2005, 10-13 Permit App 05003793 Pole BldgPro i ect Number: 05003793 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 30 X 74 DETACHED POLE BUILDING
Setbacks: Front 60 Left: 5 Right: 151 Rear: 186
Site Information:
Plat Key: 001835 Name. OPPORTUNITY TR # 01-354
Date: 10/13/2005 Page 1 of 2
Contact: SPOKANE STRUCTURES
Address: 510 N MCLLAN ST
C - S - Z: SPOKANE, WA 99206
Phone: (509) 927-0655
Group Name:
Project Name:
District:
Parcel Number: 45163.0156 Block:
Lot:
SiteAddress: 10724 E BROADWAY AVE Owner: Name: LACROIX, PAT
Address: 10724 E BROADWAY AVE
SPOKANE VALLEY, WA 99206
Location:: CSV
Zoning: UR-3.5
Water District:
Urban Residential 3.5
Area: .00 Acres
Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Hold: ❑
Depth: 0 Right Of Way (ft): 40
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 10/13/2005 By: CJJANSSE
Released By:
N/A -ENGINEERED DRAWINGS
Originally Released: 10/13/2005 By: CJJANSSE
Sewer Review
Permits:
Released By:
Originally Released: 10/13/2005 By: CJJANSSE
Operator: CJJ Printed By: CJJ Print Date: 10/13/2005
Project Number: 05003793 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 10/13/2005 Page 2 of 2
Contractor: SPOKANE STRUCTURES Firm: SPOKANE STRUCTURES
Address: 502 N MULLAN RD Phone: (509) 927-0655
SPOKANE, WA 99206
Description
GARAGE
Grp Type Notes
U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
Notes:
This Application: Total Project:
Su Ft Valuation Sq Ft Valuation
2,220 $42,180.00 2,220 $42,180.00
Totals: 2,220 $42,180.00 2,220 $42,180.00
Units Unit Desc
1 SELECT
1 SELECT
Permit Total Fees:
Payment Summary:
Permit Type Fee Amount Invoice Amount
Building Permit $577.55 $577.55
$577.55 $577.55
Disclaimer:
Fee Amount
$573.05
$4.50
Amount Paid
$0.00
$577.55
Amount Owing
$577.55
$0.00 $577.55
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: 10/13/2005
Spokane
jUalley
5+93 BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
one: (509) 688-0036; Fax: (509) 688-0037
Street Address:
UIRp T"
.2(71 t410-0 /1-9 10A- //
Assessor's Tax Parcel Number(s): LS !6., 3, 6( 54,
Legal Description:
PERMIT DESCRIPTION: Lp EL:" 130 t Lpr/1/ �`-
Building Permit
Relocation
MATION
❑ Change in Use ❑ Grading
❑ Tenant Improvement ❑ Fire Safety
❑ Manufactured Home
❑ Other
OWNER/APPLICANT INFORMATION
❑ Own e rk e 7F L4 C-21 r 55,E-v; LIED
Phone: Fax:
Address: le.17 EI-M- 7 Alt
II
Ci State Zip Code
❑ Contractor: 5e Li— L S�,�,
Phone: <2,- S' Fax: 9-a-7-- j. Z-.
Address: Siv 'r M ui
City State Zip Code
Applicant: Cad -ice T
Phone:Fax:.17-.t,
/ ddress: 5/7) ov kv, c.L..it-x/
City State Zip Code
❑ Architect:
Phone: Fax:
Address:
City
State Zip Code
WA State Contractor License #:910 r i _11 Contact: /gyp b ZEZat .S
Spokane Valley Bus. Liscense /2-Lo6 Contact X-0 red L l01S—
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: f
(1
DIMENSIONS:
10`140fx47- Y
# OF STORIES:
MAIN FLOOR TO SQ FTG:
2N° FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMEN SQ. FTG:
GARAGE SQ. FTG:
DECWCOV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON -SIT PetC
SYSTEM?
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler:
Tent:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
city
State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING D 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:
Owner's name * itEt ff S A- J ; E
Job address /0 -7,2 c1 6 - 6 to ,a'-? c,� 4-
Mailing Address 'li p2 E.• Ban et(
LEGAL DESCRIPTION
r>c.-n£i' `ro OAl( 1or'.4r
rOo p
Parcel No. '4 5 lie % • u 5 &
This Contract subject to obtaining permit.
di
*Permits will be handled in 0 t op SQkk nt Valley County BY
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CAUTION: Concrete floors may crack in the Pacific Northwest for
any number of reasons. Therefore, we will not be responsible for
cracks in concrete floors. However, we do take every precaution to
prevent this from happening and we use material from reputable
companies. Also, imperfection in surface level is unavoidable and
therefore not guaranteed.
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Home Phone Work Phone r7 3ce, (P
Ciry5 cvAn.c t,/A tic i State _ �ZiP go2O(.
City floj{q,i .I/kirk GI State & L Zip 91.020 lr
DIRECTIONS TO JOB
a- U/I "fr. r.Ty So Fk A
Sepia—Da,
SSE
SIDE WALL
GABLE
NOTE: Some things are unforeseeable in any building project. All contract figures are based upon the building site being accessible throughout the entire
project and normal digging being possible. Any expenses incurred to overcome problems, whether underground or weather -caused, are the sole respon-
sibility of the homeowner unless otherwise stated on this contract.
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