2001, 04-02 Permit App: 01002059 Basement Project Number: 01002059 Inv: 1 Appl f Cation Date: 4/2/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: BASEMENT BATHROOM Contact: ELLIOTT CONST.
Address: POB 14406
C-S-Z: SPOKANE,WA.99214
Setbacks:Front Left: Right: Rear: Phone: (509)928-6415
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: UNKNOWN District: F
Parcel Number: 45171.1527 Block: Lot:
SiteAddress: 10322 E DEAN AVE Owner:Name: TOBERT,JIM
SPOKANE,WA 99206 Address: 10322 E DEAN AVE
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: He:. ,.. - ... go 'ow gson = 14FAMA .
Department Review
BUILDING Plan Review Released By: ? � J`r € •
Hold Reasons:
Permit Conditions:
Permits: 9 �
Project Number: 01002059 Inv: 1 Application Date: 4/2/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: ELLIOTT CONSTRUCTION CO Firm: LANCE ELLIOTT CONST CO
Address: PO BOX 14406 Phone: (509) 928-6415
SPOKANE,WA 99214
Building Characteristics
Const Category: Remodel Group:R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: 0
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT F R-3 VN FINISH 0 $6,000.00 0 $6,000.00
BATHROO
M
Totals: 0 $6,000.00 0 $6,000.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $113.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $24.86
Permit Total Fees: $142.36
Plumbing Permit -
Contractor: BURT PLUMBING SERVICE Firm: BURT PLUMBING SERVICE
Address: 23904 E RIVER RD Phone: (509)226-0542
OTIS ORCHARDS,WA 99027
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
SHOWERS 1 NUMBER OF $6.00
MINIMUM FEE ADJUSTMENT 1 Select $17.00
Permit Total Fees: $35.00
Payment Summary:
Operator: CKF Printed By: CKF Print Date: 4/2/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $142.36 $142.36 $0.00 $142.36
Plumbing Permit $35.00 $35.00 $0.00 $35.00
$177.36 $177.36 $0.00 $177.36
Notes:
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APPLICATION INFORMATION C04 - 2-C jC Cl
What is the JOB SITE address? ASSESSOR'S tax parcel number?
/0 3 ,� 2 �. YJ e,9.v
Legal description as it appears on the property deed
b7 1-647
OWNER or OCCUPANTPhone
cT i jo6�7_ 9 2 If
Mailing address City, state Zip
w�. X 9 2 oz�
Who should we contact regarding this project? Phone
Z4-1/1-7/ �,2 b' 6 �i✓r
What work is being done under this permit?
Zone
Inspector district
Property size
Right of way width
Water district
Building
Building height
# of stories
Contractor
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
"E- Z-
Main floor area
Unfinished basement area
Mailing address
Pip ,Q o� `5` mod � � z � �
2nd floor area
Finished basement area
Architect/Engineer
X0/1 e
Garage area
Size of decks, etc.
What is the heat source? /
What is the cost of your project?
Manufactured Home
Sign
Width: \
Length:
What is the square footage of
the, sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
We State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire, -Safety
Prev ous address
Fire Sprinkler Tent
Paint booth _ larm Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
Sw nming Pool
(Circle one) Above -ground Underground
Size / gat�ons
Private
Contents of tank(s)
Size /gallons
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.