2005, 02-16 Permit App: 05000503 Shop Project Number: 05000503 Inv: 1 Application Date: 02/16/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project In formation:
Permit Use: 40 X 40 SHOP Contact: MY FAMILY CONTRACTOR
Address: 8525 N FREYA ST
C-S-Z: SPOKANE WA 99217
Setbacks:Front 37 Left: 12+ Right: 20 Rear: 100 Phone: (509)467-0106
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: RANGE District: Sout
Parcel Number: 45241.9066 Block: Lot:
SiteAddress: 503 S STEEN RD Owner:Name: STRALKA,DAVID&DANA
Address: 503 S STEEN RD
Location::CSV SPOKANE VALLEY,WA 99037-891
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .91 Acres Width: 200 Depth: 200 Right Of Way(ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: �M.,. ._. _. s
Review
Site Plan Review Released By: ,r
Plan Review Released By: " y11 J de
qs(Septic System Review Released By: \19,ist
Permits: n.,-... ..wr- .. :; ,.7,_- = .._._..,��.
Operator: K_C Printed By: K_C Print Date: 02/16/2005
02/16/2005 16:35 5093241567 SRHD EHS PAGE 01/01
FEB 16 2005 16:14 FR TO 3241567 P.02/03
{
Project Number: 05000503 Inv- 1 ,Application ' Date: 02/16/2005 Page 1 of 2
THIS IS NOT A PEI MIT
Penalties will be assessed for commencing work without a permit
i
Project Inform yifion: , .
Permit Use: 40 X 40 SHOP Contact MY FAMILY CONTRACTOR
• Address: 8525 N FREYA.ST
C;
Project Number: 05000503 Inv: 1 Application Date: 02/16/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: MY FAMILY CONTRACTOR Firm: MY FAMILY CONTRACTOR
Address: 8525 N FREYA ST Phone: (509)467-0106
SPOKANE WA 99207
Building Characteristics
Group: U-1 Type: VB
Total Area 1600
Building Height 15
Stories 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 1,600 $30,400.00 1,600 $30,400.00
Totals: 1,600 $30,400.00 1,600 $30,400.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $451.85
STATE SURCHARGE 1 SELECT $4.50
Permit Total Fees: $456.35
Notes:
Payment Summary: _ : fs
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $456.35 $456.35 $0.00 $456.35
$456.35 $456.35 $0.00 $456.35
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: 02/16/2005
/ >ui `I'' ' Li SI, lJ) .
idci PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DEPARTMENT OF BUILDING AND PLANNING
1026 FEST BROADWAY AVENUE r
SPOKANE,W 'A 99260 I n
509-477-3675
SPoi Cove' y C
,--——-
SPECIFIC SITE INFORMATION
Street Address: /'it/e9.S. SEcciv',c-
'7 / > f//=/'.4/9ACF A' J 96?7 cl \I�
A • • .�., - _ . -r(s): Y
tt o, �;ption: i
`I V
Project Description: ��rp ,34//ez2z4. G
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor: Sewer District/Purveyor Road width Setbacks
Front Rear:
School District: Fire District: Zoning
Left Right
OWNER/APPLICANT INFORMATION
El lndiinte u bn&bonld be sntacied n'gardint this projeit
N ❑ Owner: Phone: 5 0,9 ,�' 8-.9494/ ❑ Applicant: Phone:
. /47i//® c-S-'74"i9'Ci<a clw..c :c151 -.9-)-5—a— sAinz has:
Mailing Address: 95 l Mailing Address:
_ '5-03 S, s',-,---e-A,/4
City,State,"Zip City,State,Zip
///PA//41e 44 .9907
❑Contractor Phone ❑ Architect/Engineer Phone
/'`V/m/d/64/xenc-r02 lax hax
Mailing address Mailing address
(Sty,State Zip City,State"Zip
'C'//.t/E ki//
\\A State Contractor license# Contact name:
PROJECT INFORMATION
X Building Information
Building height to peak #of stones Main floor sq.ft. Unfinished basement sq.ft.
7 /_S/FC I / /4,dU ---C75Fr /[/4
Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
it-
Occupancy group Construction type Garage sq.ft. //. Deck sq.f.
AC /icD/.t/6 A/1 /t/�3
Cost of project I Ieat source(electric,gas,etc.)
1'- 7
Manufactured Home Sign
Width: Length: What is the square footage of the sign I low high is the sign?
facer
•
Year: Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler 'Tent
Paint booth lire Alarm I'ireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
firm Name Phone Plans I.xaminer Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement Address
^•••A
' ADDITIONAL SITE INFORMATION
,Arc there structures on the property? ,Ycs O No AV/hat is the current property size?
If yes,ident'on site plan (square feet or acres) /..,-9/ 0 A' (SO
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
If yes,dent'on site plan 0 Yes X No ,o2zehier-J --/-1A•7Iz/7'
Is your property in a designated wildlife habitat area?. Will the site be served by a septic system?0 Yes A No
0 Don't know 0 Yes No
Is any part of the property within a 100 yr flood plain? :Are or will there be wells located on the property?
Ifyes,identifii on site plan If yes,identi'on the site plan 0 Yes No
0 Maybe 0 Don't know 0 Yes No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
If yes,identify on site plan 0 Yes No 0 Yes X No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( %) 0 Yes No O Yes X'No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes O No
O Yes 0 No
Is the property inside the ASA? O Yes 0 No Is public water available to the site? 0 Yes 0 No
OYes 0 N
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
OYes 0 N
Date Received: Staff Representative:
METHOD OF PAYMENT
aiiiiiM Z-!::-..: s C U SUBTOT:AI,
0 CASI 1 0 Clil?CK 0 =NM 0 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D,1TI:: FXPIRI?S: TOTAL FEE
BANKCARD NUM111':2.: MINIMUM PERMIT FEE IS 535.00PLI ASE
'I:1KIt CI IECKS PAYABLE'to SPOKANE
AUT]IORl/.F1)SIGNATURE: COUNTY PE1CNn'i'CENTER
FEDERAL EMERGENCV MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200:
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-7.
SECTION A•PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
DAVE STRALKA
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
503 S.STEEN ROAD
CITY STATE ZIP CODE
SPOKANE VALLEY WA 99037
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
TAX PARCEL#45241.9066,
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
SHOP
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ®GPS(Type):RTK
( ##°-##'-##.##" or 1#1.#44##°) 0 NAD 1927 0 NAD 1983 0 USGS Quad Map 0 Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
SPOKANE VALLEY 530174 SPOKANE COUNTY WA
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of flooring)
0314 B 5/18/1988 C,A3 2028
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
0 FIS Profile ®FIRM 0 Community Determined 0 Other(Describe):
B11.Indicate the elevation datum used for the BFE in B9:®NGVD 1929 0 NAVD 1988 0 Other(Describe):
B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ®No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl.Building elevations are based on:0 Construction Drawings* ®Building Under Construction* 0 Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2.Building Diagram Number L (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram
accurately represents the building,provide a sketch or photograph.)
C3.Elevations—Zones Al A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3:a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G,as appropriate,to document the datum conversion.
Datum NGVD29 Conversion/Comments
Elevation reference mark used SEE BACK Does the elevation reference mark used appear on the FIRM? 0 Yes ®No
❑ a)Top of bottom floor(induding basement or enclosure) 2034. 8 ft.(m) TO
I' ON W. T
CI b)Top of next higher floor NA._ft.(m) t4C' 01 w A S&,4 e
❑c)Bottom of lowest horizontal structural member(V zones only) NA._ft.(m) °1m I.
w P
0 d)Attached garage(top of slab) NA. _ft.(m) E o c g — ° 4 ,
El e)Lowest elevation of machinery and/or equipment w � '%�f'''
servicing the building(Describe in a Comments area) 2034.8 ft.(m) a= �+ 34151 1
1:1f)Lowest adjacent(finished)grade(LAG) 2(131.6 ft.(m) z'7, % °'4# 4bis1
ID g)Highest adjacent(finished)grade(HAG) 2034. 7 ft.(m) w`� zONws is'°•
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade E 1, ONES ' Z /8 o S- .,,,J
CI i)Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm) , 1,,,....
` "
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
I certify that the information in Sections A,B,and C on this certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001.
CERTIFIER'S NAME STEVEN W.TRIPP LICENSE NUMBER 34151
TITLE PROFESSIONAL LAND SURVEYOR COMPANY NAME Simpson Engineers,Inc.
ADDRESS CITY STATE ZIP CODE
909 N.ARGONNE ROAD SPOKANE VALLEY WA 99212
SIGNATUREDATE TELEPHONE
` 2/9/2005 509-926-1322
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces,copy the corresponding information fro'en Section A. For Insurance Company Use:
BUILDING STREET ADDRESS(Including Apt,Unit,Suit,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Poky Number
503 S.STEEN ROAD
CITY STATE ZIP CODE Company NAIC Number
SPOKANE VALLEY WA 99037
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community offidal,(2)insurance agent/company,and(3)building owner.
COMMENTS
THE BENCH MARK USED IS A SPIKE IN A POWER POLE AT 16423 EAST VALLEY WAY. ELEVATION=2029.51 NGVD29
❑Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE),complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
El.Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed—see pages 6 and 7. If no diagram accurately
represents the building,provide a sketch or photograph.)
E2.The top of the bottom floor(induding basement or enclosure)of the building is _ft(m)_in.(cm)0 above or 0 below(check one)the highest adjacent grade. (Use
natural grade,if available).
E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4.The top of the platform of machinery and/or equipment servicing the building is _ft(m)_in.(cm)0 above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if available).
E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?
0 Yes 0 No 0 Unknown. The local offidal must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community-
issued BFE)or Zone AO must sign here. The statements in Sections A,8,C,and E are coned to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certificate. Complete the applicable item(s)and sign below.
G1.
0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.0 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3.0 The following information(Items G4-G9)is provided for community floodplain management purposes.
G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7.This permit has been issued for.0 New Construction 0 Substantial Improvement
G8.Elevation of as-built lowest floor(induding basement)of the building is: _ft.(m) Datum:
G9.BFE or(in Zone AO)depth of flooding at the building site is: _ft-(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
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