2005, 07-01 Permit App 05002256 Sewing RoomProject Number: 05002256 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH SEWING ROOM IN BASEMENT
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 002816 Name: WALNUT ADD
Date: 07/01/2005 Page 1 of 2
Contact: CB FIXUPS
Address: 3728 E19TH AVE
C - S - Z: SPOKANE, WA 99223
Phone: (509) 953-9112
Group Name:
Project Name:
District: Nort
Parcel Number: 45172.1010 Block: 1
SiteAddress: 9407 E CATALDO AVE
Location:: CSV
Zoning: UR-3.5
Water District:
Area: !,722.00 Acres
Urban Residential 3.5
Lot: 8
Owner: Name: JOHNSON, MARK
Address: 9407 E CATALDO AVE
SPOKANE VALLEY, WA 99206
Hold: ❑
Width: 81 Depth: 156 Right Of Way (ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Plan Review
Permits:
Released By:
Operator: K_C Printed By: K_C Print Date: 07/01/2005
Proiect Number: 05002256 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: CB FIXUPS Firm: CB FIXUPS
Address: 3728 E 19TH AVE Phone: (509) 953-9112
SPOKANE, WA 99223
Building Characteristics
Group: R-3 Type: VB
Total Area 205
This Application: Total Project:
Description Grp ljya Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT R R-3 VB FINISH RM 0 $3,500.00 0 $3,500.00
IN BASMT
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes:
Payment Summary:
Permit Type
Building Permit
Totals: 0 $3,500.00 0 $3,500.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount Invoice Amount
$140.65 $140.65
$140.65 $140.65
Fee Amount
$97.25
$4.50
$38.90
Amount Paid
$0.00
$140.65
Amount Owing
$140.65
$0.00 $140.65
Date: 07/01/2005 Page 2 of 2
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: K_C Printed By: K_C Print Date: 07/01/2005
Spokane
jUalley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: F, n,sln .5'a42KY dnt
Building Permit ❑ Change in Use ❑ Grading
Relocation
❑ Tenant Improvement ❑ Fire Safety
❑ Manufactured Home
❑ Other
OWNER/APPLICANT INFORMATION
Owner: ,Mark JbLMw
Phone:9l$_2z7y Fax:
❑ Applicant:
Phone:
Address: ?lc 7 6 cq-tale Address:
SoActmE LJtSh �jzoh
city State Zip Code
Fax:
City
State Zip Code
❑ Contractor: Ch Fi$ip5 ❑ Architect:
Phone: 963 -7Uz Fax: ;5-3s -7r6`' Phone: Fax:
Address: 372g r? tgr11 Address:
74€144-1t t,-345tt
State
79L13
Zip Code City
State Zip Code
WA State Contractor License #: car(X. 79(A Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2"" FLOOR SQ. FTG:
UNPIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
;Los-SQ,ri.
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:
3 U
30% SLOPES ON PROPERTY:
SEWER OR ON -SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler:
Tent:
Valuation: Above/Underground Storage Tank Size:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
❑ 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 Raa) N,60C-Latcer Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard
Bankcard #:
Authorized Signature:
❑ Other
VIN#:
VISA
Expires:
THESE PLANS MUST BE KEPT
CB Fixups ON THE JOB SITE
3728 E•19th $poKane, Washington 99223
Horne 4- Fax (509) 535-796o *** Ceti (509) 953-9112
'7107 E eta
3500
WHEN INTERIOR ALTERATIONS, REPAIRS OR ADDITIONS
REQUIRING A PERMIT OCCUR, OR WHEN ONE OR MORE
SLEEPING ROOMS ARE ADDED OR CREATEDINEIOSTING
DWEU.INGS, THE DWELLING INBT SHALL BE PROVIDED
WITH SMOREALARMS LOCATED ASREOUMEDTOR NEW
DWEU*GS.
Sp�k4�e ifo, t3 c,+y { tl 11707 Le 5p/are_