2002, 09-23 Permit App 02008275 Pole BldgSite Information:
.............................................................................
Project Number: 02008275 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/23/2002 Page 1 of 2
Project Information:
.................................................................................
Permit Use: 16 X 40 POLE BUILDING Contact: STEEL STRUCTURES OF AMERICA
Address: PO BOX 895
C - S - Z: POST FALLS, ID 83854
Setbacks: Front 55 Left: 6 Right: 20+ Rear: 10 Phone: (208) 777-7290
Group Name:
Project Name:
....................................................................................................................................
Plat Key: 001835 Name: OPP.TR. 1-354 District: F
Parcel Number: 45174.0908 Block:
SiteAddress: 10609 E VALLEYWAY AVE
SPOKANE, WA 99206
Location:: SPO
Zoning: UR 3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: DAVIS, PAUL & CAROLYN
Address: 10609 E VALLEYWAY AVE
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Operator: RMB Printed By: RMB
Print Date: 9/23/2002
Project Number: 02008275 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 9/23/2002 Page 2 of 2
Contractor: STEEL STRUCTURES AMERICA Firm: STEEL STRUCTURES AMERICA 1
Address: PO BOX 895 Phone: (800) 833-9997
POST FALLS, ID 83854
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: El
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation So Ft Valuation
GARAGE U-1 VN 640 $7,680.00 640 $7,680.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Permit Type
Building Permit
Totals: 640 $7,680.00 640 $7,680.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Fee Amount
$138.00
$4.50
$30.36
Permit Total Fees: $172.86
Fee Amount Invoice Amount Amount Paid Amount Owing
$172.86 $172.86
$0.00 $172.86
$172.86 $172.86 $0.00 $172.86
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: RMB Printed By: RMB
Print Date: 9/23/2002
A
SPOT COUNT"
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: /0‘0 VaR')Viet
Assessor's Tax Parcel Number(s): tic j '7 (,'I O W o (/
Legal Description:
Project Description: I6 tiO £ �;v‘
7 Building Permit
El Relocation
• Change in Use
O Sign
O Grading
CI Tenant (New/Change)
O Manufactured I -Lome Permit
O Other
Department Use Only
Water District/Purveyor
Sewer District/Pun eyor
Road smdth
Setbacks
Front Rear
left Right
School D,stnat
Fire Distract
Zoning
OWNER/APPLICANT INFORMATION
ale wGo shoald be sonladed rvsmdinr ibis proe!
❑ ?Tr: Phone:
0Ce.1/,3 pas-
❑ Applicant:
Phone:Cu
�..
Mailing Address
f06oR J: vcr V•4#
Mailing Address
Coy, Stat///e,��, zip
S I T \ / avgL VV o,
eit,, Starr, z,p
❑ Conn ctor 'hone
5 \ 5�-v��,«5 ,
❑ Architect/Iingfncc r
Phone
Fax
Mailing address
Po 4)Q t 9 5
Mailing address
Ciro, State tap r
ASt1—r—Co,ce5 Tn_ `6-3$.s
City, Sate Zip
WA Stmc Contractor license m
Contact name
PROJECT INFORMATION
Building Information
Building height to peak
`l 1-1--
# of stories
Main floor sq. ft
Unfinished basement sq. ft.
Dimensions
9C clYGIU
Total habitable space
2'a1 floor sq. ft.
Finished basomcnc sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. id.
Cost ofprnlect
1lent source (electric, gas, cte.)
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Relocation
Fire Safety
Pre,: xis address
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Finn Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
O Concrete
O Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Ft Yes 0 No
If yen, identify on site p/an
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
Ifyes, identify on site plan O Yes CT No
What is the current use of this property?
Is your property in a designated wildlife habitat area? ,.y
❑ Don't know 0 Yes t� No
Will the site be served by a septic system? 0 Yes r No
Is any part of the property within a 100 yr flood plain?
Ifj'es, ideut/' on site plan
0 Maybe O Don't know 0 Yes ENo
Are or will there be wells located on the property?
flies, identij. on the site plan O Yes CrNo
Are there any wetlands, streams or ponds within 200y�- feet of the property?
If yes, idettify on site plan O Yes er No
Is there evidence of Ell or excavation on the property?
O Yes (eli-No
Are there slopes greater than 30% on the property? (30 fr rise in 100 ft)
( /%) 0 Yes ,.1' No
Are critical or hazardous materials used or stored on site?
0 Yes AT No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
O Yes O No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
OYes ONo
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA? 0 Yes 0 No
Is the property located within 1000 feet of a Natural Resource Area?
O Yes ONo
Date Received:
Staff Represen radon
METHOD OF PAYMENT
VISA
❑ CASI I ❑ Cl111CK
FAXED PERMITS WILL ONLY RE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D:VII
I?XIIIIRIIS:
RANKCARD NUMBER:
AC1'110121/.IfD SIGN :TPUI2F:
SURTOTAI,
TOTAL FEE
MINIMUM PERMIT FEE IS 535,0PIJi.:\sE
➢ AKE CHECKS PAYAIBLE TO SPOKANE
COUNTY PERMIT CENITJt
STEEL STRUCTURES AMERICA, INC.
1-800-833-9997
74,1
Name
Mailing Address
City
Job Address
City
County
Telephone Home Work
State Zip
I0605 1/446./ y
5?2t-Ptc-
State
Zip
0 10' 20' 30' 40'
10'
20'
30'
40'
50'
60'
70'
This site plan "' = for the purpose of
80' obtaining . : in9permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines. structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep sl ��r critical areas.
90' Signed ��Cec-►P
Date: e7 -
Appt. Time
Date
Sidewall Gable
Building Size x
x
50' 60' 70' 80' 90'
4-
$
ADDRESS lOfo
ZONE — S
ROAD WiDT S�
FRONT +�
COMt _i•!TS
REV'EVdEU fir_
Customer Signature
Sales Signature
Scale: 3/4 = 10'