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2005, 02-18 Permit App 05000515 GradingProject Number: 05000515 Inv: 1 Application Date: 02/18/2005 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: GRADING FOR FLORA SPRINGS SUBDIVISION - 9,000 CU YDS Setbacks: Front Site Information: Contact: MOUNTAIN CREST ENTERPRISES Address: PO BOX 1800 C - S - Z: MEAD, WA 99021 Left: Right: Rear: Phone: (509) 466-5794 Group Name: Project Name: Plat Key: 000000 Name: unknown District: East Parcel Number: 55073.1548 Block: SiteAddress: 17503 E MISSION AVE Location:: GRE Lot: Owner: Name: ROOKS. ROBERT Address: 7141 N AUDUBON DR SPOKANE, WA 99208-4516 Zoning: UNKN Unknown Water District: Hold: ❑ Area: 9.56 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Review Coordinator Released By: Plan Review Permits: Released By: Operator: K_C Printed By: K C Print Date: 02/18/2005 Project Number: 05000515 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Grading Permit Date: 02/18/2005 Page 2 of 2 Contractor: MOUNTAIN CREST Firm: MOUNTAIN CREST ENTERPRISE Address: P.O. BOX 1800 Phone: (509) 466-5794 MEAD, WA 99021 This Application: Total Project: Description Grp Type Notes Sp Ft Valuation Sp Ft Valuation GRADING NONE NONE 9000 CU 0 $9,000.00 0 $9,000.00 YDS Item Description PERMIT FEE - RESIDENTIAL REVIEW FEE - RESIDENTIAL ENGINEERS SITE PLAN REVIE Totals: 0 $9,000.00 0 $9,000.00 Units Unit Desc 1 SELECT 1 SELECT 3 # OF HOURS Permit Total Fees: Notes: DETAILS FOR FINAL GRADE TO BE A DEFERRED SUBMITTAL. Payment Summary: ;, Permit Type Grading Permit Fee Amount $131.00 $25.00 $150.00 $306.00 Fee Amount Invoice Amount Amount Paid Amount Owing $306.00 $306.00 $0.00 $306.00 $306.00 $306.00 $0.00 $306.00 .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: 02/18/2005 Sp"o"kar►e jUalley 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: 7-Fibrck. Assessor's Tax Parcel Number(s): Legal Description: PERMIT DESCRIPTION:Crai, ` --r)-6(S a11S?*U4 XN ❑_ Building Permit Relocation ❑ Change in Use [1 Grading (l Tenant improvement ❑ Fire Safety ❑ Other • Manufactured Ho e OWNER/APPLICANT INFORMATION ❑ Owner: ` I Phone: Address: Applicant. ct,s�"Yr/re-dor Phone: Fax: AddressW% --. • City State Zip Code City State Zip Code 'i- ` - i .i iit.ct: ( t 1111CA,IVI (,U ❑ Contractor:/`IraAn�G►hC..iV�c �� S n � Phone: 46-S" 4 Fax: 46Lp-- L514 Phone: Address: �� �. �� Address: Cy WA State Contractor License #: Zip Code PERMIT/BUILDING INFORMATION` - HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: . DECK/COV. 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 -SITE SEPTIC SYSTEM? MANUFACTURED HOME Width: Manufacturer: Length: Year: Pit Set: RELOCATION 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: r WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Address: Phone: Fax: City. Inspector: Phone: Address: State Zip ,Fax: City State Zip SPECIAL INSPECTIONS BOLTING Firm Name: Inspector(s): CONCRETE REINFORCEMENT Phone: 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) P1 Cash fl Check Bankcard #: Authorized Signature: ❑ Mastercard ❑ VISA ❑ Other Expires: VIN#: Rle Edit View Insert Records Tools ndow Help LI DlgSitelnfo SQ© Siieinfo: Assessor Information Status Active Parcel Number Site Address City 'GREENACRES Size 9.56 Acre(s) ... _...... ROBERT ... .................. Name ROOKS. OBE Address 7141 N AUDUBON DR City -State -Zip SPOKANE Country USA WA ;99208-4516 Legal Description GRNACRS IRR DIST A E7/2 DF R35 h Wll2 OF 636 • ;0300e059 AMPItl. MARGARE Use ':PE-1921-03JPUDE-5-035 la OT PRELIM PLAT 02007019 IARPIN, MARGARET USD PRE -CONFERENCE LONG PLAT 30 LOTS Record: _I aI11 poi ctoetedi Form View,.... 'ELTR Indiana 1` Friday, Feb 18, 2005 09:02 AM