2005, 03-29 Permit App 05001010 2-Story DeckProject Number: 05001010 Inv: 1
•
Application
Date: 03/29/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 2-STORY DECK
Setbacks: Front N/A Left: EX Right: EX Rear: EX
Site Information:
Plat Key: 001743 Name: MYRON 08TH (FEES) District: Sout
Contact: GLOMSKI, JOHN & SANDY
Address: 11004 E FERRET DR
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 927-3244
Group Name:
Project Name:
Parcel Number: 44042.2014 Block:
SiteAddress: 11004 E FERRET DR
Location:: CSV
Zoning: UR-3.5 Urban Residential 3.5
Water District:
Lot:
Owner: Name: GLOMSKI, JOHN & SANDY
Address: 11004 E FERRET DR
SPOKANE VALLEY, WA 99206
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Permits:
Released By: `•,
Released By:
NIMINUMIERM
J
Operator: K_C Printed By: K_C Print Date: 03/29/2005
Project Number: 05001010 Inv: 1
Application
Date: 03/29/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Group: R-3 Type: VB
Total Area 384
Building Height 0
Stories 2
Description
DECK
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Grp Type Notes
R-3 VB
This Application: Total Project:
Su Ft Valuation Su Ft Valuation
384 $5,760.00 384 $5,760.00
Totals: 384 $5,760.00 384 $5,760.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $125.25
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $50.10
Notes:
Permit Total Fees: $179.85
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$179.85 $179.85
$0.00 $179.85
$179.85 $179.85 $0.00 $179.85
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: 03/29/2005
Sfiokan
4,00Valle
ECEoVr Thj
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
MA 2 2 20G Spokane Valley, WA 99206
t
E(URE� SITE INFORMATION
Phone: (509) 688-0036; Fax: (509) 688-0037
Street Address: // OO' & 7rx-&7Ir-
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
U Building Permit
[] Relocation
❑ Change in Use ❑ Grading [1 Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNERIAPPLICANT INFORMATION
❑ Owner: uii1n £ft3M?sA
Phone: p' T 3 z.d' Fax: ,S
Address:
Ci
❑ Contractor:
Phone:
t;t)4 99-04
State Zip Code
l`j Fnrp f 7 S'F� ❑ Architect:
Phone:
Address:
Applicant: Cort71- c_71 r
Phone: •
Address:
Fax:
Fax:
Address: q / F fq,�
p6=nE
Ci Sta e
gq�o3
Zip Code
City
State Zip Code
Fax:
City
WA State Contractor License #: QR(Fts /c1LL Contact:
PERMIT/BUILDING INFORMATION
State Zip Code
HEIGHT TO PEAK:
DIMENSIONS/4 /K %4
# OF STORIES: A-
MAIN FLOOR.TO SQ. FTG:
•2""FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. TG:
GARAGE SO. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
PO St-7e-Aa•Vrt
HEAT SOURCE:�Y
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
32-0 O
30% SLOPES ON PROPERTY:
SEWER OR ON -SITE SEPTIC
SYSTEM? SE[JEk
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent:
Fireworks Display: Blasting:
Valuation: Above/Underground Storage Tank Size:
Paint Booth:
Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING
Firm Name:
(l CONCRETE ❑ REINFORCEMENT
Phone:
Inspector(s):
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 o . a'nces.
Ownership of resulting development rights granted by any issued permi
Print Name
Signatur
the pr_. = :r •o er.
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash
Bankcard #:
❑ Check
❑ Mastercard
Expires:
❑ VISA
VIN#:
❑ Other
Authorized Signature:
1
•
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. strictures and easements
have been identified_ Also �hj r ed are wetlands.
bodies of water steep other critical areas.
Signed:
Date:
51 `FE PLA N
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ROAD WIDTH
FRONT _ ` FLANKING _NV(
COMMENTS
REVIEWED BY
2.0'
PRopese,
DEC K
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