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HomeMy WebLinkAbout2005, 08-24 Permit App: 05002883 Fire Damage RepairProject Number: 05002883 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Agr... MYm ,. YE..uv. �, sflf v, x. A :rm.,tee;w '1E0-10 " "4e-VrAff ;_ k.iF: „ 's_. Permit Use: REPAIR FIRE DAMAGE TO DUPLEX Contact: LOPEZ, SHERA Address: 2722 N ROBIE C - S - Z: SPOKANE VALLEY, WA 99208-5817 Setbacks: Front Left: Right: Rear: Phone: (509) 922-3667 Group Name: Project Name: Site Information:ammor.onarr „aw..:. .11A. * =4ELOWINOIM4KAMOVPSWANIVEMS Ram. .. : 0:. s Pitia Plat Key: 000000 Name: unknown District: Nort Parcel Number: 45091.2601 Block: Lot: SiteAddress: 2706 N PERRINE ST Owner: Name: LOPEZ, SHERA Address: 2722 N ROBIE SPOKANE VALLEY, WA 99208-581 Date: 08/24/2005 Page 1 of 2 Location:: CSV Zoning: UR -7 Water District: Urban Residential -7 Area: .00 Acres Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Hold: ❑ Depth: 0 Right Of Way (ft): 0 • ,ANtrilfleXtgrAMT,AM Review Plan Review Released lw Originally Released: 08/12/2005 By: MHILLAB Permits: u& Contractor: BELFOR CONSTRUCTION Address: 10020 E. KNOX SUITE 100 SPOKANE, WA 99206 A0,4,404,- nam, ;:notawzmailatwasmamew4at. Building Permit Firm: BELFOR CONSTRUCTION Phone: (509) 893-0001 aWRIMME.MWMNAgEMOMMAUM This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RESIDENCE R-3 VB FIRE 0 $70,000.00 0 $70,000.00 DAMAGE REPAIR Totals: 0 $70,000.00 0 $70,000.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $783.75 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $313.50 Permit Total Fees: $1,101.75 Operator: CJJ Printed By: MT Print Date: 08/24/2005 Project Number: 05002883 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/24/2005 Page 2 of 2 Notes: 44,0 : a . MUST REPLACE ALL FIRE DAMAGE LIKE -FOR -LIKE PER T.MELBOURN / M.HILLABRANDT Payment Summary: Permit Type Building Permit Fee Amount Invoice Amount Amount Paid Amount Owing $1,101.75 $1,101.75 $0.00 $1,101.75 $1,101.75 $1,101.75 $0.00 $1,101.75 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: CJJ Printed By: MT Print Date: 08/24/2005 Project Number: 05002883 Inv: 1 Application Date: 08/11/2005 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: REPAIR FIRE DAMAGE TO DUPLEX Setbacks: Front Left: Right: Site Information: Plat Key: 000000 Name: unknown Rear: Contact: LOPEZ, SHERA Address: 2722 N ROBIE C - S - Z: SPOKANE VALLEY, WA 99208-5817 Phone: (509) 922-3667 Group Name: Project Name: District: Nort Parcel Number: 45091.2601 SiteAddress: 2706 N PERRINE ST Location:: CSV Zoning: UR -7 Water District: Area: .00 Acres Block: Urban Residential -7 Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Plan Review Lot: Owner: Name: Address: LOPEZ, SHERA 2722 N ROBIE SPOKANE VALLEY, WA 99208-581 Hold: ❑ Depth: 0 Right Of Way (ft): 0 S peeial- Itrspections-- 1 Ct Released By: 1' L Permits: 44,0 (r b 7•�c4-((" ?i(/I(r CA[44/(x& nj, ooh j_61434_,..1(„4� ,�c.•�•►� C�-��t r.�� Ni) C,2 t , 4) d►c-- o k" d g- c << r(r e r r dx -r ect C.14,46, , ,a Ar ,AJ' e" ,Zr 6r % er to -.04e C A(kefi (' Afar /$ CF: csfeA T.4 /t-4' o it - ri r !rto' tAizI rie.oz�irt:r &-o P -r 4LcV . f-�o 4- (70 i t t/' &tr N d c4A4Ad rs�; 'r�` s,o �— r/�tNG— c£ 1-ri C o#1 rJ lisr ,(�a'� iu Gd2✓. 0!0,41 (rs rgcCowe fY"R c2 G 4d i0 N sr ce.4 � e� .�,� dJ . y r,� 6 axI' / tS ► rs b a&1& Tau• y '-F . Operator: CJJ Printed By: CJJ Print Date: 08/11/2005 Project Number: 05002883 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/11/2005 Page 2 of 2 Building Permit Contractor: BELFOR CONSTRUCTION Firm: BELFOR CONSTRUCTION Address: 10020 E. KNOX SUITE 100 Phone: (509) 893-0001 SPOKANE, WA 99206 This Application: Total Project: Description Grp Type Notes Su Ft Valuation Su Ft Valuation RESIDENCE R-3 VB FIRE 0 $70,000.00 0 $70,000.00 DAMAGE REPAIR Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Notes: Payment Summary: Permit Type Building Permit Totals: 0 $70,000.00 0 $70,000.00 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Fee Amount $783.75 $4.50 $313.50 Permit Total Fees: $1,101.75 Fee Amount Invoice Amount Amount Paid Amount Owing $1,101.75 $1,101.75 $1,101.75 $1,101.75 $0.00 $1,101.75 $0.00 $1,101.75 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: CJJ Printed By: CJJ Print Date: 08/11/2005 an to"' BUILDING PERMIT APPLICATION WORKSHEET Spokane o' Z City ofz Spokane Valley Community Development Department l • Building Division ValleyJ 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 683-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: 2 70 , /t-) / —e— Assessor's Tax Parcel Number(s): Legal Description: PERMIT DESCRIPTION: Building Permit ❑ Relocation ❑ Change in Use ❑ Grading n Manufactured Home ❑ Tenant Improvement Fire Safety ❑ Other 1 OWNER/APPLICANT INFORMATION ❑ Owner. Jo l= (—ore 2_- ❑ Applicant: Phone: 3 icy--a36S' Fax: Phone: Fax: Address: City State Address: Zp Code City State Zp Code O Contractor: Architect: Phone: g%17e,oui Fax: ooc),6 Phone: Fax: Address: L' < Co 2©Address: Cc/0 y State e 12...c4- Zp 2...c4Zp Code City State Zp Code • WA State Contractor License #: 6ELFOO6cNo Contact: Cwt Spokane Valley Bus. Liscense #: Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: # OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT. 7Z)/ Zl id 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? MANUFACTURED HOME Width: Length: • • Year: Pit Set: Manufacturer: RELOCATION Previous Address: Proposed Use: FIRE 'SAFETY Fire Sprinkler. Tent: # of Heads: Fire Alarm: Paint Booth: Fireworks Display: Blasting: Date/Time: Valuation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Address: Phone: Fax: City State Inspector. Phone: Fax: Address: Zip City State Zip SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE Firm Name: ❑ REINFORCEMENT Phone: Inspector(s): Fax: ❑ WELDING 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. Ownership of resulting de zelo -fnintyights granted by any issued permit ink the property ow t Print Name Signature , Y Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check Bankcard #: Authorized Signature: ❑ Mastercard ❑ VISA ❑ Other Expires: VIN#: