2005, 05-23 Permit App: 05001711 Garage Project Number: 05001711 Inv: 1 Application Date: 05/23/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 20 X 38 ATTACHED GARAGE Contact: TRUBCHIK,VLADIMIR&ANNA
Address: 12604 E SKYVIEW AVE
C-S-Z: SPOKANE VALLEY,WA 99216
Setbacks:Front 20+ Left: 5 Right: N/ Rear: 50+ Phone: (509)893-3545
Group Name:
Site Information: Project Name:
Plat Key: Name: HILLVIEW EST NO A REPLAT District: Sout
Parcel Number: 45273.0910 Block: 7 Lot: 10
SiteAddress: 12604 E SKYVIEW AVE Owner:Name: TRUBCHIK,VLADIMIR&ANNA
Address: 12604 E SKYVIEW AVE
Location::CSV SPOKANE VALLEY,WA 99216
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 11,000 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information._
Review
Site Plan Review Released By: w(,1
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Plan Review Released By: •�
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Permits:
Operator: K_C Printed By: K_C Print Date: 05/23/2005
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Project Number: 05001711 Inv: 1 Application Date: 05/23/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Building Characteristics
Group: U-1 Type: VB
Total Area 760
Building Height 14
Stories 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 760 $14,440.00 760 $14,440.00
Totals: 760 $14,440.00 760 $14,440.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $251.25
ACCESSORY PLAN REVIEW 1 SELECT $62.81
STATE SURCHARGE 1 SELECT $4.50
Permit Total Fees: $318.56
Notes: .
Payment Summary: _.: ..... . .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $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: 05/23/2005
4r__-\ IL c, 4c— 0 5— l '71 1
-: , BUILDING PERMIT APPLICATION WORKSHEET
ent Department
City of Spokane Valley Community Development Building Division
11707 E. Sprague Avenue, Suite 106
.000Va..le Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: 12 6 01/ E. 37<y vi-e w 4I/ 5,o 'a 1 G to f n . i6 (
Assessors Tax Parcel Number(s): - ,%. :. 2 ..
Legal Description:
PERMIT DESCRIPTION: 20 K 3 Ij --,7)
Building Permit El Change in Use ❑ Grading ❑ Manufactured Home
Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
t4Owner: U%Adi'Mix M�h eA;'k b< Applicant: .) 1/11
Phone: 661 -.29 -,j5'95". Fax: Phone: _ Fax:
Address: 12 60 q E.Sky thew Av*_ Address:
S 34e 1/a Inky INS 992/6
Ci i 41.Al
State Zip Code City State Zip Code
❑ Contractor. ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
• WA State Contractor License#: Contact:
Spokane Valley Bus. Liscense#: Contact:
PERMIT/BUILDING INFORMATION I
HEIGHT TO PEAK: i' DIMENSIONS: �, ' #OF STORIES:
�3.s z�� � 3��
MAIN FLOOR TO SQ. FTG: 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: 7I-9 DECK/COV.PATIO SQ. FTG:
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:
#OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT, 8,200 (2.0 30%SLOPES ON PROPERTY: SEWER9RON-SITE SEPTIC
SYS-TEM?
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 El CONCRETE ❑ REINFORCEMENT ❑ 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 OA 001,..4!
112.c,pc' Signature C.;%/ 4.L�
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check 0 Mastercard ❑ VISA ❑ Other
Bankcard#: Expires: VIN#:
Authorized Signature:
plan•
is being submitted for the purpose of
This site mit and is a true and correct
obtaining a building permit
All known property
representation of the proposal.
lines/dimensions,curb lines,structuresindicated and easements ands.
have been identified. Also or other critical areas.
bodies of water, steep slopes ,
slopes
Date: i
I
1111 ADORE. ,.` ,_,
ZONE iU
ROAD
FRONtMIND1�y,�, FLANKING �°1
COMMENTS \
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