2010, 05-18 Permit App: 10001390 Egress WindowProject Number: 10001390 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/18/2010
Project Information:
Page 1 of 2
Permit Use: 1 EGRESS WINDOW Contact: EVERTS, RICKEY L & THERESA M
Address: 11610 E GRACE AVE
C - S - Z: SPOKANE, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 924-1547
Group Name:
Site Information: Project Name:
Plat Key: 001641 Name: MIRABEAU RANCH ADD District: Nor
Parcel Number: 45091.1222
Block: Lot:
SiteAddress: 11610 E GRACE AVE
Location:: CSV
Zoning: R-3 SF Res District
Water District: 026 IRVIN
Area: 12,600 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Owner: Name: EVERTS, RICKEY L & THERESA
Address: 11610 E GRACE AVE
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 50
Review
Building Plan Review
Permits:
Released By:
Originally Released: 5/18/2010 By: tmelbourn
Building Permit
Contractor: HOREY CONTRACTING Firm: RICK HOREY CONTRACTING
Address: 12201 E MOFFAT RD Phone: (509) 926-4163
MEAD, WA 99021
This Application: Total Project:
Description Grp Tv ps Notes Su Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB EGRESS 0 $1,900.00 0 $1,900.00
WINDOW
Totals: 0 $1,900.00 0 $1,900.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $69.25
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW <7999 SQ FT 1 SELECT $27.70
Operator: JD Printed By: JD
Permit Total Fees: $101.45
Print Date: 5/18/2010
Project Number: 10001390 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/18/2010
Page 2 of 2
Issued Affadavit of Exemption 8/28/2007 - Guardian Senior Care Management (mjp)
Issued affidavit of exemption, Rickey L and Theresa Everts, Guardian Senior Care Management,
geriatric care management
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount
$101.45 $10L45
Amount Paid
$27.70
Amount Owing
$73.75
$101.45 $101.45 $27.70 $73.75
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: JD Printed By: JD
Print Date: 5/18/2010
an
rp®ne
' Valley'
CITY OF SPOKANE VALLEY
Community Development Department
Perm11703 Centerst
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenterespokanevalley.orq
RESIDENTIAL CONSTRUCTION
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
_.
.: 1r D
CSV PERMIT CENTER
MAYs 14 2Q10
,Project# 9 e.��
+ l
I Nome --,I._ _
ISubmittal #_____
PERMIT APPLICATION
NEW CONSTRUCTION ►1 ADDITION/REMODEL ACCESSORY BUILDING
® DECK • OTHER
SITE ADDRESS:11610 E GRACE
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:RICK EVERTS
ADDRESS:11610 E GRACE
CITY:SPOKANE VALLEY STATE:WA
ZIP:
PHONE:509-994-9250 FAX: CELL:
CONTACT NAME:
PHONE: FAX: CELL:
CONTRACTOR NAM E:HOREY CONTRACTING
MAILING ADDRESS:12201 MOFFAT RD
CIrY: M EAD STATE:WA Zip:99021
PH0NE:509-926-4163 FAX:509-926-4163 CELL:50S-710-
8938
CONTRACTOR LICENSE No.:HOREYC*994MC EXPIRES: CITY BUSINESS LICENSE
No.:L0935475
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
INSTALATION OF 4X4 VINAL SLIDING WINDOW IN BASEMENT OF HOME FOR EXTRA VENTILATION AND
LIGHT.
Dina 1 nS
3
Effective October 28, 2007
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Residential Construc ion Permit
App.1.doc
c7
****YOU MUST COMPLETE THE FOLLOWING****
MHKI% 1\//A II- Ivy. .+rr.-+..r.----
Height to Peak:
Dimensions:4X4
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:
300/0 Slopes on
Property:
No. of
Bedrooms:
Construction
Type:
Heat Source:
Sewer or
Septic:
TOTAL COST OF PROJECT: $1900.00 Q
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
/—
DISCLAIMER
be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3) The signatory is t e 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 Deve..ment code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley perm s not a permit or approve or any violation of federal, state or local laws, codes or ordinances. 6) Plans o additional
information may be r sired to be�lsubmitted and/ bsequently approved before this application can be processed.
NOO
;nature
Method of payment: 0 Cash
Bankcard #:
/h
❑ Visa ❑ Mastercard
EXP: VIN#:
Authorized Signature:
Effective October 26, 2007Page 3 of 3
http://www.spokanevalley.org/uploads/Community_DeveloPP dent//Documents/Forms/Building/Residential Construgtion Permit
o
Spokane
Valley®
For City Use Only
PLUS`ProjectNumber, in()(1
Project Address
11703 E Sprague Ave Suite B73_♦ Spokane Valley WA 99206 '
509.688.0036 • Fax: 509.688.0037 • permitcenter®spoklanevaltey.org_-
As part of .our •on-going commitment to customer -service during., the review:process' of yojtin project:
application, we areproviding: you with a TARGET. DATE for the initial technical application rev ew: if• for
any reason we cannot meet.this,date; we will contactyou'With a revised target date.
•
Your application review TARGET,DATE'-is'
The TARGET DATE' is the .date' We estimate' your. project application -Will have :had ;its
review. Itis not the date for approval or permit issuance. '.' - •
" Tips fora Smoother Project Application Review
'I:- .Submit complete, accurate plans and'documentsr-,,
Elba lime min' be requi:cd for re -.submittals 05'pr1oj£ applicatio2 i•ei;ieirerc irin_/c,di/. (huhlple,:applications,ci/id it
1710.11 be several days be fo, Ihev cari.hiok at rotir, rtensor revised infoi•niatloiti •',
Designate a'specific contact, person to communicate with the City.'
Whit thelierson de.signcited-as:the applicant's coittachpenon sritli the,Citi- can: be changed,,one inlivi nal "with, the
. .expertise for dealing with reviewer ctiminents Would be the best choice `for. Clic entire review /irocess,
i Call staftregarding the status your project onlv'after,the target date shownlat'the top of the page: -
Although you should he contacted on _or- bi' the.target'deile; please feel free to contact us if rout have// "1 h ard,fi-nn us
hr vonr target, date Staff /ium contact yoir before. die target. date if the ;init/0/ / eview,is complete, By") lloiring this
procedure, you wilLsare time and a/low the reviewers t� co inplete'tlte.work /tire es»tediihonslv.'
Steps in the Permit Process
•
1.• Counter Complete. Your application,has;,been 'accepted_as;'counter.'-complete. This means all of. the required', • •
documents, as indicated on your Prc Application Cheeklist,has'e heensirbrnitted or have, been liaPpildved oc.: deferred
•
submittal. This does' not prevent technical staff fromt requesting additional as a result of their technical review,: '
2. Quality. Check, The next step'in'the process is a duality check to make, sure that the'application is "reg iec ble and tree
tiom substantive Claws that would prevent technical staft;trom completing the technical' review' onceit'is'st rted.j, When
this step is "complete, Your application will be -routed to the'approp'riate staff and remain in their review' ueue until it '
comes up for review.:..
3. Technical Compliance.; Once an application is administratively complete; it is routed. to'technicat,staff for;coinpliance
review. Depending 011 the type of, project, technical staff may include multiplereviewers:, You should be'bontacted by ,
phone, fax, email, or mail by your TARGET DATE once the initial technical coinpliance review is complete - .
4. Permit Issuance.` When the technical compliance review of the application is complete,: including,anyis`t,bsequent re-
• submittals, each reviewer Will approve then- section of the application and route it to the Perm it Center: When all ections
of the application are received, a' Permit -Specialist skill process th'eapplication and contact the person:spec fied OP ,your
application for permitpick-up. Information regarding fees and pre -construction meetings`(if required) will be provided by :
the Permit Specialist at that tine.
WHITE -APPLICANT PINK - BUILDING FILE
REV 9/07