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2003, 06-25 Permit App: BD03-705 AdditionCity Of Phone 688-0036 SPOKANE VALLEY FAX 688-0037 Inspection 688-0054 PERMIT # 6k - 0" BUILDING PERMIT APPLICATION ---------------------------------------------------------------- Box 1 OWNER JOB LOCATION OWNER'S ADDRESS /03,0_;;�- r-, pvf CITY ST. w6 PHONE DESCRIBE JOB Aoorr�o,J r=ez MoSNE�e�FsrrHFK-/� - LA�J THIS PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORP. ---------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------- BOX 2 CONTRACTOR'S NAME )9^m4r_ Cc..,jsT2pvc PHONE 2 Q c) - y77,1 CONTRACTOR'S ADDRESS /341o/ x% B2/OL6S je-b CITY Z_LK 1AM 99002 CONTRACTOR'S REG.# HJT &e_ / `i 95Z 0 EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) ------------------------=--------------------------------------------------------------------- ---------------------------------------------------------------------------------------------- BOX 3 CONTACT PERSON OF PROJECT 2!�59-) SILTALf_� PHONE �� 0 ADDRESS /31/0/ neo CITY ZIP ci 20017 ---------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------- BOX 4 SEWER AVAILABILITY WATER AVAILABILITY ---------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------- BOX 5 ESTIMATED PROJECT COST $ ©�, 000 EXISTING BLDG. VALUATION $ ---------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------- BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOT NUMBER --------------------------------------------------- --------------------------------------------------- nrx'�` BOX 7 BUILDING SQUARE FOOTAGE (Existing/ proposed) 1ST FLOOR / 750 2ND FLOOR / 3RD FLOOR /_ OTHER BASEMENT FINISHED BASEMENT UNFINISHED / DECK / GARAGE / CARPORT / TOTAL / ------------------------------------------- ------------------------------------------- BOX 8 (jc) SINGLE FAMILY ( ) MULTIFAMILY (NO. OF UNITS ) ( ) COMMERCIAL/ INDUSTRIAL ( TENANT IMPROVEMENT ------------------------------------------- ------------------------------------------- BOX 9 PLUMBING FIXTURES (Including rough -ins) HEIGHT TO PEAK OF BUILDING X5'0 FT. -------------------------------------------------- -------------------------------------------------- ( ) NEW CONSTRUCTION ( ) EXISTING STRUCTURE TOTAL AREA OF PROPERTY SQ. FT. IMPERVIOUS SURFACE SQ. FT. -------------------------------------------------- -------------------------------------------------- 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 BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM -THE WORK, FOR WHICH THE APPLICATION IS MADE. OWNER / AGENT l// A , DATE t - -�)_5 — &/,5 (OVE E 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 REMARKS DISAPPROVAL DATE 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 RECD RECEIPT NUMBER PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE OTHER CHARGES BUILDING DEPARTMENT APPROVAL ASSIGNED ADDRESS Received BY AMOUNT DUE DATE PADAL - Fact Sheet Fact Sheet without Taxes for Property Number 45294.0106 All Data As Of Tuesday, June 24, 2003 Site Address 10303 E 26TH AVE, SPOKANE TCA 0144 Parcel Active Status Owner ANDERSON, MARYFAE Taxpayer BARTON, MARYFAE Address 10303 E 26TH AVE Address 10303 E 26TH AVE SPOKANE, WA 99206-3364 SPOKANE, WA 99206-3364 Acreage Land Sq Feet 22,000 Property Class 11 Single Unit Page 1 of 1 - Market Values 2003 Land 14,180 Exempt Value 0 Improvements 76,200 Personal Property 0 Total Value 90,380 Exemption 2003 Active Year Exemptions Legal Description CHESTER HILLS L22 B G Sales History (prior to 1999) Sale Date Sale Price Sale Instrument Qualified/ Unqualified Vacant/improved Transfer Type 08/02/1990 69,950.00 WARRANTY DEED QUALIFIED IMPROVED NORMAL SALE 12/07/1976 39,000.00 CONVERTED FROM SCM UNQUALIFIED IMPROVED NORMAL SALE Improvements Improvement Type Description Year Built Siz. Dwelling Dwelling 1959 1,06 Other Attached Garage 1959 57. Other Barn - Traditional Flat or Loft 1955 60 Other CONCP 1988 25. Features Description Size UOM Built-in Dishwasher 1 Concrete Patio 252 SF Fireplace 2 Range & oven combination 1 IT Upper Conventional Canopy 252 SF Created on Wednesday, June 25, 2003 at 1:28:11 PM http://webpadal/ParcelFactSheet.asp?Type=NoTax 6/25/2003 4.0302 4.0301 ,515 !1 419317 0319 1 t 17.1,1 1 4,305 - ? 4.030.5 j ! Q. S 26TH 1lSu 1'. ,AVE JUN 22 2003 12:49 ;cpt r�-----.....__. 40VEp B�, �