2004, 07-07 Permit App BLD-04-07025 DeckSiokane
.,,..Watley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
RESIDENTIAL ADDITION/REMODEL
4523 S FARR RD
SPOKANE VALLEY WA 99206
REPLACING EXISTING DECK
SIMMONS, DAVID & TERESA
BETTER BUILT DECKS
13203E 11TH AVE
SPOKANE, WA 99216-0664
BETTER BUILT DECKS
13203E 11 TH AVE
SPOKANE WA 99216-0664
Lot: Blk:
Application #: BLD-04-07025
Applied: 07/07/2004
Issued:
Expires: 01/03/2005
Parcel No: 44052.0205
Phone: (509) 892-7671
Phone:
Lic No:
(509) 892-7671
BETTEBD972DS
Zoning:
General Information:
VALUATION
REROOF
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
3375
N
N/A
EXISTING
30
N/A
u-1
5-n
2
yes
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
24.31
97.25
4.50
126.06
0.00
126.06
VY-
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials / Date
Building iC��
Planing
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THIS IS NOT A RECEIPT
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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: /-f� Fr46cw a /4(_.e
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: ,/pep/6e l ir.GK
t- Building Permit n Use in Change
n Relocation g Grading❑n Manufactured Home
n Tenant Improvement El Fire Safety n Other
OWNER/APPLICANT INFORMATION
❑ Owner: Doge S 'irk-)r JS
El Applicant:
Phone: Fax: Phone: Fax:
Address: 4ca3 ( t ,914 - ezt Address:
City State Zip Code City State Zip Code
❑ Contractor: Z -le,- /lc,,° if f c c ks ❑ Architect:
Phone: Sca 7c 7/ Fax: Sii-t-tie Phone: Fax:
Address: p a E // t Address:
City State Zip Code City
State Zip Code
WA State Contractor License #: ee.-HeEDT7a 7)) Contact: YY-i 9-1z/ D,g-/e;
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
I, ale)
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/Cs .;.: O FTG
ic/
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
ESQ
HEAT Ss URCE:
# OF BEDROOMS:
TOTAL HABITABLE. SPACE:
IMPERVIOUS SURFACE AREA:
COST OF P�OJECT:
' 7.26
30% 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: # 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:
Address:
Inspector:
Address:
Fax:
City
Phone:
State
Zip
Fax:
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
nspector(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 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 Signature
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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