2005, 03-16 Permit App: 05000779 DeckProject Number: 05000779 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/16/2005 Page 1 of 2
Project Information:
Permit Use: REBUILD EXISTING 400 SQ FT DECK
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Contact: ARROW CONTRACTING
Address: PO BOX 11996
C - S - Z: SPOKANE, WA 99211
Phone: (509) 534-5959
Group Name:
Project Name:
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Setbacks: Front N/A Left: EX Right: 30 Rear: 100
Site Information:
Plat Key: 003423 Name: FOREST MEADOW 02ND ADD District: Sout
Parcel Number: 45333.1605 Block:
SiteAddress: 11219 E SUNDOWN DR
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: PERSON, J GRANT
Address: 11219 E SUNDOWN DR
SPOKANE VALLEY, WA 99206
Hold: 111
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review
Site Plan Review
Plan Review
Permits:
Released By:
Operator: K_C Printed By: K_C Print Date: 03/16/2005
Project Number: 05000779 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/16/2005 Page 2 of 2
Building Permit
Contractor: ARROW CONTRACTING Firm: ARROW CONTRACTING SERVIC
Address: PO BOX 11996
SPOKANE, WA 99211
Phone: (509) 534-5959
Building Characteristics
Group: R-3 Type: VB
Total Area 400
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
DECK R-3 VB 400 $6,000.00 400 $6,000.00
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLAN REVIEW
STATE SURCHARGE
Totals: 400 $6,000.00 400 $6,000.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Notes:
SITE ALSO INCLUDES PARCEL NO 33543-1601
Payment Summary:
Permit Type
Building Permit
Permit Total Fees:
Fee Amount
$125.25
$31.31
$4.50
$161.06
Fee Amount Invoice Amount Amount Paid Amount Owing
$161.06 $161.06
$0.00 $161.06
$161.06 $161.06 $0.00 $161.06
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: 03/16/2005
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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: // M i
Assessor's Tax Parcel Number(s): )9,2, )(90
Legal Description:
PERMIT DESCRIPTION:
�-Building Permit
❑ Relocation
(buti dy /4-
ECEBllED
D
❑ Change in Use ❑ o¢ r� (� L Ma
❑ Tenant Improvement ❑ Safe ❑ Other
ctured Home
OWNER/APPLICANT INFORMATION
❑ Owner: �QfrtfI2 x; r- //1
Phone:/2X3-6 Fax:
Address: /J)
12V
Zip Co
C' State
Applicant:
Phone:
Address:
Fax:
City
C Contractor: Aro,...) ❑ Architect:
Phone: _ -3./ Sy.S'y Fax: 5 3 -J'>yY Phone:
Address: e C3 K
de,/// 1 TA• f z//
Cit State Zip Code
Address:
State Zip Code
Fax:
City
WA State Contractor License #: 041KII„i ) 9t0 L Contact:
State
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
21°° FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
CONSTRUCTION TYPE:
DECK/COV. PATIO SQ. FTG:
HEAT SOURCE: yea
OCCUPANCY GROUP:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COS OF PROJECT: �„ , i
/�-5 Cpd, `tom►'--,-:��_�
30% SLOPES ON PROPERTY:
SEW OR ON-SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
J
Width:
Manufacturer:
Length: Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING
Firm Name:
❑ CONCRETE ❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
E WELDING
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 r suiting development rights granted by any issued permit inure to the property owper.
Print Name �fr<�(c( T. �1 Signa
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
El Cash ❑ Check
Bankcard #: REDACTED
Authorized Signature:
❑ Mastercard VISA ❑ Other
Expires: /ciC
This document originally contained
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was redacted pursuant to RCW 19.255.010
and the original document destroyed
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Commercial
Fence Certificate Required?
0
4
Developer Services:
0
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SITE ADDRESS: