2005, 04-28 Permit App: 05001362 Pole Bldg .Project Number: 05001362 Inv: 1 Application Date: 04/28/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 30 X 30 POLE BUILDING Contact: ICS STEEL BUILDINGS
Address: 2403 S BEST
C-S-Z: VERADALE,WA 99037
Setbacks:Front 50+ Left: 50+ Right: 15 Rear: 5 Phone: (509)270-1341
Group Name:
Site Information: Project Name:
Plat Key: Name: RANGE District: East
Parcel Number: 45252.0501 Block: 2 Lot: 1
SiteAddress: 15719 E 23RD AVE Owner:Name: RIES,PAUL L
Address: 15719 E 23RD AVE
Location::CSV SPOKANE VALLEY,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 13,164 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By:
Plan ReviewReleased By:
Permits:
Operator: K_C Printed By: K_C Print Date: 04/28/2005
.Project Number: 05001362 Inv: 1 Application Date: 04/28/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: I C S STEEL BUILDING Firm: I C S STEEL BUILDING
Address: 2443 S BEST Phone: (509)270-1341
VERADALE,WA 99037
Building Characteristics
Group: U-1 Type: VB
Total Area 900
Building Height 15
Stories 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 900 $17,100.00 900 $17,100.00
Totals: 900 $17,100.00 900 $17,100.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $293.25
STATE SURCHARGE 1 SELECT $4.50
Permit Total Fees: $297.75
Notes
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $297.75 $297.75 $0.00 $297.75
$297.75 $297.75 $0.00 $297.75
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: K_C Printed By: K_C Print Date: 04/28/2005
_
r_ BUILDING PERMIT APPLICATION WORKSHEET
Spokane
cm - -'�$ City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague gAvenue, Suite 106
ev Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: 15/71q r. 7„5‘16.1 $`k, � U,L .-1(✓i1 E C E il off If' liTh\I
iJi
Assessor's Tax Parcel Number(s):
1�/
Fi)
Legal Description: J)-1- I el ,1( 2- A ��
PERMIT DESCRIPTION:;ij/00 X1D Tht-t f 3(.l.i(Anj
Er-Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
N OWNER/APPLICANT INFORMATION
❑ Owner: au 4 6es ❑ Applicant: –15,51-CCI G
Phone: (j26-y `� Fax: Phone: c17 -2, Fax? i'Zi-1--17?')
Address: ►5'7Iq Z:34 Address: L-M-=)E. r :l ie ,qra,g
wary-, �l QL11 b g'qu=��7 k`<-:ham. c , A `l--i�1(2
City j State Zip Code Ci State Zip Code
❑ Contractor:ie,,`3 -- -1 64 . ii=,- ❑ Architect:
7.Add,ress:
,,N.� Phone: C Fax: Phone: Fax:
1��lO 1 ( u� t6 Address:
n , tty-i�', 1.�.�- ,t9zR1
i r^ State Zip Code City State Zip Code
WA State Contractor License #=S75 3 /Jr1 Contact:
Spokane Valley Bus. Liscense #: Contact:
1 PERMIT/BUILDING INFORMATION I
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES:
MAIN FLOOR TO SQ. FTG: 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARA FTG: DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: CONSTRU ION TYPE: HEAT SOURCE:
#OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 30%SLOPES ON PROPERTY: <ER QR)ON-SITE SEPTIC
O SYSTEM?
i
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 p operty owner.
Print Name (ry-- �, tur-- Signature )r� ( S e:� '
J
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard#: Expires: " VIN#:
Authorized Signature:
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3°` PLA! NING DEPT. APPROVED
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Date: S
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