2011, 11-04 Permit App 11003507 DeckProject Number: 11003507 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiectlnformation:
Permit Use: CONSTRUCT NEW 40 SF DECK
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name• Range
Date: 11/4/2011 Page 1 of 2
Contact: CARROLL, ROBERT
Address: 9304 N SIMPSON RD
C - S - Z: NEWMAN LAKE, WA 99025
Phone: (509) 226-3860
Group Name:
Project Name:
District: East
Parcel Number: 45144.0106 Block:
SiteAddress: 15312 E BROADWAY AVE
Location:: CSV
Zoning: MF-1 MF MDR District
Water District: 010 VERA
Area: 11,943 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: CARROLL, ROBERT
Address: 9304 N SIMPSON RD
NEWMAN LAKE, WA 99025
Hold: it
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released: 11/4/2011 By: tmelbourn
Landuse/Zoning/HE Conditions
Permits:
Released By:
Originally Released: 11/3/2011 By: mharnois
Operator: MBB Printed By: JD Print Date: 11/4/2011
Project Number: 11003507 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 11/4/2011 Page 2 of 2
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes So Ft Valuation So Ft Valuation
DECK OPEN R-3 VB 40 $600.00 40 $600.00
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLANS REVIEW
WSBCC SURCHARGE
Notes:
Totals: 40 $600.00 40 $600.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount
$69.25
$17.31
$4.50
$91.06
NW corner of Progress and Sprague (parent Parcel No. 45144.2145) IS NOT ALLOWED ANY
individual freestanding or monument signs for Tract A-E of BSP-03-04. See project No. 05-001343 for
multi -business complex sign. (4-26-05) KK
Progress Elementary parcels 45144.0317 and 45144.1031 have restrictive environmental covenant
placed upon them. See building address file for copy of Environmental Covenant.
Permit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
S91.06 $91.06
$91.06 $91.06
$17.31 $73.75
$17.31 $73.75
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: MBB
Printed By: JD
Print Date: 11/4/2011
Spokane
�Valleym
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
I7erm itcenter@sooka neva llev.orq
(Staff Use Only)
PERMIT NUMBER: // 3s 0 7
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION 0 ADDITION/REMODEL d ACCESSORY BUILDING
OTHER
0 DECK
SITE ADDRESS: i `3 , . (�� <,‘, 6.4 voa.N.f k4
ASSESSORS PARCEL NO.: -fir L � Q L LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: ?\nWr?...T71-- E . C_a t-Nr ek
ADDRESS: rj 4 0 ' :'CO CLa,4 \x)(7,,..•:il
CITY: u 0 ;T, `. a„ a `,� 1�`°, c. STATE: ' ZIP:
PHONE:
sock - 2 2:(: , 3%(o0
CONTACT NAME: 1Z rlh e,VT
PHONE: S CA . `l 2. Q.o,' �y ��,e.-J
Fax: Sac?-
GCttl'`{
CELL: SOai T .' C( 3 J4
FAX: CELL: VO +— i,•� r.
CONTRACTOR NAME: 14a
MAILING ADDRESS:
CITY:
STATE: ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
tV .A, -
Dimensions:
NN!, k _
No. of Stories:
NI,_, ,
Total Habitable
Space:
Main Floor SQ FT:
i�t.41, .
Upper Floor SQ FT:
,---, }Nt.
Unfinished Basement SQ
FT: N, A
Finished Basement SQ
FT: 444. .
Garage SQ FT:
\i i.
7 Deck/Covered Patio SQ Dtt..
Ti `,:,.•"..) 5. y1,‘“,. tmi. r
Impervious Surface
Area:
30% Slopes on
Property: t�i ..2�' .
No. of Bedrooms: ',.,, •-;,
Construction Type:
Heat Source: a_, !;.,,
Sewer or Septic: 4,-!,',
TOTAL COST OF PROJECT: $ a:1 T,
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The City of
Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
Signature ` ,,
Date: 11-
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc
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CITY OF SPOKANE VALLEY
NOV 0 3 2011
VEHMIT CEN I to 1
BY: f 1i_C j