2004, 05-21 Permit App: BLD-04-04412 Pole Bldg BUILDING PERMIT APPLICATION WORKSHEET
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T\ � 0111\11.11k City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
4001°ValleY Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: r) d 3 N . UAW E - cry
Assessor's Tax Parcel Number(s): -15 O e-f. o-7_5-if,
Legal Description: Opjcaium.i4 j PT of_ *5313 El/2 e 4 s 3 44_ e4 N L 4c. Exc
p NJ L. `t G
PERMIT DESCRIPTION: -46 w x 6 0i- x 144 14 Pole, Bc y Liiu aV
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
CXI Owner: j'gxif V.�MCo 65 ❑ Applicant:
Phone: tz-/a/f Fax: 531-1572 Phone: Fax:
Address: /7e>-7 AJ uoly g2siiv Address:
C.O. .v tiVq- qf.24,G
City State Zip Code City State Zip Code
❑ Contractor: ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: 2/' S , DIMENSIONS: X` #OF STORIES: ,
-toMAIN FLOOR TO SQ. FTG: ' 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
z-Yoo -
FINISHED BASEMNT SQ. FTG GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEA SOURCE:
o
, to eta-. &-a Pine
#OF BEDROOMS: TOTAL HABITABLE SPACE. IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
a,G dQ O oto 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:
I nspector(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:
PLANNING DEPT.APPROVED
BY ,/e.4%-ale .G -u.a
S e CITY OF SPOKANE V' L
.....00Valley COMMUNITY DEVDATE kA v ►AL ' .r'' '-1 ' ENT
Shops, �jGarages N
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Setbacks: �j� ;�
M� lC C .: C
' \ U xt 5#019 '',—�¢rr—
Front Yard: 55 from It• $ t
Center of the Road or a i i 2 I
25' from Property Line, NI 1,111 VIA 1
whichever provides the
greater setback VAst
O O oFlanking Street Yard: < m 0
mi�o .
Same as front yard
-
Side and Rear Yards: SOUS
t fic r N. -
15' to peak or less - 5'
Every foot over 15' - one i E.' -
additional foot of setback 1
/ gi a
Example :
16' to peak, 6' setback
17' to peak, 7' setback N N
1703 N. 1707.
Accessory Building Lot Coverage
Lot Size Total Combined Square Footage
I. Less than 30,000 sq. ft 10% of lot size
II. 30,000 to 1 acre 3,000 sq. ft
III. >1 acre to 2 acres 4,000 sq. ft
IV. >2 acres 10% of lot size