2004, 03-12 Permit App: BLD-04-03754 Pole Bldg.000Valley
11707 E. Sprague Ave., Suite 106
ACCESSORY BUILDING
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Spokane Valley, WA 99206 Application #: BLD -04-03754
Job Address: 11623 E VALLEYWAY AVE
SPOKANE WA 99206
Description: 30 X 48 POLE BUILDING
Applied: 03/12/2004
Issued:
Expires: 09/08/2004
Subdivision: Lot: Blk: Parcel No: 45164.0202 Zoning:
Owner: COOLEY JR, PAUL D
Applicant: COOLEY JR, PAUL D Phone: (509) 893-1296
Address: 11623 E VALLEYWAY AVE
SPOKANE, WA 99206
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 27360 BASIC PERMIT FEE
BUILDING HEIGHT TO PEAK 17 WSBCC SURCHARGE
DIMENSIONS 30 X 48 Total Calculated:
# OF STORIES 1
FRONT SETBACK EXISTING Deposits/Receipts:
REAR SETBACK 100+ Total Due:
LEFT SETBACK 10
RIGHT SETBACK 26
OCCUPANCY GROUP u-1
CONSTRUCTION TYPE wood
STRUCTURES ON PROPERTY 3
CURRENT PROPERTY SIZE 66 X 310
SERVED BY SEPTIC SYSTEM yes
WELLS LOCATED ON PROPERTY no
421.55
4.50
426.05
0.00
426.05
Conditions of ENGINEERED PLANS SUBMITTED FROM ZIGGY'S.
Approval:
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials / Date
Building
Planning
1/1- j a1JLet-d )
Public Works
•
i«_)
THIS IS NOT A RECEIPT
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PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone:(509)688-0036 Fax:(509)688-0037
1 REQUIRED SITE INFORMATION
1
STREET ADDRESS: I! G '� \cc, 1 I€'\) W C,_1
)
ASSESSOR'S TAX PARCEL NUMBER(S): /L5-Z6 1. 0.Z00Z
LEGAL DISCRIPTION:
PERMIT DESCRIPTION:
131 BUILDING PERMIT 0 CHANGE.IN USE CI GRADING C MANUFACTURED.HOY E
:QRELOCATION El SIGN E TENANT OTHER
OWNER / APPLICANT INFORMATION
® OWNER: XL' ej0D/e/J
A i APPLICANT:
PHONE: °9.T93-/2 96FAX:
PHONE: FAX:
ADDRESS:1/G.;? 3 F \- 113 wt-NN ADDRESS:
® Spc, /,c^ ;sh p)q Tp ATE,ZIP CITY,STATE,ZIP
CONTRACTOR: f ARCHITECT:
PHONE: FAX: PHONE: FAX:
ADDRESS: ADDRESS:
CITY,.STATE,ZIP CITY,STATE,ZIP
WA ST CONTRACTOR LICENSE# CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT: 30%SLOPES ON PROPERTY: MAIN FLOOR SQ FT:
BUILDING HEIGHT TO PEAK: OCCUPANCY GROUP:. 2ND FLOOR SQ FT:
BUILDING DIMENSIONS: CONSTRUCTION TYPE: UNFIN BASEMENT:
NUMBER OF STORIES: STRUCTURES ON PROPERTY: FINISHED BASEMENT:
NUMBER of BEDROOMS: CRITICAL AREAS: GARAGE: 30' 9'b
FLANKING SETBACK: CURRENT PROPERTY SIZE: COVERED DECK:
FRONT SETBACK: CURRENT PROPERTY USE: •
DECK:
REAR SETBACK: CURRENT SEPTIC USE:
LEFT SETBACK: CURRENT WELL USE:
RIGHT SETBACK: IMPERVIOUS SURFACE AREA:
MANUFACTURED HOME SIGN
WIDTH: LENGTH:
YEAR: PIT SET:
MANUFACTURER:
SQ FT OF SIGN: HEIGHT OF SIGN:
# OF SIGNS: AREA OF EXIST SIGN:
TYPE OF SIGN:
RELOCATION
FIRE SAFETY
PREVIOUS ADDRESS:
PROPOSED USE:
FIRE SPRINKLER:
PAINT BOOTH:
FIREWORKS DISPLAY:
FIRE ALARM:
TENT:
BLASTING: DATE/TIME:
WA STATE NON-RESIDENTIAL ENERGY CODE
PLANS EXAMINER:
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
INSPECTOR: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
SPECIAL INSPECTIONS
® BOLTING
FIRM NAME:
INSPECTOR(S):
®CONCRETE
® REINFORCEMENT
PHONE:
® WELDING
FAX:
BUILDING STAFF USE ONLY
IS PUBLIC SEWER AVAILABLE: ® YES ® NO
IS PUBLIC WATER AVAILABLE: ® YES 0 NO IF YES, WHICH WATER DIST/IRR:
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO
IS THE PROPERTY LOCATED WITHIN ASA: ® YES ® NO PSSA: ® YES ® NO
IF YES: COUNTY CITY
I DATE:
METHOD OF PAYMENT.
0 0
STAFF:
CASH CHECK
VISA
BANKCARD #; EXPIRES: VIN #
AUTHOR/ZED SIGNATURE.:
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
b./1/4 bi d2415b /
MAR 12 2004 15:43 FR
lley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 11623 E VALLEYWAY AVE
SPOKANE WA 99206
Description: 30 X 48 POLE BUILDING
Subdivision:
Owner:
Applicant:
Address:
Contractor.
Address:
COOLEY JR, PAUL D
COOLEYJR, PAUL D
11823 E VALLEYWAY AVE
SPOKANE, WA 99208
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PAGE 01
TO 3241567 P.02/03
ACCESSORY BUILDING
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application 0: BLD -04-03754
Applied:
issued:
Expires:
Lot: Bik: Parcel No: 45164.0202
Phone: i (509) 883-1298
Phone;
Lie No:
Zoning:
03112/2004
09/0812004
General Information:
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
sTRUOTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
27360
17
30 X 48
1
EXISTING
100+
10
28
u•1
wood
3
66 X 310
yes
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
421.55
4.50
426,05
0.00
428.05
Conditions of ENGINEERED PLANS SUBMITTED FROM ZIGGY'S.
Approval;
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials / baie.
Building
Planning
Public Works
THIS IS NOTARECEIPT
MAR 12 20@4 15:56
5093241567 PAGE.01
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MAR 12 2004 15:43 FR
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03/12/2004 15:58 5093241567
SRHD EHS
MAR 12 2004 15:56
PAGE 03
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5093241567 PAGE.03
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