2012, 03-22 Permit App: BLD-2012-0208 Reroof &o- 201Z - 07_o
Community Development Department (Staff Use Only)
Permit Center
11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
MY ors Spokane Valley,WA 99206
Tel: (509) 688-0036 PERMIT FEE: .B �5-7- 75.
.000V 7 ) Fax: (509itcenr@sook688-0037
�.i,11 * permitcenter@spokanevallev.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION 0 ADDITION/REMODEL Q, ACCESSORY BUILDING
0 DECK Q OTHER
SITE ADDRESS: 5423 East Union
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: Barton Roofing
NAME:Mr. and Mrs. Keno DeVarney
ADDRESS: 1715 South Stanley Lane
CITY:
Spokane STATE: WA ZIP: 99212
PHONE:509.535.3768 FAX: 509.931.5065 CELL:
CONTACT NAME: Barton Roofing
PHONE: 509.535.3768 FAx: 509.931.5065 CELL:
CONTRACTOR NAME: Barton Roofing
MAILING ADDRESS: 5423 East Union
CITY: Spokane STATE: WA ZIP: 99212
PHONE: 509.535.3768 FAX: 509.931.5065 CELL:
CONTRACTOR LICENSE NO.: BARTOR*077DDEXPIRES: 04/2015 CITY BUSINESS LICENSE NO.: BARTOR*�
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
Tear off and reroof
Tear off and reroof
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:NA Dimensions:NA No.of Stories:2 Total Habitable NA
Space:
Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
NA NA FT: INH FT:NA
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on NA
NAFT: Area: NA Property:
NA
No.of Bedrooms: Construction Type: Heat Source: Sewer or Septic:
TOTAL COST OF PROJECT: $ 7,690.00
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