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2005, 03-18 Permit App: 05000822 Pole Bldg Project Number: 05000822 Inv: 1 Application Date: 03/18/2005 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 24 X 30 POLE BUILDING Contact: VAN GELDER LIVING TRUST Address: 10418 E 24TH AVE C-S-Z: SPOKANE VALLEY,WA 99206 Setbacks: Front EXI Left: 7 Right: 50+ Rear: 15+ Phone: (509)926-4299 Group Name: Site Information: Project Name: Plat Key: 000382 Name: CHESTER HILLS ADD District: Sout Parcel Number: 45294.0203 Block: Lot: SiteAddress: 10418 E 24TH AVE Owner:Name: VAN GELDER LIVING TRUST Address: 10418 E 24TH AVE Location::CSV SPOKANE VALLEY,WA 99206 Zoning: AGRI Water District: Hold: ❑ Area: .00 Acres Width: 110 Depth: 175 Right Of Way(ft): 0 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review In ormation: �r,t� Review Site Plan ReviewReleased Brarat Plan Review Released By: _ � �-'�� Operator: K_C Printed By: K_C Print Date: 03/18/2005 Project Number: 05000822 Inv: I Application Date: 03/18/2005 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: MY FAMILY CONTRACTOR Firm: MY FAMILY CONTRACTOR Address: 8525 N FREYA ST Phone: (509)467-0106 SPOKANE WA 99207 Building Characteristics Group: U-1 Type: VB Total Area 720 Building Height 14 Stories 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation GARAGE U-1 VB 720 $13,680.00 720 $13,680.00 Totals: 720 $13,680.00 720 $13,680.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $237.25 STATE SURCHARGE I SELECT $4.50 Permit Total Fees: $241.75 Conditions of approval exist for lots served by Ponderosa Ln. A habitat management plan is on file. See file for Ponderosa Ln.-jforry Payment Summary: ..,.�. „ .,�_...d .._?` ,.,. ...x..�.. '$.�� �.:.' .........,.>,�: �,r�rv«rye- . m.,.. ...,�,f...ad4` "� -r. - m.:mm_ :4 ma Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $241.75 $241.75 $0.00 $241.75 $241.75 $241.75 $0.00 $241.75 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: 03/18/2005 BUILDING PERMIT APPLICATION WORKSHEET San't ne City of Spokane Valley Community Development Department Building Division ValleY 11707 E. Sprague Avenue, Suite 106 4400, Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: /01/4,.�; -2'/T/� /9 -C:.-- - Assessor's Tax Parcel Number(s): Legal Description: PERMIT DESCRIPTION: '�P LC I. .-(c( ,,Building Permit ❑ Change in Use ❑ Grading C Manufactured Home ❑ Relocation (1 Tenant Improvement C Fire Safety ❑ Other OWNER/APPLICANT INFORMATION I 0, Owner: nv Ute' �c�0 _c:-.1-- ❑ Applicant: Phone: 7-26-- 1, _F? Fax: z— Phone: Fax: Address: / w L---;--, ci / Address: ,5/7c /C-f7 K} a')/4- G C City State Zip Code City State Zip Code (l Contractor: My /---/ /77//-,y ed9A_)7 d'1E] Architect: Phone: Fax: Phone: Fax: Address: Address: S/O( /(-- K; City State Zip Code City State Zip Code WA State Contractor License #: Contact: PERMIT/BUILDING INFORMATION % HEIGHT TO PEAK: /4 : DIMENSIONS: ., X u #OF STORIES: MAIN FLOOR.TO SQ. FTG: 2144` 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 1 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 (I CONCRETE C 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: r b, v /0 z/ AI' F r),...1 ... b\./ t 4 . froa+Ess ---=-- i — _ e _ ZONEt . /E �}2 YAWNK ROADFRONT.l. I STF Aj e ICommENTS --tREVIEWED BK win .. .-4, A I I j444j 111 1 f I ii '>' 40 P 1 i GC� ' f SUbMitNd for the PurPos& of 1` This site plan is being permit is a true and correct obtaining a b All known P ro rtY � \ g of the proPa� rbe lineSi inUtrionalnielisOrand ease nts_ _..._�_� _—____._.,_____.,__._ �.._.___. .. have di n idea ie Also indicated are wetlands,have b i � « other critical areas. ----......?../......___________I_______.__ both.. �r� Signed: 4, , .r ---- -•-• —77. '� 7-c_ /© 6,