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2003, 04-30 Permit: BD03-210 Finish Basement CITY OF SPOKANE VALLEY BUILDING PERMIT No. t-)0 0 3-,2(0 SITE INFORMATION PROJECT INFORMATION Site address: 'PI E 111'1' Permit use for: eCle-m ,.��r Parcel number: 35-_21-4 1312 Applicant: i)ujyi Subdivision: (,j©cai t ) - PCt;K Address: Zoning: Water District: Contact: Owner: y e J(a e y P. Phone#: q .e ' Lett cf Address: 710 E 11 Project name: City log,(ae.,ft-Q State _Zip 12 Sprinklers ? Fire Alarm ? Security Alarm ? Building Permit Information Contractor � n .�� License# Occupancy Group 3 Type of Construction Height Stories Total Square Feet;000 Category: Q ( 1=new,2=remodel,3=addition, 4= change of use,5=tenant improvement, 6=mechanical, 7=plumbing, 8=sign, 9=mobile home, 10=demolition, 11=Other ) Total code value$ Permit Fee$ ZSPlan Review Fee$ State Surcharge $ Surcharge $ Fire Fee $ Planning Fee $ Public Works Fee $ TOTAL FEES $ AMOUNT PREPAID $ TOTAL DUE$ /O /. (� The issuance of this permit does not imply complete approval for construction not in compliance with the codes and standards. NOTES/CONDITIONS OF APPROVAL 1 cc to File-1 cc to Permit holder -1 cc to Assessor Issue• by , iNi, /J Date V City of SPOKANE VALLEY PERMIT # BUILDING PERMIT APPLICATION Box 1 OWNER Yei/..li4j' � JOB LOCATION 77/ // 4j�//e OWNER'S AD,i-ES ' CITY .o,N,atiePHON E Rj,S- 6'7/ 9 DESCRIBE JOB da/ Th'' *Dhfc. /h /he ,e6,,gehi THIS PROPERTY IS OWNED BY: SINGL- ARRIE. PARTNERSHIP CORP. BOX 2 CONTRACTOR'S NAME PHONE CONTRACTOR'S ADDRESS CITY CONTRACTOR'S REG.# EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT PHONE ADDRESS CITY ZIP BOX 4 SEWER AVAILABILITY WATER AVAILABILITY BOX 5 ESTIMATED PROJECT COST$ 2 2t EXISTING BLDG.VALUATION$ ;94)z), BOX BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOT NUMBER • BOX 7 BUILDING SQUARE FOOTAGE (Existing/proposed) 1ST FLOOR / 2ND FLOOR 3RD FLOOR / OTHER / BASEMENT FINISHED BASEMENT UNFINISHED / DECK / GARAGE / CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING FT. BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY SQ. FT. ( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE_ SQ. FT. BOX 9 PLUMBING FIXTURES (Including rough-ins) MECHANICAL APPLIANCES PLEASE USE THE ATTACHED PLUMBING/MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES, SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS, LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL. BOX 10 Water Service meter size(if known) Also see BOX 4 BOX 11 Septic Tank—Not generally allowed in the City of Spokane Valley. For special circumstances contact Your sewer purveyor and the Health District (See BOX 4) BOX 12 Street use may require a" Street Use Permit"for sewer, water, sidewalks, curb cuts. Contact the Public Works Department. I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHIC THE APPLICATION IS MADE. OWNER/AGENT Vey&f,./ DATE y 3‘/e) (OVER) I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card: Visa Mastercard ___— Expiration Date Print the name of the Holder Signature OFFICE USE ONLY- PLEASE DO NOT WRITE BELOW THIS LINE ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE REMARKS SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT'APPROVAL DISAPPROVAL DATE REMARKS PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE TYPE OF JOB: NEW RESIDENCE RES.ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM.ALT/ADD NEW MULTIFAMILY NO. UNITS MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY TYPE OF CONSTRUCTION STORIES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NUMBER PERMIT FEE PLAN CHECK FEE X3.25'PLUMBING FEE ifi# MECH. FEE TOTAL FEES WSBCC SURCHARGE � ► RGY SURCHARGE OTHER CHARGES „i flCt . T DUE I BUILDING DEPARTMENT APPROVAL BY _ DATE Li. #3 . ASSIGNED ADDRESS i: rtiVe A fActrsi cocvm Ir.sikidt4104 c v e , , 1 i rikst ‘ . . VA' \ t: yr is - 5-�rlk�,�2 �D SP v. 1 off _r_..i. t_16..1 11 — .vz:, - - *,', -'p -2__..? taIxA G2.4. ,':'\ .„,,r I \ t \ \\\ \ \ \ t \\ , '\ \ \ \ \ \ \ \v\ Aecire01,.ft 11 \ \\\ \\_\:._\ 101. \ ‘ \ \ ' \ 59 I -tii_.:1:1:51' jtlf Ort 1 X15 t `W ere AS006° of —' K- 1$ beivn Cker%e Qa41-ti peeia'624 Smoke u APPROVED B c'Fa��s n e eo�L.� �ro � Or rat110,70‘,/ s•e, - 'The f>tiff0e)� 41F s1 r.� Lon 1 .c&Us v+A-cO be.J(° Y' . • F/a ,e/•O iJP 4 /, ' 3 -o 3 "rrvimJc /�%`