2002, 08-13 Permit App 02006925 Pole BarnProject Number: 02006925 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
...................
Permit Use: 30 X 24 POLE BARN
Setbacks: Front 74 Left: 25 Right: EX Rear: 28
Site Information:
..................
......................
Date: 8/13/2002 Page 1 of 2
Contact: STEEL STRUCTURES OF AMERICA
Address: PO BOX 895
C - S - Z: POST FALLS, ID 83854
Phone: (208) 777-7290
Group Name:
Project Name:
Plat Key: 001835 Name: OPP.TR. 1-354 District: E
Parcel Number: 45174.1315 Block: Lot:
SiteAddress: 10616 E VALLEYWAY AVE Owner: Name: MURILLO, JERRY
SPOKANE, WA 99206 Address: 10616 E VALLEYWAY AVE
Location:: SPO SPOKANE, WA 99206
Zoning: UR-22 Urban Residential-22
Water District: Hold: ❑
Area: 24,000 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review
Site Plan Review
Released By: .
Tt4,1\`;;:z1;;..
Plan Rexi4y
kssecL
Septic System Review
Permits:
Released By:
epc
Operator: RMB Printed By: RMB
Print Date: 8/13/2002
Project Number: 02006925
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Contractor: STEEL STRUCTURES AMERICA
Address:
PO BOX 895
POST FALLS, ID 83854
Building Characteristics
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Description
GARAGE
Grt)
U-1
Building Permit
Firm: STEEL STRUCTURES AMERICA I
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking:
Tvpe Notes
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Permit Type
Building Permit
Date: 8/13/2002 Page 2 of 2
Phone: (800) 833-9997
Type:
Building Height: Stories:
Sprinklers: ❑
Critical Materials: O
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
720 $8,640.00 720 $8,640.00
Totals: 720 $8,640.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
720 $8,640.00
Fee Amount
$150.50
$4.50
$33.11
$188.11
Fee Amount Invoice Amount Amount Paid Amount Owing
$188.11 $188.11 $0.00 $188.11
$188.11 $188.11
$0.00 $188.11
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: 8/13/2002
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OE BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s): i /7 `/ 1j / �/ / C,
Legal Description: '
Project Description: / e. G� 3'o > C2> / X
7 Building Permit
❑ Relocation
❑ Change in Use
❑ Sign
❑ Grading
❑ Tenant (New/Change)
❑ Manufactured home Permit
❑ Other
Department Use Only
Water Distner/Purveyor
Seaver Dist rict/Purveyor
Road width
Setbacks
Front Rear
Left: Right
School District
Piro District
Zoning
OWNER/APPLICANT INFORMATION
bedittvh sfio rGo /d be mNaded rernrdi,e thar ero/ed
El
A ,L PI rued:' J137/ # 75 aJy,
j /
e CJ0 ,L(/ / a._
0 TPI I tnc
Phone
Fat
nmd� t t Idns.-
l° cal 4) 6). t! //err/
-�
u-aa-c/ ,
nlaai t) I Ires,c.
:iR /ip
ct
/11�'a
❑rv. St t Zip
Ihot
❑ rl �rpt! /'
t 4 co j ( G1 77-7a�N�j
Tc f to u� har�� r , 7 77 - `31>77
❑ rVr h i i'IfnpnccT
Phone
Fax
.-
Vtai t 1 Lcs
6 C2' $Cr 5
NIs dd _.
Gn; �nur %
rta i1s,.. -) 13sis �/
C n, State Zap
VA)\ State G�ininoorl c di
Contact name
PROTECT INFORMATION
Building Information
Building height to punk /
t# of stories
Amin flour so _ It.
Lt n Finished basement sy. ft.
pension?
Total habitable cpacc
2'1 floor sy. ft.
I Snishcd bascrnunt sy. ft.
0ccupuncr g>nmp
Constru coon rvpv
Garage sx 6-
Dcck so - It
( cast of proicct
I Icat >-uura is ethic, gas, etc)
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
I Iow high is the sign?
Year
Make:
# of signs
I\rea of existing signs
Relocation
Fire Safety
Previous address
Paint booth
Fire Sprinkler
Tent
tare Alarm
Fireworks display
Proposed use
Value
Special Inspections
Required?
Non -Residential Energy Code Compliance?
Finn Name
Phone
Pleas Hsatomer
Phone
Inspectors:
Address
nsp(aor
Phone
O Concrete
O Welding
O Bolting
0 Reinforcement
nddre«
ADDITIONAL SITE INFORMATI
Are there structures on the property? 0 Yes O No
If yes, edentif on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
1fjer, irlentifr on site plan 0 Yes 0 No
VA -hat is the current use of this property?
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes O No
Will the site be sea ed by a septic sec stem? 0 Yes 0 No
Is any part of the property ssddlin a 100 yr flood plain?
Ifyes glegiaj, on .step/an
0 Maybe 0 Don't know 0 Yes 0 No
Are or will there be wells located on the property-?
If yes, ident_t' on the sae Nan 0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, identi fj' on sae Nan 0 Yes 0 No
Is there evidence of fill or excavation on the propern2
O Yes 0 No
Are there slopes greater than 30° o on the property? (30 ft rise in 100 ft)
( _— %) ❑ Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
DEPARTMEN
Is the property in a designated Stormwater Control Area?
O Yes O No
Is public sewer available to the site? 0 Yes O No
Is the property inside the ASA? O Yes 0 No
❑ Yes O No
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA? O Yes O No
Is the property located within 1000 feet of a Natural Resource Area?
0 Yes 0 No
Dote Received:
Staff Repre, entato
METHOD OF PAYMENT
J•
VISA
❑ CASH El CI HICK ❑ -- ❑
DI/CYVER'
FAXED PERMITS WILL ONLY RE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
R_ANKC:ARD NUMIRIfR
ANTI I URI/JUi) SIGN:CHIRP:
SURTOI_V.
TOTAL FEE
MINIMUM PERtr/TFEE IS$35LXP1LliF_
91. KIZ (:111 CI:S P Al 1131 r 505 ol'OF 9,AG
COG\ ]S PI Jt\Irl (I \ ITIR
10'
STEEL STRUCTURES AMERICA, INC.
1-800-833-9997
7z, s 5,)b y YlrivZ((
Mailing Address (6 'ICI U,4[(tY (4)4.`1
City Spv State 1,.2t Zip °Zoe
Job Address
City State
County Zip
Telephone Home 7S 3C Work
Name
0 10'
uSr-72-l. 1315-
20' 1�
W4,
30'
40'
50'
60'
70'
80'
90'
DNINNY1
09
33'
20' 30' 40' 50'
1)14 w,aci
Igo
i1
a a=M31A38
QS N101M CVO
3NOZ
0 3sssaaad
z
Steel Structures America, Inc.
P.O. Box 895
Post Falls, ID 83877-0895
Appt. Time
Date
SidewalI Gable
Building Size
60' 70'
80' 90'
'Seale 'seal :13 JBllo 1 Ct u als '!`filer a salpoq
'spueIlaM ate paleoipu! osty 'pe quapi uaaq anal
sluawasea pue seen 3n.as 'saw; q:no 'suolsuawiprsawl
i(;Jadoid uMOU I Hy •lesodwd all i.o uatleluasaidai
jloauoo pue an.l e si pue ;!u.i:ad fiu!cno ;, a 5uiuielgo
}c esuui,d �y4.,c1 r.•::,..: 4r.c ..... -: ueid ells ski_
71(
a4s
Y
ki
25CcrAP. oei
r
i`iN�
Customer Signature
Sales Signature
Scale: 3/4 = 10'