2011, 10-18 Permit App: 11003289 Egress WindowsProject Number: 11003289 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: L
Date: 10/18/2011
Page 1 of 2
Permit Use: 2 EGRESS WINDOWS Contact: TERRY ETUX, GLEN
Address: 9611 N FRANCESCA LN
C - S - Z: NEWMAN LAKE, WA 99025
Setbacks: Front Left: Right: Rear: Phone: (509) 926-8743
Group Name:
Site Information: Project Name:
Plat Key: 001641 Name: MIRABEAU RANCH ADD District: Nort
Parcel Number: 45091.1104 Block:
SiteAddress: 11904 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: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: TERRY ETUX, GLEN
Address: 9611 N FRANCESCA LN
NEWMAN LAKE, WA 99025
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Permits:
Released By:
Originally Released: 10/18/2011 By: TMELBOU
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes So Ft Valuation Se Ft Valuation
I&2 FAMILY R-3 VB 2 EGRESS 0 $3,500.00 0 $3,500.00
WINDOWS
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 0 $3,500.00 0 $3,500.00
Units Unit Desc
1 SELECT
I SELECT
I SELECT
Operator: JD Printed By: MBB
Fee Amount
$97.25
$4.50
$38.90
Permit Total Fees: $140.65
Print Date: 10/18/2011
Project Number: 11003289 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/18/2011 Page 2 of 2
Payment Summary:
Permit Type
Building Permit
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.
Fee Amount Invoice Amount
$140.65 $140.65
Amount Paid
$38.90
Amount Owing
$101.75
$140.65 $140.65 $38.90 $101.75
Signature:
Operator: JD Printed By: MBB
Print Date: 10/18/2011
Spokane
�Va11ey°
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
perm itcenter@spoka neva I lev.orq
(Staff Use Only)
PERMIT NUMBER:
1906Y>
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION 0 ADDITION/REMODEL
0 DECK 0 OTHER
^
SITE ADDRESS: ) / Q0 5/ C, onc' ,✓ e .
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
El ACCESSORY BUILDING
BUILDING OWNER NAME:
NAME: (Ven i .-./
ADDRESS: / I/ 49e9470 C, L� �' 9C e
CITY: 9,04,4.0 -up
92 V- 9 3 2Z
PHONE:
STATE: 'Z.i
ZIp:
90t2de
FAX:
CELL:
CONTACT NAME: 6 re -r, ./
PHONE:
9�ti'-432 D
FAX:
CELL:
sCONTRACTO R;NAM E ci
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:
2 - ate, Se,.tit3gdipsir 19„25s a/,wd0It)
****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
FT:
SQ
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: $ "j sob °=U A
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or on a dwelling, the d ening 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 he 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 r additional
information may be required to be submitted and subsequently approved before this application can be processed.
Signature
Date: ,/pi 7/z
i/
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_=Resldential_11-11-11. oc