2007, 10-12 Permit App: 07003997 Fire Damage RepairPrdjext Number: 07003997 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/12/2007 Page 1 of 2
Project Information:
Permit Use: FIRE RESTORATION Contact: CAPSTONE CONSTRUCTION CO
Address: 2917 E FRANCIS AVE
C - S - Z: SPOKANE, WA 99208
Setbacks: Front Left: Right: Rear: Phone: (509) 468-4981
Group Name:
Site Information: Project Name:
Plat Key: Name: BEARS SUB LOT 7 REMINGTON PK District: Sout
Parcel Number: 35241.3707
Block: Lot:
SiteAddress: 7207 E 7TH AVE Owner: Name: GOUVEIA, PAUL
Address: PO BOX 364
Location:: CSV VERADALE, WA 99037
Zoning: UR -3.5 Urban Residential 3.5
Water District Hold: ❑
Area 7,620 Sq Ft Width: 60 Depth: 127 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Released By:.
Originally Released: 10/11/2007 By: tmelbourn
Permits:
Building Perm&
Contractor. CAPSTONE CONSTRUCTION Finn: CAPSTONE CONSTRUCTION
Address: 2917 E FRANCIS Phone: (509) 468-4981
SPOKANE WA 99208
This Application: Total Project:
Description Gro Dps Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB FIRE 0 $65,000.00 0 $65,000.00
RESTORAT
ION
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 0 $65,000.00 0 $65,000.00
Units Unit Desc
I SELECT
1 SELECT
1 SELECT
Fee Amount
$748.75
$4.50
$299.50
Permit Total Fees: $1,052.75
Operator JD Printed By: JD Print Date: 10/12/2007
Pmjdtt Number. 07003997 Inv: I
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/12/2007 Page 2 of 2
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,052.75 $1,052.75 $0.00 $1,052.75
$1,052.75 $1,052.75
$0.00 $1,052.75
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has I}oth 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: JD Printed By: JD Print Date: 10/12/2007
CI",00010011\Permit Center
liAne 11703 E Sprague Ave, Suite B-3
S okangV - ; , WA 99206
jVa11N810 z .LIlF{: (509)688-0037
ai-vaDey.org
Community Develi ri nt
Residential Conitinertial n New Construction
Permit Applicatiant CENTER
BY:
PERMIT NUM ER: 3997
PERMIT FEE / O S 2_
Accessory Bldg
Addition/Remodel n Deck
Other:
i 14
SITE ADDRESS: 7 .-1 C 7 f2-0 7
ASSESSORS PARCEL NO:
SktKt4ti�._ (14u c= /.
LEGAL DESCRIPTION:
Building Owner:
DIMENSIONS:
# OF STORIES: 1/
/ a.
Name: 24u u t_ Cc a i4 1 :4
.t"S T
2ND FLOOR SQ. FTG:
Address: 7,) c F. i ' N %) vii
//Zig-,�° t:/5
FINISHED BASEMENT
SQ. FTG: /250 �/-
City: fckNNk ii'1=Ul State:
�/ Zip:
��`��/
Phone: 4215--__(/ y.5, Fax: 4‘4 , etva,/
Contact Person
Name: l • /111 R La )l%L' c_1414.A>
Phone: ;,�" - 7
Describe the scope of work in detail: •
o 9'9o/.
Contractor:
DIMENSIONS:
# OF STORIES: 1/
/ a.
Name: C/4 PS7.7,,t.
.t"S T
2ND FLOOR SQ. FTG:
Address: 27,7 t;
//Zig-,�° t:/5
FINISHED BASEMENT
SQ. FTG: /250 �/-
City: 5 k k....4s-.<.,k'
State: isli5/ Zip: 47) 6
7
Phone: 914,r_4( f j/
Fax: fa s.) f/
HEAT SOURCE:SEWER
G/15' ' '
Contractor Lic No:
Exp Date:e3 II / o g
City Business Lic. No:
-
OIC
Cost of Project: $
,Cppb
Roos II('vSS ki1Pc.,4cfE'p!E',ciT bejrWt4-', ?/a//k-'i / -oo/& ect.60/N45/ C'fo
Proposed Use: /-4 rL�
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES: 1/
/ a.
TOTAL HABITABLE SPACE:
S r)c 5,z -
MAIN FLOOR TO SQ.
FTG:
/1 5 b
2ND FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIO S SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: /250 �/-
GARAGE SQ. FTG:
-0—
DECK/COV. PATIO SQ. FTG:
/C) 5�
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
3
CONSTRUCTION TYPE:
/=f (ailif
HEAT SOURCE:SEWER
G/15' ' '
OR SEPTIC?
}a:‘e_ .
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 proceed.
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
0 Check
❑ Mastercard
Expires:
DATE: /e A7/6 7
ISA
VIN#: