2005, 07-19 Permit App 05002452 Duplex, GarageBUILDING PERMIT APPLICATION WORKSHEET
SpoKaI-IreCity of Spokane U ey Community Development Department
ne D E C E Q W D Building Division
11707 E. Sprague Avenue, Suite 106
Walley JUL 12 20 d Spokane Valley, WA 99206
np Ph (509) 688-0036; Fax: (509) 688-0037
D
REQUIRED SITE INFORMATION
Street Address: 2 2-3 - - C- � 11 G'//y�
Assessors Tax Parcel Number(s): � 5- 12 / Q
Legal Description:
PERMIT DESCRIPTION:
Building Permit
❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNERIAPPLICANT INFORMATION
t�lVAhf Pa.Ti-c a e C� 2IIs ° f✓
F1 Owner: Applican . C%
Phoneme h2F SofrFax: Sa9 Phonfcb 3 d 2_ F
address: /t) /6 S 0 /to? Address: /0 14 -5'o,44
❑■
tiiry Stee Zip Code
❑ Architect: QSC601— %7/` es
Phd 5'270 Fax:
Ae s:
o- 4,0- -e-
Z
// // city State Zip Code
WA State Contractor License #�o 2 � % /-?(-)Contact: '4- -e-
Spokane
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:'?" C,
# OF STORIES: /
!�.
MAIN FLOOR TO SQ. 2
2 FLOOR SQ. FTG:
UNFIN BASEMEN FTG:
27
_
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:7�
DECK/COV. PATI
d�
Z
OCCUPANCY ✓ j
CONSTRUCTI9N TYPE:
HEAT SOURCE: ?,U
# OF BEDROOMS:
TOTAL HABITABLE SPPAC :
IMPERVIOUS SURFACE AREA:
COST OF PROJEC •30%
Z5-0-100
SLOPES ON PROPERTY:
SEWER OR O�4SITE S PTIC
We
-100
SYSTEM? 7 -' -1
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
Previous Address:
Proposed Use: _
RELOCATION
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent: Fireworks Display: Blasting:
Valuation: Above/Underground Storage Tank Size:
Paint Booth:
Date/Time:
I WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Inspector:
Address:
❑ BOLTING
Firm Name:
Inspector(s):
Phone:
Phone:
Fax:
State Zip
Fax:
State Zip
SPECIAL INSPECTIONS I
❑ CONCRETE ❑ 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 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
/offrresulting development rights granted by any issued permit i eatotepropy owner.
Print NamdG epy%me-` /i �Q%✓S021t11 neture
Method of Payment: (Faxed permit applications will only be accepted with
,major
rbbankcard)
❑ Cash E] Check ❑ Mastercard Ly�rtaw ❑ Other
Bankcard #: Expires: - VIN#:
Authorized Signature: .
Project Number: 05002452 Inv: I Application Date: 07/19/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW DUPLEX W/ATTACHED GARAGES - Contact: HERRELL CONSTRUCTION LLC
NATURAL GAS Address: 1620 E 2ND AVE
C - S - Z: DEER PARK, WA 99006
Setbacks: Front Left: Right: Rea.
0
Phone: (509) 986-6399
Group Name:
Site Information: Project Name
.:�LLascvsmsal.
Plat Key: Name: SHP-20-03 District: Nort
Parcel Number: 35121.0219 Block: Lot: 5
SiteAddress: 7332 E EUCLID AVE Owner: Name: GENSHORCK, DONNA PATRICE
Address: 1016 S HARMONY RD
Location:: CSV GREENACRES, WA 99016
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 12,623 Sq Ft Width: 72 Depth: 175 Right Of Way (ft): 20
Nbr of Bldgs: I Nbr of Dwellings: 2
Review Information:n:
Revi
Site
Plan Review
Sewer Review
Permits:
i
Operator: KC Printed By: K_C Print Date: 07/19/2005
Project Number: 05002451 Inv: I Application Date: 07/19/2005 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: HERRELL CONSTRUCTION CO Firm: HERRELL CONSTRUCTION CO L
Address: 1620 E 2ND ST Phone: (509) 986-6399
DEER PARK, WA 99006
Building Characteristics
Group: R-3 Type: VB
Total Area 2728
Building Height 20
Stories 1
Dwelling Units 2
Description
Gra
Type
CARPORT
U-1
VB
GARAGE
U-1
VB
RESIDENCE
R-3
VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
This Application:
Notes Sa Ft
Valuation
428
$6,420.00
998
$18,962.00
2,728
$203,727.04
Totals:
4,154 $229,109.04
Units
Unit Desc
1
SELECT
I
SELECT
1
SELECT
Contractor. HERRELL CONSTRUCTION CO
Address: 1620 E 2ND ST
DEER PARK, WA 99006
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Total Project:
Sa Ft
Valuation
428
$6,420.00
998
$18,962.00
2,728
$203,727.04
4,154 $229,109.04
Fee Amount
$1,721.75
$4.50
$688.70
Permit Total Fees: $2,414.95
Mechanical Permit
Firm: HERRELL CONSTRUCTION CO L
Phone: (509)986-6399
Units
Unit Desc
2
NUMBER OF
2
NUMBER OF
6
# OF UNITS
2
NUMBER OF
6
NUMBER OF
2
NUMBER OF
2
NUMBER OF
2
NUMBER OF
Permit Total Fees:
Operator: K_C Printed By: K_C Print Date:
Fee Amount
$20.00
$24.00
$6.00
$24.00
$60.00
$20.00
$20.00
$20.00
$194.00
07/19/2005
Project Number: 05002452 Inv: 1 Application Date: 07/19/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: HERRELL CONSTRUCTION CO
Address: 1620 E 2ND ST
DEER PARK, WA 99006
Item Descrintion
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Plumbing Permit
Firm: HERRELL CONSTRUCTION CO L
Phone: (509)986-6399
Units
Unit Desc
Fee Amount
4
NUMBEROF
$24.00
6
NUMBEROF
$36.00
2
NUMBEROF
$12.00
2
NUMBEROF
$12.00
2
NUMBEROF
$12.00
2
NUMBEROF
$12.00
2
NUMBEROF
$12.00
4
NUMBEROF
$24.00
Permit Total Fees: $144.00
Payment Summary:_
Permit Tvoe
Fee Amount
Invoice Amount
Amount Paid
Amount Owine
Building Permit
$2,414.95
$2,414.95
$0.00
$2,414.95
Mechanical Permit
$194.00
$194.00
$0.00
$194.00
Plumbing Permit
$144.00
$144.00
$0.00
$144.00
$2,752.95
$2,752.95
$0.00
$2,752.95
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: 07/19/2005
N00°01'44"E 329.33'
N00°01'44"E 329.27'
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LOT 1
HAS EXIST'G RESIDENCE
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This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of ter, steep pes or of er critical areas.
Signed:
Date:
ID REVISIONS
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DATE
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JOB NO.
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SHEET NO.
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