2011, 06-14 Permit App: 11001683 Shop Project Number: 11001683 Inv: 1 Application Date: 6/14/2011 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 30 X 40 DETACHED SHOP Contact: GJENDEM LIVING TRUST
Address: 12105 E PORTLAND AVE
C-S-Z: SPOKANE VALLEY,WA 99206
Setbacks:Front Left: Right: Rear: Phone: (509)927-8534
Group Name:
Site Information: Project Name:
Plat Key: CONY Name: CONVERTED CNTY DATA District: Nort
Parcel Number: 45044.0422 Block: Lot:
SiteAddress: 12105 E PORTLAND AVE Owner:Name: GJENDEM LIVING TRUST
Address: 12105 E PORTLAND AVE
Location::CSV SPOKANE VALLEY,WA 99206
Zoning: MUC Mixed Use Center District
Water District: 026 IRVIN Hold: ❑
Area: 18,431 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 10
Review Information: e_ _.s9;
Review
Building Plan Review Released By:
Originally Released: 6/14/2011 By: jagrissom
Landuse/Zoning/HE Conditions Released By.
Originally Released: 6/10/2011 By: mharnois
Permits: ,u
Operator: jmm Printed By: JD Print Date: 6/14/2011
Project Number: 11001683 Inv: 1 Application Date: 6/14/2011 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
— Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation So Ft Valuation
POLE BDLG U-1 VB PLAN 1,200 $22,800.00 1,200 $22,800.00
REVIEW
FEE
Totals: 1,200 $22,800.00 1,200 $22,800.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $363.25
ACCESSORY PLANS REVIEW 1 SELECT $90.81
WSBCC SURCHARGE 1 SELECT $4.50
Permit Total Fees: $458.56
Notes _
NO DRIVEWAY TO SHOP PROPOSED-MH
Payment Summary: . , _ a,a� .:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $458.56 $458.56 $90.81 $367.75
$458.56 $458.56 $90.81 $367.75
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: jmm Printed By: JD Print Date: 6/14/2011
7-3 rt—
Ii
043E:R ItT CEENU rtunity •evelopment Department (Staff Use Only)
1 ` `" Permit Cen er
OFSITY
1703 East 'prague Avenue, Suite B-3 PERMIT NUMBER:
'.0 pokane Vall-y, WA 99206
p�J"!x 1 --- . 509) 6 •:-0036 PERMIT FEE:
(509) 6:8-0037
. lint Ai .ermi - erCis.okanevalle .or.
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION 0 ADDITION/REMODEL ® ACCESSORY BUILDING
DECK 0 OTHER
SITE ADDRESS: 12105 E Portland Ave
ASSESSORS PARCEL NO.: 45044.0422 LEGAL DESCRIPTION: Grandview Ac 1st Tr B of
BUILDING OWNER NAME: Mike Gjendem SP85-388 being a ptn of Lt 5 BIk 5
NAME:Michael E & Cynthia L Gjendem, Trustees
ADDRESS: 12105 E Portland Ave
CITY: Spokane Valley STATE: WA zip: 992064534
PHONE:509-927-8534 FAX: CELL: 509-209-7004
CONTACT NAME: Mike Gjendem SP85-388 being a ptn of Lt 5 BIk 5
PHONE: 509-927-8534 Fax: cELL: 509-209-7004
CONTRACTOR NAME: Mike Gjendem SP85-388 being a ptn of Lt 5 BIk 5
MAILING ADDRESS: 12105 E Portland Ave
CITY: Spokane Valley STATE: WA ZIP: 992064534
PHONE: 509-927-8534 FAX: CELL: 509-209-7004
CONTRACTOR LICENSE No.: N/A EXPIRES: CITY BUSINESS LICENSE NO.: N/A
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
30'x 40'x 16'detached shop.
30'x 40'x 16'detached shop.
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:24' Dimensions:30' X 40' No. of Stories: 1 Total Habitable N/A
Space:
Main Floor SQ FT: 1200 rU/pper Floor SQ FT: Unfinished Basement SQ FFiinishaed Basement SQ
Garage SQ FT• 200 Deck/Covered Patio SQ Impervious Surface 30%Slopes on
FT: N/A Area: 30' x 40' Property: no
No.of Bedroo Construction Type: Heat Source:N/A Sewer or Septic:N/A
TOTAL COST OF PROJECT: $ 20,000.00 estimated
DISCLAIMER
The permitted verifies,acknowledges and agrees by their signature that: 1)if this permit is for Construction 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) The City of
Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
lilvil 25,,..Z .471 //0///
Effective October 28, 20 Page 1 of 2
P:\Community Development\02 Administration\03 Forms -Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
For City Use Only ,
•
PLUS Project Number•
Siökarie
Project Address j '::>44000
a11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
Your application review TARGET DATE is
j
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re-submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date,please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure,you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre-Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone,fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re-
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre-construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE-APPLICANT PINK-BUILDING FILE REV 9/07
136.5 •.
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