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2005, 03-28 Permit App: 05000996 Pole BldgProject Number: 05000996 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 03/28/2005 Page 1 of 2 Project Information: Contact: WELLER, WAYNE B Address: 9922 E NORA AVE C - S - Z: SPOKANE VALLEY, WA 99206 Phone: (509) 926-4130 Group Name: Project Name: Permit Use: 30 X 34 POLE BUILDING Setbacks: Front N/A Left: EX Right: 5 Rear: 7 Site Information: Plat Key: Name: MISSION ADD District: Nort Parcel Number: 45084.0329 Block: SiteAddress: 9922 E NORA AVE Location:: CSV Zoning: UNKN Unknown Water District: Area: 12,143 Sq Ft Lot: Owner: Name: WELLER, WAYNE B Address: 9922 E NORA AVE SPOKANE VALLEY, WA 99206 Hold: ❑ Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs. 0 Nbr of Dwellings: 0 Review Information: Review Site Plan Review Released By: Plan Review Released By: t Permits Operator: K_C Printed By: K_C Print Date: 03/28/2005 Project Number: 05000996 Inv: 1 Application Date: 03/28/2005 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Group: U-1 Type: VB Total Area 1020 Building Height 17 Stories 1 Building Permit Firm: OWNER Phone: (000) 000-0000 Building Characteristics This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation GARAGE U-1 V13 1,020 $19,380.00 1,020 $19,380.00 Item Description RESIDENTIAL PERiMIT FEE ACCESSORY PLAN REVIEW STATE SURCHARGE Totals: 1,020 $19,380.00 1,020 $19,380.00 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Fee Amount $321.25 $80.31 $4.50 Permit Total Fees: $406.06 Notes: Payment Summary: - - - Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $406.06 $406.06 $0.00 $406.06 $406.06 $406.06 $0.00 $406.06 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: 03/28/2005 Spokane #Valley BUILDING PERMIT APPLICATION WORKSHEET- ettyto ati alley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 ne: (509) 688-0036; Fax: (509) 688-0037 MAR 18 2005 MOLDD0hl REQUIRED SITE INFORMATION StreettAddress°' 9 9 ZZ (�&Q Assessor's Tax Parcel Number(s): Legal Description: PERMILDESCRIPZION: 36 )43.- ";17cj-c_\tecg .[, iJ 'lac VI -5 VBuilding.P_errnit Change in Use n Grading Manufactured Home n Relocation n Tenant Improvement n Fire Safety Other 11 OWNER/APPLICANT INFORMATION Owner* L&)& W Phone: 9u-yt30 Fax: Address: E q9 zz /Jogep.- 9Zo [E]/ -Applicants Sq,,vvc__ Phone: Fax: Address: ity State Zip Code City State Zip Code Contractor: Phone: Address: Fax: City State WA State Contractor License #: Zip Code Architect: Phone: Address: Fax: City Contact: State Zip Code PERMIT/BUILDING INFORMATION tHEIG_HT T.O1PEAKq 17' DIMENSIONS: 3ox3y # OF STORIES: MAIN FLOOR TO SQ. FTG: 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: COSTOF-PR 'ECT:'30% -fiQ —OO- Aa SLOPES ON PROPERTY: c.•SEWER:OR-ON=SITE=SEPTIC' SYSTEM', e , Zat_ MANUFACTURED HOME Width: Manufacturer: Length: .:Year`V Pit Set: `RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth: Tent: Fireworks Display: Blasting: Date/Time: Valuation: • Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Address: Phone: Fax: City Inspector: Phone: Address: State Fax: Zip City State Zip SPECIAL INSPECTIONS n BOLTING ❑ CONCRETE Firm Name: ❑ REINFORCEMENT Phone: Inspector(s): Fax: ❑ 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 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 property owner. Print Name Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash n Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: - SKETCH ADDENDUM F51e No. NIGHT. S Borrower/CBentN 4YtaTelier PopertyAddreay ' 9922'°E. Nora Ave. City Spokane Lender G4AC County state WA Zip Code 99206 Remarks s1K r1/28 coal -'4 4.5 24.5 FIRST FLOOR' GARAGE 14 22.5 14 JOVERED PATIO .cam KITCHEN LIVING ROOM DINING 0 STAIRS MAIN FLOOR ENTRY septic 14 BATH BEDROOM 19 BEDROOM BEDROOM QYV i ob rep18 orb; being etl for the purpoineti lines/dimensions. ines/Ohne boon of the at a true ono oripect have been ions.curb R/rp biotin �Petlp bodies of wa.: . n tate : steep skins or ." satlantls' Signed` u .: areas. bate: 0 24.25 43.5 LZ S I 1 six foot setback forty-two foot setback