2007, 05-11 Permit App 07001692 Pole BldgProject Number: 07001692 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: POLE BLDG 30 X 50
Setbacks: Front
Site Information:
Date: 5/11/2007 Page 1 of 2
Left: Right: Rear:
Plat Key: 005769 Name: SP-1038-95
Contact: SPOKANE STRUCTURES
Address: 510 N MULLAN ST
C - S - Z: SPOKANE, WA 99206
Phone: (509) 927-0655
Group Name:
Project Name:
District: East
Parcel Number: 55202.0170 Block:
SiteAddress: 19017 E 4TH AVE
Location:: CSV
Lot:
Owner: Name: TALLEY, JASON M & ANNE M
Address: 19017 E 4TH AVE
GREENACRES, WA 99016
Zoning: UR-3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19
Hold: ❑
Area: 19,875 Sq Ft Width: 125 Depth: 159 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Released By:
Originally Released: 5/11/2007 By: TMELBOU
Landuse/Zoning/ilE Conditions
Permits:
Released By:
Originally Released: 5/10/2007 By: cj j anssen
Operator: JD Printed By: JD Print Date: 5/11/2007
Project Number: 07001692
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Contractor: SPOKANE STRUCTURES INC
Address: 510 N MULLAN RD
SPOKANE, WA 99206
Building Height 21
Building Permit
Date: 5/11/2007
Page 2 of 2
Firm: SPOKANE STRUCTURES INC
Phone: (509) 927-0655
Building Characteristics
Description Grp Type Notes
POLE BDLG U-1 VB
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,500 $28,500.00 1,500 $28,500.00
Totals: 1,500
Item Description Units Unit Desc
RESIDENTIAL PERMIT FEE 1 SELECT
ACCESSORY PLANS REVIEW 1 SELECT
WSBC SURCHARGE 1 SELECT
Notes: µum
$28,500.00 1,500 $28,500.00
Fee Amount
$431.65
$107.91
$4.50
Permit Total Fees:
$544.06
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$544.06 $544.06
$544.06 $544.06
$0.00 $544.06
$0.00 $544.06
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: JD
Print Date: 5/11/2007
Project Number: 07001692 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: POLE BLDG 30 X 50 Contact: SPOKANE STRUCTURES
Address: 510 N MULLAN ST
C - S - Z: SPOKANE, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 927-0655
Group Name:
Site Information: Project Name:
Plat Key: 005769 Name: SP-1038-95
Date: 5/9/2007 Page 1 of 2
District: East
Parcel Number: 55202.0170 Block:
SiteAddress: 19017 E 4TH AVE
Location:: CSV
Lot:
Owner: Name: TALLEY, JASON M & ANNE M
Address: 19017 E 4TH AVE
GREENACRES, WA 99016
Zoning: UR-3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19
Hold: ❑
Area: 19,875 Sq Ft Width: 125 Depth: 159 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: a ,
Review
Building Plan Review
Released By: T ...
Landuse/Zoning/HF Conditions
Permits:
Released By:
Operator: JD Printed By: JD
Print Date: 5/9/2007
Project Number: 07001692
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Contractor: SPOKANE STRUCTURES INC
Address: 510 N MULLAN RD
SPOKANE, WA 99206
Building Height 21
Building Permit
Date: 5/9/2007
Page 2 of 2
Firm: SPOKANE STRUCTURES INC
Phone: (509) 927-0655
Building Characteristics
Description Grp Tvpe Notes
POLE BDLG U-1 VB
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
o K- 1,500 $28,500.00 1,500 $28,500.00
Totals: 1,500
Item Description Units Unit Desc
RESIDENTIAL PERMIT FEE 1
ACCESSORY PLANS REVIEW 1
WSBC SURCHARGE 1
Notes:
SELECT
SELECT
SELECT
$28,500.00 1,500 $28,500.00
Fee Amount
$431.65
$107.91
$4.50
Permit Total Fees:
$544.06
Payment Summary:
Permit Type
Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $544.06 $544.06 $0.00 $544.06
$544.06 $544.06 $0.00 $544.06
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: JD
Print Date: 5/9/2007
Project Number: 07001692 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: POLE BLDG 30 X 50 Contact: SPOKANE STRUCTURES
Address: 510 N MULLAN ST
C - S - Z: SPOKANE, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 927-0655
Group Name:
Site Information:
Project Name:
Date: 5/9/2007 Page 1 of 2
Plat Key: 005769 Name: SP-1038-95 District: East
Parcel Number: 55202.0170 Block:
SiteAddress: 19017 E 4TH AVE
Location:: CSV
Lot:
Owner: Name: TALLEY, JASON M & ANNE M
Address: 19017 E 4TH AVE
GREENACRES, WA 99016
Zoning: UR-3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 19,875 Sq Ft
Nbr of Bldgs: 1
Review Information:
Width: 125 Depth: 159 Right Of Way (ft): 40
Nbr of Dwellings: 1
Review
Building Plan Review
Released By:
Landuse/Zoning/HE Conditions
Permits:
Released B
Operator: JD Printed By: JD Print Date: 5/9/2007
Project Number: 07001692
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Contractor: SPOKANE STRUCTURES INC
Address: 510 N MULLAN RD
SPOKANE, WA 99206
Building Height 21
Building Permit
Date: 5/9/2007
Page 2 of 2
Firm: SPOKANE STRUCTURES INC
Phone: (509) 927-0655
Building Characteristics
Description Gar Type Notes
POLE BDLG U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLANS REVIEW
WSBC SURCHARGE
Notes: -.
Payment Summary:
Permit Type
Building Permit
So Ft
1,500
Totals: 1,500
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
This Application: Total Project:
Valuation Sq Ft Valuation
$28,500.00 1,500 $28,500.00
$28,500.00 1,500 $28,500.00
Fee Amount
$431.65
$107.91
$4.50
Permit Total Fees:
Fee Amount
$544.06
Invoice Amount
$544.06
$544.06
Amount Paid Amount Owing
$0.00 $544.06
$544.06 $544.06
$0.00 $544.06
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: JD
Print Date: 5/9/2007
Permit Center
Scm of i 11703 E Sprague Ave, Suite B-3
pokane Spokane Valley, WA 99206
.Valley. (509)688-0036 FAX: (509)688-0037
www.spokanevalley.org _
Community Development /7
Residential ConstructionNew Construction
Permit Application j Addition/Remodel
T yE Other:
PERMIT NUMBER:
PERMIT FEE:
Accessory Bldg
7 Deck
SITE ADDRESS: / qO 1'2 E .
ASSESSORS PARCEL NO: 55 AUa. , C) i Z D LEGAL DESCRIPTION:
Building Owner:
Name:n
.`�-Sc7 iv', 2-L,L G Ise
Address.mo 1 / y, r
City:a4c,,,,e 5 State:��
Zip%,/7
Phone: t as _ 4166 Fax:
Contact Person
Name: /12Al2.14- QL to L c /k oViou2-4-
Phone: Qo2'1—Cep S S
Describe the scope of work in detail:
Contractor:
Name: S
%e.- Z �� ex. rug�S
De, ii.
Address: S,U 4/. /f i L.L..4 #I 'a
City:So t4 U4u tg y State: e., A.' Zip:
24
Phone: 1— d C.SS Fax: Q ,..7 , 404
�o`Z
2
CSito �gto�Ljc % Z � Exp Date: 0
lusiness
City B Lie. No:
Cost of Project: $ 3 q, ''.
Fg.,4-c , Lat Kra
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
o2%•
DIMENSIONS:
30'i450 F /
# OF STORIES:
/
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG: ` ��
2Nu FLOOR SQ. TG:
---_
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA: .--�
FINISHED BASEMENT .
SQ. FTG: —
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
P QRE TY:
# OF BEDROOMS:
—
CONSTRUCTION�^TYPE:
ro 51't IC.P4' c
HEAT SOURCE:
_
SEWER 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:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
❑ Mastercard
Expires:
DATE:
❑ VISA
VIN#:
Wo?
Spokane
ms;Va11eye
11703 E Sprague Ave Suite B-3 0 Spokane Valley WA 99206
509.688.0036 0 Fax: 509.688.0037 0 cityhall@spokanevalley.org
Residential Plan Submittal Minimums
❑ Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details; roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions. .
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One -hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
' t\
_t._
•
are The.. Levis ^
-p0`hePla c�`f.. iS..IS1.-....
; S i n 7l,e • a' R
--3 V£�_. J. ► UE a _.`ran. — --
l7r,u.. act -To
_Qoc.rs.�__..i._s_.. ..��
..... °� `i ::Pa s t_.
—
1 S- .
_... - 3o�n.1-&-.11.. _ .... �._..._ _._.._.._ . ' _.... wEr�
... _ ... ,0`'
S9DK £ IA-1k1 i wit.
PAre/ tt 55c v rr v
T
PLANNING DEPT. APPROVED
DATE: 61101 -4-