2007, 10-17 Permit App: 07004152 RemodelProject Number: 07004152 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/17/2007 Page 1 of 2
Project Information:
Permit Use: REPAIR SPAN, REPLACE INTERIOR WALLS, Contact: DICKSON, JAMES M & LORI BEAL
CHANGE ROOF PITCH Address: PO BOX 908
C - S - Z: LIBERTY LAKE, WA 99019-0908
Setbacks: Front Left: Right: Rear: Phone: (509) 998-6256
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: Range
District: East
Parcel Number: 55184.9002
Block: Lot:
SiteAddress: 17907 E SPRAGUE AVE Owner: Name: DICKSON, JAMES M & LORI BEA
Address: PO BOX 908
Location:: CSV LIBERTY LAKE, WA 99019-0908
Zoning: I-2 Light Industrial
Water District: 134 CONSOLIDATED ID #19
Area: 1.07 Acres Width: 0 Depth: 0 Right Of Way (ft): 60
Hold: ❑
Nbr of Bldgs: 0
Review Information
Review
Building Plan Review
Nbr of Dwellings: 1
Released By:
Originally Released: 10/17/2007 By: tmelbourn
Permits:-4.re < „.„..•w .:a: .A �.m,... .CV,::
Contractor: OWNER
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sci Ft Valuation Sci Ft Valuation
1&2 FAMILY R-3 VB INTERIOR 0 $1,500.00 0 $1,500.00
WORK
Totals: 0 $1,500.00 0 $1,500.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $69.25
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $27.70
Permit Total Fees: $101.45
Operator: jmm Printed By: jmm Print Date: 10/17/2007
Project Number: 07004152 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/17/2007 Page 2 of 2
Payment Summary
Permit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$101.45 $101.45
$0.00 $101.45
$101.45 $101.45 $0.00 $101.45
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: jmm Printed By: jmm Print Date: 10/17/2007
Spokane
djValley�
Community Development
Residential Construction
Permit Application
Permit Center BY
11703E Sprague Ave, Suite B 3RECEtVED
Spokane Valley, WA 99206(, OF SPOKANE VALLEY
CENTER
MI
PERMIT NUMBER: if 1! 5 Ci
PERMIT FEE:
n
Addition/Remodel
❑ Other:
Accessory Bldg
Deck
SITE ADDRESS: (
ASSESSORS PARCEL NO: SS tB k -1L7C) LEGAL DESCRIPTION:
Building Owner:
g
DIMENSIONS:
# OF STORIES:
Name:
Name: Lo 0- t'
- L.... (_ f.1 C_a fm
Address: `---\„10"-1
t✓ ro`.it\C-,,Lit c
City3pn/ A -/Y
JA t \e1.i State: (..),...A(..),...AZi..`iOlt,n,
Phone:�r Fax: ry
Contact Person
Name: LcDe_ t_C.ALtC�.��c�
Phone:
C11— c ?_ CcG S -icy
U
Describe the scope of work in detail:
l-'-✓;
Contractor:
g
DIMENSIONS:
# OF STORIES:
Name:
MAIN FLOOR TO SQ.
FTG:
214U FLOOR SQ. FTG:
Address:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
City:
State:
Zip:
Phone:
Fax:
HEAT SOURCE:
Contractor Lic No:
Exp Date:
City Business Lic. No:
litt4Aa S _ pct
Cost of Project: $ ,Sae1`t
"Jr'.G'
Proposed Use: ef-.-S t r1C_ t-;
*********The followin MUST be complete•(write N/A if not licable**********************
K.& )
HEIGHT TO PEAK:
g
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
214U FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
- .
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
SIGNATURE:
Method of Payment:
D Cash
Bankcard #:
Authorized Si
REVISED 2/15/07
0
Check
0 Mastercard
Expires -
DATE:
0 VISA
VIN#: