HomeMy WebLinkAbout2004, 05-15 Permit App: BLD-04-04374 AdditionSpokane
,�,,.f Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
RESIDENTIAL ADDITION/REMODEL _ f 3,�,
-1rj,t,t-,) V' I
Application #: BLD -04-04374
6212 E VALLEYVIEW DR
SPOKANE VALLEY WA 99212
NEW 33 SQ FT FRONT ENTRY ADDITION
(OWNER IS CONTRACTOR)
STURM, DARYL & LESLIE
STURM, DARYL & LESLIE
621 E VALLEYVIEW DR
SPOKANE VALLEY, WA 99212
Lot: Blk:
Parcel No:
Phone: (509) 536-4003
Phone:
Lic No:
Applied:
Issued:
Expires:
Zoning:
05/15/2004
11/11/2004
General Information:
VALUATION
REROOF
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
2464
N
26
APPROX 8 X 6
1
EXISTING
N/A
N/A
N/A
r-3
5-n
no
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
33.30
83.25
4.50
121.05
0.00
121.05
THIS IS NOT A RECEIPT
Spla' ne
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:
2(2 E, vic
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
4Building Permit
Relocation
0 Change in Use 0 Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: a ('2 --',Silt. S u r it l f 1 Applicant:
Phone:. 3 (, '1003 Fax: Phone: Fax:
Address: C 212 E, Vo HQ V i t Li) DP. Address:
5 p okanP \ IV A1Z1�
Cit State ; Zip Code City State Zip Code
❑ Contractor:
Phone:
Address:
6)4, OLI
Fax:
❑ Architect:
Phone:
Address:
Fax:
City State Zip Code City State Zip Code
WA State Contractor License #: Contact:
PERMIT/BUILDING INFORMATION
i f
HEIGHT TO PEAK 9,1‘,
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO -SQ. FTG: 3-
2'"" FLOOD Q. G.
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
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
SYSTEM?
MANUFACTURED HOME
1
Width:
Length: Year: Pit Set:
Manufacturer:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler:
Tent:
Valuation: Above/Underground Storage Tank Size:
# of Heads: Fire Alarm: Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
Inspector:
Address:
City State
Phone: Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
Inspector(s):
❑ REINFORCEMENT
❑ WELDING
Phone: Fax:
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.
CLILre
Print Name
-Day
Stu r rr\
Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash KCheck ❑ Mastercard
❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature: GLA
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floor space area. 1 ventilating opening shall
be within 3 feet of each corner. Openings
shall be covered with approved material -40
PRO�EL'f: NEW ENTRX\NA`� Rc5o1✓ .INE NOt�`r LEVA`c It5Nt
2-4
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NEw , Roof: S>vcnoN
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ssible."
Under t1wr(`'
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��-7y,is-TIWr. outvbP,7r1bW Au Ess New Fouaaa'vict
J Doag
1 i
G RQ NSa L VEL Under Floor lV In U 8nc®8" �o
floor space area. 1 ventilating opening shall
be within 3 feet of each corner. Openings
shall be covered with approved material -40
PRO�EL'f: NEW ENTRX\NA`� Rc5o1✓ .INE NOt�`r LEVA`c It5Nt
2-4
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AaDWF-SS : 621Z E. VALLEVVIEW IA. SPOKANE 19Z1Z SC. NLE : � n � 31l'
L�wNERSI LMOOL 4,LESUE STURM 8
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