Loading...
2003, 10-31 Permit App: BLD-03-02962 GarageCITY .0.0VaIley • PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206, Phone: (509)688-0036 Fax: (509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DISCRIPTION: PERMIT DESCRIPTION: 6,4; id of Car %j ci L e C .)c{ r -s e XIMILDING.PERMIT • 0 CHANGE IN USE .. I GRADiNG a -RELOCATION ©-SIGN - 0 -TENANT OWNER: ea ro) FO r CI MANrUFACTURED HOME 0-OFIIER OWNER / APPLICANT INFORMATION PHONE: 9c2ff — 5 3 I _ FAX: l PHONE: ADDRESS: 174,13 E. S;✓JJ Spolk trc i WA `99QQ CITY,STATE, ZIP .. CONTRACTOR: . 0 PHONE: FAX: ADDRESS: CITY,.STATE, ZIP ® APPLICANT: WA ST CONTRACTOR LICENSE # FAX: ADDRESS: • CITY, STATE, ZIP ARCHITECT: PHONE: FAX: ADDRESS: CITY, STATE, ZIP CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: BUILDING HEIGHT TO PEAK: BUILDING DIMENSIONS: I x 01-6 'NUMBER OF STORIES: NUMBER of BEDROOMS: FLANKING SETBACK: FRONT SETBACK: REAR SETBACK: LEFT SETBACK: RIGHT SETBACK: 30% SLOPES ON PROPERTY: OCCUPANCY GROUP:. CONSTRUCTION TYPE: MAIN FLOOR SQ FT: 2N0 FLOOR SQ FT:. UNFIN BASEMENT: STRUCTURES ON PROPERTY: FINISHED BASEMENT: CRITICAL AREAS: • GARAGE: CURRENT PROPERTY SIZE: COVERED DECK: CURRENT PROPERTY USE: DECK: CURRENT SEPTIC USE: CURRENT WELL USE: IMPERVIOUS SURFACE AREA: 1 MANUFACTURED HOME SIGN WIDTH: LENGTH: YEAR: PIT SET: MANUFACTURER: SQ FT OF SIGN: # OF SIGNS: TYPE OF SIGN: HEIGHT OF SIGN: AREA OF EXIST SIGN: RELOCATION FIRE SAFETY PREVIOUS ADDRESS: PROPOSED USE: FIRE SPRINKLER: FIRE ALARM: PAINT BOOTH: TENT: FIREWORKS DISPLAY: BLASTING: DATE/TIME: WA STATE NON-RESIDENTIAL ENERGY CODE PLANS EXAMINER: ADDRESS:. PHONE: FAX: CIN, STATE, ZIP INSPECTOR: PHONE: FAX: ADDRESS: SPECIAL INSPECTIONS ° BOLTING FIRM NAME: CITY, STATE, ZIP ®CONCRETE 0 REINFORCEMENT 0 WELDING PHONE: FAX: INSPECTOR(S): BUILDING STAFF USE ONLY IS PUBLIC SEWER AVAILABLE: ® YES 0 NO IF YES: 0 COUNTY 0 CITY IS PUBLIC WATER AVAILABLE: 0 YES 0 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: 0 YES C] NO PSSA: 0 YES 0 NO DATE: METHOD OF PAYMENT: STAFF: 0 0 CASH . CHECK BANKCARD/4; EXPIRES: VIM" AUTHOR/ZED SIGNATURE: *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD NJ 6-2aCire h (a 6- / 41'e ele_S e cf 4}/i e 0 ve (31 APIPIzi 6arck.<_ Ekx) Lt SS NOV\ k..03 tt) Sjr(p co 6 w