2004, 10-15 Permit App: BLD-04-07931 MH aTT01 BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
SpoKaneBuilding Division
11707 E. Sprague Avenue, Suite 106
.00
���+p Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: 2 2 -+-1 &/H a t tgd
Assessor's Tax Parcel Number(s): 45171, 1)07
Legal Description:
PERMIT DESCRIPTION: oil x I o1j Dani 00 i[}.sL fCM1 L4 ir-1wQ
❑ Building Permit El Change in Use ❑ Grading [Manufactured Home
El Relocation ❑ Tenant Improvement ❑ Fire Safety El Other
OWNER/APPLICANT INFORMATION
Owner: CIyd 4- 0O ri vIa F411-4,' / Applicant: `'it __
)211
Phone: fl C. 76 o 0 Fax: 9 2 V. 6 V Phone: Fax:
Address: (d. 139 r yy y Address:
Vic, pc./ e_. tea- 9 / 037
City State Zip Code City State Zip Code
El 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: DIMENSIONS: #OF STORIES:
MAIN FLOOR TO SQ. FTG: 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: CONSTRUCTION TYPE: • HEAT SOURCE:
#OF BEDROOMS: i TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
SYSTEM?
D1 ct31 —
MANUFACTURED HOME
Width: Al Length: j.2 Year: )9 99 Pit Set: 7 e
Manufacturer: Qed d
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:
Inspector(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:
c ♦ ti
soi >"
40,00Valley 11707 E Sprague Ave Suite 106 • Spokane Valle WA 99206
P Y
509.921.1000 • Fax: 509.921.1008 • cityhall@spokanevattey.org
June 18, 2004
Clyde Fuller
16608 E. 32nd
Greenacres, WA 99016
Re: Walnut Road Issues
Dear Mr. Fuller,
You brought to our attention earlier this week this issue of Walnut Road north of
Broadway Avenue. It is my understanding you are requesting residential building
permits for modular homes to place on parcel# 54171.1111 and 54171.1107. After
reviewing the site and parcel map, the Public Works Department has determined the
following:
1. The construction of a public street is not required at this time. Our evaluation
shows that after these homes are built, the driveway will serve three lots. It shall
be noted that in the event more than three lots access this driveway, a street shall
be built following all current standards. Please contact Tom Scholtens, the
Spokane Valley Building Official at 688-0024 and Kevin Miller, Spokane Valley
Fire Department at 928-1700 to determine the requirements for the driveway.
2. The other item that shall be addressed is the sight-distance issue at the intersection
of Walnut Road and Broadway Avenue. There currently exist a row of shrubs
that interferes with sight distance while heading south on Walnut. Safe turning
movements onto Broadway Avenue are not possible at this time. Please contact
Marina Sukup, Spokane Valley Community Development Director to discuss this
matter further.
3. Walnut is designated as public right-of-way. Please ensure you follow all
standards for the access to and use of public right-of-way. You are required to
apply for right-of-way approach permits and access permits. Please contact Kathy
Cummings at 688-0175 to apply for these permits.
•
If you have any further questions,please contact me at 688-0174.
Sincer ly,
(914(1(1 6.-17K)4 i
(-
andra Raskell, P.E.
Assistant Development Engineer
cc: Tom Scholtens—Spokane Valley Building Official
Marina Sukup— Spokane Valley Community Development Director
Kathy Cummings—Permit Specialist, Spokane Valley Building Department
Department of Public Works—Development Project File
( C.')
5), ',' This site plan is being submitted for the purpose of
Z7-/ h c, /, ` obtaining a building permit and is a true and correct
r representation of the proposal. All known property
ADORE -Yr-/, / /' '. i ,„.7i...„, ( , . i ( ( lines/dimensions,curb lines,structures and easements
ZONE i— •
' �. have been identified. Also indicated are . ,:fiends,
V
bodies of water st - slopes or o, - /,/. areas.
FRONT b .'• 7y I Signed: / �_ `
r _
COMMENTS • 1 . ' — 1 I Date: /G- f S` ° Y
REVIEWED 8Y *1Willj l� t
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