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2009, 06-23 Permit App: 09001660 Fire Restoration
Project Number: 09001660 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: FIRE RESTORATION Contact: MR SERVICE INC Address: 728 N COOK ST C - S - Z: SPOKANE WA 99207 Setbacks: Front Left: Right: Rear: Phone: (509) 535-8801 Group Name: Site Information: Project Name: Plat Key: Name: Range Date: 6/23/2009 Page 1 of 2 District: East Parcel Number: 45234.4906 Block: SiteAddress: 1102 S BURNS RD Location:: CSV Zoning: R-3 SF Res District Water District: 010 VERA Area: 10,598 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Lot: Owner: Name: BORHAUER, GARY G/THERESA A Address: 1102 S BURNS RD VERADALE, WA 99037-9650 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Permits: Released By: Originally Released: 6/23/2009 By: tmelbourn Building Permit Contractor: MR. SERVICE INC. Firm: MR. SERVICE INC Address: 728 N COOK ST Phone: (509) 535-8801 SPOKANE, WA 99202 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB FIRE 0 $42,000.00 0 $42,000.00 RESTORAT ION Item Description RESIDENTIAL PERMIT FEE WSBCC SURCHARGE SF PLNS RVW < 7999 SQ FT Totals: 0 $42,000.00 0 $42,000.00 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Fee Amount $562.95 $4.50 $225.18 Permit Total Fees: $792.63 Operator: JD Printed By: JD Print Date: 6/23/2009 Project Number: 09001660 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/23/2009 Page 2 of 2 Payment Summam Permit Type Building Permit Fee Amount Invoice Amount Amount Paid Amount Owing $792.63 $792.63 $225.18 $567.45 $792.63 $792.63 $225.18 $567.45 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: 6/23/2009 Spokane jValleyE 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 PERMIT NUMBER: 1 (0(0, PERMIT FEE: New Construction n Addition/Remodel Rther: F Accessory Bldg Deck SITE ADDRESS: //©e;'? ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building Owner: DIMENSIONS: # OF STORIES: Name: y gO,ehiLlE2 Name: 7), 5-moiCPi �„.,C . Address: //z,,,.., s 134t,Co-s IMPERVIOUS SURFACE AREA: Address: 7 ,./. r.00,C City: ��0 -/tle State: Zip a Phone: �.0 _ ./.,"..2._ Fax: State A/ Zip: Contact Person Name: Phone: Describe the scoe of work in detail: Contractor: DIMENSIONS: # OF STORIES: TOTAL HABITABLE SPACE: Name: 7), 5-moiCPi �„.,C . UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE AREA: Address: 7 ,./. r.00,C GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON PROPERTY: City: C,00/..„ .) State A/ Zip: j.2_ Phone:S3S Sac ---o / Fax: Contractor Lic No: /71 /25 2, - -0 7 8 / Exp Date: City Business Lic. No: _ _ _ Cost of Project: $ yJ oo� 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: 2Nu 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 c. - .e processed. SIGNATURE: Method of Payment: ❑ Cash Bankcard #: Authorized Signature: REVISED 2/15/07 ❑ Check ❑ Mastercard Expires: DATE: 6- /6i -D7 ❑ VISA VIN#: