2007, 07-06 Permit App: 07002605 Tear Off, Reroof • b-1 Z(CO
Permit Center
Spokane 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER:
�Valley Spokane Valley,WA 9920PERMIT FEE:
(509)688-0036 FAX:(509)688-0037
www.spokanevalley.org `� L
Community Development
Reroof Construction Commercial
Permit Application Residential
SITE ADDRESS: t7 7 (e' £ 2 7-4
ASSESSORS PARCEL NO:
Building Owner: Contractor:
Name: L't li /n"lq , 6l�t�/�) Name: f q
% f /l mo i K , .
Address: S/c`.? y Address: gOAt e
City: Spa/<a z State: Zip: 4( 21 Z City co c�/f4/19.2.- Stag 19-- Zip yw f 7
Phone: l5 0v flitD ,1r1 Fax: Phone: ax:
�ro9 )-Z.,G-06'21- F f•CC- v2 C// -)-77
Contractor Lic No:‘ ,�`��0� Exp Date: ,/QyGf
Contact Person City Business Lic.No: �(
Name:
Phone:
Describe the scope of work in detail: Tear off Overlay
Cost of project: $ 5-2,401V 00'
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.
Signature Date 1707 2
Method of Payment:
❑ Cash Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/23/2005
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General/Specialty Contractor
A business registered as a construction contractor with Lai 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 BIGTRTR932CZ
Licensee Name BIG T ROOFING
Licensee Type CONSTRUCTION CONTRACTOR
UBI 602694308 Verify Workers Comp Premium
Status
Ind. Ins. Account
Id
Business Type INDIVIDUAL
Address 1 2404 E QUEEN
Address 2
City SPOKANE
County SPOKANE
State WA
Zip 99217
Phone 5092200625
Status ACTIVE
Specialty 1 ROOFING
Specialty 2 DRY WALL
Effective Date 2/9/2007
Expiration Date 2/9/2009
Suspend Date
Separation Date
Parent Company
Previous License
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License
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=BIGTRTR932CZ 7/6/2007
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Business Owner Information
I Name Role Effective Date Expiration Date 'i
SIMPSON, TERRY OWNER 02/09/2007
Bond Information
Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
LINCOLN
GEN INS Until
#1 CO 661120274 02/06/2007 Cancelled $6,000.00 02/09/2007
Savings Information
No Matching Information
Insurance Information
Company Policy Effective Expiration Cancel Impaired Received
Insurance Name Number Date Date Date Date Amount Date
BURLINGTON
#1 INS CO HGL0015143 02/08/2007 02/08/2008 $1,000,000.00 02/09/2007
Summons/Complaints Information
No Matching Information
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https://fortress.wa.gov/lni/bbip/Detail.aspx?License=BIGTRTR932CZ 7/6/2007