2005, 08-23 Permit App 05002998 Covered DeckProject Number: 05002998 Inv: .7
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: ADDITION OF NEW COVERED DECK Contact: ARROW CONTRACTING
Address: PO BOX 11996
C - S - Z: SPOKANE, WA 99211
Setbacks: Front Left: 25 Right: 24 Rear: 15 Phone: (509) 534-5959
Group Name:
Site Information: Project Name:
Date: 08/23/2005 Page 1 of 2
Plat Key: CONV Name: CONVERTED CNTY DATA District: Sout
Parcel Number: 45324.2209 Block:
Lot:
SiteAddress: 10219 E DRIFTWOOD CT Owner: Name: MONROE, JIM
Address: 10219 E DRIFTWOOD CT
Location:: CSV SPOKANE VALLEY, WA 99206
Zoning: SFR
Water District:
Hold: E
Area: .00 Acres Width: 59 Depth: 165 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 10
Review Information:
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 08/23/2005 By: cjjanssen
Released By:
Sewer Review
Permits:
Originally Released: 08/22/2005 By: TMELBOU
Released By:
SEWER PERMIT #93011194
Originally Released: 08/18/2005 By: cjjanssen
Operator: CJJ Printed By: CJJ Print Date: 08/23/2005
Project Number: 05002998 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 08/23/2005 Page 2 of 2
Contractor: ARROW CONTRACTING Firm: ARROW CONTRACTING SERVIC
Address: PO BOX 11996 Phone: (509) 534-5959
SPOKANE, WA 99211
This Application: Total Project:
Description Gro Type Notes Sq Ft Valuation So Ft Valuation
DECK R-3 VB NEW 0 $3,500.00 0 $3,500.00
COVERED
DECK
Totals: 0 $3,500.00 0 $3,500.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $97.25
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $38.90
Notes:
Payment Summary:
Permit Type
Building Permit
Permit Total Fees:
$140.65
Fee Amount Invoice Amount Amount Paid Amount Owing
$140.65 $140.65 $0.00 $140.65
$140.65 $140.65 $0.00 $140.65
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: 08/23/2005
03
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BUILDING PERMIT APPLICATION WORKSHEET
City of Spokax Valley Community Development Department
CC_ Building Division,
11 0i E. prague Avenue, Suite 106
Spokane Valley, WA 99206
one: (509) 683-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: / 1 /
Assessor's Tax Parcel Number(s):
Legal Description: (o'vy„(
PERMIT DESCRIPTION: �'( / irgJev`rz
72f Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ _Owner. _,Y% w . i injry 0 Applicant:
Phone: Fax:�/�Phone: Fax:
Address: /6-219 Z' ,a,.i7t ,..Jvz Address:
bkOie at, ij4.
Ci State 11 Zip Code City Ste Zip Code
❑ Contractor: 6 lao l2T7. �c' 20 ❑ Architect:
Phone: 5 V 5y 7 Fax: , y e/Y1 Phone: Fax:
Address: f.0. (,u ll9‘ Address:
Ci(y State Tip Code. City State Zip Code
WA State Contractor License #: Krto,,s Cs) f 'd k? Contact a vc ,)cl ed
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/CO . PATIO SQ. FTG:
e®Sf (-I-
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJEC i —
t2:SZ v •
3O% SLOPES ON PROPERTY:
(SEWER R ON -SITE SEPTIC
SYSTEM? _ _ --_- ,
MANUFACTURED HOME
ill/idth: Length: Year. Pit Set:
Manufacturer.
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
=ire Sprinkler. # of Heads: Fire Alarm: Paint Booth:
tent: Fireworks Display: Blasting: Date/Tme:
✓aivation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner.
address:
Phone: Fax:
City State Zip
nspector. Phone: Fax:
address:
City
State Zip
SPECIAL INSPECTIONS
BOLTING ❑ CONCRETE
0 REINFORCEMENT ❑ WELDING
=irm Name: Phone: Fax:
nspector(s):
)ISCLAIMER
he perrnitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a
(welling, 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
-ansaction. 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
'ermit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances.
)wnership of resulting development rights granted by any issued permit inure to the property owner.
Print Name yay �U�GS of
Signature
9ethod of Payment: (Faxed permit applications will only be accepted with major bankcard)
Cash r1 Check ❑ Mastercard ISA
;ankcard #:
Expires: VIN#:
❑ Other
.uthorized Signature: