Loading...
2003, 11-19 Permit App: BLD-03-03103 GarageCITY .0,0Valley PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: (509)688-0037 REQUIRED SITE INFORMATION 1 STREET ADDRESS: ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DISCRIPTION: ICA PERMIT DESCRIPTION: role- L'AfLr\ Ca 'BUILDING PERMIT CI CHANGE EN USE D GRADING D RELOCATION MANUFACTURED HOME 0 SIGN D TENANT 0 -OTHER • OWNER / APPLICANT INFORMATION 0 OWNER: fu a_ ��17me.,S 0 ® APPLICANT: PHONEeccA -` --E _7-19 FAX: PHONE: FAX: ADDRESS: ADDRESS: CITY,STATE, ZIP CITY, STATE, ZIP CONTRACTOR: SJ A `cam ��`��2- \�S S'��, . ii.A.-,kkja ARCHITECT: PHONE: S�l �1�� `'lbG`1 FAX: SCS �i�� t -� tisr? PHONE: L \ - \C -1-C-1 I FAX: S�� - �l Q:AL ADDRESS: •(-1\ CDS VAI, -( .1,1 ADDRESS:ti5�-1 E 3(.3 3 \cf1at CITY, STATes ZIP - CITY, STATE, ZIP WA ST CONTRACTOR LICENSE #}SSS j b SIC JJ -2 CONTACT: riAe...� 1 PERMIT/BUILDING INFORMATION COST OF PROJECT: 30%SLOPES ON PROPERTY: 1-3C) MAIN FLOOR SQ FT: BUILDING HEIGHT TO PEAK: IV OCCUPANCY GROUP: -- 2N0 FLOOR SQ FT: BUILDING DtMENStONS: (o I OCONSTRUCTION TYPE: ?O)-, 64.113.-C1 UNFIN BASEMENT: NUMBER OF STORIES: ,.-' STRUCTURES ON. PROPERTY: -1lo - FINISHED BASEMENT: NUMBER of BEDROOMS: , -- ----- CRITICAL AREAS: ._. GARAGE: FLANKING SETBACK: CURRENT PROPERTY SIZE: 1 0 B i- COVERED DECK: FRONT SETBACK: 30 0- CURRENT PROPERTY USE: s- t; c -.o_,.\ DECK: REAR SETBACK: \ CJ k V CURRENT SEPTIC USE:1-�4--- LEFT SETBACK: 42ii4. °et' CURRENT WELL USE:------- RIGHT SETBACK: T F \- IMPERVIOUS SURFACE AREA: 1 7 MANUFACTURED HOME SIGN 1 PREVIOUS ADDRESS: PROPOSED USE: FIRE SPRINKLER: PAINT BOOTH: FIREWORKS DISPLAY: FIRE ALARM: TENT: BLASTING: DATE/TIME: WIDTH: LENGTH: YEAR: PIT SET: MANUFACTURER: SQ FT OF SIGN: HEIGHT OF SIGN: # OF SIGNS: AREA OF EXIST SIGN: TYPE OF SIGN: RELOCATION FIRE SAFETY i WA STATE NON-RESIDENTIAL ENERGY CODE PLANS EXAMINER: ADDRESS: PHONE: FAX: CITY, STATE, ZIP INSPECTOR: PHONE: FAX: ADDRESS: CITY, STATE, ZIP SPECIAL INSPECTIONS 0 BOLTING °CONCRETE ® REINFORCEMENT FIRM NAME: INSPECTOR(S): PHONE: WELDING FAX: BUILDING STAFF USE ONLY IS PUBLIC SEWER AVAILABLE: 0 YES 0 NO IS PUBLIC WATER AVAILABLE: 0 YES 0 NO IF YES, WHICH WATER DIST/IRR: IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO IS THE PROPERTY LOCATED WITHIN ASA: 0 YES 0 NO PSSA: 0 YES 0 NO 0 IF YES: COUNTY 0 CITY DATE: 1 STAFF: METHOD OF PAYMENT: 0 0 CASH CHECK BANKCARD#; EXP/RES: V/NAE AUTHOR/ZED SIGNATURE: *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD :: e `rVvt. '\ ff ar rvti�v� �'; c�_C ler if 1_1, -Lc 16 1 }� he'411/4cam- 62-aS, :\b PLANNING DEPT. APPROCcD BY: 124 Clita DATE: