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2010, 03-05 Permit App: 10000568 Roof, Egress Window
Project Number: 10000568 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/5/2010 Page 1 of 2 Project Information: Permit Use: ROOF FOR SHED, EGRESS WINDOW IN BASEMENT Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Name: WARSINSKE 01ST ADD Contact: GERASIMEHUK, EVGENIY Address: 15912 E JACOBS C - S - Z: SPOKANE WA 99217 Phone: (509) 998-9984 Group Name: Project Name: District: Sout Parcel Number: 35232.4703 Block: Lot: SiteAddress: 414 S CARNAHAN RD Location:: CSV Zoning: R-3 SF Res District Water District: 003 CARNHOPE Area: 8,580 Sq Ft Nbr of Bldgs: 0 Review Information: Width: 0 Nbr of Dwellings: 0 Owner: Name: Address: Depth: 0 HSBC BANK USA 12650 INGENUITY DR ORLANDO, FL 32826 - Hold: ❑ Right Of Way (ft): 0 Review Building Plan Review Permits: Released By: Originally Released: 3/5/2010 By: tmelbourn Contractor: OWNER Description Grp Tvpe 1&2 FAMILY R-3 VB Item Description RESIDENTIAL PERMIT FEE SF PLNS RVW < 7999 SQ FT HOURLY REVIEW FEE Operator: jmm Building Permit Firm: OWNER Phone: (000) 000-0000 This Application: Notes Su Ft Valuation PLAN 0 $5,000.00 REVIEW FEE Total Project: Su Ft Valuation 0 $5,000.00 Totals: 0 $5,000.00 Units Unit Desc SELECT SELECT # OF HOURS Permit Total Fees: Printed By: JD Print Date: 0 $5,000.00 Fee Amount $111.25 $44.50 $61.00 $216.75 3/5/2010 Project Number: 10000568 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/5/2010 Page 2 of 2 Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $216.75 $216.75 $44.50 $172.25 $216.75 $216.75 $44.50 $172.25 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: jmm Printed By: JD Print Date: 3/5/2010 Spokane (0Valle Community Develop -nt Residential C Permit Applic Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA (509168 !09)688-0 37 eve nst ction o tion PERMIT NUMBER: /() (:S ,5 PERMIT FEE: New Construction Addition/Remodel F Other: t 40e SITE ADDRESS: `7 hcr-M4 2 p. ASSESSORS PARCEL NO: LEGAL DESCRIPTION: ❑ Accessory Bldg ❑ Deck Building Owner: DIMENSIONS: /� Name: /_."!/ e Illy CSF_ p t4 S' i' ;M L°, kAddress: / `� i5 /2 /-= S�cogs 20 / £ City: ,57r,„ State. j4 Zip: 9,1 Z(,. Phone: qQg cm, g c Fax: City: Contact Person Name: PA 69 Qyi vz,7 L �uc Zc Phone: Describe the scope of work in detail: ewoadeIl lr,'khew,room 5, la,4ldry eivifrtb��� Contractor: DIMENSIONS: # OF STORIES: Name: �- oft�`� �') i ac e ei,l- qu'v / £ Address: ' cJ IMPERVIOUS SURFACE AREA: FINISHED BASEMENT SQ. FTG: City: State: Zip: Phone: Fax: HEAT SOURCE: Contractor Lic No: Exp Date: City Business Lic. No: Cost of Project: !�ebJ roe} okA 614ed� D64- giPSIStaraeP TeSS u,1vvddw cuthA� iRne ix.tce„neYrh- New LA), Ah Proposed Use: **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. FTG: 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE AREA: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON PROPERTY: # OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This 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. SIGNATURE: Method of Payment: 0 Cash Bankcard #: Authorized Signature: REVISED 2/15/07 0 Check DATE: ©3 ❑ Mastercard 0 VISA Expires: VIN#: o /ZD