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2005, 05-11 Permit App: 05001542 Pole BldgProject Number: 05001542 Inv: I Application Date: 05/11/2005 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: 40 X 30 POLE BUILDING Contact: SPOKANE STRUCTURES Address: 510 N MULLAN ST C - S - Z: SPOKANE, WA 99206 Setbacks: Front 110 Left: 5 Right: 51 Rear: 24 Phone: (509) 927-0655 Group Name: Site Information: Project Name: Plat Key: 000000 Name: RANGE District: Sout Parcel Number: 45213.9169 SiteAddress: 1219 S PIERCE RD Location:: CSV Block: Lot: Zoning: B-1 Neighborhood Business Water District: Area: .36 Acres Width: 0 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Information: Revi Site Plan Permits: Owner: Name: ROSENBERG, MIKE Address: 1219 S PIERCE RD SPOKANE VALLEY, WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Operator: K C Printed By: K_C Print Date: 05/11/2005 Project Number: 05001542 Inv: I Application Date: 05/11/2005 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: Address: Building Permit SPOKANE STRUCTURES INC Firm: SPOKANE STRUCTURES INC 510 N MULLAN RD Phone: (509) 927-0655 SPOKANE, WA 99206 Building Characteristics Group: U-1 Type: VB Total Area 1200 Building Height 17 Stories 1 Description Grp Tyne Notes GARAGE U-1 VB Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE Notes: Permit Total Fees: Total Project: Sa Ft Valuation 1,200 $22,800.00 1,200 $22,800.00 Fee Amount $363.25 $4.50 $367.75 Payment Summary h Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $367.75 $367.75 $0.00 $367.75 $367.75 $367.75 $0.00 $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: K C Printed By: K_C Print Date: 05/11/2005 This Application: Sg Ft Valuation 1,200 $22,800.00 Totals: 1,200 $22,800.00 Units Unit Desc 1 SELECT 1 SELECT Permit Total Fees: Total Project: Sa Ft Valuation 1,200 $22,800.00 1,200 $22,800.00 Fee Amount $363.25 $4.50 $367.75 Payment Summary h Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $367.75 $367.75 $0.00 $367.75 $367.75 $367.75 $0.00 $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: K C Printed By: K_C Print Date: 05/11/2005 OCT 12 2003 13:30 FR STREET TO 9274062 P.01i01 PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COIMMUNITYD,E'VELOPMENT BUILDING DIVISION 11707 East Sprogme A.Ve Ste •fob Spokane Valley, WA 99206— Phone.- REQUIRED 9206.Phone; REQUIRED SITE INFORMATION Cum 9 �1?0 (I - ASSESSOR'S TAX PARCEL NUMSER(S): LEGAL DISCRIPTION: •PERM'OESERIPTION.. DtG•mt m 0C. MANGE •ITrX SB .'OAGRADING .� OXAl1 UFACTURED •IIOME 12 ar OWNER / APPLICANT INFORMATION PHONE: t FAX: ,STATE. ZIP PHONE: 509-927-0655 FAx;509-927=4062 ADDRESS: 510 N. Mullan RD. Spokane WA, 992206 CITY,.STATE,ZIP WA ST CONTRACTOR LICENSE I_ S POKAS 112 6 0 6 0( APPLICANT: Spokane Structures, INC.. PHONE. 509-927-0655 FAXS09-927-4062 ADDRI=SS• 510 N: Mullan RD. '(7 Spokane Wa, 992206 C'ry,STATE,ZIP ARCHITECT: PHONE: FAX ADDRESS - CITY, STATE, ZIP CONTACT.- PERMIT/BUILDING ONTACT: PERMIT/6U1LDING INFORMATION COST OF PROJECT:_ BUiwiNG HEIGHT TO PEAK:4 / 17!l BUILDING DIMENSIONS:Yox Sox[ O NUMBER OF STORIES: NUMBER of BEDROOMS: FLANKING SETBACK: FRONT SETBACK: REAR SETBACK: LEFT SETBACK: RIGHT SETBACK: 30% -SLOPES ON PROPERTY: OCCUPANCY GROUP-, CONSTRUCTION TYPE: STRUCTURES ON PROPERTY: CRITICAL AREAS: CURREN.1 PROPERTY SIZE. CURRENT PROPERTY USE: CURRENT SEPTIC USE:_ CURRENT WELL USE: IMPERVIOUS SURFACE AREA-.* MAIN FLOOR SQ FT: 2ND FLOOR SQ FT:, UNF1N BASEMENT: FINISHED BASEMENT: GARAGE: COVERED DECK DECK: LIr� c� FRONT COMMENTS REVIEWED SY Ci This site plan is being submitted for the pur obtaining a building pelt and is a true and rspresene - of the Proposal. All known F Imes/dlmensl have been 1donnj� Aleso structures and eas bodies of wa��� ppp Also are wE mer critical Signed:L << � ; z'/ c �- 1 +O of Ile 01o'ke ka5'Pleeas aer`� -- Ot"< Ia 11 so, SEVER. S fOKA4IF w4. ae G WAR g5,113•al l♦ vJ Ci This site plan is being submitted for the pur obtaining a building pelt and is a true and rspresene - of the Proposal. All known F Imes/dlmensl have been 1donnj� Aleso structures and eas bodies of wa��� ppp Also are wE mer critical Signed:L << � ; z'/ c �- 1 +O of Ile 01o'ke ka5'Pleeas aer`� -- Ot"< Ia 11 so, SEVER. S fOKA4IF w4. ae G WAR g5,113•al