2003, 11-03 Permit App: BLD-03-02965 GarageSpokane
.000Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
507 N WILLOW RD
SPOKANE WA 99206
16 X 22 DETACHED GARAGE
(OWNER IS CONTRACTOR)
ACCESSORY BUILDING
Lot: Blk:
STAFFORD, JOSEPH M & CATHERINE
STAFFORD, JOSEPH M & CATHERINE Phone: (509) 926-7518
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application #: BLD -03-02965
Applied:
Issued:
Expires:
Parcel No: 45173.2302
Phone:
Lic No:
Zoning:
11/03/2003
05/01/2004
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
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
6688
15
16 X 22
1
N/A
25
N/A
6
u-1
wood
2
78 X 135
no
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
13.93
139.25
4.50
157.68
0.00
157.68
CITY OFSPOKANE
O
APPROVEDFOR SUBMITTAL
inittgli51-12-ate.
Building
Planning
Public Works
•
•
►
19
1
C a,C c o,f-
THIS IS NOT A RECEIPT
1
STREET ADDRESS:
c
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILD/NG DIVISION
99707 East Sprague Ave Ste 106
Spokane Valley, WA 99206...
Phone: (609 688-0036 Fax: (509 688-0037
REQUIRED SITE INFORMATION
ASSESSOR'S TAX PARCEL NUMBER(S1:
LEGAL DISCRIPTION:
(yJi•//o0 )
PERMIT:DESCRIPTION:. fgLJ. c
/� G4vr5e
I ING.P-ERMIT . ... DLHA1 GE .IN.USE • �7 GRADIrz
REEOcAlION ' •
®'SIGN: • D -TENANT
C® iFA.CII RED .HOME
COrttt,R.• ' .
OWNER / APPLICANT INFORMATION
®OWNER: fi/lf C 4-jf2.//j/r
PHONE: ?,7X.?518• D7-1/14
0
3 LF0rc • El
ADDRESS: ./a03 S: Afr1/4 q
APPLICANT: `)4
p PHONE:
pry
t i .24 ADDRESS:
CI ,STATE, ZIP -
FAX:
CONTRACTOR: . S4 Gl1 C .. . ARCHITECT:
PHONE:
• CITY, STATE, ZIP
. CEM.
FAX: PHONE: FAX:
ADDRESS' ADDRESS:
CITY,.STATE, ZIP CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE # CONTACT' .
PERMIT/BUILDING INFORMATION
COST OF PROJECT:
ooU
1
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS: /6 K -2\
.'NUMBER OF STORIES: /
NUMBER of BEDROOMS: O'
FLANKING SETBACK: 7
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:
9o'
RIGHT SETBACK:
7/
i
jD
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:.
CONSTRUCTION TYPE:
ffra
F// Ga vcie
STRUCTURESON PROPERTY: ItARre = 5411
CRITICAL AREAS:
MAIN FLOOR SQ FT:
2ND FLOOR SQ FT:-
UNPIN BASEMENT:
FINISHED BASEMENT:
GARAGE:
CURRENT PROPERTY SIZE: COVERED DECK:
CURRENT PROPERTY USE:
CURRENT SEPTIC USE:
CURRENT WELL USE:
IMPERVIOUS SURFACE AREA:
DECK:
SPECIAL INSPECTIONS
MANUFACTURED HOME 4 ' ' ' SIGN
WIDTH: LENGTH:
YEAR: PIT SET:
MANUFACTURER:
SQ FT OF SIGN: HEIGHT OFSIGN:
# OF SIGNS: AREA OF EXIST SIGN:
TYPE OF SIGN:
RELOCATION
FIRE SAFETY'
PREVIOUS ADDRESS: '
PROPOSED USE:
FIRE SPRINKLER: FIRE ALARM:
PAINT BOOTH: TENT.
FIREWORKS DISPLAY:
BLASTING:
WA STATE NON—RESIDENTIAL ENERGY CODE
PLANS EXAMINER:
ADDRESS:. •
DATE/TIME:
PHONE: FAX:
INSPECTOR: PHONE:
ADDRESS:
CITY, STATE, ZIP
FAX:
CITY, STATE, ZIP
® BOLTING
FIRM NAME:
❑CONCRETE
'❑ REINFORCEMENT
❑ WELDING
PHONE: FAX:
INSP. ECTOR(S):
BUILDING STAFF USE ONLY
ISPUBLICSEWER AVAILABLE: . CIYES CI NO
IS PUBLIC WATER AVAILABLE: ❑ YES NO
IF YES: CI COUNTY ' ® CITY
IF. YES, WHICH WATER DIST/IRR:
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: ❑ YES 0 NO
IS THE PROPERTY LOCATED WITHIN ASA:
CI YES NO " . PSSA: 11:1 YES ® NO
DATE: I STAFF:
METHOD OF PAYMENT:
❑ ❑ ❑
CASH . CHECK
BANKCARD#; EXPIRES.* V/NAI
AUTHOR/ZED SIGNATURE*
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
Site Address: 507 N WILLOW RD
SPOKANE, WA 99206
Parcel Number: 45173.2302
Subdivision: RAWI,INGS SUB TR 102 OPP
Block: Lot:
Zoning: UR -7 Urban Residential -7
Owner: STAFFORD, KATHY
Address: 507 N WILLOW RD
_.._
---SEOICAME,214-99206- ...,
Buildinglnspector: NONE
Water Dist:
Project Number: 03007919 Inv: • 1 Issue Date: 10/31/2003
Permit Use: SEWER CONNECTION - WALNUT
Applicant: INLAND EXCAVATING & CONSTRUCTI
3417 W OLSONRD
DEER PARK, WA 99006 Phone: (509) 276-8500
Contact: INLAND EXCAVATING & CONSTRUCTI
• 3417 W OLSONRD
DEER PARI{, WA 99006 Phone: (509) 276-8500
etbacks -Frond' - ' Lett:
Right: Rear:
Group Nance:
Project Name:
Sewer Connection Permit
SEWER CONNECTION
•
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILIT
Call for inspection prior to cover. ONE WORKING DAY NO
Contractor or applicant is to field locate and confine the elevatio
Sewer stubs are to be checked prior to connection to ensure that
Sewer lines should be constructed to allow for gravity flow from
This permit must be presented to the job site inspector for
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT P
NOTIFIED. CALL BEFORE YOU DIGAT L
Spokane CountyCode requires the installer compl
those related to trench safety.
$85.00 PROCESSING FEE
Total Permit Fee:
MONDAY TURDFRIDAY
sewer stub prior to any other excavation.
ble grade and are clear and unobstructed to the main sewer.
f the structure.
d cables, gas piping, water lines, etc.
BEFORE YOU DIG" CENTER BE
09)456-8000.
e Dept of Labor and Industries, including
$15.00
S100.00
Total Fees AmountPaid AmountOwin
$100.00 $100.00 � L Date
$0.00
processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA
10/31/2003
Page 1 of 1
Ree- eint # Payment Amt
6987 $100.00
PERMIT
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