2007, 05-20 Permit App: 07001885 ReroofPermit Center
11703 E Sprague Ave, Suite B -3
j Spokane Valley, 0 6 FAX: (509)
` (509)688 -0036 FAX: (509)688 -0037
www.spokanevalley.org
Community Development
Reroof Construction
Permit Application
PERMIT NUMBER: O, -' v
f?
s-
PERMIT FEE:
Commercial
Residential
SITE ADDRESS: / / S . as eAl ET)
ASSESSORS PARCEL NO: '-/5733, 3 703
Building Owner:
/
Name: e , . i/r it S 1-e d'e. 10 4JA,J e y
Address: / 1_..../ s . e D
ea
City :)rpo # e va /70Y State: ht",4 Zip:99037
Phone: Fax:
9�/ - � 76, �3ti -,„,Y3
0 r
Contact Person
Name: S ,e U e w^/ " y
Phone: 3 -- et'ii-6 Lk) rR
5fie,(an e 4 //r) IA/ A- 7,0-37
Contractor:
Li
Name: / 4mc ®bier
'—" 3 �r U i% P4ldZl6y
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Describe the scope of work in detail: Tear off `Overlay
ijrf -)^cD f e144 t\e' No-uS.t 4 Kat / Q fv.f, r D _.‘7a Ha_r z✓ / to if4 3C�4
3 la Cd pO5 r i 8,7 cJi vc �z'S cD /JO Cc
Cost of project: $ J -0-o. ofro
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.
Ownership of resulting development r' is granted by any issued permit inure to the property owner.
Signature
Date 7/,4' %er) . -c 7
Method of Payment:
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN #:
Authorized Signature:
REVISED 8/232005
Project Number: 07001885 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/21/2007 Page 1 of 2
Project Information:
SWP
Permit Use: RE -ROOF ENTIRE HOUSE / ATTACHED Contact: DOWNEY, STEVEN P & BETTY R
GARAGE - 2ND LAYER Address: 1221 S BANNEN RD
C - S - Z: SPOKANE VALLEY, WA 99037 -9696
Setbacks: Front Left: Right: Rear: Phone: (509) 921 -5762
Group Name:
Site Information:
Project Name:
Plat Key: 005014 Name: RAYMOND TULLY ADD District: Sout
Parcel Number: 45233.3703 Block:
SiteAddress: 1221 S BANNEN RD
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA Hold:
Area: 12,800 Sq Ft Width: 80 Depth: 160 Right Of Way (ft): 50
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: DOWNEY, STEVEN P & BETTY R
Address: 1221 S BANNEN RD
SPOKANE VALLEY, WA 99037 -96
Permits:
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000 -0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1 &2 FAMILY R -3 VB RE -ROOF / 0 $1,800.00 0 $1,800.00
2ND LAYER
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
Totals: 0 $1,800.00 0 $1,800.00
Units Unit Desc Fee Amount
1 SELECT $69.25
1 SELECT $4.50
Permit Total Fees: $73.75
Operator: MT Printed By: MT Print Date: 05/21/2007
Project Number: 07001885 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/21/2007 Page 2 of 2
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$73.75 $73.75
$0.00 $73.75
$73.75 $73.75 $0.00 $73.75
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: MT Printed By: MT Print Date: 05/21/2007