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2005, 06-08 Permit App: 05001959 Deck Project Number: 05001959 Inv: 1 Application Date: 6/8/2005 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: REPLACE 12 X 12 DECK Contact: WALLS,ARMAND Address: 424 S WARREN RD C-S-Z: SPOKANE,WA 99216-2152 Setbacks:Front NA Left: NA Right: NA Rear: 20+ Phone: (509)928-7928 Group Name: Site Information Project Name: Plat Key: 000000 Name: unknown District: Sout Parcel Number: 45232.0508 Block: Lot: SiteAddress: 424 S WARREN RD Owner:Name: WALLS,ARMAND Address: 424 S WARREN RD Location::CSV SPOKANE,WA 99216-2152 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: ,710.00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Site Plan Review Released By:(7</i / OS— Plan Review Released / 01 /` s Operator: DMD Printed By: DMD Print Date: 6/8/2005 Project Number: 05001959 Inv: 1 Application Date: 6/8/2005 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Building Characteristics Group: R-3 Type: VB Total Area 144 Building Height 12 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation DECK R-3 VB 144 $2,160.00 144 $2,160.00 Totals: 144 $2,160.00 144 $2,160.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $83.25 ACCESSORY PLAN REVIEW 1 SELECT $20.81 STATE SURCHARGE 1 SELECT $4.50 Permit Total Fees: $108.56 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $108.56 $108.56 $0.00 $108.56 $108.56 $108.56 $0.00 $108.56 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: DMD Printed By: DMD Print Date: 6/8/2005 ' BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department SOlokan-eBuilding Division 11707 E. Sprague Avenue, Suite 106 ale 401,VaSpokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION ( 5 --1.°15- I Street Address: S 1121 Via- >-r- - i'2 Assessor's Tax Parcel Number(s): Legal Description: PERMIT DESCRIPTION: 17 � 2 1 �c-r,� (iy.�ko) [Building Permit ❑ Change in Use ❑ Grading El Manufactured Home ❑ Relocation El Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION Er Owner: A rrn�i-J& k7 )) `? ❑ Applicant: S-- -Q • Phone: -�/.-3o5 (Fax: _ST)/-t71 7-0 Phone: Fax: Address: S - 9-z-4- fiU�„- i---, Address: Sink .e"'✓))e� uJ,,-' 19 P City State Zip Code City State Zip Code Contractor: w -1 1-, C'n . .1 . El Architect: Phone: 5)y.----,0.;--k Fax: Phone: Fax: Address: Address: City State Zip Code City State Zip Code • WA State Contractor License#: Contact: Spokane Valley Bus. Liscense#: Contact: N PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: 1 ZX 17— �--__ 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: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC 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 El 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 0 Mastercard 0 VISA ❑ Other Ban kcard#: Expires: VIN#: Authorized Signature: �r �or - • 11111111" ��P —wig' — gy This site plan is being submitted for the purpose of r-6 \ obtaining a building permit and is a true and correct ADDRESS representation of the proposal. All known property ZONE pr— lines/dimensions,curb lines,structures and easements ROAD W D FLAN NG have been identified. Also indicated are wetlands, FRONT bottles of water, steep slopes/ or other critical areas. COMMENTS ,,� w( 'u-- Sig ned:l�/'' ��C�Lor� REVIEWED / Date: fj- iK--,475--7 I / r/ / /6 ___ . Lici23. -. !,:,9 \`-1/4 lz 1 I , i . f fln5nfl 701 'ki ' --'cal h o'-19"-- ---� 10 ! I s 6dvaye 6'�,�'p 1 a27 ....,.._TTI IjI r-.3.414 i LQ I „ 1 0 ,1 • ; 1 /©' A I t / r t I� ' I is - I -- ( arre '1 pe ko-i- 3 , BLocJ . J -. 11176( ys Add. f ilLe- aew_ite j__ 6.‘ co I � 1 ZxiD= 7-C) p.G. I� sa I L — MBD View YZ " ani 0� Q' trV! Q � N r x �► N 140 an � m N