2004, 10-04 Permit App: BLD-04-07830 Pole Bldgcir�`c,r �ft.,,
Spokane
1 ... Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
11910 E RAILROAD CIR
SPOKANE WA 99212
24 X 24 POLE BUILDING
RICHARDS, TIFFANY
ACCESSORY BUILDING
Lot: Blk:
EXCALIBUR STEEL STRUCTURES INC
PO BOX 14991
SPOKANE, WA 99214
EXCALIBUR STEEL STRUCTURES INC
PO BOX 14991
SPOKANE WA 99214
Phone:
Phone:
Lic No:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application #:
Applied:
Issued:
Expires:
Parcel No: 45044.1304
(509) 921-1300
(509) 921-1300
EXCALSS000C8
BLD -04-07830
10/04/2004
04/02/2005
Zoning:
General Information:
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
10944
12
24 X 24
1
50
22
12
3
u-1
5-n
2
10314
yes
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
195.25
4.50
199.75
0.00
199.75
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials / Date
THIS IS NOTA RECEIPT
10/174/L10124 11.G4 OG73L410/
OCT 04 X004 11:52 FR
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99208
Job Address: 11910 E RAILROAD CIR
SPOKANE WA 99212
Description; 24 X 24 POLE BUILDING
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
JIMIL
LI,J
TO 3241567
ACCESSORY BUiLDING
Lot Btk:
RICHARDS, TIFFANY
EXCALIBUR STEEL STRUCTURES INC
PO BOX 14991
SPOKANE, WA 99214
EXCALIBUR STEEL STRUCTURES INC
PO 130X 14991
SPOKANE WA 99214
Phone:
Phone:
tic No:
P. 02/03
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application #:
Applied:
Issued:
Expires:
Parcel No: 45044.1304
(509) 921-1300
(509) 921-1300
EXCALSS000C8
BLD -04-07830
1010412004
04102/2005
Zoning:
General Information:
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY no
10944
12
24 X 24
1
50
22
12
3
V1
5-n
2
10314
yea
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Ros:slots:
Total Due:
195.25
4.50
199.76
0,00
199.75
THIS IS NOT A RICEIPT
OCT 04 2004 12:07
5093241567
PAGE.01
009\411,
*lane
.0.0Valley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: WI g_ -
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
J, Building Permit
❑ Relocation
❑ Change in Use ❑ Grading 0 Manufactured Home
❑ Tenant Improvement ❑ Fire Safety 0 Other
OWNER/APPLICANT INFORMATION
0
et,IA-4-Js
Fax:
Address:
) 11z.,) ( ,k
city k. State Zip Code
0 Applicant:
Phone:
Address:
Fax:
City
State Zip Code
Contractor: cJ:3 U -c -k e( .-w esL , ❑ Architect:
Phone: `it I •13oa Fax: 1Z1 Phone: Fax:
Address: P. o . 1 `-199 i Address:
Sok sz LA) A. '112- I (1
Cty State Zip Code
City
WA State Contractor License #: ExcAL S5 OZZCS Contact:
State Zip Code
-Pck,t,k
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSI S: i Y,Z x
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2ND FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
t» 5-4‘,--r-G1
CONSTRUCTION TYPE:
Po S 4- to vA,J.--
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
37
IM PERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
Width:
Manufacturer:
MANUFACTURED HOME
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: 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
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ 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 ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
OCT -01-2004 11:04
MEDCO
•
•
VaJ 7GO tr
79'
moms
Site Plan for 11910 E. Railroad Circle. ZONERom)WIOTIt
FRONTIL_
COMMENTS FLANKING
Lot size 10314 sq ft. REVIEWED By
House size = 816 sq ft.
This site plan is being submitted for Ow purpose of
obtaining a budding perndt and is a true and boned
representation of the proposal. known property
lines/dintensions, curb Ones. etroab011e and easements
have been • 3,, • Med are wetlands,
bodies oforates, asses.
Signed:
Date:
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