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2005, 09-07 Permit App: 05003216 Pole Bldg Project Number: 05003216 Inv: 1 Application Date: 09/07/2005 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 36 X 12 DETACHED POLE BUILDING Contact: ICS STEEL BUILDINGS Address: 13903 E SPRAGUE C-S-Z: SPOKANE VALLEY,WA 99216 Setbacks:Front Left: Right: Rear: Phone: (509)922-4004 Group Name: Site Information Project Name: Plat Key: 001333 Name: JOEY MARIE 01ST ADD District: Sout Parcel Number: 45332.1805 Block: 1 Lot: 5 SiteAddress: 11215 E 37TH AVE Owner:Name: BLACK,JOHN Address: 11215 E 37TH AVE Location::CSV SPOKANE VALLEY,WA 99206 Zoning: UNKN Unknown Water District: Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Site Plan Review Released By: Originally Released: 09/07/2005 By: HKAUER Plan Review Released!By: Originally Released: 09/06/2005 By: TMELBOU Sewer Review Released By: Sewer Permit#00010171 Originally Released: 09/01/2005 By: cj j anssen Operator: CJJ Printed By: CJJ Print Date: 09/07/2005 .Project Number: 05003216 Inv: 1 Application Date: 09/07/2005 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: ICS STEEL BUILDINGS Firm: ICS STEEL BUILDINGS Address: 13903 E SPRAGUE AVE Phone: (509)922-4004 SPOKANE VALLEY,WA 99216 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation GARAGE U-1 VB 1,080 $20,520.00 1,080 $20,520.00 Totals: 1,080 $20,520.00 1,080 $20,520.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $335.25 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $134.10 Permit Total Fees: $473.85 Notes: ,Now- „mow -.maw :.,; ,_ ,. . .,., .: OMW , Payment Summary: "IAMOMu._ .lat4;..; „ . .,. . . Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $473.85 $473.85 $0.00 $473.85 $473.85 $473.85 $0.00 $473.85 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: CJJ Printed By: CJJ Print Date: 09/07/2005 Project Number: 05003216 Inv: 1 Application Date: 09/06/2005 Page 1 of 2 r ' THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 30 X 36 X 12 DETACHED POLE BUILDING Contact: ICS STEEL BUILDINGS Address: 13903 E SPRAGUE C-S-Z: SPOKANE VALLEY,WA 99216 Setbacks:Front Left: Right: Rear: Phone: (509)922-4004 Group Name: Site Information Project Name: Plat Key: 001333 Name: JOEY MARIE 01ST ADD District: Sout Parcel Number: 45332.1805 Block: 1 Lot: 5 SiteAddress: 11215 E 37TH AVE Owner:Name: BLACK,JOHN Address: 11215 E 37TH AVE Location::CSV SPOKANE VALLEY,WA 99206 Zoning: UNKN Unknown Water District: Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: ... :- . — . r:: . F -- Review Site Plan Review I Released By: Plan Review Released',By: Originally Released: 09/06/2005 By: TMELBOU Sewer Review [Released By: Sewer Permit#00010171 Originally Released: 09/01/2005 By: cjjanssen Building Permit Contractor: ICS STEEL BUILDINGS Firm: ICS STEEL BUILDINGS Address: 13903 E SPRAGUE AVE Phone: (509)922-4004 SPOKANE VALLEY,WA 99216 Operator: CJJ Printed By: MT Print Date: 09/06/2005 .Project Number: 05003216 Inv: 1 Application Date: 09/06/2005 Page 2 of 2 • THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: s ,; .. mi„ '.-.rte'^, Payment Summary :r. cam:-vIcterz,ftlfWft-,. "ftfte .- -ftftt. , . - i. 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: CJJ Printed By: MT Print Date: 09/06/2005 -" C 3LL i -: BUILDING PERMIT APPLICATION WORKSHEET . sary lane _,_,,,. City of Spokane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 4000 Valle Spokane Valley, WA 99206 v 61)036; Fax: (509) 688-0037 REQUIRED SI INFORMATION Street Address: /Z /5 &- `-� t Ill 9 1J M Assessor's Tax Parcel Number(s): Legal Description:PERMIT DESCRIPTION: .% )X 3? Y Ii P)Ie, r ,t dirk ❑Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other I OWNER/APPLICANT INFORMATION • ❑ Owner: 6/0/47_ 0 Applicant: • Phone: O/- ( iOD Fax: Phone: Fax: Address: II z/' 6--. r�']�'� Address: j)kiaic)e be A- gg201v. City State Zip Code City State Zip Code ❑ Contractor: - 4 g G , ElArchitect: Phone: ..0., Fax:_ ." 6i 7 7 Phone: Fax: Address: ; # C' Irp _ Address: ` LitZQ71le City Sta e Zip Code City State Zip Code • WA State Contractor License#: . '. _ eye _ , 'A Contact: ALL1,(Amn 0006f 0.7D -29621 Spokane Valley Bus. Liscense#: Contact: PERMIT/BUILDING INFORMATION I HEIGHT TO PEAK: DIMEN IONS: #OF STORIES: j2. 5. r 3CQk1 --E- MAIN FLOOR TO SQ. FTG: 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. zi (`- DECK/COV. PATIO SQ. FTG: JCS w 5 , E OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: #OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OFpROJECT• f� 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC 1 `, n 7$S SYSTEM? 5rka WY It 0 D UI 0i -1 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 0 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 property owner. j. � Print Name I Yvsto_u ✓ Signature '471(ryeOZ J Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check 0 Mastercard EJ VISA ❑ Other Bankcard#: Expires: VIN#: Authorized Signature: . ... • Sjö1 "' TY . _ . BUILDING DIVISION Valley 11707 E. Sprague Avenue, Suite 106 Spokane Valley,WA 99206 PRISM-Microsoft Internet Explorer no @xI E ?°<'a .- T ,2 . am ,"r x�i,.�1 .•�.e 1 - tir B3 4 e i >ti;; tFY'0"iiQ , `, . w,e;ii i® f r „_ .- ,.,, . 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