2003, 06-09 Permit App: BD03-323 Garage, ShopCity of
SPOKANE VALLEY
PERMIT # A ix:3 323
BUILDING PERMIT APPLICATION
FAx
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Box 1 OWNER ,.Bohm 4 1L4 ZTfjA-r\ r..t B LOCATION
OWNER'S ADDRESS 1(67109/1jodU CITY 5,e, PHONE 9a�D—/ 9k3
0 36X
DESCRIBE JOB 30
Pasr fRM t a/A-. 64_ op)
THIS PROPERTY IS OWNED BY: SINGL MARRI
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME, iD 73.57- ri9-04-t 34rle2LS PHONE 92g—g97 ,
CONTRACTOR'S ADDRESS At o270aa L4 -u M
CITY — O.
CONTRACTOR'S REG.# 4/ Oa'TH PP60 SCP A/ EXPIRATION DATE /a2/9/7
Pc;
MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX 3 CONTACT PERSON OF PROJECT &bN' G f %Z/5 PHONE €28— Oq 7 6`I S� eq,
ADDRESS �A7.. 6:27e.?J9— 4 2
CITY /,�• ZIP 92 2—
BOX 4 SEWER AVAILABILITY ( WATER AVAILABILITY
BOX 5 ESTIMATED PROJECT COST $ (4(000 EXISTING BLDG. VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER %%/ICE L fi 5073,/5235—
LEGAL
3,/5O$
LEGAL DESCRIPTION 10 'D
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER LOT NUMBER
IX 7 BUILDING SQUARE FOOTAGE (Existing / proposed)
3RD FLOOR / OTHER / BASEMENT FINISHED
BASEMENT UNFINISHED / DECK /
3' 3
1ST FLOOR / 2ND FLOOR /
CARPORT / TOTAL /
GARAGE / 13
HEIGHT TO PEAK OF BUILDING FT.
( ) SINGLE FAMILY
,( ) MULTIFAMILY (NO. OF UNITS
( ) COMMERCIAL / INDUSTRIAL
' ) TENANT IMPROVEMENT
) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY SQ. FT.
IMPERVIOUS SURFACE SQ. FT.
LUMBING FIXTURES (Including rough -ins)
MECHANICAL APPLIANCES
EASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
STEMS, -HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
'N SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL.
Water Service meter size (if known) Also see BOX 4
Septic Tank — Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
'Yorks Department.
t THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
'E B T OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
S T1'ERFORM THE RK FOR WHICH THE APPLICATION I MASE.
7
lc/li vJ� DATE 6
(OVER)
I hereby authorize the City o
Visa Mastercard
Print the name of the Holder
Spokane Valley to charge the fee for this permit to my credit card:
---- _-_ _-_- Expiration Date
Signature
DO NOT PLACE ANY BUILDING UNDER POWER LINES OR OVER INCOMING GAS LINES.
OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT
PLANNING DEPARTMENT APPROVAL
REMARKS
SIDE
REAR HEIGHT LIMIT
DISAPPROVAL DATE
SEPA: EXEMPT
NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS
DISAPPROVAL DATE
PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL
DATE
TYPE OF JOB: NEW RESIDENCE
RES. ADD/ALT
NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT. @
TOTAL SQ. FT.
BUILDING PERMIT NO.
PERMIT FEE PLAN CHECK FEE
TOTAL FEES WSBCC SURCHARGE
STORIES
TOTAL VALUATION
PLAN CHECK FEE REC'D RECEIPT NUMBER
PLUMBING FEE
ENERGY SURCHARGE
OTHER CHARGES -
AMOUNT DUE
MECH. FEE
BUILDING DEPARTMENT APPROVAL
Received
ASSIGNED ADDRESS
BY
DATE
• 460 73 /sob
13702 50092ET5. FILLER 5 SQUARE
42 381 50 SHEETS EYE -EASE. 5 SQUARE
NNia4BI•Bmrq 423V, 23 SHHFEIS EE4E-EASE SSWME
42 RECYCLED
200EE SQUARE
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DATE APPROVED
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13-762 500 SHEETS. FILI En 5 SQUARE
42.381 0 SHEETS EYE-FASP 5 SQUARE
zimNetlnnd0Bmnd 42-382 160 SHEETS EYE -EASE 5 SQUARE
42389 280 SHEETS EVE -EASE. 5 SQUARE
42.392 ILO RECYCLED WHITE 5 SQUARE
42-399 30 RECYCLED WHITE 5 SQUARE
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CITY OF SPOKANE !ALLEY
''l- BUILDING DEPT.
PERMIT NUMBER 14 03— Jo43
ADDRESS hP-'Y /1/
PLANS FOR "tz` r
OWNER 1a 4 1574174A tnnr 5/4 -c
SATE SUBMITTE /D DATE APPROVED «0
\PPROVED BY
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CITY OF SPOKNE VOLLEY
BUILDINGDEP
PERMIT NUMBER 60 03-5023
ADDRESS 809 ?vein,
PLANS FC9 a f,e "-P�---�
OWNER �/ o , /�' + a .Slim -e
DATE SUBMITTED /D DATE APPROVEDGO»
. APPROVED BY�n
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TAUT, I.NO.
INSPECT. DATE : 11/3/98 INSPECTOR :
ADDRESS : F Ra.0 NORA Ali E.
SUBDIVISION / U.L.I.0.: BA3C E ITA
•
PIPE TYPE & SIZE :. ® 4" PVC 13-3034 D 6" PVC D-3034 0 OTHER :
fZs
PERMIT No. 98- S- 2.Iw
OWNER : ZIP
CONTRACTOR : CCI.
PARCEL No. : 4 5-°73 . 15 5- LOT : _ BLK :
NO DRY OTHER SEWAGE CONTAINER(S) ABANDONED 7 NI YES ONO ❑N/A H.D. TIME EXTENSION 0
APPROVED EXTERIOR CONNECTION ? ®% 0 0 0 BY: Q CONTRACTOR 0 OTHERS
INTERIOR PLUMBING CHANGES ? YES 0 NO BY: tc= NOTE: DIVISION BUILDINGS INSPECTS ALL INSIDE PLUMBIN
COMMERICIAL BLDG : 0 NEW 0 RESIDENTIAL BLDG : O NEW 0 CONNECTED TO SUBSTANDARD PIPE? 0 YES TYPE: 0 2729 PVC
EASEMENT AGREEMENT REQUIRED? ❑ YES SEE ATTACHED HOLD HARMLESS AGREEMENT
0 ORANGESBURG
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2.8'
2' A85
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27021.nacca Rd,
Sesame, WA 94212 -'
Rodney'A Parrish ^;Phconer (509)9284976
' Owner/Builder 994-5699.m0b00
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6.5'
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ON UP -DATE :
PENDING • ❑
START /1-99
BILLING DATE :
LEDGEND
E.O.P. EDGE OF PAVEMEN"
G/M GAS METER
DE ELECTRICAL
W WATER METER
CLEAN-OUT
POWER POLE
O' MANHOLE
O STORM DRAIN
O HYDRANT
Q. CENTERLINE
B.L. BUILDING LINE
--Y—*--*
DASHED UNE WTI ARROWS INDICATE
BORED SCOTCH DE SEVER UNE
S/W SIDEWALK
C DEPTH
C.I. CAST IRON
0.8. ORANGEBURG
= FITTING
H.D. HEALTH DISTRICT
❑ COPY TO BLDG COD
O COPY TO: OWNER
NORTH ARROW