2009, 06-02 Permit App: 09001568 Rafters, Roofing,
Project Number: 09001568 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/2/2009 Page 1 of 2
Project Information:
Permit Use: REPLACE RAFTERS AND ROOFING OVER Contact: AMERICAN RESTORATION
DMDG AREA Address: PO BOX 70
C - S - Z: AIRWAY HEIGHTS, WA
Setbacks: Front Left: Right: Rear: Phone: (509) 244-2993
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: Range District: Sout
Parcel Number: 35232.9125
Block: Lot:
SiteAddress: 620 S CARNAHAN RD
Location:: CSV
Zoning: R-4 SF Res Urban District
Water District: 003 CARNHOPE
Owner: Name: KELLY, RICHARD
Address: 620 S CARNAHAN RD
SPOKANE VALLEY, WA 99212
Hold: ❑
Area: .00 Acres Width: 75 Depth: 310 Right Of Way (ft): 40
Nbr of Bldgs: 3 Nbr of Dwellings. 1
Review Information:
Review
Building Plan Review
Permits:
Released By:
Originally Released: 6/2/2009 By: TMELBOU
Building Permit
Contractor: AMERICAN RESTORATION Firm: AMERICAN RESTORATION
Address: PO BOX 70 Phone: (509) 244-2993
AIRWAY HEIGHTS WA 99001
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Su Ft Valuation
1&2 FAMILY R-3 VB REPLACE 0 $10,000.00 0 $10,000.00
ROOF/RAFT
ERS
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 0 $10,000.00 0 $10,000.00
Units Unit Desc Fee Amount
1 SELECT $181.25
1 SELECT $4.50
1 SELECT $72.50
Permit Total Fees: $258.25
Operator: jmm Printed By: jmm Print Date: 6/2/2009
Project Number: 09001568 Inv: 1
Notes:
Application
Date: 6/2/2009 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $258.25 $258.25 $72.50 $185.75
$258.25 $258.25 $72.50 $185.75
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: jmm Printed By: jmm
Print Date: 6/2/2009
Spokane
_ Valley
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Sr
Spokane Valley, WA
(509)688-0036 FAX:
www.spokanevalley.org
SITE ADDRESS:
D BY
0Q4jF SPON`
09)688-0037, O
t►-tIV111 GtN l tIt
onstruction Accessory Bldg
Addition/Remodel Deck
Other: P,�, e p (1},Z-1cJ roof
020 S /r Kick. `2
PERMIT NUMBER: 9i -t
PERMIT FEE:
ASSESSORS PARCEL NO: C C. 00 a S c%s LEGAL DESCRIPTION: 7
Building Owner:11
Name: I
/ in e.An (c,cc cA /& S ocr i r / ` knod P /�%1
11
Name: RlLY N'a,
/ I1�
11
Phone:6,ct yy_ig3Fax:5,c alyq_ 33Zd
Address: 70
Gl 43„.„0„, ad
City Business Lic. No:
City: IP lk v� 2 State: Li ii_
Zipgg3 37
l
Phone: ASO `7 370-,333 Fax:
DECK/COV. PATIO SQ. FTG:
4/465-
Contact Person
Name: L lL-i i LQ✓►/VL0. V .
Phone: '5'09 a q ({ — c3-9 cl
Describe the scope of work in detail:
1� O&R.c_ €_ r(C� r 1"UO f IA(
0.4( Gbit- kt e-er -- ( i > -e cam`
Proposed `Use: ( ,>.,tej Hr) CL -4--e--.
Contractor:
Name: I
/ in e.An (c,cc cA /& S ocr i r / ` knod P /�%1
Address: P ,6` 13, 7 U LL
City: ,i1 tocw // ta 1 State: 1084 ZipergC
Phone:6,ct yy_ig3Fax:5,c alyq_ 33Zd
ContractorLica.' : a R 9 ��(K Exp Date: 1 Z / 7
City Business Lic. No:
Cost of Project: $ 0 ( QU
0U L" JO c" oe a_ ag )ta9
lNl A -LA0 f (a��ut4“-acd[rim
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TOpEEAAl ILA I
V
DIMENSIONS:
# OF STORIES: l
TOTAL HABITABLE SPACE:
N /19
MAIN FLOOR TO SQ.
FTG: IVA
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
4/7/1-iv/m.AREA:
IMPERVIOUS SURFACE
�/�
FINISHED BASEMENT
SQ. FTG: t✓/tv
GARAGE SQ. FTG:
/t// fl
DECK/COV. PATIO SQ. FTG:
4/465-
30% SLOPES ON
PROPERTY: it// "/
# OF BEDROOM:/61-
CONSTRUCTION TYPE:
HEAT SOURCE: Ai/A-SEWER
R 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 can be processed.
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
,56)/"Pee-4A- DATE: c: /2-h
❑ Mastercard ❑ VISA
Expires: VIN#: