2005, 05-23 Permit App: 05001740 Garage Project Number: 05001740 Inv: 1 , Application Date: 05/23/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 21 X 24 DETACHED GARAGE Contact: TISHCHENKO,ALEKSANDR
Address: 10009 E 15TH AVE
C-S-Z: SPOKANE VALLEY,WA 99206
Setbacks:Front 100 Left: 24 Right: 5 Rear: 5 Phone: (509)951-2732
Group Name:
Site Information: Project Name:
Plat Key: 002704 Name: UNIVERSITY PLACE District: Sout
Parcel Number: 45204.2912 Block: Lot:
SiteAddress: 10009 E 15TH AVE Owner:Name: TISHCHENKO,ALEKSANDR
Address: 10009 E 15TH AVE
Location::CSV SPOKANE VALLEY,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 50 Depth: 150 Right Of Way(ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By: 1, tiA't il`
Plan ReviewReleased By: `.,.
Permits:
Operator: K_C Printed By: K_C Print Date: 05/23/2005
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Project Number: 05001740 Inv: 1 , Application Date: 05/23/2005 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 504
Building Height 14
Stories 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 504 $9,576.00 504 $9,576.00
Totals: 504 $9,576.00 504 $9,576.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $181.25
ACCESSORY PLAN REVIEW 1 SELECT $45.31
STATE SURCHARGE 1 SELECT $4.50
Permit Total Fees: $231.06
Notes:
Payment Summary: � ,.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $231.06 $231.06 $0.00 $231.06
$231.06 $231.06 $0.00 $231.06
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: 05/23/2005
��r� BUILDING PERMIT APPLICATION WORKSHEET
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�� City of Spokane Valley Community Development Department
Building Building Division
11707leY Sprague Avenue,� � E. ue p g Surte 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
N REQUIRED SITE INFORMATION 1
Street Address: ( GOO Q 7574k 0.,eif
Assessor's Tax Parcel Number(s): 4/1,Cc 09. awa.e
Legal Description: `T e, 6(04_ Ag /ivS, P(c.Ce
PERMIT DESCRIPTION: (Q( /Y L2 &ti f"t�.� t
C�
❑ Building Permit ❑ Change in Use ❑ Grading Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety H. Other,7`G t ye
N OWNER/APPLICANT INFORMATION
cIZI Owner: ti! i 1 ILc1\e&t,1c&0Applicant: St? Q-
Phone: ' 7 Fax: _ Phone: Fax:
Addr ss: I * 0 01 , / - Address:
State Zip Code City State Zip Code
❑ Contractor: ❑ 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:
N PERMIT/BUILDING INFORMATION I
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: l
Y
MAIN FLOOR TO SQ. FTG: 2"Q FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE S M DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: CONURUCTION TYPE: HEAT SOURCE:
#OF BEDROOMS: TOTAL HAB1IKBLE 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 i r o the p rty o ner.
Print Name allijaitAllAr ,1 A Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check El Mastercard El VISA ❑ Other
Bankcard#: Expires: VIN#:
Authorized Signature:
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