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2005, 04-15 Permit App: 05001196 Stairway Project Number: 05001196 Inv: 1 Application Date: 04/15/2005 Page 1 of 2 THIS 1S NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RELOCATE INTERIOR STAIRWAY Contact: ZLATEFF,SCOTT Address: 11112 E 6TH AVE C-S-Z: SPOKANE VALLEY,WA 99206 Setbacks:Front Left: Right: Rear: Phone: (509)290-1668 Group Name: Site Information: Project Name: Plat Key: 001315 Name: JANOSKY SUB BL 191 &192 OPP(FEES) District: F Parcel Number: 45211.1743 Block: Lot: SiteAddress: 509 S WILBUR RD Owner:Name: ZLATEFF,SCOTT Address: 11112 E 6TH AVE Location::CSV SPOKANE VALLEY,WA 99206 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: ._ a _- ,vim Review Plan Review Released Bal A JA y: - — Building Permit Contractor: OWNER Finn: OWNER Phone: (000)000-0000 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RESIDENCE R-3 VB NEW 0 $1,000.00 0 $1,000.00 STAIRWAY Totals: 0 $1,000.00 0 $1,000.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $69.25 STATE SURCHARGE 1 SELECT $4.50 Permit Total Fees: $73.75 Operator: K_C Printed By: MT Print Date: 04/15/2005 Project Number: 05001196 Inv: 1 Application Date: 04/15/2005 Page 2 of 2 THISIS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary• Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $73.75 $73.75 $0.00 $73.75 $73.75 $73.75 $0.00 $73.75 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: KS Printed By: MT Print Date: 04/15/2005 f l Cr BUILDING PERMIT APPLIC TION WORKS EET - 0f1 City of Spokane Valley Community Development Department .. Building Division 11707 E. Sprague Avenue, Suite 106 a4000111ValleY Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: 50 5-, 1/1,M(A7 Assessor's Tax Parcel Number(s): Legal Description: PERMIT DESCRIPTION: ,11oVe S4J'rTh/cky 2/Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION EY Owner: 3-,,,--i-i- 2./de{r ❑ Applicant: • Phone: d 0-Igg Fax: Phone: Fax: Address: i/IL). C, Address: Ci State Zip Code City State Zip Code ❑ Contractor: ❑ Architect: Phone: 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 I HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: MAIN FLOOR TO SQ. FTG: q Jy 2""FLOOR SQ. FTG: !ig UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE:A e/vfrveHEAT SOURCE: #OF BEDROOMS: 3 TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT:e! 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC ii) OW r SYSTEM? 5E1.,,e.,--- MANUFACTURED HOME Width: Length: Yet-r: 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 ❑ BOLTING ❑ CONCRETE ❑ REINFORCEMENT El 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 CL, (`'!''' Signature 4fr, Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard#: Expires: VIN#: Authorized Signature: