
goo
Assessor's Tax Parcel Number(s):
Legal Description: C11
PERMIT DESCRIPTION:
Building Permit ❑ Change in Use ❑ Grading
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety
Manufactured
❑ Other
OWNERIAPPLICANT INFORMATION I�
F-1 Owner: ClU W 460S� ❑ Applicant:
Phone: G Fax: Phone: Fax:
Address: /cilli Address:
�
1 YPL, LAI Clem
Zi Code
city T~
State
Zip Code
City State p
❑ Contractor: �(� .
i
lit
fl,11C-)le "' ❑
Architect:
Phone: q �0%PS
Fax:ak()
-S-ZOO'
Phone: Fax:
A dress: Jc/ 7,0V
CONSTRUCTION TYPE:
HEAT SOURCE:
Address:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
ity
State
Zip Code
City State Zip Code
WA State Contractor License #: ICCOMC X 9061-2 Contact:
L......PE�RMITIBUILDINGIN.FORMATION R
HEIGHT TO PEAK / N
DIMENSIONS:
# OF STORIES: /
/
MAIN FLOOR TO SQ. FTG' Q
2 FLOOR SQ. FTG
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
000
1 SYSTEM?
Width: Length:
Manufacturer:
Previous Address:
Proposed Use: _
Fire Sprinkler:
Tent:
Valuation:
MANUFACTURED HOME
Year Pit Set:
RELOCATION
FIRE SAFETY
# of Heads: Fire Alarm:
Fireworks Display: Blasting:
Above/Underground Storage Tank Size:
Paint Booth:
Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Inspector:
Address:
❑ BOLTING
Firm Name:
Inspector(s):
Phone:
Fax:
city State
Phone: Fax:
city
SPECIAL INSPECTIONS
❑ CONCRETE ❑ REINFORCEMENT
Phone:
State
Fax:
Zip
Zip
❑ -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 futl 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)
❑ Cash Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
07/13/2004 09:51 buljj1415b I
JUL 13 2004 10:45 FR
*&3W
;000v
11707 E. Sprague AVO., Suite 106
Spokane Valley. WA 99206
Job Addrees: 19111 E NIXON AVE
GREENACRES WA
Descriotioe: 22 X 24 ATTACHED GARAGE
Subdivision:
TO
i
I
ACCESSORY BUILDING
i
i
Lot: Blk: ,�vicei No:
324156? N•d1it
THIS IS NOT A PERMIT
Penslitl®s will be "Ossed for
commencing work without a permit
Application #: BLD -04-07056
Applied: 07I131T004
Issued:
Expires: 01149/2005
Zoning:
Owner; JOHN MCLUNG TRUST
Applicant: I C CONSTRUCTION
Pbon®:
(609) 689-8856
Address- 1020.4 E NIXON AVE
GREENACRES, WA 99016-9693
Contractor: I C CONSTRUCTION
phots:
(509) 928-3289
Address: 19204 E NIXON AVE
Lie No:
ICCONC'9981-9
GREENACRES WA 99016'•9093
Fees:
I
0.00
General Information:
VALUATION
10032
Total Calculated:
BUILDING HEIGHT TO PEAK
12
DeposltstRecsipts: 0.00
DIMENSIONS
22X24
Total Due: 0.00
# OF STORIES
1
FRONT SETBACK
1
REAR SETBACK
NA
LEFT SETBACK
26
RIGHT SETBACK
78
FLANKING SETBACK
76
OCCUPANCY GROUP
u-1
CONSTRUCTION TYPE
5-b
STRUCTURES ON PROPERTY
1
CURRENT PROPERTY USE
RESIDENCE
SERVED BY SEPTIC SYSTEM
yes
WELLS LOCATED ON PROPERTY
no
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Building h--- '
LL 1—I /s
Planning J
Public Woft
THIS IS NOT A RIIMPT
JUL 13 2004 10:52 5093241567 PAGE.01
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APPLICANT: (-:� % /`S -17'a r
MAILING ADDRESS:
CITY:
PHONE: (HOME)
DEPARTMENT OF COMMUNITY DEVELOPMENT
CURRENT PLANNING
ADMINISTRATIVE EXCEPTION
APPLICATION AND DETERNIINATION
PART I
NOTE: IF APPLICANT IS NOT THE OWNER, INCLUDE WRITTEN OWNER AUTHORIZATION FROM THE LEGAL OWNER BELOW
LEGAL OWNER:
MAILING ADDRESS:
CITY: _� 12.CA n STATE: illpr ZIP:
PHONE: (HOME) ` 9q -9�_ 32Ss� (WORK)-,: , t_�I o TR CLL
TAX PARCEL NO:_ STREET ADDRESS OF SITE: / g J/ / , %%T %4 0 A)
LEGAL DESCRIPTION: ��( /°r / � 12V, "P,(-tj n S� add—Z j MA)
SECTION(S) TOWNSHIP RANGE
ZONING. CLASSIFICATION:C p �,� S� COMPREHENSIVE PLAN CATEGORY: L-C/")P
TYPE OF ADMINISTRATIVE EXCEPTION REQUESTED:
EXPLAIN REASON FOR REQUEST:
APPLICABLE SECTIONS) OF ZONING CODE:
NOTE: A SITE PLAN AND SUPPORTIVE DOCUMENTS SHALL BE INCLUDED WITH THIS APPLICATION
PART H
LEGAL OWNER SIGNATURE
(Signature of legal owner or representative as authorized by legal owner)
I, ,(print name) SWEAR OR AFFIRM THAT THE
ABOVE RESPONSES MADE TRUTIIF`VLLY AND TO THE BEST OF MY KNOWLEDGE.
I FURTHER SWEAR OR AFFIRM THAT I AM THE OWNER OF RECORD OF THE AREA PROPOSED
FOR THE ABOVE IDENTIFIED LAND USE ACTION, OR, IF NOT THE OWNER, ATTACHED
HEREWITH IS WRITTEN PERMISSION FROM THE OWNER AUTHORIZING MY ACTIONS ON
HIS/HER BEHALF.
ADDRESS: %SLG •�1 P��1
City (State)
(Signature)
NOTARY
(For Part II above)
PHONE:
ZIP:
—/—I" Qi,-
-(Date)
STATE OF WASHINGTON) ss:
COUNTY OF SPOKANE )
SUBSCRIBED AND SWORN to before me this Z day of 20C)II
NOTARY SEAL
NOTARY SIGNATURE
Notary Public in and for the State of Washington
NOTARY
Residing at:m1�c�.
PUBLIC o :'
My appointment expires: 9-o-1-6:7
PART III
(To be completed by the Planning/ Staff)
DATE SUBMITTED: RECEIVED BY: 1
FEE: `l) I.14 FELE No.: Q4�-04
PART IV
DETERMINATION
File No: AF& -
The Department of Community Development finds that the information provided by the applicant and required
compliance with the City of Spokane Valley Zoning Code and all other development regulations, does / does not
adverse affect on the adjacent properties nor the public's general health, safety and welfare.
The Department of Community Developt approves enies this "Administrative Exemption" as conditioned
below, for the property described in Part 4,to Sections 14.506.000 and 14.506.020 of the Zoning Code.
This administrative exception is subject to the following conditions of approval:
1) This administrative decision shall apply to the subject property indefinitely and may be transferred to future
property owners, heirs or any successor in interest to the property subject to the conditions of approval
contained herein.
2) The applicant and property owner shall comply with all requirements and regulations of the Zoning Code.
3) The applicant shall comply with all applicable development regulations and standards.
4) The applicant and property owner shall comply with the following additional conditions:
This administrative exception is hereby approved this _[ day of c�X-ct 200+
Approved b Title:
Under Section 14.412.041 of the City Zoning Code, any person aggrieved by this administrative determination has
the right to appeal this administrative decision to the City of Spokane Valley Hearing Examiner. An appeal must
be filed by submitting the appropriate appeal application together with the required fee to the Department of
Community Development Current Planning, within fourteen (14) calendar days after the decision is issued. Upon
receipt of a complete appeal application, a public hearing will be scheduled.
For information or questions, please call (509) 921-1000 Rev 6/03
4-r-, 6 -.5't o6,
PLANNING DEPT. APPROVED
B
DATE:
o ��, }.