2005, 09-27 Permit App: 05003192 GarageProject Number: 05003192 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/27/2005 Page 1 of 2
Project Information:
' nffl,§311annar.,-Mienfr,V8.111441XVM/614,,,AVMS011,44.21221-graliMWMINS
Contact: OSCARSON, EDWARD
Permit Use: CONVERT CARPORT TO GARAGE
Setbacks: Front 16 Left: 15 Right: 15 Rear:
Site Information:
roar Aavm
Plat Key: 002510 Name: STONERIDGE SUB
Address: 2713 N PERRINE RD
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 327-7831
Group Name:
Project Name:
:CeMMICAlf -wWINW-'"-MEMCM-7-4
„-,aioeatmteaxsmwmtaaswmstgwmnsasw
District: H
Parcel Number: 45091.2605
SiteAddress: 2713 N PERRINE CT
Location:: CSV
Zoning: UNKN Unknown
Water District:
Block: Lot:
Area: !,000.00 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Owner: Name: OSCARSON, EDWARD
Address: 2713 N PERRINE RD
SPOKANE VALLEY, WA 99206
Hold: 111
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 08/31/2005 By: CBATES
Released By:
Originally Released: 09/26/2005 By: TMELBOU
Operator: CJJ Printed By: CJJ Print Date: 09/27/2005
Project Number: 05003192 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/27/2005 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 450 $8,550.00 450 $8,550.00
Totals: 450 $8,550.00 450 $8,550.00
Item Description Units Unit Desc
RESIDENTIAL PERMIT FEE 1 SELECT
ACCESSORY PLAN REVIEW 1 SELECT
STATE SURCHARGE 1 SELECT
Notes: .0 - :MMATEMIr. -.._....., ::
Payment Summary: MN
Permit Type
Building Permit
Permit Total Fees:
Fee Amount Invoice Amount
$213.56 $213.56
Fee Amount
$167.25
$41.81
$4.50
Amount Paid
$0.00
$213.56
Amount Owing
$213.56
$213.56 $213.56 $0.00 $213.56
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: CJJ Printed By: CJJ Print Date: 09/27/2005
Spokane
galley
Street Address:
(c 1 L BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
0 i Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Ph o , (509) 688-0036; Fax: (509) 688-0037
S it I\
RE SITE SfE INFORMATION
2 7/3 t7/51,#1^11126 a.
Assessor's Tax Parcel Number(s): 9/. 2�vDS_
Legal Description: 9//4c &I1, L 5M 40/De
PERMIT DESCRIPTION: \ \\
Building Permit
'❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
1 OWNER/APPLICANT INFORMATION
Owner:
Phon-
0�' G�
32 - _ ' 9x:. rte.,
ss.
❑ Contractor:
Phone:
Address:
State
®� Zip Code
et_e
Fax:
City
State Zip Code
❑ Applicant: 0\Q_\,,GO..
phone: -1q ----/s7) I Fax:
Address:
City
Architect:
State
Zip Code
Phon(��, 327--? ,Fax:J'' ,
Addres
C"
WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
2el' FLOOR SQ. FTG:
# OF STO E :
Doe
UNFIN M ENT SQ. FTG:
MAIN FLOOR TO SQ. FTG:
FINISHED BASEMENT SQ. FTG:
G E Q :
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CO TR ION TYPE:
HEVO :
# OF BEDROOMS:
O AL (TABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST RODE T:
y , a
30% SLOPES ON PROPERTY:
SEWER OR ON-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:
Valuation: Above/Underground Storage Tank Size:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
El 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 proner.
Print Name
a/scotre4 if.
/e4.4. Pive
Signature
Method of Payment: (Faxed permit applications will only be accepted with m- or bankcard)
❑ Cash ❑ Check ❑ Mastercard
0 VISA
Bankcard #: Expires: VIN#:
0 Other
Authorized Signature: