2006, 07-11 Permit App: 06002660 Reroof 07/11/2006 09:15 5094685081 CAPSTONE CONSTRUCTIO PAGE 01/02
z--6:6_(;) /Lv 2-
} t \ BUILDING PERMIT APPLICATION WORKSHEET
gltane
City of Spokane Valley Community Development Department
Building Division
11707E Sprague Avenue, Suite 106
40ValleYSpokane Valle WA 9920
0 Y, 6
Phone: (509) 688-0036;Fax: (509) 688-0037
L _
REQUIRED SITE INFORMATION
�,.� . .
Street Address: /2,/Y £• 2 9 , E
Assessor's Tax Patcel Number(s):
Legal Description:
PERMIT DESCRIPTION: /6. -7610-1
.Building Permit 0 Change in Use 0 Grading 0 Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
0 Owner. Z.eve,-4 Tri ❑ Applicant: •
Phone: .s-7.& Fax: Phone: Fax:
Address: /air/V .2544c Address:
e. '9.2i
CI :-te Zip Code City State Zip Code
® Contractor. smMC4�tIs7 ___L &AWE] Architect
Phone: /b g-yqr) Fax: 4e684 zsy Phone: Fax:
Address: At). C 3 Address:
tIlNeMrle fills j,s- 99026,
City State Zip Code City State Zip Code
' WA State Contractor License#:CAPSTee./063-S S Contact: , / er-TY—/X2-5—
Spokane Valley Bus. Liscense#: Contact: •
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES:
MAIN FLOOR TO SQ.FTG: 2'4"FLOOR SQ.FTC: UNFIN BASEMENT SQ. FIG:
FINISHED BASEMENT SQ.FTG: GARAGE SQ.FTG: DECK/COV.PATIO SQ. FTG:
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:
OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OF P OJECT:r, 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
dOV `-'" SYSTEM?
JUL 11 2006 09:37 5094685081 PAGE.01