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