2008, 10-01 Permit App: 08003887 Repair Fire Damage Project Number: 08003887 Inv: 1 Application Date: 10/1/2008 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FIRE RESTORATION Contact: GLORIA BREGGER
Address: 11209 E 12TH AVE
C-S-Z: SPOKANE,WA 99206-2848
Setbacks:Front Left: Right: Rear: Phone: (509)924-1486
Group Name:
Project Name:
Site Information:
Plat Key: 000000 Name: Range District: Sout
Parcel Number: 45213.0920 Block: Lot:
SiteAddress: 11209 E 12TH AVE Owner:Name: GLORIA BREGGER
Address: 11209 E 12TH AVE
Location::CSV SPOKANE,WA 99206-2848
Zoning: R-3 SF Res District
Water District: 007 MODEL Hold: ❑
Area: 11,257 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: ... ...�,.,
Review
Building Plan Review Released By:
Originally Released: 10/1/2008 By: tmelbourn
Building Permit
Contractor: OWNER Finn: OWNER
Phone: (000)000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB FIRE • 0 $30,000.00 0 $30,000.00
RESTORATI
ON
Totals: 0 $30,000.00 0 $30,000.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $441.75
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $176.70
Permit Total Fees: $622.95
Operator: JD Printed By: jmm Print Date: 10/1/2008
Project Number: 08003887 Inv: 1 Application Date: 10/1/2008 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $622.95 $622.95 $0.00 $622.95
$622.95 $622.95 $0.00 $622.95
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: JD Printed By: jmm Print Date: 10/1/2008
Scirrof n (Staff Use Only) ( �i
pO ile PERMIT NUMBER:
ValleyK PERMIT FEE:
CITY OF SPOKANE VALLEY
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206 SEP 2 j 20011
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spokanevalley.org
RESIDENTIAL CONSTRUCTION PERMIT APPLICA ON
El NEWD CONSTRUCTION
O RUCTION ADDITIIONREMODE Q ACCESSORY BUILDING
DECSITE ADDRESS: /I ZO / E . 12th Orkt fy Wit 9P26*
ASSESSORS PARCEL NO.: ' j3:09z° LEGAL DESCRIPTION:
BUILDING j OWNER NAME:
NAME: Ci+lC c_. •rer-13 (--
ADDRESS: I I Z.O? (- , 121:1- Aum
CITY: (-ey STATE: ZIP: 99266
PHONE: 9q3 --- 7C0.6- FAX: CELL:
CONTACT NAME:
PHONE: FAX: CELL:
CONTRACTOR NAME:
MAILING ADDRESS: irY-y-e— (t..S own -Y -
CITY: L� STATE: ZIP:
PHONE: FAX: CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
R...• . - 2. ruses L . 1 .(, _ _ _
�cc CS ► . ALL- 1"/ ;Y i ►• „ .._ Al e` " Al U b
ck
his ilia 446Yl , A/eu1 m} . QVC ti.)in?n /J
S 1113 - f�wla`l/ re.s.wl.-evn4-� harms. Piro D tivlev .
PROPOSEDvUSE:
S i h3te, t a v.i IIQ r.c.t't r p CJIL p e� 11.6)rvte-
Effective October 28, 2007 Page 1 of 2
http://www.spokanevalley.org//uploads/Community_Development/Documents/Forms/Building/Residential Construction
Permit App.l.doc
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: Dimensions: No. of Stories: Total Habitable
12- L1 i2 gcc; 24 X 50 I Space: I Zyg
Main Floor SQ Filch Upper Floor SQ Unfinished Basement Finished Basement
FT: I/ Z 1-18 FT: N/4 SQ FT: N/4 SQ FT: i//4
Garage SQ FT: (Deck)Covered Patio Impervious Surface 30% Slopes on,
/y/, - SQ FT: 2,50 Area: N/9 Property: N/4
No. of Construction Heat Source: Sewer or
Bedrooms: 2Type: E}� rTgmc F;ccezt Air Septic: S Jei
TOTAL COST OF PROJECT: $ `600..1
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or on a dwelling,the dwelling is/will
be served by potable water. 2) • • -rship of this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property
owner or has permission to re, esent he property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Developme cod/•eferenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is n. a,.r'(mit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required •f.e submitted and subse ntly approved before this application can be processed.
r/
Signat�r // t ly - p�^, Date: � 0/ n
'''''''tC(
Method of payment: ❑ Cash ❑ Check ❑ Visa ❑ Mastercard
Bankcard #: EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 2 of 2
http://www.spokanevalley.org//uploads/Community_Development/Documents/Forms/Building/Residential Construction
Permit App.l.doc
- For City Use Only
CITY OF PLUS Project Number 0' ;
Proj ect Address
okane r`--2 if "
alleY®V
00100 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
\1, E
Your application review TARGET DATE is ` ` ` '
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
> Submit complete, accurate plans and documents.
Extra time may be required for re-submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
> Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
> Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date,please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure,you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre-Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process isa quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone,fax, email,or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re-
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist willprocess the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre-construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE—APPLICANT PINK—BUILDING FILE REV 9/07