2010, 10-22 Permit App: 10003459 Fire Damage RepairProject Number: 10003459 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/22/2010 Page 1 of 2
Project Information:
Permit Use: REPAIR TRUSSES & DRYWALL FROM FIRE
DAMAGE
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: Name: Range
Contact: KLEIN'S DISASTER KLEENUP
Address: PO BOX 3002
C - S - Z: HAYDEN, ID 83835
Phone: (208) 640-9035
Group Name:
Project Name:
District: Nort
Parcel Number: 45063.9107 Block:
SiteAddress: 8214 E SOUTH RIVER WAY
Location:: CSV
Zoning: R-2
Lot:
Owner: Name: RHOADS SPECIAL PERSON CARE
Address: 8214 E SOUTH RIVERWAY
SPOKANE VALLEY, WA 99206
SF Res Suburban District
Water District: 002 ORCHARD AVENUE
Hold: ❑
Area: .18 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Ai I
Review
Building Plan Review
Permits:
Released By:
Originally Released: 10/21/2010 By: tmelbourn
Contractor: KLEIN'S DISASTER KLEENUP
Address: PO BOX 3002
HAYDEN ID 83835
Building Permit
Firm: KLEIN'S DISASTER KLEENUP
Phone: (208) 772-7734
This Application: Total Project:
Description Gru 'Lug Notes Su Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB PLAN 0 $160,000.00 0 $160,000.00
REVIEW
FEE
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 0 $160,000.00 0 $160,000.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,329.75
$4.50
$531.90
Permit Total Fees: $1,866.15
Operator: jmm Printed By: JD Print Date: 10/22/2010
Project Number: 10003459
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/22/2010 Page 2 of 2
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount
$1,866.15 $1,866.15
Amount Paid
$531.90
Amount Owing
$1,334.25
$1,866.15 $1,866.15
$531.90 $1,334.25
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: JD
Print Date: 10/22/2010
c. Community Development Department
i, Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@sDokanevallev.orq
(Staff Use Only)
]
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 ACCESSORY BUILDING
❑ NEW CONSTRUCTION 0 ADDITION/REMODEL
0 DECK 131.15THER
SITE ADDRESS: S.2) 4 t Sol-) ,r?. ✓e ' W 4 `/
ASSESSORS PARCEL NO.: 4506 3 , `i l 0 7 LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: 41-10/905
ADDRESS: / D, 4 d l 3.31 i
CITY: Ae 1, n/C fL
PHONE:
STATE: T/4 5
ZIP: 7(o Q `t
FAX: CELL:
CONTACT NAME: 72 y
PHONE: 2'S - 7 72 ' 60
CONTRACTOR NAME: k'Jc,;✓ 15
FAX: CELL:
x)CCf /
MAILING ADDRESS: /0, 0, .6 o)( 306
CITY: 14.4 ./ Dem
PHONE: 205 — 77,2- 7734
CONTRACTOR LICENSE No.:
STATE: -J-G14) (�
zip: 6 3b 3 S
FAX:
CELL:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INWATE USE & PROPOSED USE:
/2e/c44 ,5 c 5 y' L,2l(n/4 I I ��c ; L1 ie
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak:
Dimensions:
T
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROSECT: $ G.9 po 0 0
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 submitted and subsequently approved before this application can be processed.
Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
Signature
Date:
Method of payment: 0 Cash n-C`eck 0 Visa 0 Mastercard
EXP: VIN#:
Bankcard #:
Authorized Signature:
Effective October 28, 2007 Page 2 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
Spokane
jUalley�
For City Use Only
PLUS Project Number 1
Project Address
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037♦'permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re -submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre -Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re -
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE -APPLICANT PINK - BUILDING FILE REV 9/07