2011, 02-10 Permit App: 11000312 Finish Basement4.
Project Number: 11000312 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/10/2011 Page 1 of 2
Project Information:
Permit Use: FINISH BASEMENT Contact: SARFF, LAWRENCE R / HILSABECK,
Address: 4219 S SULLIVAN RD
C - S - Z: VERADALE, WA 99037
Setbacks: Front Left: Right: Rear: Phone: (000) 000-0000
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: East
Parcel Number: 45144.0838 Block:
SiteAddress: 417 N BURNS RD
Location:: CSV
Zoning: R-3 SF Res District
Water District: 010 VERA
Area: 10,560 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: SARFF, LAWRENCE R / HILSABE
Address: 4219 S SULLIVAN RD
VERADALE, WA 99037
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Permits:
Released By:
Originally Released: 2/10/2011 By: tmelbourn
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sp Ft Valuation
BASEMENT R R-3 VB 990 $4,950.00 990 $4,950.00
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 990 $4,950.00 990 $4,950.00
Units Unit Desc Fee Amount
1 SELECT $111.25
1 SELECT $4.50
1 SELECT $44.50
Permit Total Fees: $160.25
Operator: JD Printed By: jmm Print Date: 2/10/2011
116,
Project Number: 11000312 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/10/2011 Page 2 of 2
NW corner of Progress and Sprague (parent Parcel No. 45144.2145) IS NOT ALLOWED ANY
individual freestanding or monument signs for Tract A-E of BSP -03-04. See project No. 05-001343 for
multi -business complex sign. (4-26-05) KK
Progress Elementary parcels 45144.0317 and 45144.1031 have restrictive environmental covenant
placed upon them. See building address file for copy of Environmental Covenant.
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $160.25 $160.25 $44.50 $115.75
$160.25 $160.25 $44.50 $115.75
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: jmm Print Date: 2/10/2011
Spokane
4,0Valley
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.orcl
(Staff Use Only)
/1— 3 / Z
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
El NEW CONSTRUCTION ,Q ADDITION/REMODEL Q ACCESSORY BUILDING
0 DECK [( OTHER
SITE ADDRESS: 7/7 /l f3dry Sr k 6i/4 9%W
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:3vf k
NAME: ,1-(//7-4
,Y1 Nf jjCt C.
ADDRESS: 547 Yj OU;'Y1.,
PHONE: 5.01'-. i)'0/l v
CITY:
m1544?c_ /AT( Sa7 if
STATE:
f
FAX: CELL:
ZIP: / `Wk
CONTACT NAME: , 0tivtQ___
PHONE:
FAX: CELL:
CONTRACTOR NAME:
MAILING ADDRESS: (24„))/W
CITY:
STATE:
ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE NO.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to ak:
K ,
Dimensions:
33 x 3b
No. of Stories:
H��
Total Habitable
Space: q/,/�
Main FlooQ FT:
Upper Floor SQ FT:
`710
Unfinished Bal ment SQ
FT: ci?D t T
Finishe Basement SQ
FT: h�,G}
Garage S F
r0
Deck/Covered Patio SQ
FT: Ail
Impe lou Surface
Area�/J���f
30% Stopes on
Property:
No. of Bedrooms: X
Construction Type: 014
Heat Source: %-(pet.
Sewer or Septic: lew,,e1
TOTAL COST OF PROJECT: $
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 per not a ermit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information maybe requ re¢t Ipe submitted and subsequently approved before this application can be processed. /
Signature
Date: ,
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc