2003, 12-10 Permit App: BLD-03-03239 Addition to Pole Bldg THIS IS NOT A PERMIT
Scirf cr Penalties will be assessed for
pol�ane commencing work without a permit
ACCESSORY BUILDING
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application#: BLD-03-03239
Job Address: 5120 N KELLER RD Applied: 12/10/2003
SPOKNE WA 99216 Issued:
Description: 24 X 30 ADDITION TO EXISTING POLE BUILDING Expires: 06/07/2004
(SAME ENGINEER)
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: QUINLAN,JOHN R&SUZIE D
Applicant: EXCALIBUR STEEL STRUCTURES INC Phone: (509)921-1300
Address: PO BOX 14991
SPOKANE,WA 99214
Contractor: EXCALIBUR STEEL STRUCTURES INC Phone: (509)921-1300
Address: PO BOX 14991 Lic No: EXCALSS000C8
SPOKANE WA 99214
General Information: Fees:
VALUATION 13680 BASIC PERMIT FEE 237.25
BUILDING HEIGHT TO PEAK 12 WSBCC SURCHARGE 4.50
DIMENSIONS 24 X 30 Total Calculated: 241.75
#OF STORIES 1
FRONT SETBACK EXISTING Deposits/Receipts: 0.00
REAR SETBACK 150 Total Due: 241.75
LEFT SETBACK EXISTING
RIGHT SETBACK 280
OCCUPANCY GROUP u-1
CONSTRUCTION TYPE wood
STRUCTURES ON PROPERTY 2
CURRENT PROPERTY SIZE 279 X 812
SERVED BY SEPTIC SYSTEM yes
WELLS LOCATED ON PROPERTY no
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials/ Date
Building
PINining
149lieclANCSIL(i
THIS IS NOT A RECEIPT
12/10/2003 1,1:l'i 7n7J4il701 TO 3241567 P.01/02
ut[: i4'( d�3 13:07 FR
THIS IS NOT A PERMIT
l ' Penalties will be assessed for
Se commencing work without a permit
Valley ACCESSORY BUILDING
11707 E.Sprague Ave.,Suite 106 Application>� BLp•03-03239
Spokane Valley,WA 99208
Applied: 12H012003
Job Address: 5120 N KELLER RD
SPOKNE WA 99216 Issued:
Description: 24 X 30 ADDITION TO EXISTING POLE BUILDING Expires: 06/07/2004
(SAME ENGINEER)
Subdivision: Lot: Bik: Parcel No: Zoning:
Owner; QUINLAN.JOHN R&SUZIE 0
Applicant; EXCALIBUR STEEL STRUCTURES INC Phone: (909)921-1300
Address: PO BOX 14991
SPOKANE,WA 99214
Contractor; EXCALIBUR STEEL STRUCTURES INC Phone: (509)921-1300
Address: PO BOX 14991 Uc No: EXCALSS00008
SPOKANE WA 99214
General Information: Fees:
VALUATION 13680 BASIC PERMIT FEE 237.25
BUILDING HEIGHT TO PEAK 12 WSBCC SURCHARGE 4.60
DIMENSIONS 24 X 30 Total CalculsMd: 241.75
#OF STORIES 1 �
FRONT SETBACK EXISTING Deposits/Receipts: 0.00
REAR SETBACK 150 Total Due: 241.75
LEFT SETBACK EXISTING
RIGHT SETBACK 280
OCCUPANCY GROUP u-1
CONSTRUCTION TYPE wood
STRUCTURES ON PROPERTY 2
CURRENT PROPERTY SIZE 279 X 812
SERVED BY SEPTIC SYSTEM yes
WELLS LOCATED ON PROPERTY no
CITY OR SPOKANE VALLEY'
APPROVED FOR SUBMITTAL.
initials(Q B.
Building g • ._ I A .
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1
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THIS IS NOTA RECEIPT
DEC 07 2003 13:26
r' 5093241567 PAGE.01
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PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIV/S/ON
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone:(509)688-0036 Fax:(509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS: 5726 /U. kg//-e-r Ea
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION:
PERMIT DESCRIPTION: Aa j,--A ,, &x l S+i j
1, k. 1,61
UILDING PERMIT a CHANGE IN USE a GRADING a MANUFACTURED HOME
O RELOCATION Q SIGN 0-TENANT D-OTHER
OWNER / APPLICANT INFORMATION
D OWNER: 3-', IA_ APPLICANT:
PHONE: -I Z-625-Z-(0 FAX: PHONE: FAX:
ADDRESS: 57 Zo 4 , aie-r lei B, 4J 3Ii, ADDRESS:
CITY,ST E,ZIP . CITY,STATE,ZIP
CONTRACTOR: £X t.Iou.r Ste( ►-M.Gre5 ® ARCHITECT:
PHONE:C1Z/ '1304D FAX: %-Zi
PHONE: FAX:
p �ADDRESS: i•D, 6)b)L 14qi ka.i.e )4 ?TzIADDRESS:
CITY,STATE,ZIP CITY,STATE,ZIP
WA ST CONTRACTOR LICENSE# CCS}l-S S 0000 CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT: 30%SLOPES ON PROPERTY: MAIN FLOOR SQ FT:
BUILDING HEIGHT TO PEAK: 12- OCCUPANCY GROUP: 2ND FLOOR SQ FT:
BUILDING DIMENSIONS: CONSTRUCTION TYPE: t'5'4 UNFIN BASEMENT:
NUMBER OF STORIES: I STRUCTURES ON PROPERTY: FINISHED BASEMENT:
NUMBER of BEDROOMS: CRITICAL AREAS: GARAGE:
FLANKING SETBACK: CURRENT PROPERTY SIZE: 5.-- r-es Ma- COVERED DECK:
FRONT SETBACK: CURRENT PROPERTY USE: ` jjQ < DECK:
REAR SETBACK: CURRENT SEPTIC USE: ye�j
LEFT SETBACK: CURRENT WELL USE: I^-o
RIGHT SETBACK: IMPERVIOUS SURFACE AREA:
r I
MANUFACTURED HOME SIGN
WIDTH: LENGTH: SQ FT OF SIGN: HEIGHT OF SIGN:
YEAR: PIT SET: #OF SIGNS: AREA OF EXIST SIGN:
MANUFACTURER: TYPE OF SIGN:
RELOCATION FIRE SAFETY 1
PREVIOUS ADDRESS: FIRE SPRI NKLER: FIRE ALARM:
PAINT BOOTH: TENT:
PROPOSED USE: FIREWORKS DISPLAY:
BLASTING: DATE/TIME:
WA STATE NON-RESIDENTIAL ENERGY CODE
11111111111111
PLANS EXAMINER: PHONE: FAX:
ADDRESS:
CITY,STATE,ZIP
INSPECTOR: PHONE: FAX:
ADDRESS:
CITY,STATE,ZIP
SPECIAL INSPECTIONS
0 BOLTING °CONCRETE CI REINFORCEMENT ® WELDING
FIRM NAME: PHONE: FAX:
INSPECTOR(S):
BUILDING STAFF USE ONLY
IS PUBLIC SEWER AVAILABLE: D YES NO IF YES: 0 COUNTY ® CITY -
IS PUBLIC WATER AVAILABLE: ® YES ® 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: ® YES ® NO PSSA: 0 YES 0 NO
IDATE: I STAFF:
METHOD OF PAYMENT::
0 0 0 r -. 0 111111111.■111111
' _ 1 VISA
CASH CHECK
HANKCARD#; EXPIRES: VIN#
AUTHORIZED SIGNATURE::
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
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PLANNING DEPT. APPROVED
BY.�r""., `
DATE: Iiii/b �03