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2010, 07-01 Permit App: 10001936 RemodelProject Number: 10001936 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/1/2010 Page 1 of 2 Project Information: Permit Use: BASEMENT BATHROOM & 1 EGRESS WINDOW Contact: RAMPLEY LIVING TRUST Address: 4225 S DRIFTWOOD DR C - S - Z: SPOKANE VALLEY, WA 99206 Setbacks: Front Left: Right: Rear: Phone: (509) 924-7728 Group Name: Site Information: Project Name: Plat Key: 001846 Name: OPPORTUNITY TERRACE, 04TH ADD District: Sout Parcel Number: 45271.2219 Block: Lot: SiteAddress: 2109 5 MCDONALD RD Location:: CSV Zoning: R-4 SF Res Urban District Water District: 010 VERA Owner: Name: RAMPLEY LIVING TRUST Address: 4225 S DRIFTWOOD DR SPOKANE VALLEY, WA 99206 Hold: ❑ Area: 13,183 Sq Ft Width: 133 Depth: 130 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: Review Building Plan Review Released By: Originally Released: 7/1/2010 By: tmelbourn Permits: Building Permit Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation So Ft Valuation BASEMENT R R-3 VB PLAN 0 $4.000.00 0 $4,000.00 REVIEW Item Description RESIDENTIAL PERMIT FEE WSBCC SURCHARGE SF PLNS RVW < 7999 SQ FT Totals: 0 $4,000.00 0 $4,000.00 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Operator: JD Printed By: jmm Fee Amount $97.25 $4.50 538.90 Permit Total Fees: $140.65 Print Date: 7/1/2010 Projcet Number: 10001936 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/1/2010 Page 2 of 2 Contractor: OWNER Item Description TOILETS/BIDETS SINKS TUBS WATER PIPING - DWV Plumbing Permit Firm: OWNER Phone: (000) 000-0000 Units Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $6.00 $6.00 $6.00 $6.00 $24.00 Notes: Payment Summary: Permit Type Building Permit SI40.65 Plumbing Permit $24.00 Fee Amount Invoice Amount $140.65 $24.00 Amount Paid $38.90 $0.00 Amount Owine $101.75 $24.00 $164.65 $164.65 $38.90 $125.75 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: jmm Print Date: 7/1/2010