2005, 02-03 Permit App: 05000326 BasementProject Number: 05000326 Inv: I
Application Date: 02/03/2005 Page i of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
I �.... .a _..,_�
Permit Use: FINISH BASEMENT - FAMILY RM, BEDRM, Contact: WHITE, JOHN & SHARON
CRAFT RM, STORAGE & BATH Address: 16215 E 17TH CT
C - S - Z: SPOKANE VALLEY, WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509) 994-1023
Group Name:
Site Information: Project Name:
...o
Plat Key: 006067 Name: RIDGEMONT EST NORTH 09TH ADD District: East
Parcel Number: 45255.5109 Block: 2 Lot: 9
SiteAddress: 16215 E 17TH CT Owner: Name: WHITE, JOHN & SHARON
Address: 16215 E 17TH CT
Location:: CSV SPOKANE VALLEY, WA 99037
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 1,577.00 Acres Width: 0 Depth: 0 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: . - r vim..: .._r . .. A: 0�4W-l"- .
Review
Plan Review
Released By: Az I
Permits: _�..
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Description Grp Tyne
BASEMENT R R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Total Project:
Sg Ft Valuation
1,436 $7,180.00
1,436 $7,180.00
Fee Amount
$153.25
$4.50
$61.30
Permit Total Fees: $219.05
Operator: K C Printed By: K_C Print Date: 02/03/2005
This Application:
Notes
Sq Ft Valuation
BASEMENT
1,436 $7,180.00
FINISH
Totals:
1,436 $7,180.00
Units
Unit Desc
1
SELECT
1
SELECT
1
SELECT
Total Project:
Sg Ft Valuation
1,436 $7,180.00
1,436 $7,180.00
Fee Amount
$153.25
$4.50
$61.30
Permit Total Fees: $219.05
Operator: K C Printed By: K_C Print Date: 02/03/2005
Project Number: 05000326 Inv: I Application Date: 02/03/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Item Description
VENTILATING FANS
Mechanical Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc Fee Amount
1 NUMBER OF $10.00
Permit Total Fees: $10.00
Notes:BRAN�� r ..._.. ..= . _ ..... s..
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $219.05 $219.05 $0.00 $219.05
Mechanical Permit $10.00 $10.00 $0.00 $10.00
$229.05 $229.05 $0.00 $229.05
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: K C Printed By: K_C Print Date: 02/03/2005
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
REQUIRED SITE INFORMATION
Street Address: /6.216- 6 / 7 Ao-- '%1103 %
Assessor's Tax Parcel Number(s):
Legal Description: &)&-r4--- Ac4ctA..)
PERMIT DESCRIPTION:
,,o i g . X3 L!r_'- Z
❑ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: J OP �j w t+ I -re
Phone: qqq-1 D Z 3 Fax: g2 5-393 F
Address: /&Z/6_C. /7Z::4 -'-e
wpb/G t/.4-c�t✓<.., 10h- fgo37
City State Zip Code
❑ Contractor: f
Phone: Fax:
Address:
City State Zip Code
WA State Contractor License #:
Applicant: c5A IVE- ^5 D WA) CZ
Phone: Fax:
Address:
City
❑ Architect:
Phone:
Address:
City
Contact:
PERMIT/BUILDING INFORMATION
State Zip Code
Fax:
State Zip Code
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES.-
TORIES:MAIN
MAINFLOOR T O Ql FTG:
O
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEM�NT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
Width:
Manufacturer:
Previous Address:
Proposed Use: _
MANUFACTURED HOME I
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:
Inspector:
Address:
❑ BOLTING
Firm Name:
Inspector(s):
Phone:
Fax:
City State
Phone: Fax:
City
SPECIAL INSPECTIONS
❑ CONCRETE ❑ REINFORCEMENT
Phone:
State
Fax:
Zip
Zip
❑ WELDING
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)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #:
Authorized Signature:
Expires:
VIN#: