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2003, 04-23 Permit App: BD03-162 Garage City of SPOKANE VALLEY • PERMIT # c BUILDING PERMIT APPLICATION Box 1 OWNER 6) rvtPiqv/s JOB LOCATION ( (p0 9 t OWNER'S ADDRESS 000q E ytv CITY 9O HONE 7ro Fl�SO�� DESCRIBE JOB ( S-J- 04,u_„ earc ( y q THIS PROPERTY IS OWNED B 401ffarrioARRIED PARTNERSHIP CORP. BOX 2 CONTRACTOR'S NAME VVI.. S-e. 1 PHONE CONTRACTOR'S ADDRESS CITY CONTRACTOR'S REG.# EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VERLIFIED) BOX 3 CONTACT PERSON OF PROJECT PHONE ADDRESS CITY ZIP BOX 4 SEWER AVAILABILITY WATER AVAILABILITY BOX 5 ESTIMATED PROJECT COST$ ��OO(� EXISTING BLDG.VALUATION$1(.55/-6b0 Hy"v� BOX 6 PROPERTY TAX ACCOUNT NUMBER aI4 2.. (p(CLQ LEGAL DESCRIPTION X11 R�5 Pc-Ay � �rs2-mss (2- - 13 6 -7 6,1W. (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOT NUMBER (jt BOX 7 BUILDING SQUARE FOOTAGE(Existing/proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / OTHER / BASEMENT FINISHED BASEMENT UNFINISHED / DECK / GARAGE / CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING FT. BOX 8 ( ) SINGLE FAMILY .._ NEW CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE ,5--7(00 ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY ( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE SQ. FT. — SQ. FT. BOX 9 PLUMBING FIXTURES (Including rough-ins) MECHANICAL APPLIANCES PLEASE USE THE ATTACHED PLUMBING/MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES, SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS, LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL. BOX 10 Water Service meter size(if known) Also see BOX 4 BOX 11 Septic Tank—Not generally allowed in the City of Spokane Valley. For special circumstances contact Your sewer purveyor and the Health District (See BOX 4) BOX 12 Street use may require a" Street Use Permit"for sewer, water, sidewalks, curb cuts. Contact the Public Works Department. I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF Y KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PE -M T. ORK FOR WHICH THE APPLICATION IS MADE. OWNER/AGE � �� 7 DATE 11 (z-3/o .3 (OVER) I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card: Visa Mastercard —__ Expiration Date Print the name of the Holder Signature OFFICE USE ONLY-PLEASE DO NOT WRITE BELOW THIS LINE ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE REMARKS SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DISAPPROVAL DATE REMARKS PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE L TYPE OF JOB: NEW RESIDENCE RES.ADD/ALT NEW INDUSTRIAL IND.ADD/ALT NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY TYPE OF CONSTRUCTION STORIES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NUMBER PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE OTHER CHARGES : I AMOUNT DUE BUILDING DEPARTMENT APPROVAL BY DATE ASSIGNED ADDRESS r ' City of SPOKANE VALLEY INSPECTION REQUEST 64/'cz; BUILDING DEPARTMENT Date and time received Li/2 t--1/0-5 a--' C5.57 Permit Numberj � Project Name Site Address (s LQ a tE. Requester's name :TT-Din vl ct_v i S Phone number ?Co — 5 0 05— BUILDING y5BUILDING Foundation Concrete slab Underfloor Framing Insulation Wallboard Special Final PLUMBING Rough in Special Final MECHANICAL Rough in gas piping Furnace Appliances Special Final SIGNS Foundation Special Final CLEARING AND/ OR GRADING Silt fence Erosion Control Special Clearing Final OTHER Foundation Framing Special OTHER_ Inspection Requested for : Mon Tues Wed Thurs Fri AM PM Comments T 3 -3a Inspector Date &time inspected THIS BUILDING SBJ ECTCTIONS PECTION CUORRE TOFIELptNsIONS APPROVED BY � , 4, ,3 THESE PLANS MUST BE KEP ON THE JOB SITE o , i T\ D c-�-' Li 1/2 Prpt-) 0 ) 1 N r F6USe a°i Lkia 21— LL4A---- 5 1p0 'w/c/P 30 '/-€7 (3a a (.7( , &0 / Lc r lil, Ay , _ _____ 1 TIS BUILDING.SUBJECT RRECTIO TO riEL INSPECTION _4______7::v I� E_must Q THEEpPI1/4 THEjo1rE , 4 i ,Z„ .. .2 �__\ ,.c. it`ori „..,1/44,, ,ri,„ ii, . , 2.,.._ j 11:00 I ecus ArrukID ----.. 1 Rer%vrtf"-kr: 1. 1 , ( ,-) ,is.1/4 oc5 -1-----t— clQ/ N ..___ lb' bcoe._, (Alf-aft) , J X4-4 /� wak'/4 s 1 60 j�(, ID 510 5 / Z�c4 / 5z4� Tre te /'r g (,tN3 - xo' 2_6 2-t( 1Z 1N S 4- 1 t,