2003, 10-02 Permit App: BLD-03-02651 Deck"T' `�kane
�OMa11ey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
18205 E SPRAGUE AVE
GREENACRES WA
12X12 DECK
NEWBURY, NANCY
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
RESIDENTIAL ADDITION/REMODEL
HARTY FENCE & DECK CO
6626 S TOMAKER LN
SPOKANE VALLEY, WA 99212
HARTY FENCE & DECK CO
6626 S TOMAKER LN
SPOKANE VALLEY WA 99212
Lot: Blk:
Parcel No:
Application #: BLD -03-02651
Phone: (509) 218-3364
Phone:
Lic No:
(509) 218-3364
HARTYFD031JM
Applied:
Issued:
Expires:
Zoning:
10/02/2003
03/30/2004
General Information:
VALUATION
REROOF
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
2160
N
N/A
80
EXISTING
EXISTING
no
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
33.30
83.25
4.50
121.05
0.00
121.05
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Building
Planning
Initials / Date
ILLY
10/02/2003 12:27_ _ 5n.Y415b r
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 18205 E SPRAGUE AVE
GREENACRES WA
Desciiptlor: 12 X 12 DECK
Subdivision:
Chemin
Applicant:
Address:
Contractor:
Addresa:
NEWBURY. NANCY
5r<nv CnM
}
rU J41bY
F'. 01'02 v+
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work wkhout a permit
RESIDENTIAL ADDITION/REMODEL
HARTY FENCE & DECK CO
6626 S TOMAKER LN
SPOKANE VALLEY, WA 99212
HARPY FENCE & DECK CO
8628 8 TOMAKER LN
SPOKANE VALLEY WA 99212
Lot BIk: !Parcel No:
Phone:
Phone:
Lia No;
Application p: BLD -03-02651
Applied: 10103/2003
Issued:
Expires: 03/30/2004
Zoning:
509) 218-3384
(50D) 218-3364
HARTYFD031 JM
General Information:
VALUATION
REROOF
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
2160
N
N/A
80
EXISTING
EXISTING
no
no
Fees:
PLAN CHE K FEE
BASIC PER 1T FEE
WSBCC S . CHARGE
33.30
83.25
4.50
Total Calculated: 121.05
Deposits/Receipts: 0.00
Total Due: 121.05
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
SEP 29 2003 12:29 5093241567 PAGE.01
I {
SoxSPoicANECaNrY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, \VA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: / er ...7-46b5--- ,r •
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
KBuilding Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (Neve/Change)
❑ Other
Department Use Only
Water District/Purveyor:
Sewer District/Purveyor
Road width
Setbacks
Front: Rear:
Lek: Right:
School District
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
121 India/[ aim) rfionlel be , on/ucded repurdnrt, //ir.r rroiec/
❑ Owner Phone: ,ve*,..Je...",42-2 �/� 37e
irAive-cFax
. pl�icannt:
# of stories
Phone:2_,�) 4* C".
Mailing Address: (
/ g zo . - • .1=izLs
Mailing Ad(lress:
!o 4i z 4
5 .
.ark..ie e.. -A./
City, State, Zip
• el' -)/r- •
Oty, State,
���Zip
J S,.
6,1'4-/2._
1r9.4
❑ Cc ractor Phone � a _ 3 �j / ef
/ e�� 7 So
(AIR Fax
❑ Ar acct/liIgineer
Phone
Fax
Mailing ad/
Mailing address
4e,.44. -5 . c"F 1_+"_* AL
City, State Zip
. �. # ` 4L!
Cite, State Zip
VV A State ontractor license
I�id Q 3l\/7
Contact name:
PROTECT INFORMATION
Building Information
Building hht to Peak
6
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
1)imensions
(ZX /'i_-,
'Total habitable space
2' floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of prof e
we z50a
E
I Icat source (electric, gas, etc.)
Manufactured Home
Sign
Width:
Lcngth:
What is the square footage of the sign
face?
1 low high is the sign?
Year:
Make:
# of signs
.Arca of existing signs
Are there slopes greater than 30°% on the property? (30 ft rise in 100 ft)
( °=o) ❑ Yes 121._ No
Are critical or hazardous materials used or stored on site?
❑ Yes No
Proposed use
Value
Relocation
Fire Safety
Finn Name
What is the curkoLit use of this property?
/d<'S.-1 /. t 4"C' 4 .•
Previous address
Will the site be served by a septic system? \es ❑ No
Paint booth
Fire Sprinkler
Tent
fireworks display
Fire .\larm
Are there slopes greater than 30°% on the property? (30 ft rise in 100 ft)
( °=o) ❑ Yes 121._ No
Are critical or hazardous materials used or stored on site?
❑ Yes No
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Finn Name
What is the curkoLit use of this property?
/d<'S.-1 /. t 4"C' 4 .•
Phone
Will the site be served by a septic system? \es ❑ No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
❑ Yes CK,No
Are there slopes greater than 30°% on the property? (30 ft rise in 100 ft)
( °=o) ❑ Yes 121._ No
Are critical or hazardous materials used or stored on site?
❑ Yes No
Address
Inspector
Phone
❑ Concrete
❑ Welding
❑ Bolting
❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 111_Yes ❑ No
If yes, identify on site plan
What is the current property size?
(square feet or acres) 7d'' K /S-2,
Is any part of the property within 250 feet of a shoreline?
If yen, ident/, on site plan ❑ Yes I. No
What is the curkoLit use of this property?
/d<'S.-1 /. t 4"C' 4 .•
Is your property in a designated wildlife habitat area?
❑ Don't know ❑ Yes ,(g o
Will the site be served by a septic system? \es ❑ No
Is any part of the property within a 100 yr flood plain?
If yes, identtfi on site plan
❑ Maybe ❑ Don't know ❑ Yes K.,No
Are or will there be wells located on the property?
If yen, idents on the site plan ❑ Yes lir No
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, identify on site plan ❑ Yes No
Is there evidence of fill or excavation on the property?
❑ Yes CK,No
Are there slopes greater than 30°% on the property? (30 ft rise in 100 ft)
( °=o) ❑ Yes 121._ No
Are critical or hazardous materials used or stored on site?
❑ Yes No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
❑Yes 0 N
Is public sewer available to the site? ❑ Yes ❑ No
Is the property inside the ASA? ❑ Yes ❑ No
❑Yes 0 N
Is public water available to the site? ❑ Yes ❑ No
Is the property inside the PSSA? 0 Yes 0 No
Is the property located within 1000 feet of a Natural Resource. Area?
❑Yes 0 N
Dat: Rcccivcd:
Staff Representative
METHOD OF PAYMENT
❑ (.:ASH ❑ CHECK
VISA
0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
F.NP11 I:S:
B.ANKC:ARI) Nl NIBI?R:
AU"I11OIZ1/,1?D SIGN:ATURI(:
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS $35.019 PLEASE
MAKE CI IECKS PAYABLE '10 SPOKANE.
COUNTY PICRNIrr CENTER
PLANNING DEPT. APPROVED
BY•
DATE:
10/02/2093 12:27 5bJ32415b/
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5093241567 PAGE.02
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