2005, 03-28 Permit App: 050000989 GarageProject Number: 05000989 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/28/2005 Page 1 of 2
Project Information:
Permit Use: 24 X 32 DETACHED GARAGE
Setbacks: Front
Left: 16+ Right: Rear:
Site Information:
Plat Key: 006193 Name:
SP -1267-01
IMUNSWir
Contact: WIKE, KEVIN P
Address: 11716 E SINTO AVE
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 921-7658
Group Name:
Project Name:
District: Nort
Parcel Number: 45161.0650
SiteAddress: 11716 E SINTO AVE
Location:: CSV
Block:
Lot: B
Owner: Name: WIKE, KEVIN P
Address: 11716 E SINTO AVE
SPOKANE VALLEY, WA 99206
Zoning: UR -3.5 Urban Residential 3.5
Water District: 011 MODERN Hold: ❑
Area: ',723.00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Septic System Review
I Released By:
Released By:
Permits:
Operator: K_C Printed By: K_C Print Date: 03/28/2005
Project Number: 05000989 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/28/2005 Page 2 of 2
Contractor: OWNER
Group: U-1 Type: VB
Total Area 768
Building Height 14
Stories 1
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 768 $14,592.00 768 $14,592.00
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLAN REVIEW
STATE SURCHARGE
Payment Summary
Permit Type
Building Permit
Totals: 768 $14,592.00 768 $14,592.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount
$251.25
$62.81
$4.50
$318.56
Fee Amount Invoice Amount Amount Paid Amount Owing
$318.56 $318.56
$0.00 $318.56
$318.56 $318.56
$0.00 $318.56
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: 03/28/2005
Prbject Number: 05000989 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/28/2005 Page 1 of 2
Project Information:
Permit Use: 24 X 32 DETACHED GARAGE (INCL ROUGH -IN
UTILITY SINK)
Setbacks: Front 40 Left: 16+ Right: 44 Rear: 30
Site Information:
Plat Key: 006193 Name: SP -1267-01
Contact: WIKE, KEVIN P
Address: 11716 E SINTO AVE
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 921-7658
Group Name:
Project Name:
District: Nort
Parcel Number: 45161.0650
SiteAddress: 11716 E SINTO AVE
Location:: CSV
Block:
Zoning: UR -3.5 Urban Residential 3.5
Water District: 011 MODERN
Area: ',723.00 Acres Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot: B
Owner: Name: WIKE, KEVIN P
Address: 11716 E SINTO AVE
SPOKANE VALLEY, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
MIREM
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 03/28/2005 By: kcummings
Released By:
Septic System Review
Permits:
Originally Released: 03/28/2005 By: kcummings
Released By:
N/A ON SEWER
Originally Released: 03/28/2005 By: kcummings
Operator: K_C Printed By: MT Print Date: 03/28/2005
Project Number: 05000989 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/28/2005 Page 2 of 2
Contractor: OWNER
Group: U-1 Type: VB
Total Area 768
Building Height 14
Stories 1
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application: Total Project:
Description Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 768 $14,592.00 768 $14,592.00
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLAN REVIEW
STATE SURCHARGE
Totals: 768 $14,592.00 768 $14,592.00
Units Unit Desc Fee Amount
1 SELECT $251.25
1 SELECT $62.81
1 SELECT $4.50
Permit Total Fees:
Plumbing Permit
$318.56
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
SINKS
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
NEW DRIVEWAY APPROACH WILL REQUIRE A PERMIT.
Fee Amount
$6.00
$6.00
Payment Summary: wrx,sa,,, . N, menw� = = .e,r14,0a4 E : me
Permit Type Fee Amount Invoice Amount Amount Paid ArR6tmt Owing
Building Permit $318.56 $318.56 $0.00 / $318.56 "
Plumbing Permit $6.00 $6.00 $0.00 $6.00
Disclaimer:
$324.56 $324.56 $0.00 $324.56
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both a hmiaed-dnd 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: MT Print Date: 03/28/2005
Spokane
�1 {E C itE
TD3
BUILDING PERMIT APPLICATION WORKSHEET
,�oT r1lley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
0) ne: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: /17 / (, E
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: a ' !X 1
(Building Permit
n Relocation
n Change in Use n Grading
n Manufactured Home
Tenant Improvement ❑ Fire Safety n Other
OWNER/APPLICANT INFORMATION
n
Contractor:
Phone:
Address:
Fax:
City
State
WA State Contractor License #:
Zip Code
❑ Applicant:
Phone:
Address:
Fax:
City
Architect:
Phone:
State Zip Code
Address:
Fax:
City
Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
11't
DIMENSIONS: , ' ,
/`
# 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:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF,PROJECT:
1/2 tn-
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? , ,{',,t ,,:.
MANUFACTURED HOME
Width:
Manufacturer:
Length:
Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Inspector:
Address:
Phone:
Fax:
City
Phone:
State
Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
11
BOLTING 1 1 CONCRETE
Firm Name:
11
REINFORCEMENT (l WELDING
Phone:
Inspector(s):
Fax:
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)
fl Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
0.
M
z
0
w
0.
0
us6
0
w3
0
0.
0
z
CONTRACTOR :
PARCEL No. :
0
0
w
6 6
'40
w 0
3 '6-
-i
6 ,---
'Of t4
aEl
>-
LL,z-
D
4... CC •
.
0- <
0.01
a•
V/
0a
<
03 (3
<
t
Z <
z
0
Lai
z
V)
(1)
LJ
w
0
TO 3
6- a.
Ez tr
w o
ce 0 re..
cr:
w
z
BILLING DATE :
ce
Ld
01
0
0
POWER POLE
z
tt
01
z
z
BUILDING LINE
CAST IRON
ORANGEBURG
ai
HEALTH DISTRICT
FOUNDATION
r..03 - -9VIA011.3.3104 "61,1 311.i
•
›-
0.
01
, IA
• -,41I
r4 --------t-- 6..4,
. ------1-0.------0—. _____--0.- ------ti - ' I
,77.741,
(•
_:_---- if:4 --------
-:14\
\ ,..
N i
.,J
!
,,, 1 A
1 ,
..• \ I
0 0n -
NJ
4--
.1 7
1 .(1
rZ
3
0
W\\C-
Key r--, �-
17 1 to.
SA-b"�-^Ajc VALCEf
aD
AM
ZONE—J4�
f 40.4D WIDT"
ROMMIG
F
COM MEWS
REVIEWED15Y
.8D
an is being submitted for the purpose of
building permit and is a true and correct
on of the proposal. All. known property
;ions, curb lines, strucWm and easements
identified. Also indled" are wetlands,
rater, steep slopes orcritical areas.
cow
N
AV
I Co C) i '7o 100- //0- 1
IV
170'