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2005, 04-11 Permit App: 05001137 Tear Off, Reroof Project Number: 05001137 Inv: 1 Application Date: 04/11/2005 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: TEAR OFF AND REROOF RESIDENCE Contact: EPKEY ROOFING Address: 4240 N ENCANTO DR C-S-Z: POST FALLS ID 83854 Setbacks:Front Left: Right: Rear: Phone: (208)777-0540 Group Name: Project Name: Site Information: Plat Key: Name: RANGE District: Sout Parcel Number: 35231.1153 Block: Lot: SiteAddress: 5715 E 8TH AVE Owner:Name: KESTER,MICHAEL D Address: 5715 E 8TH AVE Location::CSV SPOKANE VALLEY,WA 99212-025 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Permits: .a ,, .aWat, . { .- . . ;. '?',bw:.. : .� .. . ..... . Building Permit Contractor: EPKEY ROOFING Firm: EPKEY ROOFING CONTRACTOR Address: 2420 N ENCANTO DR Phone: (208)777-0540 POST FALLS,ID 83854 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RESIDENCE R-3 VB TEAR OFF 0 $5,160.00 0 $5,160.00 &REROOF Totals: 0 $5,160.00 0 $5,160.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $125.25 STATE SURCHARGE 1 SELECT $4.50 Permit Total Fees: $129.75 Operator: K_C Printed By: MT Print Date: 04/11/2005 Project Number: 05001137 Inv: 1 Application Date: 04/11/2005 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit CONTROL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $129.75 $129.75 $0.00 $129.75 $129.75 $129.75 $0.00 $129.75 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: K_C Printed By: MT Print Date: 04/11/2005 .ri. BUIL NG,HERMIT APPLIC ION WORKSHEET • ' �� "-$ City of Spokane alley Community Development Department 6p0Kane` Building Division 11707 E. Sprague Avenue, Suite 106 tase,ValleY Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: g fit-\S � ; -0(...<2... ... 0 C\\Q Assessor's Tax Parcel Number(s): ` 7-)-3 / 1 L Legal Description: PERMIT DESCRIPTION: tL- t-ec3c P�v ❑ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION .®. Owner: {h:Y-Q.- 1%.141-1 A® KQs-k f LI Applicant: Sam- cs CcAN cc4.6lac" Phone: 634_ ravr Fax: Phone: Fax: Address: 5'4-t• IS- -\c‘ Address: Qc e_ Vc�\\ � . `�'tZi 1 Ci State Zip Code City State Zip Code `l. Contractor: tic i2 ,F :� . ❑ Architect: Phon -�c> , t� Fax: Phone: Fax: Address: Liatkn 10 , A c_A_A-© Dv-, Address: QT,3A- k .s3� City 1 State Zip Code City State Zip Code WA State Contractor License#:tVKV_ Rt 000pV Contact: Spokane Valley Bus. Liscense#: Contact: M PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: MAIN FLOOR TO SQ. FTG: 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: #OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC tb 1, =0`amu SYSTEM? � MANUFACTURED HOME j Width: Length: Year: Pit Set: Manufacturer: RELOCATION • Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth: Tent: Fireworks Display: Blasting: Date/Time: Valuation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Phone: Fax: Address: City State Zip Inspector: Phone: Fax: Address: City State Zip SPECIAL INSPECTIONS ❑ BOLTING El CONCRETE ❑ REINFORCEMENT ❑ WELDING Firm Name: Phone: Fax: Inspector(s): DISCLAIMER 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. Ownership of resulting development rights granted by any issued permit inure to the property owner. `\ Print Name �Y�c�c\e_ Signature Oixe), V �- -C) Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard El VISA ❑ Other Bankcard#: Expires: VIN#: Authorized Signature: apt, `�'+' Al ite