2011, 03-29 Permit App: 11000695 Egress WindowProject Number: 11000695 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/29/2011 Page 1 of 2
Project Information:
Permit Use: INSTALL (1) EGRESS WINDOW Contact: RADER LIVING TRUST
Address: 219 N CONKLIN RD
C - S - Z: SPOKANE VALLEY, WA 99037-9511
Setbacks: Front Left: Right: Rear: Phone: (509) 926-0451
Group Name:
Site Information: Project Name:
Plat Key: 002756 Name: VERA
District: East
Parcel Number: 45133.0906
SiteAddress: 219 N CONKLIN RD
Location:: CSV
Block: Lot:
Zoning: MF -1 MF MDR District
Water District: 010 VERA
Area: 20,250 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Owner: Name: RADER LIVING TRUST
Address: 219 N CONKLIN RD
SPOKANE VALLEY, WA 99037-951
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Permits:
Released By:
Originally Released: 3/29/2011 By: tmelbourn
Building Permit
Contractor: WHITE KNIGHT HOME REPAIR Firm: WHITE KNIGHT HOME REPAIR
Address: 9116 E SPRAGUE AVE #500 Phone: (509) 370-0354
SPOKANE VALLEY, WA 99206
This Application: Total Project:
Description Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB EGRESS 0 $2,956.00 0 $2,956.00
WINDOW
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Operator: jmm
Totals: 0 $2,956.00 0 $2,956.00
Units Unit Desc Fee Amount
1 SELECT $83.25
1 SELECT $4.50
1 SELECT $33.30
Permit Total Fees: $121.05
Printed By: jmm Print Date: 3/29/2011
Project Number: 11000695 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/29/2011 Page 2 of 2
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$121.05 $121.05
$33.30 $87.75
$121.05 $121.05 $33.30 $87.75
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: jmm Printed By: jmm
Print Date: 3/29/2011
Spokane
„.•OValley
Community Development Depa ent� EIf Use Orly)
Permit Center
11703 East Sprague Avenue, Su to B-3 T UMBER:
Spokane Valley, WA 99206 j CSV PA` ENTER
Tel: (509) 688-0036 ( PER IT FEE:
Fax: (509) 688-0037 MAR 2 Jess
permitcenterPspokanevallev.orcliprojeci i
Name e
RESIDENTIAL CONSTRUCTION ifi'hm;
0 NEW CONSTRUCTION ADDITION/REMODEL
0 DECK 0 OTHER
SITE ADDRESS: l J Y �0 /L.//;-/ d
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
0 ACCESSORY BUILDING
BUILDING OWNER NAME: \ /
NAME:
ADDRESS:
Dc 7 / ck V v -Pv-
CITY:
l /ll .ark/ 4 X 0'.
,e_ 1 7 a/%
PHONE: Q - q to - 2 y s/ FAX:
STATE:
CONTACT NAME:
14,4
CELL:
ZIP: Fe7037
PHONE:
FAX: CELL:
CONTRACTOR NAME: filo, e fes. yl, * t , ruv�yo. JSP ,„i�-
MAILING ADDRESS:
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:
Ed/9 Crit., C31, , 5c�r. 7� 5 , G� --c c -4 S - .e
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Dimensions:
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $ e9 9'5-.6., y OK—
DISCLAIMER 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.
Signature
Date: 3 - a ,5 Ol/
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