2005, 03-21 Permit App: 05000848 Pole Bldg Project Number: 05000848 Inv: 1 Application Date: 03/21/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 24 X 36 POLE BUILDING Contact: SKI CONSTRUCTION
Address: 4719 E WINFIELD CT
C-S-Z: SPOKANE,WA 99021
Setbacks:Front EXI Left: 5 Right: 50+ Rear: 6+ Phone: (509)328-3011
Group Name:
Project Name:
Site Information
Plat Key: 001738 Name: MYRON EST#2 01ST ADD District: Sout
Parcel Number: 44042.0505 Block: 2 Lot: 12
SiteAddress: 4517 S SKIPWORTH RD Owner:Name: OGDEN,EARL K&BICKNELL S
Address: 9321 E HOLMAN RI)
Location::CSV SPOKANEVALLEY,WA 99206-924
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: M, .., air. ����.e.. � ,: aFM
Review
Site Plan Review Released By: L�
Plan Reviewf
Released By.
Operator: K_C Printed By: K_C Print Date: 03/21/2005
Project Number: 05000848 Inv: 1 Application Date: 03/21/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: SKI CONSTRUCTION Firm: SKI CONSTRUCTION
Address: 4719 E WINFIELD Phone: (509)995-4168
MEAD,WA 99201
Building Characteristics
Group: U-1 Type: VB
Total Area 864
Building Height 14
Stories 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 864 $16,416.00 864 $16,416.00
Totals: 864 $16,416.00 864 $16,416.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $279.25
STATE SURCHARGE 1 SELECT $4.50
Permit Total Fees: $283.75
Notes: d._. . .. :..a ._ m ,� . ..� ..., .
PaymentSummarV: 'ME :. ,._. 5'.41P,„*„ 0;Vre n, i.0?-
Permit
m,Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $283.75 $283.75 $0.00 $283.75
$283.75 $283.75 $0.00 $283.75
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: 03/21/2005
BUILDING PERMIT APPLICATION WORKSHEET
CITY( une City of Spokane Valley Community Development Department
Building Division
Valle 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
4400,
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: /5/7 $ $ 27X
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
❑ Building Permit n Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: /=-r��' _ O/ice' �( Applicant: 7- �eti-Sf
Phone: Fax: ',//5"----- 4:6)
..
7S-�, /> 7 Phone: S"=- / 6) Fax:
Address: ,rte / 7 __ ._,Sii -9/t
i'� Address: Vji5'� ,,;F,�// C-7Cit > State / City State Zip Code
Contractor: ___':e.-.,,,c74- ❑ Architect: A49-71 2rcfrr /4-i:c
Phone' - . Fax: Phone: z - / ` =/Fax:
Ad ress r A;I:y1t 1/ Cr- Address:
/lir ��
City State Zip Code City State Zip Code
WA State Contractor License #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEA DI N IONS: #OF STORIES:
/ 7X4 /6=
MAIN FLOOR.TO SQ. FTG: FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:
#OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
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: Phone: Fax:
Address:
City State Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
❑ BOLTING (l CONCRETE [ REINFORCEMENT I-I WELDING
Firm Name: Phone: Fax:
Inspector(s):
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:
9
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