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2005, 08-18 Permit App: 05002994 Tear Off, Repair Roof Project Number: 05002994 Inv: 1 Application Date: 08/18/2005 Page 1 of 2 THIS ISNOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: TEAR OFF&RE ROOF/MINOR FRAMING Contact: JADDA BEASON REPAIRS FROM TREE DAMAGE Address: 3928 E MARIETTA C-S-Z: SPOKANE,WA 99217 Setbacks:Front Left: Right: Rear: Phone: (509)863-2755 Group Name: Site Information: Project Name: gvestaiww.matmgsmunsoltwerea:. , .o. mea, :,, .weamemmanakovam Plat Key: 001841 Name: OPPORTUNITY TERRACE District: F Parcel Number: 45272.0439 Block: Lot: SiteAddress: 12711 E SALTESE RD Owner:Name: HERDRICH,NORMAN Address: 12711 E SALTESE RD Location::CSV SPOKANE,WA 99216 Zoning: AGSUB Water District: Hold: ❑ Area: .00 Acres Width: 105 Depth: 130 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: 1 . Review Plan Review Released By: � i Building Permit Contractor: BEASON GENERAL Firm: BEASON GENERAL CONTRACTI Address: 3928 E MARIETTA Phone: (509)863-2755 SPOKANE,WA 99217 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RESIDENCE R-3 VB REPAIR 0 $6,403.75 0 $6,403.75 TREE DAMAGE Totals: 0 $6,403.75 0 $6,403.75 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $139.25 STATE SURCHARGE 1 SELECT $4.50 Permit Total Fees: $143.75 Operator: CJJ Printed By: KJK Print Date: 08/18/2005 Project Number: 05002994 Inv: 1 Application Date: 08/18/2005 Page 2 of 2 THIS IS"NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes :TM.. ..,.: v, n4_ ,a .., :;1011%.,1. '7z Payment SummorV: 44, 4= :, cam .7sEgigra . IssonswzmAvmattsma Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $143.75 $143.75 $0.00 $143.75 $143.75 $143.75 $0.00 $143.75 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: KJK Print Date: 08/18/2005 0,1: _ BUILDING PERMIT APPLICATION WORKSHEET ,. City of Spokane Valley Community Development Department CG, Building Division OS .2 l q� 11707 E. Sprague Avenue, Suite 106 T- valley Spokane Valley, WA 99206 yr - Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: 12-711 E. Sa-Mc 5e Ave. Assessor's Tax Parcel Number(s): Legal Description: lC t--EE os6_, PERMIT DESCRIPTION: /eg.- o e -ie.& i i iviieDA&fn.) aM;;5 R. ;g4. 2 Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION ❑ Owner. AiDa4At It S lie //eGQre-A ❑ Applicant:-i AVDA Phone:.99 sg9 at*Fax: Phone:5 941343:zax: Address: / re. e ddre s: 39'ZE. /4",-/e -fl( e eRA,7e ?i7 Ci State Vocil4' CiState Zip Code ❑ Contractor: 8Gi���❑ Architect: Phone:.0,44,3.2:755Fax: 3 Phone: Fax: Address: 3, i‘ 5. /1a...e-fta. Address: 549;fr.e.ote tate Zip Code City State Zip Code • License #: Sv S- C Contact: �} . /1 WA State Contractor �� �G �'b� Spokane Valley Bus. Liscense #: (.D a `x`71 /5/ Contact: PERMIT/BUILDING INFORMATION HEIG O PEAK: DIMENSIONS: #OF STORIES: / M49, 33s .5--se— MAIN FLOOR TO SQ. FTG: 21'4"FLOOR SQ. FTG: UNFIN BASEMENTSQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ.FTG: DECK/COV. PATIO SQ. FTG: .5-->e Z5 OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: #OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: OST OF PROJECT: 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC (a 9 03, 7S' SYSTEM? MANUFACTURED HOME tVidth: Length: •''.P.ac ' Pit Set: Manufacturer. RELOCATION Previous Address: Proposed Use: FIRE SAFETY =ire Sprinkler: # of Heads: Fire Alarm: Paint Booth: rent: Fireworks Display: Blasting: Date/Time: Jaluation: Abbve/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Phone: Fax: kddress: City State Zip nspector. Phone: Fax: address: City State Zip SPECIAL INSPECTIONS BOLTING (l CONCRETE ❑ REINFORCEMENT ❑ WELDING .irm Name: Phone: Fax: nspector(s): )ISCLAIMER -he permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a !welling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the )roperty owner. 3) The signatory is the property owner or has permission to represent the property owner in this ransaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code. Zeferenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley 'ermit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. )wnership of resulting development rights granted byy any issued permit inure to the' property owner. 'rint Name -J 411)A ` (j L SdN Signature —t'/th Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ] Cash -Check ❑ Mastercard ❑ VISA ❑ Other Iankcard#: Expires: VIN#: uthorized Signature: Jo, / �_/