2005, 06-24 Permit App 05-2167 Pole BldgProject Number: 05002167 Inv: 1 Application Date: 06/24/2005 Page I of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: 30 X 40 X 12 POLE BUILDING Contact: SKI CONSTRUCTION
Address: 4719 E WINFIELD CT
C - S - Z: SPOKANE, WA 99021
Setbacks: Front 20 Left: 24 Right: 90 Rear: 8 Phone: (509) 328-3011
Group Name:
Site Information: Project Name:
Plat Key: 001627 Name: MICHIELLI PARK 03RD ADD District: Nort
Parcel Number: 45181.1004 Block: Lot:
SiteAddress: 8607 E DESMET AVE Owner: Name: WILLIAMS, KEVIN
Address: 8607 E DESMET AVE
Location:: CSV SPOKANE VALLEY, WA 99212-262
Zoning: UR -3.5
Water District:
Area: .00 Acres
Nbr of Bldgs: 2
Urban Residential 3.5
Width: 0
Nbr of Dwellings: 1
Hold: ❑
Depth: 0 Right Of Way (ft): 50
Review Information:
Review
Site Plan Review Released By: kwti"
Plan
Permits:
Operator: K_C Printed By: K_C Print Date: 06/24/2005
Project Number: 05002167 Inv: I Application Date: 06/24/2005
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: SKI CONSTRUCTION
Address: 4719 E WINFIELD
MEAD, WA 99201
Group: U-1 Type: VB
Total Area 1200
Building Height 17
Stories 1
Building Permit
Firm: SKI CONSTRUCTION
Phone: (509)995-4168
Building Characteristics
Permit Total Fees:
Notes: m;
Total Project:
SQ Ft Valuation
1,200 $22,800.00
1,200 $22,800.00
Fee Amount
$363.25
$4.50
$367.75
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $367.75 $367.75 $0.00 $367.75
Page 2 of 2
$367.75 $367.75 $0.00 $367.75
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: 06/24/2005
This Application:
Description Gro Type
Notes
Sa Ft Valuation
GARAGE U-1 VB
1,200 $22,800.00
Totals:
1,200 $22,800.00
Item Description
Units
Unit Desc
RESIDENTIAL PERMIT FEE
I
SELECT
STATESURCHARGE
1
SELECT
Permit Total Fees:
Notes: m;
Total Project:
SQ Ft Valuation
1,200 $22,800.00
1,200 $22,800.00
Fee Amount
$363.25
$4.50
$367.75
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $367.75 $367.75 $0.00 $367.75
Page 2 of 2
$367.75 $367.75 $0.00 $367.75
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: 06/24/2005
Spokane
,;iUalley
Street Address:
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
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
Building Permit ❑ Change in Use ❑ Grading
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety
OWNERIAPPLICANT INFORMATION
Owner.
Applicant:
Phone: q,,�9*5 ¢Fax:
Phone:
Address: A66 -j &eF gicr
Address:
UNFIN BASEMENT SQ. FTG:
4
city State Zip Code
City
❑ Contractor:
❑ Architect:
Phone: Fax:
Phone:
Address:
Address:
COST OF PROJECT:
city
City State Zip Code
WA State Contractor License #:
Contact:
Spokane Valley Bus. Liscense #:
Contact:
PERMIT/BUILDING INFORMATION
❑ Manufactured Home
❑ Other
Fax:
State Zip
Fax:
Zip Code
HEIGHT TO PEAK: ( �?
DIMENSIONS:
� Iy
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTR CTION PE:
Y- $.4 OAC
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
-TO—'/;SLOPES ON PROPERTY.
SEWER OR ON-SITE SEPTIC
SYSTEM?
MANUFACTURED HOME -�
Width: Length: Year: Pit Set:
Manufacturer:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler.
Tent:
Valuation:
# of Heads: Fire Alarm:
Fireworks Display: Blasting:
Above/Underground Storage Tank Size:
Paint Booth:
Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
Inspector.
Address:
city
Phone:
State Zip
Fax:
- city
State Zip
I SPECIAL INSPECTIONS 1
❑ BOLTING ❑ CONCRETE
Firm Name:
Inspector(s):
❑ REINFORCEMENT
Phone:
Fax:
❑ WELDING
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 Deve opment Code.
Referenced codes are available for review at the City of Spokane Valley Permit Cer}ier. 5) This qffy f Spokane Valley
Permit is not a permit or approval for any violation of federal, state or local Iavd, o6gfes or oMinafce .
Ownership of resulting development rights granted by any issued permit
Print Name 4� Signature h,
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard
Bankcard #:
Authorized Signature:
Expires:
❑ VISA ❑ Other
VIN#:
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