2005, 12-09 Permit App: 05004624 Finish BasementProject Number: 05004624 Inv: 1
.4 Application
Date: 12/09/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH BASEMENT
Setbacks: Front
Site Information:
Left: Right: Rear:
Contact: ROHM, BRIAN
Address: 19411 E FLAT ROCK RIVER LANE
C - S - Z: SPOKANE VALLEY, WA 99016
Phone: (509) 893-2980
Group Name:
Project Name:
Plat Key: 005859 Name: RIVERWALK 08TH ADD PUD
District: G
Parcel Number: 55083.5106 Block: 2
SiteAddress: 19411 E FLAT ROCK RIVER
Location:: CSV
Zoning: UR -7
Water District:
Area: 1,977.00 Acres
Urban Residential -7
Lot: 6
Owner: Name: ROHM, BRIAN
Address: 19411 E FLAT ROCK RIVER LANE
SPOKANE VALLEY, WA 99016
Hold: ❑
Width: 82 Depth: 109 Right Of Way (ft): 45
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Plan Review
Released By:
Sewer Review
Permits:
Originally Released: 12/09/2005 By: TMELBOU
Released By:
Originally Released: 12/09/2005 By: cjjanssen
Operator: CJJ Printed By: CJJ Print Date: 12/09/2005
Project Number: 05004624 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/09/2005 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
BASEMENT R R-3 VB FINISH 0 $10,000.00 0 $10,000.00
BASEMENT
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 0 $10,000.00 0 $10,000.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Plumbing Permit
Fee Amount
$181.25
$4.50
$72.50
$258.25
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
Notes:
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$6.00
$6.00
$6.00
$18.00
ALL PERMIT APPLICATIONS IN MISSION MEADOWS MHP MUST HAVE PLANNING
DIVISION REVIEW BY MICKI HARNOIS OR GREG MCCORRMICK
Payment Summary
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $258.25 $258.25 $0.00 $258.25
Plumbing Permit $18.00 $18.00 $0.00 $18.00
$276.25 $276.25 $0.00 $276.25
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: CJJ Printed By: CJJ Print Date: 12/09/2005