2005, 04-27 Permit App 05001345 Relocate House Project Number: 05001345 Inv: 1 Application Date: 04/27/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RELOCATE RESIDENCE ON FULL UNFINISHED Contact: GORDON,JON
BASEMENT Address: 7105 E EUCLID AVE
C-S-Z: SPOKANE VALLEY, WA 99212
Setbacks:Front 40 Left: 9 Right: 40+ Rear: 65 Phone: (509)891-9444
Group Name:
Site Information: Project Name:
Plat Key: 001867 Name: ORCHARD AVE ADD TR 1-228 District: Nort
Parcel Number: 35014.0155 Block: Lot:
SiteAddress: 3222 N COLEMAN RD Owner:Name: GORDON,JON
Address: 7105 E EUCLID AVE
Location::CSV SPOKANE VALLEY, WA 99212
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: i,540.00 Acres Width: 105 Depth: 148 Right Of Way(ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: w,_:., : ," .. :
Review
Site Plan Review T
Released By: aap
Plan Review t ✓
LReleased By:
Special Reviews/PA Atil,O 'l4_i C.1-
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leased By:Ott'ajl-
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Approach/Drainage Released By:
Sewer Review t `
rReleased By: C j ) - 1
1 ZW.LCA 1).(Asi-vL‘"i
Operator: K_C Printed By: K_C Print Date: 04/27/2005
Project Number: 05001345 Inv: 1 Application Date: 04/27/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permits: x v mmtvw
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Building Characteristics
Group: R-3 Type: VB
Total Area 1080
Stories 1
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
BASEMENT U R-3 VB 1,080 $16,200.00 1,080 $16,200.00
Totals: 1,080 $16,200.00 1,080 $16,200.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $279.25
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $111.70
Permit Total Fees: $395.45
Relocation Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
RELOCATION INSPECTION 1 NUMBER OF $60.00
Permit Total Fees: $60.00
Notes: :..,w, w,.
Payment Summary..<, :y,, ,; �. .. .,.,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $395.45 $395.45 $0.00 $395.45
Relocation Permit $60.00 $60.00 $0.00 $60.00
$455.45 $455.45 $0.00 $455.45
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: 04/27/2005
A
e
Spokan�`
;OValley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
Legal, Description: Z-5-
PERMIT DESCRIPTION: K�
El Building Permit hange in tyle G� Grading ❑ Manufactured Home
W1 Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFOF*CI ( �. \�l « J
❑ Owner: _ =.7-, N Gn
Phone:
Address: 71p rYcr /;°
city State Zip Code
❑ Contractor: - V 3Z� %L2�
Phone: Fax:
Address:
city
State Zip Code
WA State Contractor License #:
city
❑ Architect:
Phone:
Address:
city
Contact:
PERMIT/BUILDING INFORMATION
State Zip Code
Fax:
State Zip Code
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
MAIN FLOOR.TO SQ.. FT
2 .FLOOR SQ. FTG:
UNPIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
!!7 d
--
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 SEPTICL. .
SYSTEM3 <1r cc., .*-r
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
RELOCATION
Previous Address: . 9'Q 7 , s5/e7,1 / �S�o, a- C����T
Proposed Use: S', `p/e
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
f] BOLTING IN CONCRETE ICI REINFORCEMENT C 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 —J r1-7-t //. C 7or- v"1 Signature '<z
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
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This site plan is being submitted for the p, of
obtaining a building permit and is a true a t
representation of the proposal. AN knov v
lines/dimensions, curb lines, spuckm an(
have been identified. Also kldkaled at
bodies of water, Steep
Signed:
PLANNING DEPT. APPROVED
BY.
DATE:
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