2009, 12-21 Permit App: 09003988 Addition*dime
.0000Valley.
PERMIT NUMBER:
PERMIT FEE:
(Staff Use O lY) 39 n
CITY OF SPOKANE VALLEY
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@spokanevalley.org
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION ADDITION/REMODEL ❑ ACCESSORY BUILDING
❑ DECK ❑ OTHER
SITE ADDRESS: /3 0o g 8/DSsc y ,
ASSESSORS PARCEL NO.: 4$ 7z /54,2, LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: Pal cit, - cLAy ebbs
ADDRESS: / 3 00 /off e c� ,
CITY:
PHONE:
.Spo%a.n e
5 -49 -gal 7sL/
CONTACT NAME: o,e
PHONE: c'C1.ine &4 liG"t
STATE: .40-
FAX:sOy-3s3-y�'s
44.J 0� x
CELL:
ZIP: 9g z
ty
5-0q- 990- 47/ lig
taSvc - 99o— /I7`/
FAX:
CELL:
CONTRACTOR NAME: 144,4-t.— -\r, ..Q C.o"..T+
MAILING ADDRESS: 7, 19, O jc. 'T7
CITY: S� (_.a,.
PHONE' (2.4']ia,7?(--FAX: a09)623 —2CELL:(z )-7?(-'d9-7?
CONTRACTOR LICENSE NO.: 4,O2.,, 5S EXPIRES: y2/0 7 CITY BUSINESS LICENSE NO.6a2 8eg.7Oacs
DES RIBE THE SCOP OF WORK IN DIETAIL AND/INDICATE USE:
STATE: i -IF-' zIP: S3g,s
PROPOSED USE: /
Effective October 28, 2007 Page 1 of 2
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****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Main Floor SQ
FT: /331>
Dimensions:
231X Z; 1
Upper Floor SQr''a`
FT: .5" 5-67
No. of Stories:
Total Habitable
Space: /$L 3
Unfinished Basement
SQ FT: //
Finished Baasg� ent
SQ FT:
Garage CQ FT:
Deck/Covered Patio
SQ FT: /3.5e -,W
Impervious Surface
Area: r✓/4
30% Slopes o
Property: .t /f
No. of
Bedrooms: 3
Construction
Type:
Heat Source:
Sewer or
Septic:
¢TOTALSCOS�QFjPRUJECT [$i cw 2, 0a 0
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.
Date: / Z7 /
Method of payment: 0 Cash 0 Check
Bankcard #:
0 Visa 0 Mastercard
EXP:
VIN#:
Authorized Signature:
Effective October 28, 2007
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Page 2 of 2
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Project Number: 09003988 Inv: 1
Application
Date: 12/21/2009 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR ADDITION Contact: MOUNTAIN HOME CONSTRUCTION
Address: PO BOX 974
C - S - Z: SPIRIT LAKE 1D 83850
Setbacks: Front Left: Right: Rear: Phone: (208) 771-0977
Group Name:
Site Information: Project Name:
Plat Key: 001844 Name: OPPORTUNITY TERRACE, 03RD ADD District: Sout
Parcel Number: 45272.1542
Block: Lot:
SiteAddress: 13008 E BLOSSEY AVE
Location:: CSV
Zoning: R-4 SF Res Urban District
Water District: 010 VERA Hold: ❑
Area: .00 Acres Width: 85 Depth: 136 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Owner: Name: HOBBS, PATRICK
Address: 13008 E BLOSSEY AVE
SPOKANE VALLEY, WA 99216
Review Information:
Review
Building Plan Review
Released By: -
Originally Released: 12/16/2009 By: tmelbourn
Landuse/Zoning/HE Conditions
Permits:
Released By:
Originally Released: 12/18/2009 By: tschmidt
Operator: JD Printed By: jmm
Print Date: 12/21/2009
Project Number: 09003988 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/21/2009 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Crp Type Notes Sq Ft Valuation Sq Ft Valuation
DECK OPEN R-3 VB 135 $2,025.00 135 $2,025.00
RES ADD R-3 VB 1,330 $128,783.90 1,330 $128,783.90
RES ADD 2F R-3 VB 567 $42,343.56 567 $42,343.56
Item Description
RESIDENTIAL PERMIT FEF
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Notes:
Payment Summary:
Permit Type
Building Permit
Totals: 2,032 $173,152.46 2,032 $173,152.46
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,408.15
$4.50
$563.26
Permit Total Fees: $1,975.91
Fee Amount Invoice Amount Amount Paid Amount Owing
$1,975.91 $1,975.91 $545.34 $1,430.57
$1,975.91 $1,975.91
$545.34 $1,430.57
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: 12/21/2009
PLANNING DEP
BY. /
13008 E. DLOSSEY AVE.
__.70'
=DATE 12/0o
SCALE: 1" = 20'