2004, 03-23 Permit: BLD-04-03868 Re-RoofSpokane
�,,,I•'Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
10912 E AUGUSTA AVE
SPOKANE WA 99212
TENANT IMPROVEMENT PERMIT
RE -ROOF OF DUPLEX - 2ND LAYER
ALOIS ENTERPRISES LLC
Permit #:
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45093.2304
MULVANEY ROOFING Phone: (509) 482 -3553
PO BOX 6181
SPOKANE, WA 99217
MULVANEY ROOFING INC
PO BOX 6181
SPOKANE WA 99217
Phone:
Lic No:
(509) 482 -3553
MULVARI005KR
BLD -04 -03868
Zoning:
03/23/2004
03/23/2004
09/19/2004
General Information:
VALUATION
REROOF
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
SPRINKLER INSTALLED
FIRE ALARM INSTALLED
SECURITY ALARM INSTALLED
2000
N
1950.00
no
no
N
N
N
Fees:
WSBCC SURCHARGE
BASIC PERMIT FEE
Total Calculated:
Deposits /Receipts:
Total Due:
4.50
69.25
73.75
0.00
73.75
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 ermit inure to the property owner.
Print Name Sig
Staff Initials
THIS IS NOT A RECEIPT
Date
Spokane
Valley
BUILDING PERMIT APPLICATION WORKSHEET
alley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688 - 0036; Fax: (509) 688 -0037
City of Spokane
REQUIRED SITE INFORMATION
Street Address: , I O 4 t
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
14 Building Permit
Relocation
11
3 12op /c
Change in Use 1 1 Grading
❑ Tenant Improvement [1 Fire Safety
11
Manufactured Home
Other
OWNER/APPLICANT INFORMATION
Owner:
Phone:
Address:
Fax:
City
n
Applicant:
Phone:
Address:
Fax:
State Zip Code City
State
Zip Code
Contractor: Il'1U1.4c0r`4_y 422,n5•• ❑ Architect:
Phone: N8 -3ss3 Fax: 94,?spy Phone: Fax:
Address: Po R� x -Cove)1 Address:
S1 ok -vv.e \f--)(4. `S1'1
1
City State Zip Code
WA State Contractor License #: ntv 1rrAa. 1 ep5 Y-iZ
City
Contact:
State
Zip Code
PERMIT /BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT 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:
lidt 5-V
30% SLOPES ON PROPERTY:
SEWER OR ON -SITE SEPTIC
SYSTEM?
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash
Bankcard #:
Authorized Signature:
Check
❑ Mastercard
❑ VISA
Expires:
VIN #:
❑ Other