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2005, 09-02 Permit App: 05003190 Pole BldgProject Number: 05003190 Inv: 1 A ion Date: 09/02/2005 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: 24 X 40 X 12 POLE BUILDING Contact: ICS STEEL BUILDINGS Address: 13903 E SPRAGUE C - S - Z: SPOKANE VALLEY, WA 99216 Setbacks: Front 155 Left: 144 Right: 10 Rear: 50 Phone: (509) 9224004 Group Name: Site Information: Project Name: Plat Key: 001743 Name: MYRON 08TH (FEES) District: F Parcel Number: 44042.1812 Block: SiteAddress: 10807 E 48TH AVE Location:: CSV Zoning: SFR Water District: Area: .00 Acres Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information Site Plan Review Originally Released Plan Review Originally Released: Sewer Review Lot: Owner: Name: WALKUP, WILLIAM & ELIZABET Address: 10807 E 48TH AVE SPOKANE VALLEY, WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 50 Released By: 08/31/2005 By: cjjanssen Released By: 09/02/2005 By: TMELBOU Released By SEWER PERMIT#02007321 Originally Released: 09/02/2005 By: cjjanssen Permits: Operator: CJJ Printed By: CJJ Print Date: 09/02/2005 Project Number: 05003190 Inv: 1 Apptt—axion Date: 09/02/2005 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: ICS STEEL BUILDINGS Address: 13903 E SPRAGUE AVE SPOKANE VALLEY, WA 99216 Description Grp Type Notes GARAGE U-1 V13 Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Building Permit Firm: ICS STEEL BUILDINGS Phone: (509)922-4004 Total Project: So Ft Valuation 960 $18,240.00 960 $18,240.00 Fee Amount $307.25 $4.50 $122.90 Permit Total Fees: $434.65 Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $434.65 $434.65 $0.00 $434.65 $434.65 $434.65 $0.00 $434.65 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: 09/02/2005 This Application: Sg Ft Valuation 960 $18,240.00 Totals: 960 $18,240.00 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Total Project: So Ft Valuation 960 $18,240.00 960 $18,240.00 Fee Amount $307.25 $4.50 $122.90 Permit Total Fees: $434.65 Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $434.65 $434.65 $0.00 $434.65 $434.65 $434.65 $0.00 $434.65 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: 09/02/2005 BUILDING PERMIT APPLICATION WORKSHEET cm6Tane City 61fspcnane Valley Community Development Department 3P Building Division �' i 06 �� ��� � _ 11707 E. Sprague Avenue, Suite 1 ..;oO-V alle �s ' Spokane Valley, WA 99206 P he: (509) 688-0036; Fax: (509) 688-0037 REQUI 'ITE INWRMATION Street Address: Le Assessor's Tax Parcel Number(s): Legal Description: PERMIT DESCRIPTION: -2iLtX `) X l I✓(fIe_ wilding Permit ❑ Change in Use ❑ Grading ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety OWNERIAPPLICANT INFORMATION Owner: ISW 1-1 Phone: �qI — -D�59 Fax: Address: I j7 '�Or7 C= . c � +a City State Zip Code Contractor. �`�r ❑ Phone: C - Fax: G'7_ -17q-2 Address: city J State Zip Code Applicant: Phone: Address: Architect: Phone: Address: City ❑ Manufactured Home ❑ Other Fax: State Zip Code Fax: State Zip Code WA State Contractor License Contact: A,tv;{-cionQ 1AILL Spokane Valley Bus. Liscense #: Contact: PERMITIBUILDING INFORMATION HEIGHT TO PEAKL : r- DIMENSIONS Z Q) 7__ # OF STORIES: MAIN FLOOR Q. FTG: 2 FLOOR SQ. FTG: UNF1N 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 PROJECT: % 30% SLOPES ON PROPERTY: R ON-SITE SEPTIC KS -TEM? Width: Length: Manufacturer: Previous Address: Proposed Use: Fire Sprinkler: Tent: Valuation: MANUFACTURED HOME Year: RELOCATION FIRE SAFETY # of Heads: Fire Alarm: Fireworks Display: Blasting: Above/Underground Storage Tank Size: Pit Set: Paint Booth: Date/Time: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Address: Inspector: Address: ❑ BOLTING Firm Name: I nspector(s): DISCLAIMER Phone: Fax: city State Phone: Fax: city SPECIAL INSPECTIONS ❑ CONCRETE ❑ REINFORCEMENT Phone: State Fax: Zip Zip ❑ WELDING 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. 8J (a V Print Name 4✓Yl 6._0 S-eL,L✓ Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard Bankcard #: Authorized Signature: Expires: ❑ VISA ❑ Other VIN#: