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2005, 07-22 Permit App: 05002532 Garaget Project Number: 05002532 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 07/22/2005 Page 1 of 2 Project Information: Permit Use: 32 X 40 DETACHED GARAGE Setbacks: Front EXI Left: 10 Right: 50+ Rear: 6 Site Information: Plat Key: 002579 Name: SUNNYVALE ADD Contact: Address: C - S - Z: Phone: Group Name: Project Name: PICKARD, DANIEL & KARYL 4610 N SUNNYVALE DR SPOKANE VALLEY, WA 99216 (509) 921-6803 District: Nort Parcel Number: 45011.1106 Block: 5 SiteAddress: 4610 N SUNNYVALE DR Location:: CSV Zoning: UR -3.5 Water District: Urban Residential 3.5 Lot: 6 Owner: Name: PICKARD, DANIEL & KARYL Address: 4610 N SUNNYVALE DR SPOKANE VALLEY, WA 99216 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 Released By: Plan Review Permits: Released By: ( ,t ld'1'Z.tY1, -pv Operator: K_C Printed By: K_C Print Date: 07/22/2005 Project Number: 05002532 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 07/22/2005 Contractor: OWNER Group: U-1 Total Area Building Height Stories Type: VB 1280 16 1 Building Permit Page 2 of 2 Firm: OWNER Phone: (000) 000-0000 Building Characteristics Description Grp Type Notes GARAGE U-1 VB Item Description RESIDENTIAL PERMIT FEE ACCESSORY PLAN REVIEW STATE SURCHARGE Notes: Payment Summary Permit Type Building Permit This Application: Total Project: Su Ft Valuation Sq Ft Valuation 1,280 $24,320.00 1,280 $24,320.00 Totals: 1,280 $24,320.00 1,280 $24,320.00 Units 1 1 1 Unit Desc SELECT SELECT SELECT Permit Total Fees: Fee Amount $391.25 $97.81 $4.50 $493.56 Fee Amount Invoice Amount Amount Paid Amount Owing $493.56 $493.56 $0.00 $493.56 $493.56 $493.56 $0.00 $493.56 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: 07/22/2005 pokane jUalley`�s �. BI,tIL,DING PERMIT APPLICATION WORKSHEET t k n1 Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 1 1 - one: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: /V M% fy L c /e' Oj:. Assessor's Tax Parcel Number(s): Legal Description: PERMIT DESCRIPTION: EiBuilding Permit n Change in Use ❑ Grading ❑ Manufactured Home Relocation ❑ Tenant Improvement 11 Fire Safety ❑ Other OWNER/APPLICANT INFORMATION Owner: j 4u,L 4'1614 - Applicant: VApplicant: El GS�se.. %2/ 16, Phone: v/ Address: City -Slate one: dress: Fax: Zip Code City State Zip Code ❑ Contractor: ❑ Architect: Phone: Fax: Phone: Fax: Address: Address: City State WA State Contractor License #: ,// Zip Code City Contact: State Zip Code J 7/ PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: i/� /C C DIMENSIONS: 7: 40 # OF STORIES: / MAIN FLOOR.TO SQ. FTG: •.2"°FLOOR SQ. FTG: -:UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: A//� GARAGE SQ. FTG: / J N DECK/COV. PATIO SQ. FTG: 4//i OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: # OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: ita COST OF PROJECT: /;',.!/- 17_� 30% SLOPES ON PROPERTY: SEWER R ON-SITE SEPTIC. MANUFACTURED HOME 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 (l BOLTING ❑ CONCRETE Firm Name: ❑ REINFORCEMENT Phone: Inspector(s): Fax: ❑ 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) AU 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 per . •' ure to the property owner. Print Name /DAN i'li= L P%cORD Signature, Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: 1 ADDRESS ZONEAWIDTH N� FNG COMMENTS REV EWER 6Y X10- 32'-� m CJ 110' Sit? Plan 4610 N Sunnyvale Dr. Spokane, Va, 99216 Lu L, 13201 Sq. f L. 1.26E q. ft. Rpaidpnrp upper: 1045 Sq. ft. lower: 1010 Sq. ft. garage: 528 Sq. ft. d' QJ L Su n G2' 59' 4' 4E1 fyva e :r This site plan is being submitted for the purpose of • obtaining a building permit and is a true and correct representation of the proposal. All known property lines/dimensions, curb lines, structures and easements have been identified. Also indicated are wetlands, bodies of er, st _ ep lo• oth r critical areas. Signe ../� �i .. / / Date: Date: 7-7-2005 Scale: 1/32" : 1' Title: Site Plan Illustrator: Dan Pickard Sheet: 2 of 7