2005, 08-11 Permit App: 05002888 Deck Project Number: 05002888 Inv: 1 Application Date: 08/11/2005 Page 1 of 2
THIS iS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: � i� h �uFw yo taIMMYMMVAM
Permit Use: 22FT X 14FT DECK ADDITION TO RESIDENCE Contact: ROSEAN,J H&TA
Address: 6314 E 11TH AVE
C-S-Z: SPOKANE VALLEY,WA 99212-0123
Setbacks:Front Left: Right: Rear: Phone: (509)536-7771
Group Name:
Project Name:
Site Information.
Plat Key: Name: SPARKS ADD TO SPOKANE District: Sout
Parcel Number: 35243.0483 Block: Lot:
SiteAddress: 6314 E 11TH AVE Owner:Name: ROSEAN,J H&TA
Address: 6314 E 11TH AVE
Location::CSV SPOKANE VALLEY,WA 99212-01
Zoning: UNKN Unknown
Water District: Hold: ❑
Area: 10,668 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: r �,_. ,. F,� F ;v<.., ., � . :�. a.. s� . F.. ..
Review
Site Plan Review 47A ,:
1t.
Originally Released: 08/11/2005 By: mturbak
Plan Review •
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Originally Released: 08/10/2005 By: TMELBOU
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Sewer Review zz� F
SiFAS
SEWER PERMIT#03002853
Originally Released: 08/11/2005 By: mturbak
Permits: p.d �,
Operator: MT Printed By: MT Print Date: 08/11/2005
Project Number: 05002888 Inv: 1 Application Date: 08/11/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Building Characteristics
Group: U-1 Type: VB
Total Area 308
This Application: Total Project:
Description Gra Type Notes Sq Ft Valuation Sq Ft Valuation
DECK R-3 VB DECK 0 $5,000.00 0 $5,000.00
ADDITION
Totals: 0 $5,000.00 0 $5,000.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $111.25
STATE SURCHARGE I SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $44.50
Permit Total Fees: $160.25
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
BETTMAN'S ADDITION- LOTS 7 THROUGH 18 OF BLOCK 8;AND LOTS 9, 10, 15 AND 16
OF BLOCK 5 HAVE BEEN PULLED OUT OF THE FLOOD PLAIN. SEE PLAT FILE.
Payment Summary: y, _� �uy_.
,,,,..� ..�,,,,...�. :cr..;.. ,xra_ ., iz;nom,.,rte,,,.,.anr�a<�::�.. �:�_,:, ,._,�. :zw, e .:.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $160.25 $160.25 _ $0.00 $160.25
$160.25 $160.25 $0.00 $160.25
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: MT Printed By: MT Print Date: 08/11/2005
-'gi007 b BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Onat a Building Division
n 11707 E. Sprague Avenue, Suite 106
,40---7-r al_ t, Q Spokane Valley, WA 99206
�. Phone: (509) 688-0036; Fax: (509) 688-0037
1
s1:001.1.; I vi.1 INFORMATION OE.— 2S 88
treet Address: 6'f,\/-1. E • i 1-.- v, o kc�r Lk.I l VA 9'72/Z. I f(06' -'S
Sr
Assessor's Tax Parcel Number(s): ;2)S24- ,CA-B.
Legal Description: IQT ` .
� ' `L 4 , tAcC\ K-- �, )ov_- -� :-- .1 -
PERMIT DESCRIPTION: pe c-k
® Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
1 OWNER/APPLICANT INFORMATION
Owner. Qa,\ kIM i l ❑ Applicant: •
Phone: 6b-3-.si33 Fax: Phone: Fax:
Address: 631,-/ u+-, Address:
g kerne, V/ WP 9/21 7-
Ciky ( State Zip Code City State Zip Code
❑ Contractor: C'.it Otb\R., ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
• WA State Contractor License#: Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK 2b i DIMENSIONS: 22 iLl #OF STORIES: 1
MAIN FLOOR TO SQ. FTG: 1 yoO 21**-'FLOOR SQ. FTG: NSA UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE SQ.FTG: 6ao L DECKICOV. PATIO SQ. FTG:316
ly0o
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: Elec. .1 c-
Res\dea,c\a\
#OF BEDROOMS: TOTAL HABITABLE SPACE:2wo Gr.k IMPERVIOUS SURFACE AREA:
COST OF PROJECT:4750 00 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
PiO SYSTEM? Sem
0B bo akS3
MANUFACTURED HOME
Nidth: Length: Year:. Pit Set:
Manufacturer.
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
=ire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
'lens Examiner: Phone: Fax:
kddress:
City State Zip
nspector. Phone: Fax:
address:
City State Zip
SPECIAL INSPECTIONS
BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING
=irm Name: Phone: Fax:
nspector(s):
)ISCLAIMER
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a
'welling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the
)roperty owner. 3) The signatory is the property owner or has permission to represent the property owner in this
ransaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code.
Zeferenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley
'ermit 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.
'rint Name PcAt,.1 r m i,xtt
Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
] Cash T] Check ❑ Mastercard Ej VISA ❑ Other
>ankcard#: _ ___ P�, Expires: _ VIN#:
authorized Signature: , 1'i ?" ' Thic dnrument originally _contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010 •
and the original document destroyed
pursuant to SOS DAN G52014-030.