2005, 05-23 Permit App: 05001698 Reroof Project Number: 05001698 Inv: 1 Application Date: 05/23/2005 Page 1 of 2
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THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project In formation:
Permit Use: REROOF Contact: ALPINE CONSTRUCTION
Address: 4419 E GLENNAIRE DR
C-S-Z: SPOKANE,WA.99223
Setbacks:Front Left: Right: Rear: Phone: (509)448-8099
Group Name:
Site In formation: Project Name:
Plat Key: 999999 Name: RANGE District: F
Parcel Number: 45213.9238 Block: Lot:
SiteAddress: 11325 E 16TH AVE Owner:Name: MOLAND MANAGEMENT
Address: 11325 E 16TH AVE
Location::CSV SPOKANE VALLEY,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .38 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: w ., : a. ._..
Building Permit
Contractor: ALPINE CONSTRUCTION Firm: ALPINE CONSTRUCTION
Address: 4419 E GLENNAIRE DR Phone: (509)448-8099
SPOKANE,WA 99223
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RESIDENCE R-3 VB REROOF 0 $3,025.00 0 $3,025.00
Totals: 0 $3,025.00 0 $3,025.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $97.25
STATE SURCHARGE 1 SELECT $4.50
Permit Total Fees: $101.75
Operator: JAG Printed By: MT Print Date: 05/23/2005
Project Number: 05001698 Inv: 1 Application Date: 05/23/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary• .._
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $101.75 $101.75 $101.75 $0.00
$101.75 $101.75 $101.75 $0.00
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JAG Printed By: MT Print Date: 05/23/2005
FROM : ALPINE CONSTRUCTION FAX NO. : 5094485504 May. 19 2005 08:41AM P1
Siliaall?fe\81% - - OS---. / 69
4,Valley
• • . PERMIT APPLICATION WORK SI-1 E E-145
SPOKANE VALLEY COMMUNITY DEVELOPMENT
filUILDING DIVISION
11707 East Sprague Ave Ste 106
- • Spokane Valley, WA 99206
• ' •
Phone:(509)688-0036 Fax:(509)688-0037
- REQUIRECPSIVINFORMATION
STREET ADDRESS: 1/3 2-S. f i/ 3 27
ASSESSOR'S TAX PARCEL NUMBER(S):
•• ; . , 1 •
LEGAL OISCRIPTION:
.1 E Fero--i
PERMIT DESCRIPTION: •
jaulTELDING PERMIT CI CHAN GE IN USE . 1:1•GRADrNG CI MANUFACTURED HOME
ORM:QC/010N 0 SIGN EtTENANT 0 OTHER
OWNER/APPLICANT INFORMATION
...__
CI OWNER: UAJKAi°LAJAI ' 0 APPLICANT:
PHONE: FAX: PHONE: FAX:
ADDRESS: ADDRESS:
CITY,STATE,ZIP — • CITY,STATE,-ZIP
•
0 0 '
CONTRACTOR:friii •i4- ARCHITECT: —
PHONE:VY e 6 9 FAx•,VV 9• S roY
PHONE: FAX:
ADDRESS:Sir/9 er 4 i c-A/144'ite Aft- 51941""( 99") ADDRESS:
CITY..STATE,ZIP CITY,STATE,ZIP
WA ST CONTRACTOR LICENSE$Ari-PIAJC*" ° 'I'''""4-'•'‘ . ' ''CONTACT: DA il'i 41 4 /4-'41"cr
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•
PERMMBOICMTINFORMATION
-__
COST OF PROJECT: . c)-1--s' 30%SLOPES ON PROPERTY: MAIN FLOOR SQ Fl":_ __
BUILDING HEIGHT TO PEAK: OCCUPANCY GROUP:. 2N0 FLOOR SQ FT; .._ _
BUILDING DIMENSIONS: CONSTRUCTION 7YPE: UNPIN BASEMENT: _ _ .
. NUMBER OF STORIES: STRUCTURES ON PROPERTY:, FINISHED BASEMENT:Z.,,, ...
NUMBER of BEDROOMS; • CRITICAL AREAS ''''''' ' .. GARAGE: -
FLANKING SETBACK: CURRENT fROPERTY SIZE: COVERED DECK:,_ _ _ ' s,
FRONT SETBACK; CURRENTPROPERTY USE: DECK:
REAR SETBACK: CURRENT SEPTIC USE:
LEFT SETBACK: CURRENT WELL USE:
RIGHT SETBACK: IMPERVIOUS SURFACE AREA:
MAY 19 2005 08:39 5094485504 PAGE.01
FROM : ALPINE CONSTRUCTION FAX NO. : 5094485504 May. 19 2005 08:42AM P2
MANUFACTURED HOME - SIGN N . ..-_._... . ..
WIDTH: LENGTH: SQ FT OF SIGN: __,- HEIGHT OF SIGN. ___
YEAR: PIT SET: #OFSIGNS:_ AREA OF EXIST SI:;N.. -_.__
MANUFACTURER: TYPE OF SIGN: -- ••--• l
l RELOCATION .,;`': FIRE SAFETY ----- '
'' 'F
PREVIOUS __ FIRE ALARM:__-
PREVIOUSADDRESS: � _
PAINT BOOTH: TENT:—,_,-
PROPOSED USE: FIREWORKS DISPLAY:
BLASTING: DATE/TIME: ....,. ., . ____
1 WA STATE NON-RESIDENTIAL ENERGY CODE _
•
PLANS EXAMINER: PHONE:
ADDRESS: ._ CITY,STATE.LIN
INSPECTOR: . PHONE: FAX: _-- - .
ADDRESS: CITY,STATE,ZIP
SPECIAL INSPECTIONS
G BOLTING CICONCRETE .Q REINFORCEMENT ❑ WELDING
FIRM NAME: • PHONE:
INSPECTOR(S): _ ....... -
ISTAFF USE ONLY
IS PUBLIC SEWER AVAILABLE: Q YES . NO IF YES: 13COUNTY CICOUNTY
IS PUBLIC WATER AVAILABLE: a YES � NO IF.YES,WHICH WATER DIST/IRR: __. ---- ---
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO
IS THE PROPERTY LOCATED WITHIN ASA: Q YES`. p NO PSSA: C YES ❑ NO
DATE: . .. STAFF: <.
METHOD OFPA)MEMI.• .
This document originally contained
_ a confidential credit card information which
z❑ ❑ NsyC W ' was redacted pursuant to RCW 19.255.010
CASH CHECK L and the original document destroyed
f6 I pursuant to SOS DAN GS2014-030.
SANKCARDat, _„ VIN#
AUTHORIZED SIGNATURE; 1 (I(i —
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
MAY 19 2005 08 39 5094485504 PAGE.02