2004, 03-25 Permit: BLD-04-03907 Finish BasementSpokane
,,0000Val1ey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION /REMODEL PERMIT
Job Address: 617 S ARTIES LN
GREENACRES WA 99016
Description: FINISH BASEMENT - (2) BEDROOMS, FAMILY ROOM & BATHROOM (VENT FAN
INCLUDED)
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
Lot: 4
CRAPO, DENNIS A & MELISSA A
Permit #:
Applied:
Issued:
Expires:
-`936
BLD -04 -03907
03/25/2004
03/25/2004
09/21/2004
Blk: 2 Parcel No: 55191.2504 Zoning:
CRAPO, DENNIS A & MELISSA A Phone: (509) 924 -8964
15321 E MISSION AVE
VERADALE, WA 99037 -9552
DIAMOND ROCK CONSTRUCTION INC
15321 E MISSION AVE
VERADALE WA 99037 -9552
Phone:
Lic No:
(509) 924 -8964
DIAMORC032OQ
General Information:
VALUATION
REROOF
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
VENTILATING FANS
4000
Y
4000
no
no
1
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
VENTILATING FANS
Total Calculated:
Deposits /Receipts:
Total Due:
97.25
4.50
10.00
111.75
111.75
0.00
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.
Owner ng development rights granted by any issued permit inure to the property owner.
Print Name '` Signature
Staff Initials
THIS IS NOT A RECEIPT
- z s- -61
Date
Sti�ke�
40,Valley
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 3 /4. i t
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
Building Permit
Relocation
I
iyk
n Manufactured Home
Other
Change in Use Grading
Tenant Improvement Fire Safety
I
OWNER/APPLICANT INFORMATION
Owner: 1 �giviv\ S
Phone:'Zti 'Nei Fax: °IZ e°1` -(
Address: )`-'321 ir,rv,ss/0..! 4v-es
V-c rc, \c " 1' - 9 9 o
State Zip Code
Qom c^fir1��-
Fax:
0
City
Contractor:
Phone:
Address:
City
State
Zip Code
WA State Contractor License #:
Applicant:
Phone:
Address:
Fax:
City
State Zip Code
n Architect:
Phone: Fax:
Address:
City
Contact:
State
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: C
�
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: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above /Underground Storage Tank Size:
WASHINGTON STATE NON - RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Inspector:
Address:
Phone: Fax:
City
Phone:
State
Fax:
Zip
City
State Zip
SPECIAL INSPECTIONS
BOLTING 1 CONCRETE 1 REINFORCEMENT 1 I WELDING
Firm Name:
Inspector(s):
Phone: Fax:
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)
❑ Cash ❑ Check n Mastercard PI VISA
ri Other
Bankcard #: Expires: VIN #:
Authorized Signature: