2005, 02-04 Permit App: 05000341 Addition Project Number: 05000341 Inv: 1 Application Date: 02/04/2005 Page 1 of 3
r
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project In formation:
Permit Use: 1320 SQ FT 2-STORY RES ADDN&420 SQ FT Contact: ROSKAMP,COURT
GARAGE ADDN Address: 12008 E 34TH AVE
C-S-Z: SPOKANE VALLEY,WA 99206
Setbacks:Front 37+ Left: 5 Right: 32 Rear: 50 Phone: (509)294-0351
Group Name:
Site Information
Project Name:
Plat Key: CONY Name: CONVERTED CNTY DATA District: F
•
Parcel Number: 45331.2301 Block: Lot:
SiteAddress: 12008 E 34TH AVE Owner:Name: ROSKAMP,COURT
Address: 12008 E 34TH AVE
Location::CSV SPOKANE VALLEY,WA 99206
Zoning: SFR
Water District: Hold: ❑
Area: .00 Acres Width: 86 Depth: 130 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released,By: jthetryt -
4C*V1)14 -.1)-41t-0"kk.' 44'clS)(-
Plan ReviewrV , /
Released ley �V ; � ��.�.-4 ." a
Operator: K_C Printed By: K_C Print Date: 02/04/2005
Project Number: 05000341 Inv: 1 Application Date: 02/04/2005 Page 2 of 3
r
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Building Characteristics
Group: R-3 Type: VB
Group: U-1 Type: VB
Total Area 1320
Building Height 27
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VB 700 $52,276.00 700 $52,276.00
GARAGE U-1 VB 420 $7,980.00 420 $7,980.00
RES ADD R-3 VB 620 $46,301.60 620 $46,301.60
Totals: 1,740 $106,557.60 1,740 $106,557.60
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,032.95
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $413.18
Permit Total Fees: $1,450.63
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 2 NUMBER OF $20.00
Permit Total Fees: $20.00
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
Permit Total Fees: $24.00
Operator: K_C Printed By: K_C Print Date: 02/04/2005
Project Number: 05000341 Inv: 1 Application Date: 02/04/2005 Page 3 of 3
M �
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: --,ova— -.mart. _'a,`Tunt9,,ONEW' 04.=,s=ues ,.- o-ra r°40
. �.
PaMent Summa .:_. �7 Axru� ... ": r, ��w_.,:x,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,450.63 $1,450.63 $0.00 $1,450.63
Mechanical Permit $20.00 $20.00 $0.00 $20.00
Plumbing Permit $24.00 $24.00 $0.00 $24.00
$1,494.63 $1,494.63 $0.00 $1,494.63
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: 02/04/2005
r BUILDING PERMIT APPLICATION WORKSHEET
SAY�� 0111g"\ City of Spokane Valley Community Development Department
Kane Building Division
11707E. SraueAvn i
Valleyp g e ue, Su to 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: 7;;24.001r' 437 _.T g Apip <
17)_ v,„ 14,, 6/,_
, , -
Assessor's Tax Parcel Number(s): _ r-ks -6 ( , :PA!
PullLn
�uiv�d
Legal Description:
PERMIT DESCRIPTION: D ��
SI Building Permit Change in Use Grading Manufactured Home
Relocation ] Tenant Improvement I I Fire Safety Other
OWNER/APPLICANT INFORMATION
Owner: Co u,- 74 / .,,s /c<-., eD { ' Applicant: S'R,-'e
,--- Phone: , q,:j.-.0s,_5--/ Fax: \ Phone: Fax:
Address:/ ,7, p e 8e-,,‹ 13.5 0 Address:
Y q e 0, p,.le},ie f/,1' _ Ct 9. 3 7
City State Zip Code City State Zip Code
Contractor: Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO E 7 DIMENSIONS: #OF STORIES:
MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTC: UNFIN BASEMENT SQ. FTG:
,-V0 700
FINISHED BASEMENT SQ. FIG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG.
4120
OCCUPANCY GROUP: CONNSPTRUCT ON TYPE: HEAT SOURCE: / /
# OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
/
COS OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
3% _sGS D A/74 SYSTEM? S—c-� c,,,,-,—
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
I BOLTING ( I CONCRETE I REINFORCEMENT I 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)
[ I Cash Check n Mastercard ❑ VISA I I Other
Bankcard #: Expires: VIN#:
Authorized Signature:
34th
Ave,
New Drive
New Garage
37'
New
Addition
36' —
1
l
100'
1
50'
(ce,ar� Cu+t
138'
,I-