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2009, 06-17 Permit App 09001756 Cover for Deck
Project Number: 09001756 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: COVER FOR DECK Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 001880 Name: OWENS SUB Contact: Address: C - S - Z: Phone: Group Name: Project Name: Parcel Number: 45152.0304 Block: SiteAddress: 12802 E MISSION AVE Location:: CSV Zoning: R-3 SF Res District Water District: 011 MODERN Area: 10,255 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Lot: Date: 6/17/2009 Page 1 of 2 DAHL, L D 12802 E MISSION AVE SPOKANE, WA 99216-1053 (509) 924-2377 District: Nort Owner: Name: DAHL, L D Address: 12802 E MISSION AVE SPOKANE, WA 99216-1053 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Originally Released: Landuse/Zoning/HE Conditions Originally Released: Permits: Released By: 6/17/2009 By: tmelbourn Released By: 6/16/2009 By: cjjanssen Operator: JD Printed By: jmm Print Date: 6/17/2009 Project Number: 09001756 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Date: 6/17/2009 Page 2 of 2 Building Permit Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation COV DECK R-3 VB 216 $3,240.00 216 $3,240.00 Item Description RESIDENTIAL PERMIT FEE WSBCC SURCHARGE SF PLNS RVW < 7999 SQ FT Notes: Payment Summary: Permit Type Building Permit Totals: 216 $3,240.00 216 $3,240.00 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Permit Total Fees: gmanner Fee Amount Invoice Amount Amount Paid Amount Owing $140.65 $140.65 Fee Amount $97.25 $4.50 $38.90 $140.65 $38.90 $101.75 $140.65 $140.65 $38.90 $101.75 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: JD Printed By: jmm Print Date: 6/17/2009 cITr OF Spokane �Valleye Community Development Residential Construction Permit Application Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevallev.org PERMIT NUMBER: / 7 3 ( PERMIT FEE: New Construction Addition/Remodel Other: Accessory Bldg Deck SITE ADDRESS: �'L Gi E , i i� c> ✓1 ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Ai, k Building Owner: Name: • .ice � � Cli .n r- k t lc'� rl ! 1r Address: (� )-_� + City:.c o k i% ((, State: r Jr, , Zip: �d l,7 i/„ Phone: r. © 'y `i„ Z 4 Fax: Contact Person Name: -z ck L j VN y Phone: j L Describe the scope of work in deta}l: � Contractor: Name: J a_ k ill s , vl Address: 1 0 £ ., rvi i' City: 5? k C 1 Zip, `t j ,, Phone: �. g : Contract6r Lic No: Exp Da City Business Lic. No: Cost o�i fProje,ct: f'676` 6S 4(r 12 t'� k. c. ` c] kr) Proposed Use: p S� ;,, CA. t **************The followinc MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. FTG: 2"u FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: ' . IMPERVIOUS SURFACE AREA: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DEC OV. PATIO 5Q. FTG: 2J 30% SLOPES ON RTY: # OF BEDROOMS: CONSTRUCTION TYPE: HEA SOURCE: EWER R SEPTIC? 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. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. SIGNATURE: Method of Payment: jUll Cash Bankcard #: Authorized Signature: REVISED 2/15/07 ❑ Check DATE: .4,/ ❑ Mastercard ❑ VISA Expires: VIN#: /‘7-c-)? RECEIVED BY CITY OF SPOKANE VALLEY JUN 1 6 2009 PERMIT ENTER BY: RECEIVED BY ITY OF SPOKANE VALLEY JE!4 s 2009 PER I CENILH �- 7-c+ 'PLANNING DEPT. APPROVED DATE: / / 1 --75 - %v80;2._ / IY?,�s�n 5;ok ll�� RECEIVED BY CITY OF SPOKANE VALLEY JUN 2009 PEP CEN-itK BY: F- 7-C4- t- L - fa$C3� L �,,5,eti 4164 7+ Ate- egrci- oi 30 c v h 5 f\A <3a.e-k v PLANNING DEPT. APPROVED' BYctIA..1,S,.c . b DATE• l-C if 105 fi