2009, 02-19 Permit App: 09000312 AdditionSpokane
jValley�
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www.spokanevalley.org
PERMIT NUMBER:
PERMIT FEE:
n New Construction Accessory Bldg
LX Addition/Remodel Deck
n Other:
SITE ADDRESS: 1d 2 0 /u 8
Gi ✓1 ✓1 e
904 n /- b/I /e y ' /lam
ASSESSORS PARCEL NO: Wo 3,5 3 . 09/2. LEGAL DESCRIPTION: W r,n _LA / yA) as44
Building Owner:
DIMENSIONS: ;
9.0' x 51;
# OF STORIES:
/
Name: ,'11LL.��e( `3 Kp/ f
Name: �f /
/� cha c
Address: y).V 4J i)')‘,4 n n C„
FINISHED BASEMENT
SQ. FTG: � Pr
City: ,5`O t_ Ka )1 r //a a / /c'y Stt :A
`� }
1 /6
Phone: \15 0Cl — ii l y- / <P71,Fax:
CONSTRUCT ON TYPE:
in) c 6 c�
City: Sp L -ke /1 /)
Contact Person
Name: j y b, f �ct p ' i- . •
Phone: - �j L - )L S )
Describe the scope of work in detail:
Contractor:
DIMENSIONS: ;
9.0' x 51;
# OF STORIES:
/
TOTAL HABITABLE PACE:
yy0 Sy ft`
MAIN F„IOORa�'O SQ.
FTG: h 7j,rra,0ac, sq
gilt) s c�`r cis o s (
Name: �f /
/� cha c
l
% ' /
J k --,'IA
FINISHED BASEMENT
SQ. FTG: � Pr
Address: yi U
/1"
& ,i/7 /-
/'-N.
CONSTRUCT ON TYPE:
in) c 6 c�
City: Sp L -ke /1 /)
/4 4'�
State:
,
1.41")://
C,
Phone: 5 d _ 7 ��
",36
Fax:
5
Contractor Lic No:
Exp Date:
City Business Lic. No:
Cost of Project: $ (24 000 e u
/►S (,,) 4i.7 Y"dc"/ /1.27 /'%7i✓1 `7• /i'Y 4aNdYif
Proposed Use: .5,;,/th tan-r .' /, v. `n y fra e (-3
* * * * * * * * * * * ** *The followinw MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK:
J :5~
DIMENSIONS: ;
9.0' x 51;
# OF STORIES:
/
TOTAL HABITABLE PACE:
yy0 Sy ft`
MAIN F„IOORa�'O SQ.
FTG: h 7j,rra,0ac, sq
gilt) s c�`r cis o s (
2Nu FLOOR SQ. FTG:
4/4
UNFIN BASEMENT SQ. FTG:
' ,
IMPERVIOUS S�FACE
AREA:
FINISHED BASEMENT
SQ. FTG: � Pr
GARAGE Q. FTG:
/1//A
DEC ICOV. P TIO S . FTG:
s 12 r '
30% SLOPES ON
P ERTY:
# OF BEDRO MS
/✓/ A
CONSTRUCT ON TYPE:
in) c 6 c�
HEAT t: _ - -
a
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 #:
❑ Check
Authorized Signature:
REVISED 2/15/07
❑ Mastercard
Expires:
DATE: r -p-e2 y
❑ VISA
VIN #:
Project Number: 09000312 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RES ADD
Date: 2/19/2009 Page 1 of 2
Setbacks: Front
Site Information:
Plat Key: Name: Range
Parcel Number: 46353.0912 Block: Lot:
Contact: KAPPEN, JOHN
Address: 4820 N KAPPEN
C - S - Z: SPOKANE VALLEY WA 99206
Left: Right: Rear: Phone: (999) 999 -9999
Group Name:
Project Name:
District: Sout
SiteAddress: 4820 N BANNEN RD Owner: Name: KAPPEN, JOHN
Address: 4820 N KAPPEN
Location:: CSV SPOKANE VALLEY WA 99206
Zoning: UNKN Unknown
Water District:
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: r:: 'MANNO
Review
Building Plan Review
Released By:
Originally Released: 2/12/2009 By: tmelbourn
Landuse /Zoning/HE Conditions
Permits:
Released By
Originally Released: 2/19/2009 By: LBARLOW
Operator: JD Printed By: jmm Print Date: 2/19/2009
Project Number: 09000312
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/19/2009
Contractor: OWNER
Description Grp
COV DECK R -3
RES ADD R -3
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application:
Type Notes Sq Ft Valuation
VB 208 $3,120.00
VB 975 $94,409.25
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Total Project:
Sq Ft Valuation
208 $3,120.00
975 $94,409.25
Totals: 1,183 $97,529.25
Units Unit Desc
1
1
1
SELECT
SELECT
SELECT
Permit Total Fees:
1,183 $97,529.25
Fee Amount
$979.75
$4.50
$391.90
$1,376.15
Notes:. :, -.« .... ... r,.r� sm.....; u . 4 _ . rw
No portion of the structure may be within the 5' side yard setback. Verify setbacks in the field. This is
required since the set back shown on the site plan may not be accurate.
PaymentSttmmary:
Permit Type
Building Permit
Fee Amount Invoice Amount
$1,376.15 $1,376.15
$1,376.15
Amount Paid
$383.50
$1,376.15 $383.50
Amount Owing
$992.65
$992.65
Page 2 of 2
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: jmm
Print Date: 2/19/2009
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