2005, 01-31 Permit App: 05000284 Remodel Project Number: 05000284 Inv: 1 Application Date: 01/31/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 2 EGRESS WINDOWS& NEW WALLS IN Contact: S&K CONTRACTORS
BASEMENT Address: 4310 S LONG LN
C-S-Z: GREENACRES,WA 99016
Setbacks:Front Left: Right: Rear: Phone: (509)926-3146
Group Name:
Project Name:
Site Information
Si IM9"" MAIN AV... ..�.:�...... .. . .v r„hg p{ ;,.a.:.;,x i s°�
Plat Key: 001827 Name: OLD ORCHARD SUB District: Sout
Parcel Number: 45212.1345 Block: Lot:
SiteAddress: 10804 E 7TH AVE Owner:Name: BIERWAGON,CHERYL
Address: 10804 E 7TH AVE
Location::CSV SPOKANE VALLEY,WA 99206
Zoning: 000000
Water District: 999 UNKNOWN Hold: ❑
Area: ,325.00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information: . . _ • .. _ a .
Review
Plan Review Released By: Cd
Originally Released: 01/31/2005 By: ddompier
Building Permit
Contractor: S&K CONTRACTORS LLC Firm: S&K CONTRACTORS LLC
Address: 4310 S LONG LN Phone: (509)926-3146
GREENACRES,WA 99016
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RESIDENCE R-3 VB BASEMENT 0 $2,500.00 0 $2,500.00
REMODEL
Totals: 0 $2,500.00 0 $2,500.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $83.25
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $33.30
Permit Total Fees: $121.05
Operator: DMD Printed By: DMD Print Date: 01/31/2005
Project Number: 05000284 Inv: 1 Application Date: 01/31/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Mechanical Permit
Contractor: ROCK CREEK HTG AIR& Firm: ROCK CREEK HTG AIR&REFRI
Address: PO BOX 1032 Phone: (509)230-7389
RATHDRUM ID 83858
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 1 #OF UNITS $1.00
VENTILATING FANS 2 NUMBER OF $20.00
Permit Total Fees: $43.00
Plumbing Permit
Contractor: GOLD SEAL MECHANICAL INC Firm: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE Phone: (509)535-5944
SPOKANE,WA 99212
Item Description Units Unit Desc Fee Amount
SINKS 2 NUMBER OF $12.00
TUBS 1 NUMBER OF $6.00
Permit Total Fees: $18.00
Notes: ..:: .g .z u ,_calimiEwn,%zry ..= v ,xv-. 4.-.1cA44,WILMBE
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $121.05 $121.05 $0.00 $121.05
Mechanical Permit $43.00 $43.00 $0.00 $43.00
Plumbing Permit $18.00 $18.00 $0.00 $18.00
$182.05 $182.05 $0.00 $182.05
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: DMD Printed By: DMD Print Date: 01/31/2005
•
BUILDING PERMIT APPLICATION WORKSHEET
S`I I''ori k, City of Spokane Valley Community Development Department
Building Division
�
�/ c4 11707 E. Sprague Avenue, Suite 106
Valle
Spokane Valley, WA 99206
y Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: J O , O Y E 7 74
Assessor's Tax Parcel Number(s): os- 0., , / 3 '''.S--
Legal
'SLegal Description:
PERMIT DESCRIPTION: � -zo i ..,A,C v L4- O.'- 14./,',(- a S
X Building Permit Change in Use Grading f l Manufactured Home
[ I Relocation f I Tenant Improvement I I Fire Safety ( l Other
OWNER/APPLICANT INFORMATION
I Owner: 6)7 j� Z. 6,' r/i 1• '4, f I Applicant: ,$/c'
Phone: 4/2'783Fax: Phone: eI,,�'6--3/�.6 Fax:' q/ //?4'
Address: O'3O�i E -7 7+ Address: .CA/ /Ly 4/).,,S 1..-.,--
Si,u,4 LL Y (2.& qf? 6 6,7' *.47,4eie t c u.-:4- q4/0/4
City / State Zip Code City State Zip Code
Contractor: ,"; pi (VI/T4;4 e iri?�' Architect:
Phone:F? _ Fax: 1 if 7IY Phone: Fax:
Address: ; 113/p 10-4,r 2 ..g., Address:
o/?fY.,‘-')1/? s 4- 410'6
City State Zip Code City State Zip Code
WA State Contractor License #: sAie.0%,/tGJ,4 2/wd Contact: i9 X Sj ! 1
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: DIMENSIONS: # OF STORIES:
MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG.
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:?
S 614 S
# OF BEDROOMS: 2-- TOTAL HABITABLE SPACE. IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 00 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
sZ,S D l SYSTEM? S PAP s
7
MANUFACTURED HOME
Width: Length: Year: Pit Set: •
Manufacturer:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON—RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS 1
BOLTING CONCRETE I I REINFORCEMENT I WELDING
Firm Name: Phone: Fax:
Inspector(s):
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)
( J Cash n Check I J Mastercard I I VISA n Other
Bankcard #: Expires: VIN#:
Authorized Signature:
EMERGENCY EGRESS REQUIREMENTS
• FROM SLEEPING ROOMS
I)NET CLEAR OPENING. 5 7 SQUARE FEET
GRADE FLOOR OPENING(MAX 44') 5 0 SQUARE FEET
2)NET CLEAR OPENING HEIGHT 24 INCHES
3)NET CLEAR OPENING WIDTH 20 INCHES
4)MAX FINISHED SILL HEIGHT 44•ABOVE FLOOR
5)EMERGENCY ESCAPE&RESCUE OPENING SHALL BE
OPERATIONAL FROM THE INSIDE OF THE ROOM WITHOUT
THE U OF KEYS OR TOOLS
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