2005, 03-17 Permit App: 05000808 Pole BldgProject Number: 05000808 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/17/2005 Page 1 of 2
Project Information:
Contact: A-1 PRO BUILDERS
Address: 1150 W MILES AVE
C - S - Z: HAYDEN, ID 83835
Phone: (208) 818-8803
Group Name:
Project Name:
GREENACRES IRR DISTRICT A
Permit Use: 24 X 30 X 12 POLE BUILDING
Setbacks: Front N/A Left: 140 Right: 15 Rear: 20
Site Information:
Plat Key:
Name:
District: East
Parcel Number: 55074.0881
Block:
SiteAddress: 18522 E RIVERWAY AVE
Location:: GRE
Zoning: UR -3.5
Water District:
Area: 44,000 Sq Ft
Nbr of Bldgs: 3
Review Information:
Urban Residential 3.5
Width: 250
Nbr of Dwellings: 1
Lot:
Owner: Name: COBURN, KEVIN E & KELLIE D
Address: 18522 E RIVERWAY AVE
GREENACRES, WA 99016-9572
Hold: ❑
Depth: 210 Right Of Way (ft): 0
Review
Site Plan Review
Rele�
ed
By:
OK PER H KAUER
Originally Released:
Plan Review
03/17/2005 By: kcummings
Released By:
ENG PLAN
Septic System Review
Permits:
Originally Released:
03/17/2005 By: kcummings
Released By:
Operator: K_C
Originally Released:
Printed By: MT
03/17/2005 By: Lhalsey
Print Date: 03/17/2005
Project Number: 05000808 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/17/2005 Page 2 of 2
Building Permit
Contractor: A-1 PRO BUILDERS Firm: A-1 PRO BUILDERS
Address: 1150 W MILES AVE Phone: (208) 818-5803
HAYDEN ID 83835
Building Characteristics
Group: U-1 Type: VB
Total Area 720
This Application: Total Project:
Description Grp Type Notes So Ft Valuation Sq Ft Valuation
BARN U-1 VB 720 $13,680.00 720 $13,680.00
Totals: 720 $13,680.00 720 $13,680.00
Item Description Units Unit Desc
RESIDENTIAL PERMIT FEE 1 SELECT
STATE SURCHARGE 1 SELECT
Permit Total Fees:
Notes: hwMISIE.. .. ..a .I. ,....PWIMAIM.- agII.���
Payment Summary:
Permit Type
Building Peanut
Fee Amount
$241.75
Invoice Amount
$241.75
Fee Amount
$237.25
$4.50
Amount Paid
$0.00
$241.75
Amount Owing
$241.75
$241.75 $241.75
$0.00 $241.75
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: KS Printed By: MT Print Date: 03/17/2005
City of
SPOKANE VALLEY D�
PERMIT # D J (L T 0 Ai
BUILDING PERMIT APPLICATION
Box 1 OWNER ..kit nr (/ 0A-/ (o b i riA JOB LOCATION S .,..,.-&-
OWNER'S ADDRESS CITY PHONE
DESCRIBE JOB .S i.. 4-0. (/vvs_e
S cl 9- /. 5j - 7s'ei3
THIS PROPERTY IS OWNED BY: SINGL ARRIE
PARTNERSHIP CORP.
50/,6SK1
BOX 2 CONTRACTOR'S NAME Pvu PHONE 2 ' ` -`5l S"' 5 5'O3
CONTRACTOR'S ADDRESS //5 „,(; 2l r 4.4 A ✓-e CITY /1674 -ii. ,.7 3-3 S
CONTRACTOR'S REG.# A wigv e ' ) (7(�,4-1( EXPIRATION DATE 3 / ' —d C
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX 3 CONTACT PERSON OF PROJECT !J vy/- 4Ji 7 P/
PHONE -20"—D5.-
ADDRESS 5 CITY ZIP
BOX 4 SEWER AVAILABILITY ,47,-7-1. WATER AVAILABILITY vt74
BOX 5 ESTIMATED PROJECT COST $ /el/ e) --0-e) EXISTING BLDG. VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION (, 515-C17411
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER
LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR 7,A 0 f3f 2ND FLOOR
3RD FLOOR 1.._
BASEMENT UNFINISHED
OTHER / BASEMENT FINISHED
DECK ____ ._./ _.__.... GARAGE
CARPORT -- / TOTAL t HEIGHT TO PEAK OF BUILDING
%1- FT.
=yam
BOX 8 ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS
( ) COMMERCIAL / INDUSTRIAL
( ) TENANT IMPROVEMENT
(x) NEW CONSTRUCTION /%S
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY SQ. FT.
IMPERVIOUS SURFACE SQ. FT.
BOX 9 PLUMBING FIXTURES (Including rough -ins) z.i MECHANICAL APPLIANCES 4,'/1
PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
G SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL.
BOX 10 4, � � Water Service meter size (if known) Also see BOX 4
BOX 1 A Septic Tank - Not generally allowed in the City of Spokane Valley. For special circumstances contact
\ Your sewer purveyor and the Health District (See BOX 4)
BOX 12/L;/\. Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE.
OWNER / AGENT „Jai DATE --17 -6 j (OVER)
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard Expiration Date
Print the name of the Holder Signature
OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT
NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORIES
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
TOTAL SQ. FT. TOTAL VALUATION
BUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NUMBER
PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE
OTHER CHARGES AMOUNT DUE
BUILDING DEPARTMENT APPROVAL BY
DATE
ASSIGNED ADDRESS
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1150 West Miles Avenue
Hayden, ID 83835
208-762-5580
Cell 208-818-5803
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Address
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SITE PLAN
the purpose of
site plan is be ng submitted for true and o®'REST, ALLEY O
P ► i a known P ent
This a building Perm easements
obtaining proposal.
tO o'a ,ea and �5° Lot Width
lens$ imenon of Structu are semn is
Bions, curb lines indicated areas.
Nnesldimen identiiie�.plsa.� bZh, .eritbcaL
have been steep slopes /
bodies ct water,
(Circle One)
Signed:
Date: _---
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U
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Side P
78
LANNING:DEPT. APPROVE
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DATE:
y
L k'i 5+
Dwelling
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2
a r
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o 00 ''
4
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Front Property Line
2
Planting Strip
Curb
Street
SA L K
Zoning:
Commercial ❑
Site Address:
Building:
0
This site plan may be used for garages, additions, fences or other
structures. Please provide dimensions from existing buildings to
property lines, as well as dimensions of all structures, existing and
new.
Residential [
FENCE CERTIFICATE REQUIRED? YES ❑ NO ❑
Owner: