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2004, 06-22 Permit App: BLD-04-04682 Pole BldgCITY Or �� Spokane .0,01F -Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: 18109 E SPRAGUE AVE GREENACRES WA 99016-9730 Description: 16 X 50 POLE BUILDING ACCESSORY BUILDING THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Application #: BLD -04-04682 Applied: 06/22/2004 Issued: Expires: 12/19/2004 Subdivision: Lot: Blk: Parcel No: 55184.3310 Zoning: 55184.3314 Owner: JEWELL, JERRY L & DEBRA C Applicant: COOK'S INC Phone: (208) 773-2563 Address: 780 N CECIL RD SUITE 104 POST FALLS, ID 83854 Contractor: COOK'S INC Phone: (208) 773-2563 Address: 780 N CECIL RD SUITE 104 Lic No: COOKSI*150DF POST FALLS ID 83854 General Information: Fees: VALUATION 15200 PLAN CHECK FEE BUILDING HEIGHT TO PEAK 18' 6" BASIC PERMIT FEE DIMENSIONS 16 X 50 WSBCC SURCHARGE # OF STORIES 1 Total Calculated: FRONT SETBACK EXISTING �� Deposits/Receipts: REAR SETBACK ? LEFT SETBACK 115 Total Due: RIGHT SETBACK ? 5 ' OV OCCUPANCY GROUP u-1 CONSTRUCTION TYPE 5-n STRUCTURES ON PROPERTY 4 SERVED BY SEPTIC SYSTEM yes WELLS LOCATED ON PROPERTY no 26.53 265.25 4.50 296.28 0.00 296.28 00p,;,,�—��,� Lf�2c�l$4t, ' G�x1`,"`�l THIS IS NOT A RECEIPT I7b/11/1iou4 1n:n( 7F77JL41Do/ JUN 22 2004 10:39 FR Stakane 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: 18109 E SPRAGUE AVE GREENACRES WA 99016.9730 Deacrlpt1on: 18 X 50 POLE BUILDING SubdMsion: Owner: Applicant: Address: Contractor: Address: JEWELL, JERRY L & DEBRA C COOK'S INC 780 N CECIL RD POST FALLS. ID 83854 COOK'S INC 780 N CECIL RD POST FALLS ID 83854 JI\I IL L-1 1J TO 324156? P.02/03 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit ACCESSORY BUILDING Application #: BLD -04-04682 Applied: Issued: Expires: Lot Blk: Parcel No: 55184.3310 Zoning: 66184.3314 SUITE 104 SUITE 104 Phone: (208) 773-2563 Phone: uc No: (208) 773-2503 COOKSI'1500F 06/22/2004 1211912004 General Information: VALUATION BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE STRUCTURES ON PROPERTY SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY 15200 18' 6" 16 X 50 1 EXISTING 9 116 u-1 5-n 4 yes no Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE Total Calculated: Deposits/Recolpts: Total Due: 26.63 288.25 4.50 296.28 0.00 296.28 J, MillIMENENNAI CITY SPOIKANE VALLEY Mp FOR SUBMITTAL Malaga 1 Data Building Planning Public Works antz-L-r47 ev" aAA/&c. THIS I8 NOTA RECEIPT JUN 22 2004 11:08 5093241567 PRGE.01 Spo'lane .0••OValley BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: 1651-07 6-- ..gJo✓'ao v e_ Assessor's Tax Parcel Number(s): s�L 'f • 31 7 Legal Description: PERMIT DESCRIPTION: t' AleeS'p 134- U, ' 1=.0 le 'vvJ klez Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION ❑ Owner: Jcr r7 •Jc sc 1 Phone: Fax: Address: /8_,I) 6 w8_ ke."<' State Zip Code City 0 Applicant: Tk.c . Phone: 7V -2.41-6,y Fax: Address: ip,c, AJ _ Gccr State Zip Code 0 Contractor: , 0 Architect: (....Ja_,, (s,`j4.0 Phone: Fax: Phone: Fax: Address: ipx) At. Gccr Z Address: City State Zip Code City State Zip Code WA State Contractor License #: Contact: ff.,7��,� ,!} K 311 PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: 16.4"' DIMENSIONS:S� 1G # OF STORIES: r MAIN FLOOR TO SQ. FTG: S©V 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSIRUCTI TYPE: Pa Cc irtidel • HEAT SOURCE: # OF BEDROOMS: TOTAL HABITABLE SPACE: P IMPERVIOUS SURFACE AREA: COST OF PROJECT: 30% SLOPES OPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? MANUFACTURED HOME Width:ength: Year: Manufacturer: Pit Set: 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: Address: Phone: Fax: City Inspector: Phone: Address: State Fax: Zip City State Zip SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING Firm Name: 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 /11e7 thiQ„4„4-21,t Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash [!(Check 0 Mastercard Bankcard #: Authorized Signature: ❑ .VISA Expires: VIN#: ❑ Other .0 .1-4 1 r La 11N NAME. , e,c-r / pAq , ADDRESS. I Sii'1 F S�a (Le�r2 L N ,ro 50 14.44 stC V eg- SSS ZONE 41 - ROAD WIDTH FRoArrisia.FLANK COMMENTS REVIEWED SY Thee tiSS pips being submitted for the purpose of obtaining a building permit and is a true and correct representation of the proposal. AN known property lines/dimeneions.curb tines, and easmMrtts haw been identifb. Also indicated an wetlands, bodies of water, s Or critical areas. p. p �� Dade: 6- 2.Z' �� LEGAL' PARCEL #• S164-