2007, 10-05 Permit App: 07003874 AdditionProject Number: 07003874 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/5/2007 Page 1 of 2
Project Information:
Permit Use: RES ADDITION Contact: LARRY G DERRICKSON
Address: 2505 N CENTER
C - S - Z: SPOKANE VALLEY, WA 99212
Setbacks: Front Left: Right: Rear: Phone: (509) 926-7089
Group Name:
Project Name:
Site Information:
Plat Key: 000716 Name: ELECTRIC RAILWAY SUBURBAN HOME ADD
District: Nort
Parcel Number: 45072.1505 Block:
SiteAddress: 2505 N CENTER RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 27,027 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: LARRY G DERRICKSON
Address: 2505 N CENTER
SPOKANE VALLEY, WA 99212
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released: 10/5/2007 By: TMELBOU
Landuse/Zoning/HE Conditions
Permits •
Released By:
Originally Released: 10/3/2007 By: mbasinger
Operator: JD Printed By: JD
Print Date: 10/5/2007
Project Number: 07003874
Inv: I Application Date: 10/5/2007 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Building Height 18
Description Grp lips
RES ADD R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Notes:
Building Permit
Firrn: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application:
Notes Se Ft Valuation
RES ADD 582 $53,171.52
Totals: 582 $53,171.52
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Total Project:
Sq Ft Valuation
582 $53,171.52
582 $53,171.52
Fee Amount
$671.75
$4.50
$268.70
$944.95
Payment Summary: ,....-
Permit Type
Building Permit
Fee Amount Invoice Amount
$944.95 $944.95
Amount Paid
$0.00
Amount Owing
$944.95
$944.95 $944.95 $0.00 $944.95
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: JD Print Date: 10/5/2007
Spokane
Valley
Community Development
Residential Construction2 8 2001 111 New Construction
Permit Application PERMIT CENTERAddition/Remodel
BY. n Other:
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.SPOREOEI%tEf1 By- -.
CITY OF SPOKANE VALLEY
PERMIT NUMBER: .7)K1.4
PERMIT FEE:
Accessory Bldg
Li Deck
SITE ADDRESS: 07r -Or fir SGC
-rAe Sou th halt' o. / : el/ 4C
EYet%M/C 20.1Ik6C ( Suba
ASSESSORS PARCEL NO: 1/4ro72- /Sor LEGAL DESCRIPTION: /torrq o,aGlit/uc, Etee fbY
t est a99.cL rt a.cd/Sze•er9f
Buitilin 'Owner•i: _ ,. ,.P.
..4.ag..: .. ... . .. ... �..r.. il:.. : �'��y,.`9�.
�
Contractor:,;` F,�//��� " �y� moi. °�' i.:: ;:�.;. - i,.L ,�;g:,.e?;.�
tic'
Name: 'y
'—u/ -hh7 � HF��tOh
Name:
A
Address: (25,04,_g ccm ,Lei, i�Gr
Address:
CitySPo lea -y, r kitI State:Li 4 Zipr•ga��
%
City: State: Zip:
Phone: Fax:
for 926--7oes Celli* 49s tar/
Phone: Fax:
DECK/COV. PATIO SQ. FTG:
Contractor Lic No: Exp Date:
.. ,
;ContactPerson. ''i '; `._-'-•e f -,'s;'�`� �'-' Ham'•'
CONSTRUCTION TYPE:
City Business Lic. No:
SEWER OR SEPTIC?
Name: lti ,./.1u*tl-h'c.kty
/— a
Phone: Q 9 r /2 .r SL.
Describe the scope of work in detail:
Cost of Project: $ trio, o c
En &hi
Proposed Use:
roof -t
Ztfre n_ _Cr
/44..C7 --C A it' 1,DDm Aa—
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
lr1 •o /
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ. _I
FTG: `rte 116172°f.
r 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 c be processed
SIGNATUR
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2115/07
❑ Check
DATE: G2t—o2 F- a %
❑ Mastercard ❑ VISA
Expires: VIN#:
Larrt1 'Qnisti D'ev'i;ckSQh
9R4- 708 9195=/ :3,
C -€go l lbese.b s? 1-1 o
Th'c rot&*h h&I 0 t /S E/ 75-gic- A'cs/,cy -rig 6ahtah
gel"- Adcfsf10 nire( ct_14-t tot wet/ .?99. V 'aJ E6cer(
ta.r ct I # 43-0 7Z . /SoC
/1e APPROVED BY
2S0 S N. Ctivt Lr k oQ
Siokahc Vim.(/'ti ),_, 992./2.—
jy.kSSBS b`1
LlisAbet' Mea'
1 1
lisTI---7"":4
1-
a0,S1
imuo2 .4; 941,
L L
cid 0'
K
field
L
1