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2006, 09-27 Permit App: 06003892 Roof ConversiontiI ane Valley Community Development Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (50 )60-94_37, v, :,-,v.spokanevallev.ora.c r`7 ii \\�' L s Residential Construction ; NeT? Permit Application PERMIT NUMBER 32 PERMIT FEE: n ❑ Accessory Bldg [b) ((p Ai d' 'o + eigel o Deck S1'1 ADDRESS ASSESSORS PARCEL NO: 971 5c4 1 1 , / S aS LEGAL DESCRIPTION: Building owner - . -. _ .. .... . Name: I._. 0 t 3 f,)--4- t L T O Al Address: -. 1A c7 `-/ L6 L A- k R d . City: SP Uk 14 -Ni h- i Zip: q a- I & Phone: ql ? rJ - it (d V// Fax: Ontact Person.: Name: L 015 f -h -114 t L -7 ON Phone: 41 ca' j — '/ 17 Describe the scope of work in detail: ®PP TE i' _Contractor..°.,::.: DIMENSIONS: - ' Name: HABITABLE SPACE: Address: 2"" FLOOR SQ. TG: ,ni/A— City: Zip: Phone: Fax: Lic No: Exp. Date: City Business Lic No: CONSTRUCTION TYPE: N Cost of Project: $ 23oa, 00 conlve-7z7 c_47- 0F. TOMope) TZo14-7- el L SC►57 f ,t 6L S r 0- 0-5 **************The********************** following MUST be complete: (write A not applicable HEIGHT TO PEAK:A//pr DIMENSIONS: - ' # OF STORIES: j/k_TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. FTG: ^ r/� 2"" FLOOR SQ. TG: ,ni/A— UNFIN BASEMENT SQ. FTG: /v/4— IMPERVI S SURFACE AREA: /v/A._ SQI FTG:D BASEArlik GARAGE SQ. FTp/A_ DECK/COV. PATIO/(. FTG: PROPERTY:30% S ON /v/ii_ # OF BEDROOMS:,,`/A CONSTRUCTION TYPE: N HEAT SOURCE: , `�� SEWER OR SEPTIC" A_ 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. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. Signature a� d Date Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash Check 0 Mastercard ❑ VISA Bankcard #: Expires: VIN#: D Other Authorized Signature: REVISED B1252005 Project Number: 06003892 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/28/2006 Page 1 of 2 Project Information: 7'.`.:i::... .,e, :t"..xn.a::'�'P•" .`��:..a".�F.M4.•"aa^S:!s:�dt .nS°. vP• .4 `.e ?StM ii:.t<7L`MMWd':',Are ^ar"..i a lITV)%.MV11 F Permit Use: CONVERT FLAT ROOF TO SLOPED. Contact: HAMILTON, LOIS Address: 1804 S BLAKE RD C - S - Z: SPOKANE VALLEY, WA 99206 Setbacks: Front Left: Right: Rear: Phone: (509) 927-4644 Group Name: Site Information: Project Name: ta�.Y . v'm0.Y..r.01"';,s a'rn Nitrk.,.. ftrA¢>:'S":. . •rl.4 n, >..."ve, .., _. . N.}kd�K ';=. 3i�dFi %;:•:-�;ti., f;;pr+:r;:&'ka&d'ar«. bb. :-d: ,::tL:.:.#� T; Plat Key: 002752 Name: VERA District: F Parcel Number: 45271.1508 Block: SiteAddress: 1804 S BLAKE RD Location:: CSV Zoning: AGRI Water District: Area: .00 Acres Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Lot: Owner: Name: HAMILTON, LOIS Address: 1804 S BLAKE RD SPOKANE VALLEY, WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Flood Plain Building Plan Review Permits: Released By: Contractor: OWNER Building Permit Firm: OWNER Phone: (000) 000-0000 Operator: AMB Printed By: AMB Print Date: 9/28/2006 Project Number: 06003892 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/28/2006 Page 2 of 2 Notes: ,overN_vo akavoq-r:°.. r,:s,r,s Payment Summary: ugv.,.y,,., 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: AMB Printed By: AMB Print Date: 9/28/2006 tJG \ 76 7 /1 s2fce* ZS le -1 tr 11Mmailm• v4 (o 24/ 7// szLecelt- 13 1 rr re "- 2_(/ roNCe,141-er kJEE it o -u -s o --F 8`spk/ t t .,� it -Yg �4, o5.8 A -19e Ro r A -re- iz j c -3 -0o -e, FLI96I+1a_ FEZ7 AAP l'a-s P t+A-(-Y 5 (4 iWLt �-o Gil of cam, (s v ©o E , G A-2 A6 -e r:_11] r Ko N T