2010, 11-18 Permit App: 10003883 Finish BasementProject Number: 10003833 Inv: 1 Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH BASEMENT Contact: HORMANN, RONALD C & DEANNA M
Address: PO BOX 1640
C - S - Z: SPOKANE VALLEY, WA 99037-1640
Setbacks: Front Left: Right: Rear: Phone: (509) 535-7778
Group Name:
Site Information: Project Name:
Plat Key: 005024 Name: AUTUMN CREST 01ST ADD
Date: 11/18/2010 Page 1 of 2
District: East
Parcel Number: 45261.3003 Block:
SiteAddress: 15402 E 22ND AVE
Lot:
Owner: Name: HORMANN, RONALD C & DEANN
Address: 1319 S SHAMROCK
SPOKANE VALLEY, WA 99037-164
Location:: CSV
Zoning: R-2 SF Res Suburban District
Water District: 010 VERA
Hold: ❑
Area: 10,400 Sq Ft Width: 80 Depth: 130 Right Of Way (ft): 50
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information: e .:. ...... 3
Review
Building Plan Review
Permits:
Released By:
Originally Released: 11/17/2010 By: tmelbourn
Contractor: OWNER
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT R R-3 VB 909 $4,545.00 909 $4,545.00
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 909 $4,545.00 909 $4,545.00
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: 11/18/2010
Project Number: 10003833 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/18/2010 Page 2 of 2
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$160.25 $160.25
$33.30 $126.95
$160.25 $160.25 $33.30 $126.95
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: 11/18/2010
Spo'liane
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@ sookanevallev.orq
(Staff Use Only)
PERMIT NUMBER: /v Fey
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
ADDITION/REMODEL 0 ACCESSORY BUILDING
0 OTHER
❑ NEW CONSTRUCTION
0 DECK
SITE ADDRESS: /64109. VPraatie, cr?Q 7 //
ASSESSORS PARCEL NO.: ysa co i+ . 3 o O 3 LEGAL DESCRIPTION: /67.3 43)42,,A.1 %f „ �u m (re>{
BUILDING OWNER NAME: R°NEI o r6 &-r-Nyle) i-}armarr Isi kW) i i v
NAME: R0Y1 A tP1a 1, /Nat f"{ Or VIII a,nr�
ADDRESS:
Cin:
3 g eS S ,r,r,Yoc.
Vera claie-
STATE:
wIJ-
PHONE: 5 0 9, 9 9-447 11.0 FAX: 5111111.1111111M CELL:
CONTACT NAME: 3 conami P,oY,�,� 4-1t7ry-r.,
PHONE: 5 12 9 _ q L ,q -. / Lo FAX: CELL:
CONTRACTOR NAME: 0,N )-1-0 rYY-)a -r
ZIP: 9 9 o
six70.
MAILING ADDRESS: 7 O. -BD (, y o 4 -Cr , 4 1QP-- 0 Yn 0'01 ?A O 11 t. ce C O 11-(Y)
CITY: vpY3e%a.i4 STATE: (A)} ZIP: 9 9o3 7
PHONE: S -09 -7191? -14 7q t4:' FAX: CELL:
' /
CONTRACTOR LICENSE NO.: OMe, otoh i" EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE S OPE OF W49RK IN DETIAIL AND INDICATE USE & PROPOSED USE:
Fir 1jt-, pr br• D t btD seri-lel-NT—roomS-ba:'ht oorex
J arr—
****YOU MUST COMPLETE THE FOLLOWING****
I
Height to Peak:
NA
TOTAL
Dimensions:
ill
No. of Stories: �//i��
/li.}i.
Total Habitable ,,ll,
Space: /ti•�i.
Main Floor SQ FT:
N
Upper Floor SQ FT:
N $
Unfinished Basement SQ
FT:
Finished Basement SQ
4/063
FT: p x (a Q U / y
Garage SQ FT:
/V 4
Deck/Covered Patio SQ
FT: AM,.' -
Impervious Surface
Area: N.A
300% Stones on
Property: ',t ..i) .
No. of Bedrooms: Z
Construction Type: /t(
Heat Source: cr a_}
-�
Sewer or Septic:5 e . e----
TOTAL COST OF PROJECT: $� /5'00 �?
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
Signature Date:
Method of payment: 0 Cash
Bankcard #:
Authorized Signature:
0 Check
0 Visa 0 Mastercard
EXP: VIN#:
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