2003, 07-07 Permit App: BLD-03-0202507/08/2003 07:45 bU3J2415b/--
-
TO 3241567 P.01i02
Fees:
THIS IS NOT A PERMIT
18240
PLAN CHECK FEE
Penalties will be assesied for
ky
14
commencing work without a permit
307.25
ACCESSORY BUILDING
24 X 40
11707 E. Sprague Ave., quite 106
4.50
j
Spokane Valley, WA 99206
Application #: BLD -03-0202'%
Job Address: 18015 E SPRINGFIELD AVE
1
Applied: 07/07/2003
GREENACRES WA 99016-9529
FRONT SETBACK
lasuad:
Description: 24 X 40 ATTACHED GARAGE
0.00
Expires: 0110312004
OWNER IS CONTRACTOR
Total Due:
342.48
Subdivision:
Lot No:
Owner: MORGAN, ROBERT E & LEAH M
RIGHT SETBACK
NA
Applicant: MORGAN, ROBERT E & LEAH M
Phone:
FLANKING SETBACK
Address: 18016 E SPRINGFIELD AVE
GREENACRES, WA 99016-9529
i
Contraotor_
Phone:
wood
Address:
STRUCTURES ON PROPERTY
yes
L is No:
General Information:
Fees:
VALUATION
18240
PLAN CHECK FEE
30.73
BUILDING HEIGHT TO PEAK (FT)
14
BASIC PERMIT FEE
307.25
DIMENSIONS.
24 X 40
WSBCC SURCHARGE
4.50
COST OF PROJECT
6200
e OF STORIES
1
Total Calculated:
342.48
FRONT SETBACK
56'+
' Deposite/Receipts:
0.00
REAR SETBACK
50+
Total Due:
342.48
LEFT SETBACK
8.4
RIGHT SETBACK
NA
FLANKING SETBACK
NA
OCCUPANCY GROUP
u-1
CONSTRUCTION TYPE
wood
STRUCTURES ON PROPERTY
yes
CURRENT PROPERTY SIZE
80 X 148
CURRENT PROPERTY USE
RESIDENCE
SERVED BY SEPTIC SYSTEM
yes
WELLS LOCATED ON PROPERTY
no
r
APPROVED BY
THIS 13 NOT A RECEIPT
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City Of
SPOKANE VALLEY
PERMIT #
BUILDING PERMIT APPLICATION
Box 1 OWNER RD 1J er f Hp Y'G 4 Xj JOB LOCATION
OWN ER'S ADDRESS 1005- SI,-)�, -II IPITY(,re*me5PHONE 9,L7-3 VO/
DESCRIBE JOB
FRx 6 �� o0 31
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED 819,Ckle-
PARTNERSHIP CORP.
--------------------------------------------------------------------
--------------------------------------------------------------------
BOX 2 CONTRACTOR'S NAME PHONE
CONTRACTOR'S ADDRESS CITY
CONTRACTOR'S REG.# EXPIRATION DATE
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX 3 CONTACT PERSON OF PROJECT_ 1V,,,&,4 A-) PHONE 92 7- 3y& /
ADDRESS /O/S E Sir ilv/,e /cl CITY ZIP 99,
BOX 4 SEWER AVAILABILITY
WATER AVAILABILITY
BOX 5 ESTIMATED PROJECT COST $ 6 T o? G Q EXISTING BLDG. VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAG Existin proposed 1ST FLOOR 2�/ /_ 2ND FLOOR/ SZ:D
3RD FLOOR / OTHER / BASEMENT FINISHED
BASEMENT UNFINISHED / DECK /?—_ / GARAGE d, V / q0
CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING /� FT.
( (X) NEW CONSTRUCTION
BOX 8 x) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS ) (,;<) EXISTING STRUCTURE
( )
COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY SQ. FT.
( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE 3/ (op SQ. FT.
BOX 9 PLUMBING FIXTURES (Including rough -ins) MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL.
- --------------------------------------------------------
BOX 10 Water Service meter size (if known) Also see BOX 4
BOX 11 Septic Tank - Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
BOX 12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISES TO PERFORM THE RK FOR WHICH THE APPLICATION IS MADE.
OWNER /AGENT DATE (OVER)
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard _ _ _ Expiration Date
Print the name of the Holder Signature
DO NOT PLACE ANY BUILDING UNDER POWER LINES OR OVER INCOMING GAS LINES.
OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORIES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING PERMIT NO.
PERMIT FEE
TOTAL FEES
OTHER CHARGES
TOTAL SQ. FT.
PLAN CHECK FEE RECD
PLAN CHECK FEE
WSBCC SURCHARGE
BUILDING DEPARTMENT APPROVAL
ASSIGNED ADDRESS
Received
TOTAL VALUATION
RECEIPT NUMBER
PLUMBING FEE MECH. FEE
ENERGY SURCHARGE
AQ
AMOUNT DUE
DATE