HomeMy WebLinkAbout2003, 06-12 Permit App: BD03-582 Residence c� of
FAX b s' c' ° 37
SPOKANE VALLEY
PERMIT # L,3 5it
BUILDING PERMIT APPLICATION
Box 1 OWNER►'h.%ke. d-Geosple1t &TztX- JOB LOCATION 7301/ Ave
OWNER'S ADDRESS #i . �,,rr ITY Spoteh PHONE
i U
DESCRIBE JOB &) Gf)y-4-
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED >C
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME elk, r _ S Qom- PHONE
CONTRACTOR'S ADDRESS CITY
CONTRACTOR'S REG.# EXPIRATION DATE
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX 3 CONTACT PERSON OF PROJECTGeorc e-lke Ter PHONE 7!0$ ,5&'
ADDRESS [OO N CITY SfpkimoVali2 j. ZIP q 17
BOX 4 SEWER AVAILABILITY y es WATER AVAILABILITY 5
BOX 5 ESTIMATED PROJECT COST$ 1 504a0 EXISTING BLDG. VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER 35,2,14 (Jou
LEGAL DESCRIPTION LaT IL BbDc-kac Wet c1 Zawvj Pay
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing/ proposed) 1ST FLOOR j(o9 Z-/ 2ND FLOOR N /
3RD FLOOR / OTHER / BASEMENT FINISHED /
BASEMENT UNFINISHED J(0/Z/ DECK ar)0 / GARAGE Cj/, /
CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING 0:24, FT.
BOX 8 ( SINGLE FAMILY ( NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY Si SO SQ. FT.
( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE 3) 3 SQ. FT.
BOX 9 PLUMBING FIXTURES (Including rough-ins) MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED PLUMBING/MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS,WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL.
BOX 10 Water Service meter size(if known) Also see BOX 4
BOX 11 Septic Tank-Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
BOX 12 Street use may require a" Street Use Permit"for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE.
OWNER/AGENT DATE (OVER)
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard Expiration Date
Print the name of the Holder Signature
DO NOT PLACE ANY BUILDING UNDER POWER LINES OR OVER INCOMING GAS LINES.
OFFICE USE ONLY-PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE
TYPE OF JOB: NEW RESIDENCE RES.ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM.ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORIES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING PERMIT NO. PLAN CHECK FEE RECD RECEIPT NUMBER
PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE
OTHER CHARGES AMOUNT DUE
BUILDING DEPARTMENT APPROVAL BY
DATE
ASSIGNED ADDRESS
Received
Call 24 hours before inspection required
ctr► Phone 509.688-0036 Fax 509.688-0037
Spo°i�.ne
do#Valley
DEPARTMENT OF PUBLIC WORKS
Anticipated start date 11A,y,e ab--- Permit # PW b 3- 3'1
APPROACH PERMIT
APPLICATION
Location of property 7 Oy E. 1 ,711
(Address/Parcel #, if available)
Applicant Name \y\,d, eta). 4 G-e rc�ed7-.fit' gem y-
Sfokr,.e tJ W,9 14 2-c
Address 31,64 1.1 Qc�Piri}ph Rd Phone��/'(1�g_loSCD$
Contractor's Name G (,,,,-(--
Address :Qq(3). € Phone
Contractor's Reg# AJfl Expires
PROJECT DESCRIPTION (Provide site sketch)
XResidential Driveway I I Commercial/Industrial Driveway
Existing Curb & Gutter Rural Road Section
Culvert Installation Sidewalk Repair/Construction
Other conditions
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
•
PERMIT FEE $ Inspection Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card# Ling_ Cod -a„ ,a 3q f 9' Expiration Date 0g/0 3
Name of Holder QM f f-c k g - a - Signature/
Fees Paid$ Date Po /�? ?3I tt
09/25/2003 06:37 5094823519 GBETZER HS PAGE 01/02
•
Fax Coversheet
Date: September 25,2003 From: Georgette Betzer
To: Kevin Department:
Company: Spokane Valley Permit Center Fax: 509-482-3519
Fax: 688-0037 Phone: Cell 868-7844-Wk.482-1707
Phone: 688-0036 Pages; 2
Kevin,
I am faxing a copy of the letter from the window manufacturer for our permit file,Building
Permit#BD03-582,as we discussed. This permit is for new home construction at 7304 E
12th.
Thanks
Georgette Betzer New Betzer Family Home
7304 E. 12th Avenue
Spokane Valley, WA 99212
mikiebetzer@aol.com
Mike Betzer Georgette Betzer Ryan VanWey
Home 509-891-6676 Home 509-891-6676 Home 509-891-6676
Office 509-358-2094 Office 509-482-1707 ! Mobile 509-768-7451
Mobile 509-768-6569 Mobile 509-768-6568
Fax 509-358-2079 Fax 509-482-3519
3100 N. Edgerton Rd., Spokane,Washington 99212
NOTICE OF CONFIDENTIALITY
The information contained in and transmitted with this'facsimile may be confidential, subject to the attorney-client privilege,
attorney work product,and/or exempt from disclosure under applicable law and is intended only for the individual or entity
named above. If you are not the intended recipient,you are hereby notified that inadvertent disclosure of this information to you
does not constitute a waiver of confidentiality or privilege and that any review,disclosure,copying,or use of the contents of the
facsimile by you is prohibited.If you have received this facsimile in error,please immediately call the sender collect at the above
phone number,so that we can arrange for the return of the original facsimile at our cost.
SEP 22 2003 06:44 5094823519 PAGE.01
09/25/2003 06:37 5094823519 GBETZER HS PAGE 02/02
Vpla
Quality Vinyl Windows and Patio Doors
September 23,2003
Georgette and Mike Betzer
7304 E. 12th
Spokane,WA 99212
Dear Mr. and Mrs. Betzer,
The VPI windows delivered to the job site at 7304 E. 12th Spokane Valley, WA. on
September 15th, 2003 were delivered with the incorrect labels listing incorrect UFaotors.
The actual glass used for all the windows manufactured and delivered to this home was
PPG Solarban 60. These windows meet current code for Spokane Valley with a UFactor
of.35 or better.
Please contact ktg MobtcA at 535-IOZb -if you have any
questions or concerns.
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NI PT QkoptiA-c (A\111/4%005
6120 9.Sharp•Spokane,WA 99212•(509)535-1026•Pax(509)536-9382•(800)634-1478•www.vpiwindnwv.cam
SEP 22 2003 06:44 5094823519 PAGE.02
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