2005, 05-27 Permit App: 05001841 Plan Review Project Number: 05001841 Inv: 1 AlpplicStion Date: 05/27/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: PLAN REVIEW ONLY FOR REVISED HOUSE Contact: LINDSEY CONSTRUCTION
PLANS FOR PERMIT#04-9499 Address: BOX 30792
C-S-Z: SPOKANE,WA 99223
Setbacks:Front Left: Right: Rear: Phone: (509)568-1013
Group Name:
Site Information: Project Name:
Plat Key: Name: WOODLAND TERRACE ADD District: Sout
Parcel Number: 35233.1306 Block: Lot:
SiteAddress: 4725 E 14TH AVE Owner:Name: LINDSEY CONSTRUCTION
Address: BOX 30792
Location::CSV SPOKANE,WA 99223
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: LII
Area: 8,160 Sq Ft Width: 60 Depth: 130 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Plan Review Released By:
ffizi A
* I
4 lilt
Perm its:
Building Permit
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509)879-3420
SPOKANE,WA 99223
Item Description Units Unit Desc Fee Amount
HOURLY REVIEW FEE 1 HOURS $47.00
Permit Total Fees: $47.00
Operator: K_C Printed By: K_C Print Date: 05/27/2005
Project Number: 05001841 Inv: 1 Application Date: 05/27/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata(see plat file)requires:(1)footings=min.24 inches wide(2)foundations no
closer than 12 ft from north edge of fill
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata(see plat file)requires: (1)footings=min.24 inches wide(2)foundations no
closer than 12 ft from north edge of fill
CONTROL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $47.00 $47.00 $0.00 $47.00
$47.00 $47.00 $0.00 $47.00
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: K_C Printed By: K_C Print Date: 05/27/2005
BUILDING PERMIT APPLICATION WORKSHEET
Simania J�" w--. City of Spokane Valley Community Development Department
[Li Ilu Building Division
D E C�-L II E. Sprague Sprag a Avenue, Suite 106
40100Vall Ut -� Spokane Valley, WA 99206
0l ,c� �lL�
Q
Phone: (509) 688-0036; Fax: (509) 688-0037
V 'k' cUA \-4
EFORMATION I
Street Address: 4/ 7Z .C. /y57''s/
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: ?/A/U �.( -✓i et. ..) <f",41 , Vi ,g4 p49 o
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
N OWNER/APPLICANT INFORMATION I
❑ Owner: u,dscy : ,L, Cc, El Applicant: 4ir s 63ms-r C>
Phone: / Fax: 1 4/3 i ,1 3 Phone:'79 gym Fax: I-N3 i.:7/.
Address: 2,17. .6/ __5679'2.. Address: /"moo .6/ -36 74'z-
,e_..57,/e- bod. 9')Z z---5j ,::, -,t) '- /JA FIZZ 'Z
City State Zip Code City State Zip Code
El Contractor. G„(_ --s y (~.o,o v- El Architect:
Phone:'7q' 'yy Fax: 4<e/3 ic'i Phone: Fax:
Address: /7 „,Ex 3.6 7(-; z Address:
S i ,�
City State Zip Code City State Zip Code
• WA State Contractor License#:///v2;---. ' is i6 6 C w Contact: 6 S-7 9,e i)
Spokane Valley Bus. Liscense#: Contact:
M PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES:
MAIN FLOOR TO SQ.FTG: 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:
#OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire 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
Plans Examiner: Phone: Fax:
Address:
City State Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ 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 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 permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard#: Expires: VIN#:
Authorized Signature: