2007, 06-04 Permit App: 07002077 Reroofa
Permit Center
Spokane 11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
jValley. (509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Reroof Construction
Permit Application
PERMIT NUMBER: — Z 7 3
PERMIT FEE: tit / / S.
n Commercial
21 Residential
SITE ADDRESS: 13c a e , 5f°4416) Uo 11
eY
ASSESSORS PARCEL NO:
Building Owner:
/�
Name: 11 , r a gx,4,/t� l
r�/t'm
Name: c A�. ` \
v u�
Ot 0
City: S -a Ile State:LJ
Zip:99da8
Address:i 3 a 5
'
_5
Contractor Lic No42_2_3USR? Date:
City:` ,mtVVre. C1 l I e v
State: 0
Zip:
Phone: q 3-)_ o 15
Fax
Contact Person
Name: Q ' ca f- 1 4 \ftW ('
Phone: ,0`)9_-(2c)c41
Describe the scope of work in detail:
e
Roc3r
Contractor:
c�tor:
/�
Name: 11 , r a gx,4,/t� l
r�/t'm
Address: p,x I ��0o
_
�/�
City: S -a Ile State:LJ
Zip:99da8
Phone:'77_7d 3- ](v%.? Fax: 509 _ c276,
_275d-2
Contractor Lic No42_2_3USR? Date:
City Business Lic. No: (o O a Sq 4 30/
71 Tear off
Overlay
Cost of project: $ 56
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. 6) Plans or
additional information may be required to be submitted, and subsequently approved before this application can be
processed.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Date C.P / 4/U7
Signature
Method of Payment:
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/23/2005
Look Up a Contractor, Electrician or Plumber License Detail
Topic Index 1 Contact Info
orkplace Rights TTrades & Licensing 1
1 Find a Law or Rule ( j Get a Form or Publication
Look Up a Contractor, Electrician or Plumber ;
Page 1 of 2
Printer Friendly Version
General/Specialty Contractor
A business registered as a construction contractor with L&I to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
License Information
License
ALLSUSR950RT
Licensee Name
ALL SURFACE ROOFING/WATERPRFG
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602546881 Verify Workers Comp Premium
Status
Ind. Ins. Account
Id
Business Type
CORPORATION
Address 1
PO BOX 18806
Address 2
City
SPOKANE
County
SPOKANE
State
WA
Zip
99228
Phone
8777237663
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
12/30/2005
Expiration Date
12/30/2007
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated
License
https://fortress wa.gov/lni/bbip/Detail.aspx?License=ALLSUSR950RT 6/4/2007
Look Up a Contractor, Electrician or Plumber License Detail
Business Owner Information
Name
Role
Effective
Datb
Expiration
Date
KIDWELL, JOHN
FRANCIS
PRESIDENT
12/30/2005
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#1
WESTERN
SURETY
CO
70022492
12/20/2005
Until
Cancelled
$12,000.00
12/30/2005
Savings Information
No Matching Information
Page 2 of 2
Insurance Information
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
#3
LANDMARK
AMERICAN
INS CO
LHA130663
10/20/2006
10/20/2008
$1,000,000.00
04/13/2007
#2
LANDMARK
AMERICAN
INS CO
BNDRGL102006
10/20/2006
10/20/2007
$1,000,000.00
10/18/2006
LANDMARK
AMERICAN
INS CO
LHA128823
10/20/2005 10/20/2006
$1,000,000.00 06/13/2006
Summons / Complaints Information
No Matching Information
Start a New Search Printer Friend y Version
aco i» w
About L&I I Find a job at L&I 1 InformaciOn en espanol I Site Feedback 1
1-800-547-8367
0 Washington State Dept. of Labor and Industries. Use of this site is subject to the lawn of the
state of Washington.
Access Agreement 1 Privacy and security statement 1 Intended use/external content policy 1 Visit access.wa.gov
Staff only link
a rftt- 0S
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=ALLSUSR95ORT 6/4/2007