2005, 08-01 Permit App: 05002673 Finish Basement •
Project Number: 05002673 Inv: 1 Application Date: 08/01/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 351 SQ FT BASEMENT FINISH Contact: G.T.CONSTRUCTION
Address: 1423 E 16TH
C-S-Z: SPOKANE,WA 99203
Setbacks:Front Left: Right: Rear: Phone: (509)570-2558
Group Name:
Site Information: Project Name:
..�.
Plat Key: Name: VERA District: Sout
Parcel Number: 45233.0918 Block: Lot:
SiteAddress: 14017 E 12TH AVE Owner:Name: THOMPSON,TAMMY/STEINBAC
Address: PO BOX 1514
Location::CSV SPOKANE VALLEY,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 28,990 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review
Plan Review Released B r +
75
// °-
Permits: �d 4 _>
Operator: MT Printed By: MT Print Date: 08/01/2005
ProJect Number: 05002673 Inv: 1 Application Date: 08/01/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: GT CONSTRUCTION LLC Firm: GT CONSTRUCTION LLC
Address: 1423 E 16TH AVE Phone: (509)570-2558
SPOKANE,WA 99203
Building Characteristics
Group: R-3 Type: VB
Total Area 351
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT F R-3 VB 351 $7,020.00 351 $7,020.00
Totals: 351 $7,020.00 351 $7,020.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $153.25
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $61.30
Permit Total Fees: $219.05
Pa ment Summa • .. .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $219.05 $219.05 $0.00 $219.05
$219.05 $219.05 $0.00 $219.05
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: MT Printed By: MT Print Date: 08/01/2005
SP Colialle ' BUILDING PERMIT APPLICATION WORKSHEET
`" C;i{y of Spokane Valley Community Development Department
Building Uivisior,
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
_ r". A;::4' alley
• Phone: (509) 683-0036; Fax: (509) 688--0037
iki
1)
REQUIRED SITE INFORMATIONt)'
Street Address: 11+0 ( 7 E. t - Ave . S kc,t . I Wir gel 0 3 7
Assessor's Tax Parcel Number(s): 4/5-2 ,53 . C./
7''
Legal Description:
PERMIT DESCRIPTION: 35 ' SI. -g+ �L.„ I,31- e •..H+--
❑ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
N OWNER/APPLICANT INFORMATION
❑ _Owner. Totwmm �netii se,v% ❑ Applicant: C.� ,T. Cews�-�csWvkav‘
Phone:'7 6 514Q3 Fax: Phone: Fax:
Address: 140(v E , 1d Address:
tc4....e.Wiley 61A 98037
City 7 State Zip Code City State Zip Code
El Contractor: 6 ,T. Co("54-r..c-1-143 , ❑ Architect:
Phone:57o-ass g Fax: Phone: Fax:
Address: I y 3 J J . Ikea- Address:
5Pokac"e- 1.444 g9a0.
Cit ) State Zip Code City State Zip Code
•
• WA State Contractor License#:CTGONG LgSOM ontact: 6c"ey. l rv► •er-
Spokane Valley Bus. Liscense#: Contact
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/GOV. PATIO SQ. FTG:
351 s -C-4-
OCCUPANCY GROUP: CONSTRUCTION TYPE: ' HEAT SOURCE:
#OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
C T OF PROJECT: 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
Cal 600,ov SYSTEM?
MANUFACTURED,HOME
Nidth: Length: Year. Pit Set:
Manufacturer.
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
=ire Sprinkler. # of Heads: Fire Alarm: Paint Booth:
rent: 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
nspector. Phone: Fax:
address:
• City State Zip
SPECIAL INSPECTIONS
BOLTING ❑ CONCRETE El REINFORCEMENT ❑ WELDING
=irm Name: Phone: Fax:
nspector(s):
)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
property 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 Permit Center. 5) This City of Spokane Valley
'ermit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances.
>wnership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
4ethod of Payment: (Faxed permit applications will only be accepted with major bankcard)
] Cash El Check 0 Mastercard ❑ VISA ❑ Other
>ankcard#: Expires: VIN#:
uthorized Signature:
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REV: I , Fa i CODE
VCOMPLIANCE
AI L".'8
- MSION
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THESE PLANS MUST BE KEPT
ON THE JOB SITE