2004, 12-16 Permit App: 04009423 Addition GarageProject Number: 04009423 Inv: I
Appliciation
THIS IS NOT A PERMIT
Date: 12/16/2004 Page 1 of 3
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: ADDITION TO GARAGE/SHOP (FOOTINGS & Contact: DANIELS, JERRY A & MARILYN K
ROUGH IN PLUMBING EXISTING) Address: 1515 S WINTER
C - S - Z: SPOKANE, WA 99212
Setbacks: Front 69 Left: 8 Right: EX Rear: EX Phone: (509) 924-9979
Group Name:
Project Name:
Site Information:
Plat Key: 000568 Name: CURTIS PARK CLUB TRACTS 01ST ADD District: Sout
Parcel Number: 45193.1118 Block:
SiteAddress: 1515 S WINTER RD
Location:: CSV
Lot:
Owner: Name: DANIELS, JERRY A & MARILYN
Address: 1515 S WINTER
SPOKANE, WA 99212
Zoning: UR -7 Urban Residential -7
Water District Hold: 0
Area: .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:
.•1
Plan Review
Released By:
Operator: K_C Printed By: K_C Print Date: 12/16/2004
Project Number: 04009423
Inv:1 Application Date: 12/16/2004
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Group: U-1 Type: VB
Total Area 252
Building Height 12
Stories 1
Description
GARAGE
Building Permit
Page 2 of 3
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Gtr Type
U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLAN REVIEW
STATE SURCHARGE
This Application: Total Project:
Notes Sq Ft Valuation Se Ft Valuation
12% 0 $4,213.00 0 $4,213.00
REDUCTIO
NDUETO
FIGS
EXISTING
Contractor: OWNER
Item Description
VENTILATING FANS
Totals: 0
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
$4,213.00
Permit Total Fees:
Mechanical Permit
0 $4,213.00
Fee Amount
$111.25
$27.81
$4.50
$143.56
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
Operator: K C Printed By: K_C
Permit Total Fees:
Fee Amount
$10.00
$10.00
Print Date: 12/16/2004
Project Number: 04009423 Inv: 1
Application Date: 12/16/2004 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: 'A...—.
ZOY
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary: >;:e ;: ; > > a0 gas ;C s s iir z 4: , s 1:MX: .r.>>sSSAxsWASx
Permit Type
Building Permit
Mechanical Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$143.56 $143.56 $0.00 $143.56
$10.00 $10.00 $0.00 $10.00
$153.56 $153.56 $0.00 $153.56
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: K C Printed By: K_C Print Date: 12/16/2004
Sfiokan' e,"`
.!0y
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BU/LD/NG DIVISION
19707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (509)688-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS: /5) 5 . S. Vt%IV / ca rea
ASSESSOR'S TAX PARCEL NUMBER(S): 45(93 • l ( 18
LEGALDISCRIPTION: C,uRrl R.14 QUA?,
Lo—re / 3Lock 1
PERMIT DESCRIPTION: ARAe /SS P
ITI.LDIlVG•PERMIT • ®LHANGE.jKUSE
RELOCATION-
,
ELOCATION Q-SIGPF
e,cTS ,-„, v\ I I U 0a — Lu -r % E S. yz
EX pNNso oa-
.13 GRADING
E}TENANT
•DMANUFACTURED ROME
m nLER-
OWNER / APPLICANT INFORMATION
®OWNER: J r'9 -12-y bKNkI'—LS
CI APPLICANT:
PHONE: q..24 _ q / p 79 FAX: PHONE: FAX:
ADDRESS: l .52 .5- S \4I/A/% EZ %%D , ADDRESS:
S'o/'AIVE Vir-ael y,,/4. CITY,S TE, ZIP
I.1 -CONTRACTOR: N//�. qqi) v
07110, 6-4-5a
PHONE:
,45a
PHONE:
ADDRESS:
WA ST CONTRACTOR LICENSE #
COST OF PROJECT:941- "'-71-AA
CI ARCHITECT:
NA
CITY, STATE, ZIP
FAX: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
CONTACT:
PERMIT/BUILDING INFORMATION
BUILDING HEIGHT TO PEAK: /2 C 2 -
BUILDING DIMENSIONS: )4 1)08
NUMBER OF STORIES:
NUMBER of BEDROOMS: p
FLANKING SETBACK: /
FRONT SETBACK: 6 9 /
REAR SETBACK: U
LEFT SETBACK: /1 /
I/
30% SLOPES ON PROPERTY: 1/
OCCUPANCY GRQUP: b{. -
MAIN FLOOR SQ FT: 252.
2No FLOOR SQ FT:. �-
CONSTRUCTION TYPE: FP1 E UNFIN BASEMENT:
STRUCTURES ON PROPERTY: at
CRITICAL AREAS: /1/4/176-
•
CURRENT PROPERTY SIZE:
CURRENT PROPERTY USE:
CURRENT SEPTIC USE: e—fetrse-
✓l
CURRENT WELL USE: 7,21,ti t 4/-fr I Z
RIGHT SETBACK: 76 IMPERVIOUS SURFACE AREA:
FINISHED BASEMENT:
GARAGE:
COVERED DECK:
DECK:
MANUFACTURED HOME - SIGN
WIDTH: LENGTH:
YEAR: PIT SET:
MANUFACTURER:
SQ FT OF SIGN: HEIGHT OF SIGN:
# OF SIGNS: AREA OF EXIST SIGN:
TYPE OF SIGN:
RELOCATION
FIRE SAFETY
1
PREVIOUS ADDRESS:
PROPOSED USE:
FIRE SPRINKLER: FIRE ALARM:
PAINT BOOTH: TENT:
FIREWORKS DISPLAY:
BLASTING: DATE/TIME:
WA STATE NON-RESIDENTIAL ENERGY CODE
PLANS EXAMINER: PHONE: FAX:
ADDRESS:.
. < .. CITY, STATE, ZIP
INSPECTOR: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
SPECIAL INSPECTIONS
0 BOLTING
FIRM NAME:
INSPECTOR(S):
CONCRETE
® REINFORCEMENT
PHONE:
❑ WELDING
FAX:
1
.BUILDING STAFF USE ONLY
IS PUBLIC SEWER AVAILABLE: . ® YES 1 NO
IS PUBLIC WATER AVAILABLE: • YES 0
NO IF. YES, WHICH WATER DIST/IRR:
IF YES: • COUNTY CITY
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0' NO
IS THE PROPERTY LOCATED WITHIN ASA: ❑ YES ❑ NO PSSA: ❑ YES ❑ NO
DATE: STAFF:
METHOD OFPAYMENT.:
❑ ❑
CASH CHECK
BANKCARD # EXP/RES: VIN#
AUTHORIZED SIGNATURE'
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
ADDRESS �-�S ,s• � Y�0(
ZONE l 1
ROAD WIDTH
FRONT I o1 F KING 'Yn6
COMMENTS
REVIEWED
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plan Is being submitted for the purpose of
ob ' ning a building permit and is a true and correct
representation of the proposal. All known property
tines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodi of water, ste lopes or other critical areas.
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