2007, 11-06 Permit App 07002803 Residence, GarageProtect Number: 07002803 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 25 Left: 8 Right: 10 Rear: 72
Site Information:
Plat Key:
Name: Range
Contact WILLIE'S CUSTOM HOMES
Address: 1170 S VALLEYVIEW RD
C - S - Z: POST FALLS, ID 83854
Phone: (208) 818-3156
Group Name:
Project Name:
Date: 11/6/2007 Page 1 of 3
District: Nort
Parcel Number: 45162.1019 Block:
SiteAddress: 10705 E BROADWAY AVE
Location:: CSV
Zoning: UR-3.5
Water District:
Area: 34,759 Sq Ft
Urban Residential 3.5
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information — -,
Lot:
Owner: Name: TAYLOR, GEORGE
Address: PO BOX 421
NEWPORT, WA 99156-
Hold: [j
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Driveway/Approach
Originally Released: 7/23/2007 By: TMELBOU
I Released By:
Originally Released: 11/6/2007 By: jdavis
Landuse/Zoning/HE Conditions
Released By:
Originally Released: 11/2/2007 By: mpalaniuk
Operator: JD Printed By: JD Print Date: 11/6/2007
Project Number: 07002803
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Review
Permits:
Inv: I
Date: 11/6/2007 Page 2 of 3
Released By:
OK PER BILLY URHAUSEN VIA PHONE CALL -CUSTOMER WILL PERMITS LATER -PER
AGREEMENT WITH BILLY @ CTY-JM
Originally Released: 11/1/2007 By: JLMain
Contractor: WILLIE'S CUSTOM HOMES
Address: 1170 SVALLEYVIEW RD
POST FALLS, ID 83854
Building Characteristics
Building Height 25
Description Grp Type Notes
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
COV DECK R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
This Application:
Building Permit
Firm: WILLIE'S CUSTOM HOMES
Phone: (208) 818-3156
Total Project:
Sq Ft Valuation Sq Ft Valuation
990 $90,446.40 990 $90,446.40
990 $73,933.20 990 $73,933.20
28 $420.00 28 $420.00
720 $13,680.00 720 $13,680.00
Totals: 2,728 $178,479.60 2,728 $178,479.60
Units Unit Desc Fee Amount
Contractor: PEARSON MECHANICAL INC
Address: 4813 S QUINIMOSE RD
LIBERTY LAKE, WA 99019
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
1
1
1
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Units
14
Operator: JD Printed By: JD
1
1
3
5
1
$1,436.15
$4.50
$574.46
$2,015.11
Firm: PEARSON MECHANICAL INC
Phone: (509) 927-4596
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
Fee Amount
$140.00
$10.00
$12.00
$3.00
$50.00
$10.00
Permit Total Fees: $225.00
Print Date:
11/6/2007
Project Number: 07002803
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Contractor: PEARSON MECHANICAL INC
Address: 4813 S QUINIMOSE RD
LIBERTY LAKE, WA 99019
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
Notes:
NO BUILDING PERMIT ISSUED UNTIL FENCEINSTALLED ON WEST, NORTH AND SOUTH
PROPERTY LINES -ME
NO BUILDING LOCATED AT 10705 E BROADWAY CAN ACCESS BROADWAY. MUST
ACCESS PRIVATE DRIVEWAY-MH
FENCE HAS BEEN INSTALLED AND APPROVED-MH
Plumbing Permit
Date: 11/6/2007
Page 3 of 3
Firm: PEARSON MECHANICAL INC
Phone: (509)927-4596
Units Unit Desc
3 NUMBER OF
5 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$30.00
$12.00
$6.00
$6.00
$6.00
$6.00
$84.00
FOR 10705 E BROADWAY & 10725 E BROADWAY (SHP-37-06), A 6 FOOT HIGH SIGHT
OBSCURING FENCE MUST BE INSTALLED ON THE WEST, NORTH & EAST PROPERTY
LINES PRIOR TO ANY BUILDING PERMIT-MH
Payment Summary
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$2,015.11
$225.00
$84.00
$2,015.11
$225.00
$84.00
Amount Paid Amount Owing
$0.00
$0.00
$0.00
$2,015.11
$225.00
$84.00
$2,324.11 $2,324.11 $0.00 $2,324.11
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: JD
Printed By: JD
Print Date: 11/6/2007
Spokcrrr oe
ane
jValley
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
wtiti w. spokan eval l ey. ore
PERMIT NUMBER'
PERMIT FEE:
S'sn5%
New Construction
❑ Addition/Remodel
Other:
x
Accessory Bldg
n Deck
SITE ADDRESS: SHP-37-06; REZ-28-06/ 10715 Broadway, SpnkanP Va11Py, tnlachingtnn
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Sect ion 16, Township 25 North
Building Owner:
Name: Taylor , George
Address: 1 1 91 0 Alaska
Loop
City: Hayden Lake
State: Idaho Zip:
Phone: 208-640-9807
Fax: 509-447-2521
Contact Person
Name: Wi NPvarP7
Phone: 208—S1 c ;
nqe 44 East. W.M
Contractor: ,ii';els CCS_4otn rt2E '
Name: Willie Nevarez
Address:1170 South Valleyview Road
City: Post Falls State: Tdahn Zip B.3854
Phone: 208-81 8-31 56 Fax: 208-777-0708
Contractor Lic No: Exp Date: 01 / 1 7 / 2 0 0 9
WILT,TCH91OBP
City Business Lic. No:
Describe the scope of work in detail: Cost of Project: $ 150,000.00
Tt starts with the excavation of flu s single family dweT.11ing with all the phases
of construction to completion of plans and specs (Turn key).with the exemption
of side walks and driveways shown.
Proposed Use: For rental or sale.
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
25 ,
DIMENSIONS:
57'X 30'
# OF STORIES:
Two
TOTAL HABITABLE SPACE:
1980 S.F.
MAIN FLOOR TO SQ.
FTG: 990 S.F.
2"" FLOOR SQ. FTG:
990 S.F.
UNFIN BASEMENT SQ. FTG:
N/A
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: N/A
GARAGE SQ. FTG:
720
DECK/COV. PATIO SQ. FTG:
IT/A ?fl S_F
30% SLOPES ON
PROPERTY: N/A
# OF BEDROOMS:
Three
CONSTRUCTION TYPE:
Residential
HEAT SOURCE: Gas furn.
with Heat Pump
SEWE�V�IT/I¢�
/A/
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
SIGNATURE: ` c
Method of Payment:
❑ Cash
Bankcard #:
0 Check
DATE: al4 1 y 11.126017
❑ Mastercard ❑ VISA
Expires: VIN#:
Authorized Signature:
REVISED 2/15/07
Spokane
.Valley®
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ cityhatt®spokanevalley.org
Residential Plan Submittal Minimums
❑ Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
O Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans &details.
O Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
O All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One -hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
O Furnace and hot water heater location.
O All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
07/18/2007 15:48 5699274596
PEARSON MECHANICAL PAGE 02'04
FROM :WILLIES CUSTOM HOMES FAX NO. :777+0708
I. 14 2007 09:42AM P1
Permit Center
WTLLIE'S CUSTOM HOMES
it
i 1703 EEPTIOucnve.SuiteB..3
„_• Spakcme Valley, WA 00306
RBItMIT
NUMBER:
Vat .00•11W ter ($09)68840036 9AX: (509)688-0037
www.spokvnevallov,o7v
Community
It.RIVIITFEE:
•
DettelOpment
Mechanical Permit Application E3 Commercial 53 Residentiai
SITE ADDRESS:_ 1 07 1 5 Broadiday, Spokane Valley, Washington/b
BP-37-06T REZ -26-06
11211cliestOwner .. .
. . - • ,
• . .. •
.. ....
Name: • Phone:
--___TagiQr.,Gefirae____
Ailikta: City: St203:
Zip:
Soktratt,pc ::. -
....
...
,..
Name: REA- ire , di - ,
A A Pliant ' 4
C"Y: f het, tales> 'cl'e:
Address: Ana s,,,, p s
4--. 74 916 i9
.. License No. :. Ese.a.0..rsenz-9,:s / u.....5 City Busittess lAc:
...,-.. - • - , ... .
Name: &N eApse
P
ph-c;s09-9t51-62.
g
'
DESCRIPTION OP WORK
3 OF UN
X1
COST
TOTAL AMOUNT
'
1
PU SU G AP !ANC
Equafrtoarltsathanloo,000
X
$12t0
=
2
pus_ BURNINC3 APpu4nicE
. More then 709,apo
/
515 00
•
9
UNLISTED APPLIANCE (Additional Fog)
Equal to or IIMS than 400 0
X
3E0.00
R
4
UNUST6DAPPLNCE(M1I0flGJF�1
Motet th011 4130a
§103.00
0
6
USED APPUANCE 0939A7, into, AFUE Wink
Equat tear taro than 400,000
X
$00.00
=
6
USED AFFIANCE (INSEC min. AFI. IMMO)
Moro than 400,000
X
5100,00
•
7
BOILER/REFRIGERATION
1. 10004 ETU
X
S12,00
sl
ROS FFIRFFRIGFRATION
701 . 500M STU
X
32000
2
SOILEFUREFRIGERAMON
501 - 1,000M ETU
X
$25.00
10
BOILER/REFRIGERATION
1.001 - 7.750M ETU
X
$35.00
11
BOILERREFRIDERATION
More them 1,750M firtU
X
250.00
•
12
8A8LOG,G45INSRT,6SFlREpLA�
X
$1000
13
RANGE
x
$10.00
14
DRYER
/
X
! 310 oo
e>
Is
run. DURNTNG vvATER HEATER
/
X
310.00
/0 11":••
Ja„.
MISC. FUEL BURN rmo APPLIANICZ
10.00
17
EFA 0 INS (WW1 OtAM)
.3'
X
31 00
---3 --4* 7—
IS
DUCT SySTEMS
.L.Y____--2__L_JOARL-
-5-
X
$10.00
—
le
VENTILATING FANS
20
AIR HANDIER (DOES NO7 include ducting)
Equal to or less then 10 000 CFM
X
$12.00
21
AIR HANDIER (DOES NOT inC(udeduC509)
Greeter um 10,000 CFM
X
' . , $16.00
•
3
22
EVAPORATIVE COOLERS
X
I 310.00
23
TYPE I NOOD
1 00
•
ZS,
TYPE It HOOD
X
si000
0
PA
NEAT PUMP/AIR CONDITIONER
o a ToN
X
$12.00
28
AiR comyrioNER
4-1S TON
• 92000
27
AIR CONDITIONER
15-3070N
X
325.00
20
AIR CONOITI ER
SO 'TON
X$SS,08
•
zo
AIR CONIXTIONER
Moroi/2m SO TON
30
LPG STORAGE TAW
X
510.00
01
WOOD cm PELLET STOVE/INSERT
X
I 510.00
-
^
ACM STINE • FRe.. SI ANDING
I $25,00
E
33
REPAIR & ADDMONS
X
S15,00
•
04
VENTILATION SYSTEMS
)(
312.00
.
33
VENTILATION MECHANICAL EXHAUST
.
X 1
$12.00
' •
ae
INCINERATOR -RESIDENCE "
X
512,00
•
n _ThigrgERATOR - COMMERCIAL
•
X
moo
METHOD OF PAYMENT:
EXPIPAS:
ocAsw 0 crici< (2 VU I:1 MC
CARD* NAN:
SUBTOTAL
2.2.5`.00
PROD 6 '
6
$33.110
TOTAL PE1T 4,tE
ouE
24,3.00
AUTHORIZED 1 A :
mviStionsts
07/18/2007 15:48 5099274596
PEARSON MECHANICAL
FROM :WILLIES CUSTOM HOMES FRX 10..:777+0708
7
PAGE 02/ 34
1. 14 2007 09:42PM P2
Permit Cotter
S'jn9�c�
S` 11703 E Sprague Aw,ScfxB-3
ss Spok me Volley, WA 99206
Ph1CMi1-NUMBER:
alloy
ty y 2 .. (509)688.0036 PAX: (509)6R8A037
Commumeam cancvaus
P
FEE:
Plumbing Permit Application 0 Commercial ® Residenbis
STIRADDRIL9.4: 10715 Broadway, Spokane Vafey, Wa./SRP-37-047
REZ-28-06
-HuBdl Ow ....
Nm,c
GeorgesPfOnh: Fuc
_TAYLOR
mdress: - Cay: SIa
Zip;
Addrper; City: RN
h: lip:
I3uengeNo; City IInsiness Lk:
..
Lie
dhanc...._
DESCRIPTION OF WORK
=OF UNITS
X! COST
P
TOTAL AMOUNT
.
J
X
j B0,o0
=
/
1
„r01LtzTS
WATERtzoSET,BIDETS
2
URINALS
-
x
. ECM
3
Tt1ES
x'
seoo
Iz .p
4
SMOWDRS (PER TRAP)
RAIN RTALL ON -ARE RLIAT '
X
Tam
$
rota<a
LAVE/ME NS, $AR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR. PHOTO.
FOOD, PREP/CULINARY MEAT
X
i $C.00
1
-
� etaX-RAY.
3j
S
DISHWASHER
1
x
SUM
..
CMW
7
CLOTHES WASHER
1
X
$0.00
e r ea
a
CARBAW'E DfSPOSAL
'
X
1 Sam
4 DJ
0
W TER SO.MMR
WOO
10
ELECTRIC WATER HEATER
NOTE: IF GAS, SEE ME NI t.
x�I;�
$0,00
11
FLOOR,DRA.N6
AREA,
CCONDP S,ATTFREteCH.
1
X
L Pt a0
=
_12
ROOF DRAINSlOVER140W DRAINS
X
$0.00
„Z3
FOUNTAINS. CRJNKNO
X
MOO
=
t4
WATER PIPINGIDRAIN•IN
Y r, RLUMBNG. REVERSAL
WASTE
NETALLAflO t ALTERA11QN. REPAR.
REVERBAI.S
X
u 50,00
e
It
Siwn=RJECTOR
_..
GRND:Pt SUMP = q
Xi
Skim
_
16
WATER USING DEVICE
ICE AN/OR OOFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$1,00
17
CROSS COI�IECIIQN pn4CE
VACUUM HRFAMFP CHECK VALVE
AND RP.B.P.D. FOR VATS, TANKS,
BOILERS
X
I SPAO
a
10sTyRCEI.2.fg
41:RFASE TSAR SANn TRAP,
CHEMICAL HOLDING TANK
�7 S0.00
to
MEDICAL GAS themes) -
NITROUS. OXYGEN
.
X i 56.00
. .
__.. _..
20
MISC!LLANtOUS PLUME:Mt FIXTURE
X 1 $SOU
21
PRIVATE SEWAGE DtSPOSAUSYS
x S2too
=
+n
Q Lero,eL WASTE INTERCEPTOR
X
I S1S.00
-
METHOD OF PAYMENT:
°CAEH CI CHECK ❑ VISA D MC EXAIREE:
Cards YIN:
PROCESSING
FEE
SA6A0
TOTAL PERMIT
F68 DU6:
//9'421---
AUTHORIZED SIGNATURR: '
RSNLCm VReTS
crrr or
Spokane
Valley
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
PERMIT NUM3ER'7 A5
PERMIT FEE:
New Construction
n Addition/Remodel
f Other:
Accessory Bldg
n Deck
SITE ADDRESS: SHP-37-06;REZ-28-06/ 10715 Broadw_a.y,—Spokane Va1l ey, waGhington
ASSESSORS PARCEL NO: �-I}} GL C)SCA LEGAL DESCRIPTION:Section 16, Township 2s Nort
Range 44 East, W.M.
Building Owner:
Name:Taylor, George
Address: 11910 Alaska Loop
City: Hayden Lake State: IdahoZlp83835
Phone: 208-640-9807 Fax:509-447-2521
Contact Person
Name: wi 1 1 i e NeC7a rP7
Phone: ?OR -R1 R-11 Rti
Contractor: ° Ca !' fil
�s
�Ifcl �s
Name: Willie Nevarez
Address: 1170 South Valleyview Road
City: Post Falls State: Tdalin Z1p8• 3854
Phone: 208-818-3156 Fax: 208-777-0708
Contractor Lic No: Exp Date: 01 / 17 / 2 0 0 9
WTLLTCH91ORP
City Business Lie. No:
Describe the scope of work in detail: Cost of Project: $ 150,000.00
Ti- starts with the exc-avai-ion of this single family dwcal1ing with all the phase
of construction to completion of plans and specs (Turn key)..with the exemption
of side walks and driveways shown.
Proposed Use: For rental or sale.
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: ,
25
DIMENSIONS:
57'X 30'
# OF STORIES:
Two
TOTAL HABITABLE SPACE:
1980 S.F.
MAIN FLOOR TO SQ.
FTG: 990 S.F. `- -
2Nu FLOOR SQ. FTG:
990 S.F. .1=
UNFIN BASEMENT SQ. FTG:
N/A
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: N/A
GARAGE SQ. FTG:
720
DECK/COV. PATIO SQ. FTG:
N/A c ' 28 S_F,
30% SLOPES ON
PROPERTY: N/A
# OF BEDROOMS:
Three
CONSTRUCTION TYPE:
Residential
HEAT SOURCE: Gas furn.
with Heat Pump
SEWEI! 1 FiT/ln
r//'
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
SIGNATURE: DATE: c3—c..t. I y
11.)
2:6017
Method of Payment:
❑ Cash
Bankcard #:
0 Check
❑ Mastercard ❑ VISA
Expires: VIN#:
Authorized Signature:
REVISED 2J15107
Jul 14 07 06:22p
Peter and Renate Rau (001) 208-772-9392
p.3
SITE. Ft,
TD P NtiOD r 1eD
Di R S OA WA (
_..fit o"
— 2c3 -- 0te
SITE
PLAN OF RECORD
APPROVED BY: / 2,iJ_- "'
DATE• 1// -/ 7
PROJECT* (9 7O 2
cl
2
Jul 14 07 06:22p
Peter and Renate Rau C001) 208-772-9392
P.3
r e
s oLi'
- 1-4-cms.G
lgts) F
"4°i
cc!
TF-1N er-o"
,-CK
qaD eW
' W
D Y
PLANNING DEPT. APPROVED
Yo-Vd-- "7-14-fd
ATE: IZ/i2.--/o7.
�sr-u�. ems
TD F.� MODIFI
is-t-U-)G� P.E5t -ac t
To P N10.N eD
S k E. Ft.-
t
--oc,
P-tz -- 20 — 0(p
Jkane
40;00Valley
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
spokanevalley.org
PERMIT NUMBER''.51)
PERMIT FEE:
New Construction
f] Addition/Remodel
❑ Other:
X
Accessory Bldg
Deck
SITE ADDRESS: SHP-37-06;j REZ-28-06 p-�Br_oaciway_,__Sprkana Val ley, Washington
ASSESSORS PARCEL NO: )GZ 1 NC) J LEGAL DESCRIPTION: Sect- ion 1 h , Town sh ; p 2 S North
Building Owner:
-
Name: Taylor , George
Address: 11910 Alaska
Loop
City: Hayden Lake
State: Idaho Zlp 8 3 8 3 5
Phone: 208-640-9807
Fax: 509-447-2521
Contact Person
Name: Wi11iP NTT-7
Phone: 708-81 R-11 Sti
Describe the scope of work in detail:
Range 44 E
Contractor: ° ki ill t
► C
Name: Willie Nevarez
Address:1170 South
Valleyview Road
City: Post Falls
State: Tc3aho Zip:83854
Phone:
208-818-3156
Fax:
208-777-0708
Contractor Lic No:
WTLLTCFM ORP
Exp Date: 01 / 1 7 / 2 0 0 9
City Business Lic. No:
Cost of Project: $ ( 490.Ditf
.FeE-j- C'a a `r e cc De /
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
SIGNATURE: 2) 70 rn"� --4c2-5� DATE: 1)Cce m [Der / 2_) 2co7
Method of Payment:
D Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 2/15/07