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2003, 10-07 Permit App: BLD-03-02702 Garage G - cervor .i PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone:(509)688-0036 Fax:(509)688-0037 REQUIRED SITE INFORMATION - I STREET ADDRESS: 7 V / a / / 7( dc-e. ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DISCRIPTION: PER DESCRIPTION: Gct r4 BUILDING PERMIT a CHANGE IN USE 0 GRADING C MANUFACTURED HOME }RELOCATION Q SIGN 0 TENANT D OTHER OWNER / APPLICANT INFORMATION 4NER: i C1 11e APPLICANT: PHONE: 9 6� b3 FAX: PHONE: FAX: ADDRESS: j '7 0 ) ) "t. n[/PI(ic. (”dA f DRESS: CITY,STATE,ZIP CITY,STATE,ZIP ®CONTRACTOR: 0 ARCHITECT: PHONE: FAX: PHONE: FAX: ADDRESS: ADDRESS: CITY,STATE,ZIP CITY,STATE,ZIP WA ST CONTRACTOR LICENSE# CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: //s ' 30%SLOPES ON PROPERTY: MAIN FLOOR S4 FT: BUILDING HEIGHT TO PEAK: /S OCCUPANCY GROUP: 2ND FLOOR SQ FT: BUILDING DIMENSIONS:ggy 36 CONSTRUCTION TYPE: po BASEMENT: NUMBER OF STORIES: Z� STRUCTURES ON PROPERTY: 0 / FINISHED BASEMENT: NUMBER of BEDROOMS: CRITICAL AREAS: GARAGE: FLANKING SETBACK: 5� y1 CURRENT PROPERTY SIZE: COVERED DECK: FRONT SETBACK: �j°I/ e `) CURRENT PROPERTY USE: DECK: y P5 REAR SETBACK: �p P� CURRENT SEPTIC USE: y�S LEFT SETBACK: CURRENT WELL USE: RIGHT SETBACK: IMPERVIOUS SURFACE AREA: IMANUFACTURED HOMESIGN WIDTH: LENGTH: SQ FT OF SIGN: HEIGHT OF SIGN: YEAR: PIT SET: #OF SIGNS: AREA OF EXIST SIGN: MANUFACTURER: TYPE OF SIGN: 1 RELOCATION FIRE SAFETY PREVIOUS ADDRESS: FIRE SPRINKLER: FIRE ALARM: PAINT BOOTH: TENT: PROPOSED USE: 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 ®CONCRETE 0 REINFORCEMENT 0 WELDING FIRM NAME: PHONE: FAX: INSPECTOR(S): I _ BUILDING STAFF USE ONLY IS PUBLIC SEWER AVAILABLE: ® YES ® NO IF YES: ® COUNTY ® CITY IS PUBLIC WATER AVAILABLE: 0 YES ® NO IF YES,WHICH WATER DIST/IRR: IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO IS THE PROPERTY LOCATED WITHIN ASA: 0 YES 0 NO PSSA: 0 YES 0 NO IDATE: I STAFF: METHOD OF PAYMENT: -., 0 __ VISA CASH CHECK �_ � BANKCARD#; EXPIRES: VIN# AUTHORIZED SIGNATURE. *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD 10/07/2003 11:56 5093241567 SRHD EHS PAGE 03 _ . . . • . _ . . .. . . . • i, - • 1 ,7"' ' ' ' ' • • ' ' 1410.044OUNTY .,HEALTH DEPARTMENT• :,. ..):.; •. 4.:-'' ' •• • • • -'-• "..r.. : .!:•;, •.:',:....''' :•'.... ';.'-',.•,•'-1', ,:, ,-'-'-'!,-,, . ' ' • : , %.,. -•,. .-::: .. . .',f.' ..,t.!0.1"DDECiUt,14.1)::,NLY.1.1. ,.14ealth Officer Divi.sioh of Sanitation '' . • • .. ' . . • .t..,.. N. 810 Jefferson Street . ' . . ... / 944: . . Spokane, Washxngt 1199201 . ' 11A .. .. . , . . • . _ . . . . . . , • . ', • • . . . . . . - ;' • FiRMIT'140. /3iP' 7,160' t'.6° ' : ' . • • • ' • • N9,, A 016 6-0 .• • . . „ . . . . • . . .• • i: • -• APPLICATION FOR PERMIt t TO. INSTALL OR -RECONSOUCT SEWAGE- DISPOSAL FACILITIES • . . i - . • V'aille. .9"..:41,,e .1 — - (411it..):&—k-,-/ ' ' Atcldiess ,"751-2 4-0—ZPhone NoJKLE22S7 -lit, ' - ' • • ' • ' • ' ' ' Address of Proposed Site2C22a - /4 ....._- _:, . ). ::' • Type of Use //14-4 - 24.1.... Le.0, : : •_Is'13aserten or builcimplanned? 'D,---."-c, .0/ .. : . Number of Beclicrrl. .,Xw Fibildtng:Capacity . . Camp Capacity • ' fither_L___ 'Water:Supply. (1_ ' ... "• (City, *ell, Spring): Drywell . . . Septic tinlg, capacity., 7.527 • % -gosh Style of tank . s. . Length of disposal field-...... I /4-2, ' ., . Absorption Pita: teach BO . ..-: ' ' .---;--r , • _ . . I. (1) Show rolativelooationi, MObrosed_houee, oepc t'cchk, . . • . . . . . dimposal field. *e11.05,4904 fol4oher out:hulldiago. .. ,. . . . , . . . . • ' ,,•,,,e %ft•1Y4ie 4'4 ' - , •- . ------. . • (2) Make-note of arLy heft ! ipplowabtoy area or any. . , • • ' athoimportantltopogre 44. Oh *" . '06 • • .. ... . . • • ' .i. . : . tso. , 40 ., *(40 • • - . . . • • 4/ -... . .. • - - • . .. • .• , ' ' . , , . • V4 • - , ,.•• stikIthik : . )3 • . • • '-' ' 400IIN*4°16. • ' ' - ' ' ,,ia ir• . 0 — of,tat • .. . . . : I* -.V0t> ,,• C.016 0 46 - .• •' ' • /0 . . :'. .Vt51%*. A IP't;ott°I'1 - .• . . • • " . . r . , • 6 li° Npat • . • . • 1-1P • . . . . . . • . . . . . . . , . . . . . . • • , • . • • • . . . . . . . . • . .. . . • ' . , . . • . ........ i . . . . 1 t . ' . . Ins t'!llt.l. ' . . ---"'"''..immimmierAssmetxisii •. • . I 4 . .r Or - •-• • --, • ' . • V41100,105fr . . ......: ..,......, .....107 al.............. ••■••arra. ' Final inspection Dare A . ' . /-1 00i0, ' .. - ' ' ' • Remarks; . . • S. ierl JO! . . • • . .. . • • . ' • , , •. '1 CONTRACTOR • . . . . • . . . . • . • • • • , . _ _ • '"•-•:".--,--- . . • . . . . • • . . , . . . . CA - , . .r . .. _ . . • . . . A - • , . . . • :.' r • AMIYMMVir.:.".'" '..VE . . . . , . .. • • • . . • . • . . V. Lim -For Spokane County.Health Department set. *AG atREA • .,. • • r . OCT 04 2003 11:59 5093241567 PAGE.03 Quality o STEEL BUILDINGS, INC. _ N. 7810 Market Center Suite (509) 468-16 6 office? Spokane, Wa. 99207 (509)468-3 fax LIC#QUALISBO81C7 +\ SITE PLAN �-IGSHOW 0 Sel NORTH hi__ al _ _ 05eC� i i O v° r& n c m S �-, t C' 1 C 1 Ik5 ,<""""' k I fl /- tee 10'FROM SEPTIC/DRAINFIELD JOB NAME 4 j z -,,,,.. .-;,...-..24 _,; SHOW STREETS/ALLEYS PHONE# SHOW SEPTIC/SEWER/DRAINFIELD ADDRESS SHOW EXISTING BUILDINGS C . ' ,;, /2 ,f SHOW SETBACKS-FRONT,REAR,SIDE PARCEL# 3 r .41 LI QQ,7^ SHOW LOT SIZE SIDE YARD&REAR YARD SET BACKS. 5'TO PROPERTY LINE UP TO 15'PEAK HIGH FOR APPROVED BY EVERY FOOT OVER 15'ADD 1'TO SET BACK. / 7 -