2005, 05-11 Permit App 05001512 Pole BldgProject Number: 05001512 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 30 X 30 POLE BUILDING
Setbacks: Front 158 Left: 50 Right: 8 Rear: 15
Site Information:
Plat Key: 001834 Name: OPPORTUNITY TR # 01-354
Date: 05/11/2005 Page 1 of 2
Contact: MAX METAL BUILDINGS
Address: 128 E PRINCETON AVE
C - S - Z: SPOKANE, WA 99207
Phone: (509) 218-2801
Group Name:
Project Name:
District: Nort
Parcel Number: 45174.0302 Block:
SiteAddress: 10606 E BROADWAY AVE
Location:: CSV
Zoning: UR-3.5
Water District:
Urban Residential 3.5
Area: ',966.00 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: ALBERTSON, FRED
Address: 10606 E BROADWAY AVE
SPOKANE VALLEY, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Review
Released By:
Plan Review
Permits:
Operator: K_C Printed By: K_C Print Date: 05/11/2005
Project Number: 05001512 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 05/11/2005 Page 2 of 2
Contractor: MAX METAL BUILDINGS Finn: MAX METAL BUILDINGS
Address: 8123 N GENERAL LEE WAY Phone: (509) 218-2801
SPOKANE, WA 99208
Building Characteristics
Group: U-I Type: VB
Total Area 900
Building Height 18
Stories 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 900 $17,100.00 900 $17,100.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Totals: 900 $17,100.00 900 $17,100.00
Units Unit Desc
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount Invoice Amount
$297.75
$297.75
Fee Amount
$293.25
$4.50
Amount Paid
$0.00
$297.75
Amount Owing
$297.75
$297.75 $297.75
$0.00 $297.75
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: 05/11/2005
S�kiuie
.0"Ulley
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:
/06 '(,P 3rcrtecilcoyy (cplc
Assessor's Tax Parcel Number(s): Lf S / 7'!, a 3 0 2--
5 elt-vt c�
Legal Description:
PERMIT DESCRIPTION: ` o
Building Permit ❑ Change in Use ❑
❑ Relocation
❑ Tenant Improvement ❑
F
oits°
afety
Manufactured Home
❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: 471- -
Phone: 22-6 - 0367 Fax:
Address: / D 6 0(p F 53rew n
1c (%ck.\(r w 4 �i2�.Q
Cit� State Zip Code
❑ Contractor: A4.K I0 6-41.1 FId4
Phone: 2/A -200 / Fax:
Address: (216 6` 7r�i vt -7/-p,v
d«K1/47- to 0.- yv7
City State Zip Code
❑
Applicant: (n)04.c
Phone: 2(� - zS5 i) Fax:
Address: 7 if
c k Vakl Gr r4 Ff 2-0 A
City' State Zip Code
4 Gh test - (AJr t I<
Phone: Fax:
Address:
L-r4--
State Zip Code
WA State Contractor License #: 92°C S Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
l�
DIMENSIONS:
3v x3�,c 13
# OF STORIES:
/
MAIN FLOOR TO SQ. FTG:
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. F�
GARAGE SQ. FTG: z
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: /
CONSTRUCTION TYPE,;
J 1 t.
HEAT SOURCE:
/*r r
# OF BEDROOMS:
TOTAL HABITABLE SPACE: 7
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
/l, , 006
30% SLOPES ON PROPERTY:
/
SEWER OR ON -SITE SEPTIC
SYSTEM? ivy..
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year Pit Set:
RELOCATION
J
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler:
Tent:
Valuation:
# of Heads: Fire Alarm: Paint Booth:
Fireworks Display: Blasting: Date/Time:
Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
Zip
City State
Inspector: Phone: Fax:
Address:
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ 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 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:
4lh4m
Yet-- d.?b7
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3o
30
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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 own property
lines/dimensions, curb lines, structur s easements
have been identified. dice a ands,
bodies of wafer st s 0 or ical areas.
Signed'
Date'
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