2003, 05-09 Permit: BD03-373 Deck CITY OF
SPOKANE VALLEY BUILDING PERMIT No. BDc) —373
SITE INFORMATION PROJECT INFORMATION
Site address: 9? t 5' . Permit use for: 0r U-e_r e cQ De cdk (pc
Parcel number: 12 n Y 0G V Applicant: tOutil A(
Subdivision: (f-3 i,��-� tom, P S ti 5t1'` Letr 2 Address:
Zoning: Water District: Contact: i v Q t vvtac_\
Owner: l :-e U)o Phone#:
Address: Sci w Project name:
City �) State lel, -Zip 9 cid Le Sprinklers ? Fire Alarm ? Security Alarm ?
Building Permit Information
Contractor Duo n-Q7-12 License#
Occupancy Group 3 Type of Construction J N Height Stories Total Square Feet
Category: 3 (1=new,2=remodel, 3=addition,4=change of use,5=tenant improvement, 6=mechanical,7=plumbing,
8=sign, 9=mobile home, 10=demolition, 11=Other )
Total code value $ 7( Permit Fee $ 35.CO Plan Review Fee$ 700 State Surcharge $
Surcharge $ Fire Fee$ Planning Fee $ Public Works Fee$
TOTAL FEES $ AMOUNT PREPAID $ TOTAL DUE$ '4 Co'5 C�
The issuance of this permit does not imply complete approval for construction not in compliance with the codes and standards.
NOTES/CONDITIONS OF APPROVAL
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1 cc to File—1 cc to Permit holder -1 cc to Assessor Issued by: Date 5 /q of
r
1 PROJECT APPLICATION WORK SHEET
-+ SPOKANE COUN DIVISION OF BUILDING&CODE ENFORCEMENT
WEST BROADWAY AVENUE
. \ a �'� SPOKANE,WA 99260
111 509-477-3675
s •' r { CO by o3- "373
SPECIFIC SITE INFORMATION
Street Address: /7�/,- / Lt
f 62Y-r_,, ,,it-,-Ye-e ---5 (.),9',
Assessor's Tax Parcel Number(s): 1
Legal Description: (—;5 j `7 3 RA
Project Description:. /)OF c e.,-,
iBu lding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation El Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor Sewer District/Purveyor Road width •Setbacks -
Front Rear
School District Fire District Zoning
Left Right
OWNER/APPLICANT INFORMATION
ll lndriure also should be conluh led rehurdrns this projel
❑Owner /' /1q/6L Phone ❑ Applicant: Phone:
/.._ )(4 -)A--1L-'L /'OM/ I•ax: las:
i\iailmg Address , 1 � Marling Address:
/9(4)- t l/,, -e -(�/�/ee>',4J',y�,
Car-,State,Zip / / (.its,State,Zip
C)A-r-e ,/?-i--5 Ge%4 C ,/6,
❑ Contractor Phone
El Architect./Engineer Phone
c-
Fax hay
Mailing address Mailing address
Cir,State Zip Cir,State Zip
\\A State Contractor license# Contact name:
PROJECT INFORMATION ,
Building Information
Building height to peak #of stories Main floor sq. ft. Unfinished basement sq.ft.
/ Fr.. /
Dime? , G Total habitable space 2i1 floor sq. ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost nil r sleet • I Icat source(electric,gas_etc.)
7 ,aAuciz______.— i-)
4...._ / , +
Manufactured Home Sign
Width: Length: What is the square footage of the sign How high is the sign? '
face?
Year: Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector l'hone
❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address{,� ADDITIONAL SITE INFORMATION
,4t
Are there structures on the property? Yes ❑ No What is the current property size?
If yes,!dente on site plan (square feet or acres)
Is any part of the property within 250 feet of a sho elute? What is the Curren use of this property?
Ifyes,idenitfp on rite plan ❑ Yes o
Is your property in a designated wildlife habitat area?�, '• Will the site be served be a septic system? Yes ❑ No
❑Don't know ❑ Yes ti—No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identify on site plan Ifyes,identO,on the site p/an ❑ Yes Jet No
❑;Maybe ❑Don't know ❑ Yes iNo
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
If yes,identzb,on site plan ❑ Yes No ❑ Yes INo
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on sit ?
( /°'a) ❑ Yes a No 0 Yes No
DEPARTMENT USE ONLY \\
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? ❑ Yes ❑ No
❑ Yes 0N
Is the property inside the ASA? ❑ Yes 0 No Is public water available to the site? ❑ Yes ❑ No
❑ Yes ❑ No
Is the property inside the PSSA? ❑ Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
❑ Yes ❑ No
Date!keel%cd: Staff Representative:
METHOD OF PAYMENT
AMER
VISA
❑ C:\til I � I (:III{CK ❑ ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I).VIl':: l{\PIRIS:
TOTAL FEE
BANKCARD MINIMUM PERMIT FEE IS$3500PLEASE
N_5kE CHECK,i PAYABLE TO SPOKANE
ALIT'l(RlZl{D SIGN.VIVRE: COUNTY PERMIT CENTER
1 :50 093267 SRHD EHS
05/09/2003 PAGE 01/01
•"5 ��5tum 2u r415r< I TO 3241567 P.01/02
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PROJECT APPLICATION WORK SHEET
,.7'&:• SPO)ANE COU DI VIS ION OF BUILDING&CODE ENFORCEMENT_ 1026 WEST BROADWAY AVENUE
,pi SPOKANE,WA 99260
CO
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SPECIFIC SITE INFORMATION
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Assessor's Tax Parol Number(s):
Legal Descripdoit S17
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Project Description: 4DFj + cL .�%
ILIBuilding Permit • 0 Change in Uoe 0 Grading 0 Manufactured Home Permit
CIRelocation 0 Sign 0 Tgnant(New/Change) 1 0 Other
D pa±imexlt Use Onl ! .
Witter ie ter Dietrire/Pit' ', Sorer D;udct/Pwreyor ROTO.idth Sctbiclv'„ ',.. •'
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OWNER/APPLICANT INFORMATION
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PROJECT INFORMATION
Building Information
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MAY 06 2003 15:48 5093241567 PA5e,01
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