2005,09-20 Permit App: 05003323 ResidenceProject Number: 05003323 Inv: I Application Date: 09/20/2005 Page 1 of 3
- ILF ion
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Contact: DAVE BOWERS
Address: 15221 E 6TH
C - S - Z: SPOKANE VALLEY, WA 99037
Setbacks: Front 20 Left: 5 Right: 5 Rear: 70 Phone: (509) 927-4671
Group Name:
Site Information: Project Name:
Plat Key: Name: RANGE District: Sout
Parcel Number: 45231.1518 Block:
SiteAddress: 15214 E 4TH AVE
Location:: CSV
Zoning: UNKN Unknown
Water District:
Area: 10,895 Sq Ft Width: 64
Nbr of Bldgs: I Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Lot:
Owner: Name: DUANE & EMILY POFFENBERGE
Address: 14703 E 14TH
SPOKANE VALLEY, WA 99032
Hold: ❑
Depth: 168 Right Of Way (ft): 40
Originally Released: 09/09/2005 By: cjjanssen
Originally Released: 09/20/2005 By: TMELBOU
Approach / Drainage
I Released By:
N/A PRIVATE DRIVE
Originally Released: 09/09/2005 By: cjjanssen
Sewer Review
— --------------- — — ---------
Pernifts:
Operator: CJJ Printed By: CJJ Print Date: 09/20/2005
Project Number: 05003323 Inv: 1 ApphCail021 Date: 09/20/2005 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
— --- — �—
Building Permit --
— ----
Contractor: DAVE BOWERS
Firm:
BOWERS CONSTRUCTION
Address: 15221 E 6TH
Phone:
(509) 927-4671
SPOKANE VALLEY, WA 99037
NUMBER OF
$60.00
2
NUMBER OF
This Application:
2
Total Project:
Description Grp Type Notes
Sq Ft
Valuation
Sq Ft Valuation
2ND FLOOR R-3 VB
1,787
$133,453.16
1,787 $133,453.16
BASEMENT F R-3 VB
1,228
$24,560.00
1,228 $24,560.00
DECK R-3 VB .
260
$3,900.00
260 $3,900.00
GARAGE U-1 VB
790
$15,010.00
790 $15,010.00
RESIDENCE R-3 VB
1,228
$91,707.04
1,228 $91,707.04
Totals:
5,293
$268,630.20
5,293 $268,630.20
Item Description Units
Unit Desc
Fee Amount
RESIDENTIAL PERMIT FEE 1
SELECT
$1,940.15
STATE SURCHARGE 1
SELECT
$4.50
RESIDENTIAL PLAN REVIEW 1
SELECT
$776.06
Contractor: DAVE BOWERS
Address: 15221 E 6TH
SPOKANE VALLEY, WA 99037
Item Description
GAS WATER HEATER
AIR CONDITIONERA-15 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
Permit Total Fees: $2,720.71
Mechanical Permit - - --
Firm: BOWERS CONSTRUCTION
Phone: (509) 927-4671
Units
Unit Desc
Fee Amount
1
NUMBER OF
$10.00
1
NUMBER OF
$20.00
6
NUMBER OF
$60.00
2
NUMBER OF
$20.00
2
NUMBER OF
$20.00
2
NUMBER OF
$20.00
Permit Total Fees:
$150.00
Operator: CJJ Printed By: CJJ Print Date: 09/20/2005
Project Number: 05003323 Inv: 1 Application Date: 09/20/2005 Page.3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes,
Payment Summary
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owine
Building Permit $2,720.71 $2,720.71 $0.00 $2,720.71
Mechanical Permit $150.00 $150.00 $0.00 $150.00
$2,870.71 $2,870.71 $0.00 $2,870.71
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: 09/20/2005
JS - � 3Z'
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax.- (509) 688-0037
II REQUIRED SITE INFORMATION— II
Street Address:/ 5 �l y 45-y �
Assessor's Tax Parcel Number(s):
Legal Description: o f,� o S�o� /__74 pfoV. LO
PERMIT DESCRIPTION:
F�T'Building Permit ❑ C.hange in Use ❑ Grading ❑ Manufactured Home
R. Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner:
❑
Phone: iP1 Y_Yot,3 Fax:
Address: /y:;;,c
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c��lC
Gu
City
,¢
State T Zip Code
❑ Contractor: ,/�`�,�
/��,� f� ❑
Phone: Fax:
Address: /' S-2
z i '6' 6 �
15�, e:g
City
State Zip Code
WA State Contractor License #:
Applicant:
Phone:
Address:
city
Architect:
Phone: _
Address:
City
Fax:
State Zip Code
Fax:
State Zip Code
Contact: zle(1-e_ ei z2A ,-� %-I
1L_ PERMITIBUILDING INFORMATION
HEIGHT TO PEAK;,7 f
DIMENSIONS:
# OF STORIES:
MAIN FLOOR
OR TO SQ. FTG:
_
2 LOOK SQ. FTG
UNFIN BASEMENT SQ. FTG:
`_1 7
c�
DECK/COV. PATIO SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ: FTG'
OCCUPANCY GROUP:
CONSTRUCTION PE:
HEAT SOUR :
# OF BEDROOMS:�,�
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
6
COST OF PROJECT:'
34% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
6)
[SYSTEM?
Width;
Manufacturer:
Previous Address:
Proposed Use: _
MANUFACTURED HOME
Length: Year:.
RELOCATION
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent: Fireworks Display: Blasting:
Valuation: Above/Underground Storage Tank Size:
Pit Set:
Paint.Booth:
Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
city State Zip
Inspector: Phone: Fax:
Address:
city state Zip
SPECIAL INSPECTIONS
Q BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ 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 atthe 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),
❑ Cash ❑ Check ❑ Mastercard . [] VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature: