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2011, 04-12 Permit App: 11000839 AdditionProject Number: 11000839 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RES ADDITION Contact: COMPLETE HOME SOLUTIONS Address: 21501 E ROCKROSE LN C - S - Z: LIBERTY LAKE WA 99206 Setbacks: Front Left: Right: Rear: Phone: (509) 924-5635 Group Name: Site Information: Project Name: Plat Key: 001624 Name: MICHIELLI SUB District: Nort Date: 4/12/2011 Page 1 of 2 Parcel Number: 45162.1156 SiteAddress: 823 N BOWDISH RD Location:: CSV Block: Lot: Owner: Name: STEMPLE, C D Address: 823 N BOWDISH RD SPOKANE, WA 99206-4962 Zoning: R-3 SF Res District Water District: 011 MODERN Hold: ❑ Area: 12,283 Sq Ft Width: 85 Depth: 143 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Building Plan Review Released By: Originally Released: 4/11/2011 By: tmelbourn Landuse/Zoning/HE Conditions Permits: Released By: Originally Released: 4/6/2011 By: kkendall Operator: JD Printed By: JD Print Date: 4/12/2011 Project Number: 11000839 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/12/2011 Page 2 of 2 Building Permit Contractor: COMPLETE HOME SOLUTIONS Firm: COMPLETE HOME SOLUTIONS Address: 21501 E. Rockrose Lane LIBERTY LAKE WA 99206 Phone: (509) 951-7395 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VB 240 $24,228.00 240 $24,228.00 Totals: 240 $24,228.00 240 $24,228.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $391.25 WSBCC SURCHARGE 1 SELECT $4.50 SF PLNS RVW < 7999 SQ FT 1 SELECT $156.50 Permit Total Fees: $552.25 Notes: FOR 10705 E BROADWAY & 10725 E BROADWAY (SHP-37-06), A 6 FOOT HIGH SIGHT OBSCURING FENCE MUST BE INSTALLED ON THE WEST, NORTH & EAST PROPERTY LINES PRIOR TO ANY BUILDING PERMIT -MH Payment Summary: Permit Type Building Permit Fee Amount Invoice Amount Amount Paid Amount Owing $552.25 $552.25 $156.50 $395.75 $552.25 $552.25 $156.50 $395.75 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: 4/12/2011 .00Valley 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@sookanevailev. orq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: RESIDENTIAL CONSTRUCTION PERMIT APPLICATION 0 NEW CONSTRUCTION 14 ADDITION/REMODEL 0 ACCESSORY BUILDING 0 OTHER 0 DECK SITE ADDRESS: SZ_ ASSESSORS PARCEL NO.: ksk LEGAL DESCRIPTION: BUILDING OWNER NAME: NAME: ar,or4e ' OCC\ fNck S4egyple ADDRESS: 7-1 FGENE-- CSV NE-- -, SV P FBMI , CEN JPR n e 2i 11 .L� Project .__��— Submittal #—===-r -ZiP: • +1. PHONE: (5c9.) l -N - S (O JS CONTACT NAME: FAX: CELL: PHONE: FAX: CELL: CONTRACTOR NAME: Co.M pk� o Sdj*©AS MAILING ADDRESS: \ S 0 \ C . Q-oc_k_fte LeN CITv: Ls -'-- PHONE: «o) 9S-1 7 39 ( FAX: STATE: L,14A- ZIP: 99 0 t/ CELL: CONTRACTOR LICENSE No.: COMPt 9'T'?T61 EXPIRES: 4-3O -ZO 1 Z CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: (0 X 2-t-4 Acta k A-10 r► 1, 4 IC ti q cos c Ma S 100,-4-11 , C (crit- #0 Leti,.l ****YOU MUST COMPLETE THE FOLLOWING**** K N/A IF NOT APPLICABLI Height to Peak: Dimensions: 10,(1-1 No. of Stories: Total Habitable Space: 240 -F-4z Main Floor SQ FT: 7 i{(`>f#z (9" Upper Floor SQ FT• patio Unfinished Ba meat SQ FT: V.+�A Finished Ba mart SQ FT: N%/� Garage SQ IFA- Deck/Cove Patio SQ FT: N- Impervious Surface Area: 30% Slopes on Property: m/lit No. of Bedrooms: to Construction Type: Heat Source: }{k4- Ri i p Sewer or Septic: Sewer TOTAL COST OF PROJECT: $ 3S, pop 1'-V r/14t L 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 Anr,in')Q 117 Signature s - Method of payment: 0 Cash 0 Check Bankcard #: Date: qi6 (2,(t) I 1 0 Visa 0 Mastercard EXP: VIN#: Authorized Signature: Effective October 28, 2007 Page 2 of 2 P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit Ann in"ame+nr FKISin 613 112iteleYXC- t•I. ROLJcitch t f"--