2004, 11-18 Permit App: 04009098 Pole Barn Project Number: 04009098 Inv: 1 Application Date: 11/18/2004 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permit Use: 40 X 96 POLE BARN Contact: KAUTZMAN,ANDREW
Address: 18502 E SPRAGUE AVE
C-S-Z: GREENACRES,WA 99016
Setbacks: Front 150 Left: 200 Right: 58 Rear: 500 Phone: (509)924-9824
Group Name:
Site Information: Project Name:
............................................................
Plat Key: 000501 Name: CORBIN ADD TO GREENACRES District: G
Parcel Number: 55191.0502 Block: Lot:
SiteAddress: 18502 E SPRAGUE AVE Owner: Name: KAUTZMAN,ANDREW
Address: 18502 E SPRAGUE AVE
Location::GRE GREENACRES,WA 99016
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: <:
Review
Site Plan Review ReleasedBy: ( A
Plan Review Released By r.if () ft
r
Septic System Review ,
Released By: v___ ukt. , i 0
Perm
Operator: K_C Printed By: K_C Print Date: 11/18/2004
11/18/2004 10:15 5093241567 SRHD EHS PAGE 01/01
NOU 18 2034 10:08 FR TO 3241567 I-1.02/0.5
Project Number: 04009098 Inv: 1 Application
Date: 11/1:812004 Page 1 of 2
THIS IS NOT A PER IIT permit
Penalties will be assessed for commencing work withouta
f ::.i.L'' '+xCXtirQ^.:sFk;;2,'fit7+lY'tn kf. i'rA?�L
..!:V:'C:•w.,.:,vena.�Y1:Ci�£'::�•�h5ti'2U'iN��i�v'rah'r%�'�:l�Slt'S::;.r:'S},:jiS:�il
Pr In unman,on:
Permit Use: 40 X 96 POLE BARN Contact: KAUTZMAI!I,ANDREW
Address: 18502 E SPRAGUE AVE
C. -Z: GREENACRl9;S1 WA 99016
Setbacks:Front 150 Left: 200 Right: 58
Rear: 500 Phone: (509)924.9824
Group Tame:
Project Name: �1»car :wr,•ta ,9'�*v
CIlu— "s%::-cs�;:wi1'YClssxr�;sNc:�;<.0 l:'+:!MhhkJ�':';$ri,':++�?WSJ<:3'.s.�s:r�?.�'7•A'::rJ..:,,
Info Iludig bl ?yyy�d�?::t�/,kY :tv a: aamxa�Sd^vis sea M?•kak?rOW 4=:�rac;maa a l7a .
Plat Key. 000501 Name: CORBIN ADD TO GREENACRES
District: G
Parcel Number. 55191.0502 Block: Lot:
SittAdiess_ 18502 E SPRAGUE AVE Owner:Name: KAUTZMAN,ANDREW
Address: 118502 E SPRAGUE AVE
Location::GRE !GRE&NACRES,WA 99016
Zoning: 11R-3.5 Urban Residential 3.5
Wever District Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(R): 0
Nbr of Bldgs: 2 Nbr of Dwellings:
Review ItramseLL: gom
•�.`: �:rk><P�s�,>�s::•sixr�SP��M:iMSu::?'s:>�r��e.!a..':�p,�reixr>::
Review •
Site Plan Review ,,44 fs; sti .Io 4 . n .nwvai�il�llti iitl,
r
k
YS:'•y•V:a6i
Plan Review >F s^_� . .411'10
Septic System Review i •� f"
Peer,nI s: .,;M:wJei•% .M;,9f 1
frl':M11�Mf!'oYN:4�t ;�:S':i s •if � :.s, wti�>+� •y.y u;wa:*K `h'-0.?'':T.?2`;: :l,sY.1 •YM�:�14�,•�t�r!Va//,ri;:?;Q. 'f,�':i ;4k'fi;''�.�,.SlibI;A01'f:N.:.:t
1 `1i k;{ t+"k"A:'#;;�:�f'd:i•.��t;�:14� ••� .+.1';Ntlk?Lt4'!S- enc.
•
Operator: ES Printed By: K C Print Date: 11/18/2004
NOU 18 2004 10:19 5093241567 PAGE.01
•
Project Number: 04009098 Inv: I ApplicAtion Date: 11/18/2004 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: STEEL STRUCTURES AMERICA Firm: STEEL STRUCTURES AMERICA I
Address: PO BOX 895 Phone: (800)833-9997
POST FALLS,ID 83854
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 3,840 $72,960.00 3,840 $72,960.00
Totals: 3,840 $72,960.00 3,840 $72,960.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $804.75
STATE SURCHARGE 1 SELECT $4.50
Permit Total Fees: $809.25
Notes
See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements
ent u
Pam S
rv'
v
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $809.25 $809.25 $0.00 $809.25
$809.25 $809.25 $0.00 $809.25
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: athecJ
Operator: K_C Printed By: K_C Print Date: 11/18/2004
siniandi Oil - W2,/
, •\ i11ey PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone:(509)688-0036 Fax:(509)688-0037
1 REQUIRED SITE INFORMATION - I
STREET ADDRESS: /1S 5ba 67 #.4.....47,,e#ASSESSOR'S TAX PARCEL 777 `, ' 9 , I-0)s
LEGAL DISCRIPTION: 0 >114-0 ru,:, ig94,4—ezi2 c,,Z
PERMIT DESCRIPTION: /21,:.rm-
;D UII,DING PERMIT • • a CHANGED USE • O GRADING D MANUFACTURED HOME
URELOCATION p SIGN D-TENANT DOPIER
{ OWNER / APPLICANT INFORMATION
CI OWNER: a71447-?A-1 ' ' 0 APPLICANT:
PHONE: /c7)-V .O y AX: PHONE: FAX:
ADDRESS: . •i G-,___:.. iii__...„ - ,i ADDRESS:
CITY,STATE,ZIPffC.)/6 CITY,STATE,ZIP
°CONTRACTOR:, 1i19t1- -4- 0 ARCHITECT:
PHONE: c,2 F 77? 7;29O FAX: ��9 PHONE: FAX:
ADDRESS: el'A �y�1°,2114:14 014 7-31 7-7—e)11— ADDRESS:
CITY,.STATE,ZIP CITY,STATE,ZIP
WA ST CONTRACTOR LICENSE# CONTACT:
iPERMIT/BUILDING INFORMATION
q ,,i COST OF PROJECT: g,..)6 Aire 30%SLOPES ON PROPERTY: VIJ''N� MAIN FLOOR SQ FT:
‘11)'J BUILDING HEIGHT TO PEAK: /V OCCUPANCY GROUP: 2ND FLOOR SQ FT:
BUILDING DIMENSIONS: - /))(q01/2-) CONSTRUCTION TYPE: mac, 4-4544-4't UNFIN BASEMENT:
NUMBER OF STORIES: STRUCTURES ON PROPERTY: FINISHED BASEMENT:
NUMBER of BEDROOMS: CRITICAL AREAS: GARAGE:
FLANKING SETBACK: CURRENT PROPERTY SIZE: 3l9 X 7;2- COVERED DECK:
FRONT SETBACK: CURRENT PROPERTY USE: DECK:
REAR SETBACK: CURRENT SEPTIC USE:
LEFT SETBACK: CURRENT WELL USE:
RIGHT SETBACK: IMPERVIOUS SURFACE AREA:
IMANUFACTURED HOMESIGN
WIDTH: LENGTH: SQ FT OF SIGN: HEIGHT OP SIGN:
YEAR: PIT SET: #OF SIGNS: AREA OF EXIST SIGN:
MANUFACTURER: TYPE OF SIGN:
I RELOCATION FIRE SAFETY
PREVIOUS ADDRESS: FIRE SPRINKLER: FIRE ALARM:
PAINT BOOTH: TENT:
PROPOSED USE: FIREWORKS DISPLAY:
BLASTING: DATE/TIME:
IWA STATE NON-RESIDENTIAL ENERGY CODE
PLANS EXAMINER: PHONE: FAX:
ADDRESS:.
CITY,STATE,ZIP
INSPECTOR: PHONE: FAX:
ADDRESS:
CITY,STATE,ZIP
( SPECIAL INSPECTIONS
I
® BOLTING ®CONCRETE 0 REINFORCEMENT 0 WELDING
FIRM NAME: PHONE: FAX:
INSPECTOR(S):
BUILDING STAFF USE ONLY
IS PUBLIC SEWER AVAILABLE: ® YES NO IF YES: ° COUNTY CITY -
IS PUBLIC WATER AVAILABLE: ® YES 0 NO IF YES,WHICH WATER DIST/IRR:
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: ® YES ®' NO
IS THE PROPERTY LOCATED WITHIN ASA: 0 YES ® NO PSSA: El YES 0 NO
•
-
I DATE: I STAFF:
METHOD OF PAYMENT:
I
O 0 ® r ® ...1111.
:M-1511 1 VISA
CASH CHECK Li
BANKCARD#; EXPIRES: VIN#
AUTHORIZED SIGNATURE:
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
it
�` w
40:.A5t.... it. i
at,
I
4,
(.''r!_\\.)
if--- tote--is.
sHty 1
ISC�uate =1(o"7 <-30--
ZONErmor_
1 ROAD WIDTH_
COMMENTS
,0� si4C>a 4�; ) r REVIEWED By V'Gw /
CSL' �')
ciTE
d q(e
ii
k
i
cos
(2.( •f
1
This ens plat! is being submitted for the purpdss of
Mt obtaining a building pens*and is a true and
representation of the propped. AN know and=
fi #a, ii lines/dimensions.curb Mi s.*rallies antis su t Ms
1
have been idendiNed. Ails iniesase are
'15bodies a water. sleep «eMtsr orMlsafImpost .
15
4 o , // / ,;,
,,
, _ 3(4)--
i
•
,
A
,
F
i
_.._.......-.w..... s'_rnem.—+w.o.-—.._, .._.as:.-c--�s-.x�