HomeMy WebLinkAbout2006, 03-08 Permit App: 06000719 Tear Off, Reroof Permit Center
.j}Okane 11707 E Sprague Ave,Suite 106 PERMIT NUMBER: (2 7
ValleSpokane Valley,WA 99206 PERMIT FEE:
(509)688-0036 FAX: (509)688-0037
Cdmmunity Development V‘'ST,1w.spokanevalllev.or,.com
Residential Construction o New Construction ❑ Accessory Bldg
Permit Application o Addition/Remodel ❑ Deck
o Other:
SITE ADDRESS l" r /0 E . 4—
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building owner Contractor.
Name: "lb.A4 C < NJ 6 E,J Name: WC C h ?z c c s-r r,,c-! .-/
Address: ; / Z l D 3 Address: 5?
City: 5(k?o p e- A-0 ll 4-1 Zip: 9 e7,2 0(9 ? City: C a Ifs A/"z Zip: q1,2 (v
Phone: Fax: Phone: icl I/-/ o,`t Fax: A 8- 8,.1(
Lic No: M f C A-?f L9& L Exp.Date:
Contact.Person
-..... . . City Business Lic No:
Name:
Phone:
Describe the scope of work in detail: Cost of Project: $ 500 .
rc OF g_c,P Ni cm_ Po /
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ. 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: AREA:
FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: PROPERTY:
#OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC?
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.6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature – Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash 0 Check ❑ Mastercard ❑ VISA 0 Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 6/252005
r
t e
M Hey
11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000 • Fax: 509.921.1008 ♦ cityhall@spokanevalley.org
Residential Plan Submittal Minimums
❑ Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
D 18" X 24" crawl space access:
❑ One-hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
. ❑ All header locations: type, size, and connections
❑ Foundation plan
O Insulation information
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General/Specialty Contractor
`A business registered as a construction contractor with L8I to perform construction work within the scope
Sof 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 MICAPPC963CZ
Licensee Name MICA PEAK CONSTRUCTION
Licensee Type CONSTRUCTION CONTRACTOR
UBI 602364533_Verify Workers Comp_Premium
Status
Ind. Ins. Account
Id
Business Type INDIVIDUAL
Address 1 PO BOX 141162
Address 2
City SPOKANE VALLEY
County SPOKANE
State WA
Zip 99214
Phone 5099911869
Status ACTIVE
Specialty 1 GENERAL
Specialty 2 UNUSED
Effective Date 2/9/2004
Expiration Date 2/9/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated
License
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=MICAPPC963CZ 3/8/2006
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1 Business Owner Information
Effective Expiration
Name Role Date Date
MCSPADDEN, JEREMY
BRIAN OWNER 02/09/2004
Bond Information
Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date 1
Until
R#1 CBIC FB7051 02/06/2004 Cancelled $12,000.00 02/09/2004`.;
Savings Information
No Matching Information
Insurance Information
Company Policy Effective Expiration Cancel Impaired Received
i Insurance Name Number Date Date Date Date Amount Date
ATLANTIC
g CAS INS
#3 CO L071001707 02/06/2006 02/06/2007 $1,000,000.00 01/24/2006
ATLANTIC
CAS INS
#2 CO L07101707 02/06/2005 02/06/2006 $1,000,000.00 02/04/2005 ,
}
ATLANTIC
CAS INS
#1 CO ATL020604AM 02/06/2004 02/06/2005 $1,000,000 00 02/09/2004
,Summons/Complaints Information
No Matching Information
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https://fortress.wa.gov/lni/bbip/Detail.aspx?License=MICAPPC963CZ 3/8/2006