2012, 12-10 Permit App: BLD-2012-2238 Finish BasementSpo iaG e�
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Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter(Tsookaneva Ilev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION ❑ ADDITION/REMODEL 0 ACCESSORY UILDING
❑ DECK 0 OTHER
SITE ADDRESS: 1708 N Bell St
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ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
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BUILDING OWNER NAME: Samuel Johnson I UJ c W = - 1
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NAME: Samuel Johnson 1 ^f lee o H cc 1
1708NBell St
ADDRESS: 1 ali U C> tC
Spokane Valley _ WA 1 9901 fi 13 a j
CITY: STATE: ZIP: 1 ry"
PHONE: FAX: CELL: 509'413.8317
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CONTACT NAME: Samuel Johnson
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PHONE: FAX: CELL: 509-413=8317
CONTRACTOR NAME: Samuel Johnson
1708 N Bell St
MAILING ADDRESS:
CIT,: Spokane Valley
STATE: WA
99016
ZIP:
PHONE:
FAX:
509-413-8317
CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
Finish Basment, Frame OF in bathroom and DETAIL AND INDICATE USE & PROPOSED USE:
-Flnisn Basment, Frame in batnroom and closets.
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: N/A
Dimensions: N/A
No. of Stories: N/A
Total Habitable 2000
Space:
Main Floor SQ FT: 1300
.Upper Floor SQ FT:
U
Unfinished Basement SQ
FT: NU
Fini,1 Basement SQ
FT: /Ulj
Garage SQ FT:
Deck/Covered Patio SQ
MT:
Impervious Surface
Area: N/A
30^ Slopes on
Property:
No. of Bedrooms: 1
Construction Type:
Heat Source: N/A
Sewer or Septic: ewer
TOTAL COST OF PROJECT: $ 10000
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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.
Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
03
D
Signature
Date:
Method of payment: ❑ Cash 9 Check
Bankcard #:
0 Visa 0 Mastercard
EXP: VIN#:
Authorized Signature;
F61 1a -//D0-
Effective October 28, 2007 Page 2 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
Sikikane
4Iey.
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permi tcenterTspokanevallev.org
Community Development
Plumbing Permit Application
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PERMIT NUMBER:
PERMIT FEE:
❑ Commercial n Residential
SITE ADDRESS:
1708 N Bell St
Building Owner Samuel Jonnson
Name: Samuel Jonnson Phone: 509-413-831 / Fax:
Address. 1708 N Beli St city SpoKane Valley State: WA Zip 99016
Contractor Seif
Name: 509-413-831 / Phone 509-413-831 / Fax
Address: City. State: Zip:
License No. City Business Lie'
Contact/Project Manager:
Name Samuel Johnson Phone: 509-413-8317
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
1
URINALS
TUBS
1
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
1
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
['CASH ❑ CHECK 0 VISA 0 MC
Card#
SIGNATURE.
EXPIRES -
VIN
P'\Community Devzlopmen[\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc