2004, 09-08 Permit App: BLD-04-07585 Enclose CarportSpoanialle
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' I6Ib S. »OODtj\WA)
• $
Assessor's Tax Parcel Number(s): • .
Legal Description: ( 1 . l
*PERMIT DESCRIPTION: tVIC1o.-1>e [ )-ptect 01 rm.rer-goora(x sZ
d
Building Permit D Change in Use D Grading ❑ Manufactured Home
Relocation ❑ Tenant Improvement 0 Fire Safety . 0 Other
OWNER/APPLICANT INFORMATION
Owner: 7)10 JRA ❑ Applicant:
Phone: 954-74/-32Z Fax: Phone: Fax:
Address: t6/6 S. WOODI-A-Wk.) . Address:
SODK/WE- wPt- .. 9.A2r,C .
City State Zip Code City State Zip Code
Contractor. 'SF_ L F . • ' 0 Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City .
WA State Contractor License#: Contact:
State Zip Code
PERMIT'iBUIk0ING INFORMATION
HEIGHT TO PEAK
DIMENSIONS:
# OF STORIES:.
MAIN FLOOR TO SQ: FTG
f FLOOR SO: FTG:
JNFI N BASEMENT SO. FTG:
FINISHED BASEMENT S4. FTG;
GARAGE 64: FTG: •
'ga..
DECKICOV. PATIO SQ. FTG:
.
OCCUPANCY GROUP:
CO STRUCTION TYPE: .
HEAT SOURCE:
# OF BEDROOM&
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
!COST OF PROJECT: '
�S 'I -o o
3Q% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM'? -
r
MANUFACTURED HOME
Width:
Manufacturer. .
Length: Year:
Pit Set • •
• RELOCATION
. Previous Address:
Proposed Use:
FIRE SAFETY
• Fire Sprinkler:
Tenf: •
# of Heads: Fire Alarm:
Paint.Booth:
Fireworks Dieplay: Blasting: • • . Date/Time:
Valuation: • Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner.
Address:
•
Phone: •• Fax:
Inspector:
Address:
• City
State
Phone: Fax:
Zip
City
State •
. Zip
SPECIAL INSPECTIONS
D BOLTING 0 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 tithe
property owner. 3) The signatory is the property owner orhas 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 ofSpbkane 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 0 Check 0 Mastercard . 0 VISA • ❑ Other
• Bankcard #: Expires: VIN#:
Authorized Signature:
161.6 S, vc/0O,i5L, WA)
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ADDRESS
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COMMENTS
REVIEWED BY
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All new walls wlll have ,5' sheet rock. Back wall
sheet rock
PROTECTION AND OPENS$tETWIEEN
DWELUNG AND PRNATE cam ISMS WE:
1 MATERIALS APPROVED FOR OIE,NAINI RIE DYNE
CONSTRUCTION ON THE GARAGE SOO
str E ir GYP BOARD OtANTAILE SPACE ASOVe OR
iGYP BOARD (RE5 OENCEI 8,0011 )
2 OPEN BETWEEN GARAGE NO RESIBEICE BE
THSOLIDVVOODDOdi lew
S EL DOORS NOT LESS THAN 1 3$1, ORTOMMOTE
D00RS.
THESE PLANS MUST SE 'KEPT
ON THE JOB SITE
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