2005, 08-26 Permit App: 05003020 AdditionProject Number: 05003020 Inv: I Application Date: 08/26/2005 Page 1 oft
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 19 X 21 MASTER BEDROOM ADDITION
Setbacks: Front 32 Left: 18 Right: 18 Rear: 50
Site hiformatioi7:
Plat Key: 000000 Name: RANGE
Parcel Number: 45213.9169 Block:
SiteAddress: 1219 S PIERCE RD
Contact: SMART CONCEPTS INC
Address: PO BOX 1178
C - S - Z: MEAD, WA 99021
Phone: (509) 927-0130
Group Name:
Project Name:
District: Sout
Lot:
Owner: Name: ROSENBERG, MIKE
Address: 1219 S PIERCE RD
Location:: CSV SPOKANE VALLEY, WA 99206
Zoning: B-1 Neighborhood Business
Water District: Hold: ❑
Area: .36 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information :; .... , F.,.... �,..,..., . ,
Review
Site Plan Review
Originally Released: 08/26/2005 By: cjjanssen
Plan Review Released B
Sewer Review
Permits:
Originally Released:
08/25/2005 By: TMELBOU
Released By:
SEWER PERMIT #99004433
Originally Released: 08/26/2005 By: cjjanssen
Operator: CJJ Printed By: CJJ Print Date: 08/26/2005
Project Number: 05003020 Inv: I Application Date: 08/26/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: SMART CONCEPTS CONST LLC
Address: PO BOX 1178
MEAD, WA 99021
Building Permit
Firm: SMART CONCEPTS CONST LLC
Phone: (509) 927-0130
Total Project:
SSC Ft Valuation
96 $1,440.00
444 $33,157.92
540 $34,597.92
Fee Amount
$492.25
$4.50
$196.90
Permit Total Fees: $693.65
Notes
Payment Summary:.y�N;,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owine
Building Permit $693.65 $693.65 $0.00 $693.65
$693.65 $693.65 $0.00 $693.65
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: 08/26/2005
This Application:
Description Grp Tvve
Notes
Sa Ft
Valuation
DECK R-3 VB
96
$1,440.00
RES ADD R-3 VB
444
$33,157.92
Totals:
540
$34,597.92
Item Description
Units
Unit Desc
RESIDENTIAL PERMIT FEE
1
SELECT
STATE SURCHARGE
1
SELECT
RESIDENTIAL PLAN REVIEW
1
SELECT
Total Project:
SSC Ft Valuation
96 $1,440.00
444 $33,157.92
540 $34,597.92
Fee Amount
$492.25
$4.50
$196.90
Permit Total Fees: $693.65
Notes
Payment Summary:.y�N;,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owine
Building Permit $693.65 $693.65 $0.00 $693.65
$693.65 $693.65 $0.00 $693.65
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: 08/26/2005
- (� BUILDING PLKMA i F�f'I� LIUAI Ii..IN ''V%1L) f'L5t1t=t:I
C,ty of Spokane Ua,','ey Community Development Depa; tmer-�f
13P&W
Building Division
11707 E. Sprague Avenue, Suite 105
Spokane valley, WA 99203
Phone. (509) 653-0036, Fax: (509) 633-0037
j
j `FE'E'L UIRED SITE INFORMATION
Street Address: (�iI eICGC
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: YV A Z
za Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
G OWNER/APPLICANT INFORMATION
❑ _Owner.
Phone:Fax:
Address: Pt ce- r .
City
State Zip Code
❑ Contractor: �JII LLr=L C b IQ El
Phone: is 7o,ax: shy 5 a71& ,
Address: -)V /(7y
city State Zip�Cade
Applicant:
Phone: Fax:
Address:
City state Zip Code
Architect:
Phone: Fax:
Address:
City State Zip Code
WA State Contractor License #: S 1l714r 1(' C�'Io 3,i✓ZContact:
Spokane Valley Bus. Liscense #: Contact:
PERMITIBUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS: /
4 OF STORIES:
I 1 ' k 2-1 x712
MAIN FLOOR TO SQ. FTG:
FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
`f- •-t '-
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECKlCOV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
�t lc(
# OF BEDROOMS:
t
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
i
SYSTEM?'U' t'
�2
Nidth:
Manufacturer:
Previous Address:
Proposed Use: _
=ire Sprinkler.
Tent:
Jaluation:
MANUFACTURED HOME
Length: Year
RELOCATION
FIRE SAFETY
# of Heads: Fire Alarm:
Fireworks Display: Blasting:
Above/Underground Storage Tank Size:
Pit Set:
Paint Booth:
Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Tans Examiner. Phone: Fax:
kddress:
city state
nspector. Phone: Fax:
kddress:
city state
—1 BOLTING
=irm Name:
nspector(s):
SPECIAL INSPECTIONS
❑ CONCRETE ❑ REINFORCEMENT
Phone:
Fax:
Zip
Zip
❑ WELDING
)ISCLAIMER
-he permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a
Welling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the
)roperty owner. 3) The signatory is the property owner or has permission to represent the property owner in this
ransaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code.
Zeferenced codes are available for review at the City of Spokane Valley Pefrfi-ft Center. 5) This City of Spokane Valley
'ermit is not a permit or approval for any violation of federal, state or local aws, codes or ordinances.
)wnership of resulting development rights granted by any issued permit `nine to the pr perry
'riot Name Signature(__A
Method of Payment: (Faxed pen -nit applications will only be accepted with major bankcard)
Cash ❑ Check ❑ Mastercard ISA
>ankcard #:
authorized Signature:
Expires:
1T J13
❑ Other