2005, 06-30 Permit App: 05002249 Finish BasementProject Number: 05002249 Inv: 1
Application
Date: 06/30/2005 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 - (2) BEDRMS, BATHRM, Contact: KELLY, ROBERT
LAUNDRY RM & BAR RM Address: 10719 E MAIN AVE
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 953-4238
Group Name:
Site Information: Project Name:
Plat Key: CONV Name: CONVERTED CNTY DATA District: Nort
Parcel Number: 45163.0443 Block:
Lot:
SiteAddress: 10719 E MAIN AVE Owner: Name: KELLY, ROBERT
Address: 10719 E MAIN AVE
SPOKANE VALLEY, WA 99206
Location:: CSV
Zoning: UNK
Water District:
Area: .00 Acres
Width: 0
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: r
Review
Plan Review
Released By:
Permits: ,
Operator: K_C Printed By: K_C
Print Date: 06/30/2005
Project Number: 05002249 Inv: 7
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/30/2005
Contractor: OWNER
Group: R-3 Type: VB
Total Area 1200
Description
BASEMENT R R-3 VB
Building Permit
Page 2 of 2
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Grp Type Notes
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,200 $6,000.00 1,200 $6,000.00
Totals: 1,200
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
$6,000.00 1,200 $6,000.00
Fee Amount
$125.25
$4.50
$50.10
Permit Total Fees:
$179.85
Notes: r
ELECTRICAL PERMIT/INSPECTION TO BE OBTAINED PRIOR TO FINAL INSPECTION
Papntent Sumntarr•
Permit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$179.85 $179.85 $0.00 $179.85
$179.85 $179.85
$0.00 $179.85
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: K_C Printed By: K_C Print Date: 06/30/2005
cm'or
ane
galley
'BUILDING PERMIT APPLICATION WORKSHEET
Cityfof,Sj okane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206 •
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: ( G % 1 9 E M otr ✓1
Assessor's Tax Parcel Number(s):
Legal Description: -
PERMIT DESCRIPTION: -
❑ Building Permit :.:❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner. Robe, -1- 14 //e7+DoMil + Vero flch,, ❑ Applicant:
Phone: 95.3-923H Fax: Phone: Fax:
Address: g, 1625 ki, rot,. -14 K Address:
Spo iVunc wft 992DS
Cit! State Zip Code City State Zip Code
❑ Contractor:
Phone: Fax:
Address:
❑ Architect:
Phone: Fax:
Address:
City State Zip Code City
• WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact
State ZIp Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: -
DIMENSIONS:
# OF STORIES:
Z
MAIN FLOOR TO SQ. FTG:
:2"" FLOOR 5Q. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: .
- /2-00
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: .
CONSTRUCTION TYPE:
HEAT G-cts
# OF BEDROOMS:3 4.°, /
i
TOTAL HABITABLE SPACE:
I = OUS SURFACE AREA:
COST OF PROJECT:
i 5 000 do, Con
30% SLOPES ON PROPERTY:
EWER 0 ON -ST SEPTIC
YSTEM? 1let cek..1 el
MANUFACTURED HOME
Width:
.Manufacturer:
Length:
Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
r
FIRE SAFETY
Fire Sprinkler.
Tent:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner
Address:
' Inspector:
•. Address:
Phone:
Fax:
City
Phone:
State
Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
Inspector(s):
❑ REINFORCEMENT
Phone:
Fax:
❑ WELDING
DISCLAIMER
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a
dwelling, the dwelling 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 the 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) This City of Spokane Valley
Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
477-7178
JUN 29 2005 10:588M SP0KOME COUNTY
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JUN 29 21305 11:13
lira° tr
ne
lleY
DO NOT REMOVE THIS NOTICE
STOP WORK
PERTAINING TO CONSTRUCTION, ALTERATIONS REPAIRS, GRADLNG 0
REGULATED EQUIPMENT
N. TILE PREMISES AT: R17 /s, j ^ , �\
ALL PERSONS ARE HEREBY ORDERED TO STOP WORK AT ONCE DUE TO EITHER WORK
BEING DONE CONTRARY TO THE PROVISIONS OF THE UNIFORM BUILDING CODE OR
OTHER PERIINENT LAWS OR ORDINANCES IMPLEMENTED THROUGH THE ADOPTING OF
THE UNIFORM BUILDING CODE AND OTHER DEVELOPMENT REGULATIONS AND
STANDARDS.
POSTED BY: gj ja\ �-
DATE: (di -72-C\
TJME:
A.M.
P.M.
THE PERSON RESPONSIBLE FOR THIS PROPERTY OR VIOLATION(S) HAS THE DUTY TO
NOTIFY THE BUILDING DEPARTMENT OF ANY ACTION TAKEN TO CORRECT THE
VIOLATION(S). THEY MAY INCLUDE, BUT NOT BE LIMITED TO: XBUILDING PERMI
APPLICATION, 0 PLANS REQUIRED, 0 ZONING CLEARANCE, 0 MECHANICAL PERMIT,
eX\LUMBING PERMIT, 0 LAND CLEARING AND GRADING, 0 RIGHT-OF-WAY PERMIT OR
,ORRECTION OF IMPROPER CONSTRUCTION.
ADDED COMMENTS:
S�AM"
?L- LN l4
r P F- f
SPOKANE VALLEY BUILDING DIVISION
509.688.0036
UILDI f OFFI 'AL
Failure to stop work, resuming work without permission from the Building
or the removal, mutilation, destruction, or concealment of this Notice is a
misdemeanor.