2012, 08-02 Permit App: BLD-2012-1199 Truss Repair• Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
crrroF Spokane Valley, WA 99206
Tel: (509) 688-0036
•O'. Fax: (509) 688-0037
permitcenter@spoka neva) lev.orq
COMMERCIAL (NON-RESIDENTIAL) CONSTRUCTIOrill Piit121 niCAtIbN
NEW CONSTRUCTION ❑ TENANT IMPROVEMENT 11 OTHER
SITE ADDRESS:12704 E NORA AVE SUITE B SPOKANE VALLEY WA 99216
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:ROGER WHITTEN
MAILING ADDRESS: P. O. Box 336
CITY:DEER PARK
STATE:WA
ZIP:99006
CONTACT PERSON NAME:ROGER WRITTEN
PHONE:509 276-5920
FAX:
CELL:
CONTRACTOR NAME: I NTEGRALL SYSTEMS, LLC
MAILINGADDRESS:P.O. BOX 3811
CITY:SPOKANE
STATE:WA
ZIP:99220
PHON&846
9918292
FAX:888 315 8703
CELL:509
CONTRACTOR LICENSE No.:I NTEGSL945.J 1
EXPIRES:04 30 14
ARCHITECT/COMPANY NAME:JORDAN STRUCTURAL ENGINEERING
CITY BUSINESS LICENSE NO.:(0,902 h
MAILING ADDRESS: P 0 BOx 1466
CITY: M EAD STATE:WA ZIP:99021
PHONE:509 238 3179
FAx:509 238 4188
CELL:
NAME OF OCCUPANT OF STRUCTURE:NONE
PHONE:
FAX: CELL:
CONTACT PERSON NAME:
PHONE:
FAx:
CELL:
DESCRIBE THE SCOPE OF WORK IN DETAIL
SINGLE TRUSS REPAIR DUE TO FIRE DAMAGE
TYPE OF PROJECT:FIRE DAMAGE REPAIR
HEAT SOURCE:NAT GAS
TOTAL BUILDING SQ FT:2400
FIRE SPRINKLERS:NO
PRIMARY OCCUPANCY:
SQ FOOTAGE:
SECONDARY OCCUPANCY:
SQ FOOTAGE:
TOTAL COST OF PROJECT: $200
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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 sub - . and su. . uently approved before this application can be processed.
Signature
Date:08 02 12
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