2005, 10-26 Permit App: 05003521 AdditionProject Number: 05003521 Inv: 1
Application
THIS IS NOT APERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/26/2005 Page 1 of 2
Project Information:
Permit Use: 16 X 16 ADDITION TO RESIDENCE Contact: VANBELLE JR, L
Address: 8801 E KNOX AVE
C - S - Z: SPOKANE, WA 99212-2315
Setbacks: Front Left: 34 Right: 49 Rear: 53 Phone: (509) 924-0338
Group Name:
Site Information: Project Name:
SMNOREM ..Z.240%
Plat Key: 000000 Name: unknown
-. .-...
District: H
Parcel Number: 45074.9024 Block:
SiteAddress: 8801 E KNOX AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: .31 Acres
Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: VANBELLE JR, L
Address: 8801 E KNOX AVE
SPOKANE, WA 99212-2315
Hold: ❑
Depth: 0 Right Of Way (ft): 60
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 09/26/2005 By: CJJANSSE
Released By
Sewer Review
Permits:
Originally Released: 10/26/2005 By: TMELBOU
Released By:
Originally Released: 09/26/2005 By: CJJANSSE
Operator: CJJ Printed By: CJJ Print Date: 10/26/2005
Project Number: 05003521 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/26/2005 Page 2 of 2
Contractor: OWNER
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RES ADD R-3 VB 256 $19,118.08 256 $19,118.08
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes:
Payment Summary:
Permit Type
Building Permit
Totals: 256 $19,118.08 256 $19,118.08
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount
$321.25
$4.50
$128.50
$454.25
Fee Amount Invoice Amount Amount Paid Amount Owing
$454.25 $454.25
$0.00 $454.25
$454.25 $454.25 $0.00 $454.25
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: 10/26/2005
pokane
�Uall
Li
BUILDING PERMIT APPLICATION WORKSHEET
gi(y•of, Spokane Valley Community Development Department
Building Division
1' 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: rr7 6 /
Assessor's Tax Parcel Number(s):
et) f
'Legal Description:
7q-90,21 rix–cG G i 41k
PERMIT DESCRIPTION: , 7,'a (i/y, 13e
r toeia b -i - a c /a t P Av` 1/3
Building Permit .J Change in Use
FT% S(g 6FTs-OF.-VE-40 ;
Relocation 1 J Tenant Improvement
r b a Q , ldi� �l /tet �� _----•
Manufactured Home
Other
Grading
Fire Safety
OWNER/APPLICANT INFORMATION
Owner:
Phone:q
Address:
Ire! j
r
Fax:
City
State
Zip Code
(l Contractor: (;1,01_Lkt�
Phone:9;?y v3•, Fax:
Address: e�j'D/�a�` lf�d�L
e
City State 7.2 Zip Code
WA State Contractor License #:
Applicant:
Phone:
Address:
Fax:
City
Architect:
Phone:
State Zip Code
Address:
Fax:
City
Contact:
State
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:DIMENSIONS:
ai.-c4
/ 6. ¥ / b16
# OF STORIES:
MAI LOOR TO SQ. FTG: .
2"" FLOOR SQ. FTG: `�SE3 crF{
te.
JNFIN BASEMEArQ. FTG:
r ffSI-C-9 BASEMENT SQ. FTG:
GARAGE SQ. G:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
n'e\b`
diValky
Project Address:
Owner:
Mailing Address:
Contractor:
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, CaII (509) 688-0054
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
CS'0 i- J/O It
City
License #:
State
Zip Coes
Phone #: Z72/J f c9
Mailing Address:
Zip Code
City
State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
* OF UNITS
X
COST •
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS '
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
-
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
=
5
•
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
=
6
DISHWASHER
X
$6.00
=
�
f 7)
CLOTHES WASHER
i
X
$6.00
=
l
88
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X$6.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
. REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
S6.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MASTERCARD
DATE: �Uir EXPIRES:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
;; ------------------
Appraisal Services
BERG APPRAISAL
SERVICES, P.C.
Appraisal Services DIESBURG APPRAISALS
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Appraisal Services ' HERITAGE APPRAISALS
Architects
,r
Spokane
Architects
Architects
Architects
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Architects
Architects
Architects
COPELAND DESIGN &
CONSTRUCTION
JON R. SAYLER
ARCHITECT AIA,PS
NORTHWEST
ARCHITECTURAL CO.,
P.S
OMS ARCHITECTURE &
INTERIORS
PURPLE FLAT TOP, LTD Chewelah
Valleyford
Ephrata I
Spokane
Spokane
Spokane
Spokane
STEVEN A. MEEK
ARCHITECTS
rsr: � rrr.............
Spokane
(509) 747-7230 Berg
(509) 927-4576 Diesburg
....... --MM....
(509) 754-4648 Borck
(509) 838-9085 Copeland
(509) 535-9207
(509) 838-8240
(509) 838-6904
(509) 935-4100
Sayler
Blackmer
Randy
Amy
Phil
Gerry
Jon
Bruce
----------- --------------------
Somers Scott
Bristol
Thoma
(509) 456-2524
Meek
Steven
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THOMAS W. ANGELL,
ARCHITECT, AIA
Spokane
,; Architectural Stone ELDORADO STONE, LLC Spokane Valley
Veneer
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Asbestos/Lead AFFORDABLE
;_nt.. Abatement ASBESTOS ABATEMENT Newman Lake
Asbestos/Lead
Abatement
Asbestos/Lead
Abatement
Asbestos Survey
Asphalt Maintenance
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;;Asphalt Maintenance'
Asphalt Paving
•
IRS ENVIRONMENTAL
OF WA., INC.
SPECIALTY
ENVIRONMENTAL__
V ENVIRONMENTAL,
LLC
Spokane
Spokane
Spokane
AAA SWEEPING Veradale
rrrrrrrrrrrrrrr.-
FINN ASPHALT
SERVICES, INC.
BST SURFACING, INC.
FINN ASPHALT r - Chatteroy
SERVICES, INC. r
Asphalt Paving SPOKANE ROCK Spokane
PRODUCTS, INC. p
Spokane
Asphalt Paving
Attorneys
A
r1�
PRESTON GATES &
ELLIS, LLP
KREM/KSKN
Spokane
(509) 747-7647 Angell
Tom
(509) 435-1009 Gnotta
Dave
.--.-.-:-..-4-..-:-.-..-,,,,,,,...-..-.7.-...-...-..-.-.. Berg Phil
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(509) 891-7575
(509) 927-7867
(509) 535-1313
(509) 482-2959
(509) 922-1363
Johnston
Debbie
____*S_ --____===-=u
Thomson Norm
Teller
Sargent
rrs
(509) 292-7100 Paryiaine
(509) 466-4388 Lynch
Parviaine
(509) 244-5421 ,Zimmerm
an
(509) 292-7100
Verna
Jodie
Pete
Casey
(509) 624-2100
Pete
Leroy
Neal '
Jerry