2003, 06-27 Permit App: BLD-03-02000 Garage (
City of F,4 x b S ' 0 0 37
SPOKANE VALLEY
PERMIT # BO)- C 3- e2)--c-‘"r"..'
BUILDING PERMIT APPLICATION
Box 1 OWNERi-per 4 gaNwtt Vrzo 6 ori JOB LOCATION tsar 0 C 7 R vE
OWNER'S ADDRESSISL'0 e.20.1A.v�ITY5pekptuE 11#11403NE q"g S-ac,/9I
DESCRIBE JOB CoAnaLLCritiu d 30' jA 3 b' D OLC 241 Lb/N6
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED ,)
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME Z lc 6(..e►2 t_.(Avvtr.2-_Cry 1/44., PHONE 'Q( 7 9 ?
CONTRACTOR'S ADDRESS 620 �<1--L 6t c iI kCI CITY S r O/'CA-t~-1E.
CONTRACTOR'S REG.# CCO1 Z1L L(A Sri TG EXPIRATION DATE
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX 3 CONTACT PERSON OF PROJECT ?i rEL Oitti 04 y 1 C' PHONE 8111; " . '94'
ADDRESS I Q. ) 0 E- "2..t- 14-t1 CITY SPoV C.I p(0z: 't ZIP e.q 0 3
BOX 4 SEWER AVAILABILITY WATER AVAILABILITY
BOX 5 ESTIMATED PROJECT COST$ 01 56O �� EXISTING BLDG.VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER if-S- J0 L , 17 i 4
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing/ proposed) 1ST FLOOR-gilt).- /" '*.' 2ND FLOOR —I--
3RD FLOOR ---/-1 OTHER --/--- BASEMENT FINISHED ----f^
BASEMENT UNFINISHED —t DECK —f- GARAGE190Cr
CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING / 7 Fr.
BOX 8 ( ) SINGLE FAMILY (..) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY 2-') (b 0 SQ. FT.
( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE- SQ. FT.
BOX 9 PLUMBING FIXTURES (Including rough-ins) MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED PLUMBING/MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL.
BOX 10 Water Service meter size(if known) Also see BOX 4
BOX 11 Septic Tank-Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
BOX 12 Street use may require a" Street Use Permit"for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE : ST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISE i•ERFO THS WORK FOR WHICH THE APPLICATION IS MADE.
OWNER/AGENT ISDATE (37'-' 0‘.3 (OVER)
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard Expiration Date
Print the name of the Holder Signature
DO NOT PLACE ANY BUILDING UNDER POWER LINES OR OVER INCOMING GAS LINES.
OFFICE USE ONLY-PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE
TYPE OF JOB: NEW RESIDENCE RES.ADD/ALT NEW INDUSTRIAL IND.ADD/ALT
NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORIES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NUMBER
PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE
OTHER CHARGES AMOUNT DUE
BUILDING DEPARTMENT APPROVAL BY
DATE
ASSIGNED ADDRESS
Received
Schedule A Page 1
Washington - Deed of Trust
Given By: Darrell W. Orndorff and Bonnie J. Orndorff
LOTS 6 AND 7 IN BLOCK 1 AND THE NORTH 130 FEET OF LOT 8 IN BLOCK
3 OF MCLAUGHLIN ADDITION, ACCORDING TO PLAT RECORDED IN VOLUME 9
OF PLATS, PAGE 14, IN SPOKANE COUNTY, WASHINGTON; TOGETHER WITH
THAT PORTION OF VACATED MURBACH ROAD ADJOINING OR ABUTTING
THEREON, WHICH UPON VACATION, ATTACHED TO SAID PREMISES BY
OPERATION OF LAW.
AVS
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APPROVED BY