2005, 04-25 Permit App: 05001308 Addition Project Number: 05001308 Inv: 1 Application Date: 04/25/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: ADDITION TO EXISTING GARAGE AND 2ND Contact: FRANK SILVA 5.g 3 — 'v �a
FLOOR LIVING SPACE Address: 16418 N SUNRISE DR
C-S-Z: NINE MILE FALLS,WA 99026
Setbacks:Front 20 Left: EX Right: EX Rear: N/ Phone: (509)466-7192
Group Name:
Site Information
Project Name:
Plat Key: 002090 Name: PONDEROSA ACRES 08TH ADD District: Sout
Parcel Number: 45325.9091 Block: Lot:
SiteAddress: 4015 S SUNDERLAND RD Owner:Name: MCKINLEY,BLAKE&DANA
Address: 4015 S SUNDERLAND RD
Location::CSV SPOKANE VALLEY,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 101 Depth: 140 Right Of Way(ft): 50
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By: 1
Plan Review fi
Released By: � r t` t
peptic System Review Released By: 4,10 r �
Permits: e
Operator: K_C Printed By: K_C Print Date: 04/25/2005
Project Number: 05001308 Inv: 1 Application Date: 04/25/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: FJS BUILDERS Firm: FJS BUILDERS
Address: 16418 N SUNRISE DR Phone: (509)466-7192
NINE MILE FALLS,WA 99026
Building Characteristics
Group: R-3 Type: VB
Group: U-1 Type: VB
Total Area 358
Building Height 25
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 210 $3,990.00 210 $3,990.00
RES ADD R-3 VB REDUCE 0 $23,527.19 0 $23,527.19
12%FOR
EXIST
FOOTINGS
Totals: 210 $27,517.19 210 $27,517.19
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $421.55
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $168.62
Permit Total Fees: $594.67
Payment Summary: �m , - ,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $594.67 $594.67 $0.00 $594.67
$594.67 $594.67 $0.00 $594.67
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: ICS Printed By: K_C Print Date: 04/25/2005
BUILDING PERMIT APPLICATION WORKSHEET
Sr�� ori
C.tli � `n City Of Spokane Valley Community Development Department
ane,,p0
Building Division
11707 E. Sprague Avenue, Suite 106
40000Va le R
E C LE LI J/ I' Spokane Valley, WA 99206
- one: (509) Fax: (509) 688-0037
£ .; r5 ?ITEORMATION I688-0036;
Street Address: /O/S $o u 7-H ,-Su a 106 g L 144) 6 .02 i 0 C
Assessor's Tax Parcel Number(s):
Legal Description:
1,-)°4)Us rpt----
PERMIT DESCRIPTION: i-E-o 0 in) 6 77/1/2/46e )4,0 ,6Orv1 A oJE l ,‘3tC
a Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: .1611,3i 4- &WA /tic Ai,J LC= El Applicant:
Phone: 5609)//-oa7p Fax: Phone: Fax:
Address: 9D/S 50(Ari4 5u,voelf 041,onPk/v6 Address:
SPOK*OE I)AIL€'l OA q920(.
City State Zip Code City State Zip Code
❑ Contractor: 1204,0K Su .o14 DPA 115 g4-050 Architect:
Phone:(.50 0 Y4G-7/9 2 Fax: Phone: Fax:
Address: a, 1( 1/ S1mosr 02 Address:
H/LE `ACLS u)A g9024.
City State Zip Code City State Zip Code
/
WA State Contractor License#: PJT 6 U- /10 Teti Contact: t4,91) /(
Spokane Valley Bus. Liscense#: Contact:
1 PERMIT/BUILDING INFORMATION 1
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES:
MAIN FLOOR TO SQ. FTG: 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
3,56 5I-
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG:
.2 / v 5 '
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:
#OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
5 i 000,()0 SYSTEM?
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage'Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING
Firm Name: Phone: Fax:
Inspector(s):
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 resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
❑ Other
Bankcard#: Expires: VIN#:
Authorized Signature:
.•
401)076.
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