2005, 04-15 Permit App: 05001204 Pole BldgProject Number: 05001204 Inv: 1
Applica�ion
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/15/2005 Page 1 of 2
Project Information:
Permit Use: 24 X 30 POLE BUILDING
Setbacks: Front 94 Left: 30+ Right: 5 Rear: 12
Site Information:
Plat Key:
Contact: MOORE, EDWARD L
Address: 3310 N PARK RD
C - S - Z: SPOKANE VALLEY, WA 99212
Phone: (509) 891-7507
Group Name:
Project Name:
Name: ORCHARD AVE ADD REPLAT B 151,152, (FEES)
District: Nort
Parcel Number: 45063.4408 Block:
SiteAddress: 3314 N PARK RD
Location:: CSV
Zoning: UR -3.5
Water District:
Area: .00 Acres
Urban Residential 3.5
Width: 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: MOORE, EDWARD L
Address: 3314 N PARK RD
SPOKANE VALLEY, WA 99212
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Review
Plan Review
Permits:
ptic System Review
1
Operator: K_C Printed By: K_C Print Date: 04/15/2005
ti ri/os�
Project Number: 05001204 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/15/2005 Page 2 of 2
Contractor: OWNER
Group: U-1 Type: VB
Total Area 720
Building Height 14
Stories 1
Dwelling Units 0
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Su Ft Valuation
GARAGE U-1 VB 720 $13,680.00 720 $13,680.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Totals: 720 $13,680.00 720 $13,680.00
Units Unit Desc
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount Invoice Amount
$241.75 $241.75
Fee Amount
$237.25
$4.50
Amount Paid
$0.00
$241.75
Amount Owing
$241.75
$241.75 $241.75 $0.00 $241.75
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: 04/15/2005
04/19/2005 09:23 5n:31415b/
APR 15 2005 14 35 FR
Project Number: 05001204
JRn1J CnJ
Inv: 1 Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Infonnarti4n:
Permit Use: 24 X 30 POLE BUILDING Ctact: MOORE, EDWARD L
Address: 3310 N PARK RD
C -;S - Z: SPOKANE VALLEY, WA 99212
phone: (509) 891-7507
Group Name: (�Z 1- ?,(0
Project Name:
isozJ znm -- - rz-azrai9SL TGw:outrasetzuma i.ve msgtererz=zL:'•ws1' azu. w li':ri,ri:w::TS'b: "..�• t�'r.:::f*,Ca,i`PiCJR:'1Jti::L.
Name: ORCHARD AVE ADD REPLAT B 151,152, (FEES) District: No►rt
TO 3241567 P.02/23
Date: 04/15/2005
Page 1 of 2
• NAMIN7I.USail,VAlia:AETIC, :."''TL'ialtirrr,TAINIZZAfnld«14:11:,"»n:47.,:aCRYra;4CTHrw,<sllr.S1:0 w,l,V�,.:ax>:."i7!'"3 ,: t:,..,...y:::r.....�?��::..�sl.
Setbacks: Front 94
,Site Information
Plat Key.
Left: 30+ Right 3 Rear: 12
Parcel Number: 45063.4408 Block:
SiteAddreas; 3314 N PARK RD
Location:: CSV
Zoning: UR -3.5
Wow District
Area: .00 Acres Width: 0
Nbr of Bldgs: 2 Nbt of Dwellings: 1
Urban Residential 3.5
,drew fig&
Perri
Lot
Owner: Name: ( MOORE, EDWARD L
Address:13314 N PARK RD
SPOKANE VALLEY., WA 99212
{old: ❑
Depth: 0 Right Of Way (ft): 0
YY. "Qrar'Ji, argaA 'Rte!1'.7"ZC!a' 1: m!rtsatrz ..—zamas.;5E15
Re MEL
Site Plan Review
Plan Review
Septic System Review
Operator. K C
APR 19 2005 10:31
Printed By: K_C
Print Date: 04/15/2005
5093241567
PAGE.01
BUILDING PERMIT APPLICATION WORKSHEET
$614ne
Cit of Spne Valley Community Development Department
s`' c [/% [ Building Division
.0.041/alle
13 11 4
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
33 .L loczr �
Assessor's Tax Parcel Number(s): 1/506 3 Y 7y c :d.'
Legal Description: OrrAavd Arre Add IDr nc L3 -`i 1395 Alf L3<ivkFT LY ad (�� 'FTS
PERMIT DESCRIPTION: 2/ X 3 0 /v/e j-2uit'ot'j'n4
•
4 Building Permit ❑ Change in. Use ❑ Grading ❑ Manufactured Home
] Relocation 9 Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: F_d w d L. %Yioow�.
Phone: R-9/-75,-67 Fax:
Address: 33/'/ J ytici_,-K
Sr001-(6 to 1/:•t//e% l t .f
City State
Contractor:
Phone:
+44
q 9 2/�
Zip Code
Address:
Fax:
City
State
WA State Contractor License #:
Zip Code
Applicant: Edward L /'1i1aov-e_
Phone: y ctl-.7 5.o 7 Fax:
Address: 33' .) r'ac,rK
Srav1(61,1e UaJ/7 1 tela
City State Zip Code
❑ Architect:
Phone: Fax:
Address:
City
Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: 1 1
DIMENSIONS: a ii K 3 0
# OF STORIES:
MAIN FLOOR.TO SQ. FTG: :. • ,
•-214`'. FLOOR SQ_ FTG:
-:UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:.72
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT: /A�� c43
3 ('
30% SLOPES ON PROPERTY:
/id
SEWER OR 0 -SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
0 BOLTING ❑ CONCRETE
Firm Name:
0 REINFORCEMENT
Phone:
Inspector(s):
Fax:
0 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 . ❑ Check f❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
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