2004, 03-26 Permit App: BLD-04-03926 GarageSpokane
1,.sValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 503 N WILLOW RD
SPOKANE WA 99206-3891
Description: DETACHED 30 X 40 GARAGE
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
ACCESSORY BUILDING
ANDERSON, TIMOTHY & CANDACE
ANDERSON, TIMOTHY & CANDACE
503 N WILLOW RD
SPOKANE, WA 99206-3891
Lot: Blk:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application #: BLD -04-03926
Applied:
Issued:
Expires:
Parcel No: 45173.0612
Phone: (509) 892-9235
Phone:
Lic No:
03/26/2004
03/26/2004
09/22/2004
Zoning: lk 12
General Information:
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
22800
17
30 X40
1
NA
8
8
NA
u-1
5-n
3
18055
RESIDENCE
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
363.25
4.50
367.75
0.00
367.75
THIS IS NOT A RECEIPT
Spo°`kane
jUalley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax! -(509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
5-03 11' / /ot,)
Assessor's Tax Parcel Number(s): Y-57 73. OG J 2
Legal Description:
PERMIT DESCRIPTION: Po 54
Building Permit
Relocation
E > 75 ,I,, n? .S'. 11.-C-24; °-r/(16%
Tn a,.,a 6/4. of f K (0 f
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner:
l r n^� nl /',Sip Al ❑
Phone: 89x-9 n
Address: p
t4 ft
Contractor:
Phone:
Address:
Applicant:
s�Fax: Phone: Fax:
SOt /ID w tQ Address:
IA/ A 992-06
State Zip SCode City State Zip Code
Fax:
City
State Zip Code
WA State Contractor License #:
Architect:
Phone:
Address:
Fax:
City
Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:7
DIMENSIONS: 3� X y 0' X �,
# OF STORIES: i
MAIN FLOOR TO SQ. Fifa
/ 1c,o
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?
MANUFACTUf2EIY HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent:
Valuation: . Above/Underground Storage Tank Size:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING
Firm Name:
❑ CONCRETE • ❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
❑ WELDING
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
Bankcard #:
❑ VISA ❑ Other
Expires: VIN#:
Authorized Signature:
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