2005, 11-01 Permit App: 05004131 GarageProject Number: 05004131 Inv: 1 Application Date: 11/01/2005 Pagel of
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information: ..�,w ,•„�:: -:.
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Permit Use: 30 X 50 DETACHED GARAGE
Contact: EXCALIBUR STEEL STRUCTURES INC
Address: PO BOX 14991
C - S - Z: SPOKANE, WA 99214-0991
Setbacks: Front 76 Left: 15 Right: 6 Rear:
10 Phone: (509)921-1300
Group Name:
Project Name:
Site Information:
mn
Plat Key: 999999 Name: RANGE
District: F
Parcel Number: 45213.9245 Block:
Lot:
SiteAddress: 10822 E 10TH AVE
Owner: Name: ROBERTS, APRIL & BEVEL
Address: 10822 E 10TH AVE
Location:: CSV
SPOKANE VALLEY, WA 99206
Zoning: UR -3.5 Urban Residential 3.5
Water District
Hold: ❑
Area: 2.00 Acres Width: 0
Depth: 0 Right Of Way (ft): 40
NbrofBldgs: 0 Nbr of Dwellings: 1
Review Information:
--
Review
Site Plan Review
Originally Released:
11/01/2005 By: CJJANSSE
Plan Review
Released By:
N/A -ENGINEERED PLANS
Originally Released:
11/01/2005 By: CJJANSSE
Sewer Review
Released By:
Originally Released:
11/01/2005 By: CJJANSSE
Permits: ..�..
Operator: CJJ Printed By: CJJ Print Date: 11/01/2005
Project Number: 05004131 Inv: I Application Date: 11/01/2005 Page oft
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: EXCALIBUR STEEL
Address: PO BOX 14991
SPOKANE, WA 99214-0991
Building Permit -- -- _--- _
Firm: EXCALIBUR STEEL STRUCTURE
Phone: (509)921-1300
Payment Summary:
Permit Twe Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $436.15 $436.15 $0.00 $436.15
$436.15 $436.15 $0.00 $436.15
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: CJJ Printed By: CJJ Print Date: 11/01/2005
This Application:
Total Project:
Description Grp Type
Notes
So Ft Valuation
So Ft
Valuation
GARAGE U-1 VB
1,500 $28,500.00
1,500
$28,500.00
Totals:
1,500 $28,500.00
1,500
$28,500.00
Item Description
Units
Unit Desc
Fee Amount
RESIDENTIAL PERMIT FEE
1
SELECT
$431.65
STATESURCHARGE
1
SELECT
$4.50
Permit Total Fees:
$436.15
Payment Summary:
Permit Twe Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $436.15 $436.15 $0.00 $436.15
$436.15 $436.15 $0.00 $436.15
Disclaimer.
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CJJ Printed By: CJJ Print Date: 11/01/2005
Valley
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BUILDMG PERMIT APPLICATION WORKSHEET
City of Spo jia Valley Community Development Department
x\11 Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Ph In 4509) 688-0036; Fax: (509) 688-0037
Assessors Tax Parcel Number(s):
Legal Description:
PERMIT
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: Nle(
Phone: Fax:
Address: o i<s+- —10-"--- --
Snak -AW-6-4 tL)A 99204.
City I State Zip Code
Contractor: .larSbe (s J
Phone: TZI- I co Fax: 9Z/-6718
Address:P,o
/-
Address:,o c 14q&?/
4
C State Zip Code
❑ Applicant:
Phone:
Address:
Fax:
City State Zip Code
❑ Architect:
Phone: Fax:
Address:
City State Zip Code
WA State Contractor License #: 6CALSS 00O2B Contact: PIL,( Te w �S
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: 19,
DIMENSIONS: 30XS0 X (
# OF STORIES:
I
MAIN FLOOR TO SQ. FTG:
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:80
/
DECKICOV. PATIO SQ. FTG:
Q�CUPANC OUP: -�
CON$Z01 , TION PE:
HEAT SOURCE:
# OF B ROOMS: I
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR O SITE SEPTI
SYSTEM?
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
Previous Address:
Proposed Use: _
RELOCATION
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent: Fireworks Display: Blasting:
Valuation: Above/Underground Storage Tank Size:
Paint Booth:
DatelTime:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Inspector:
Address:
Phone: Fax:
Phone: Fax:
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING
Firm Name:
Inspector(s):
Phone: Fax:
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 per ure the operty ner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankca
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #:
Authorized Signature:
Expires: VIN#:
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