2013, 10-21 Permit App: BLD-2013-2161 ReRoof509) 747-8990 P.1
l Project , ..�_ _2
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Community Development Depart-r,ent
Permit Center (Staff Use Only)
Spokane 11703 East Sprague Avenue, Suite d-3 —
SpOKane Valley, WA 992]6 PERMIT 1�IUMBER;
�'�al ley Tel: ,509, 64&44-24 —
' Fel: (509) 668 8.00 0037 PERMIT EE:
REROOE CONSTRUCTION PERMIT APPLICATION
COMMERCIAL ❑ RESIDENTIAL
SITE ADDRESS:
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS_
CITY:
PHONE__ -- . FAX: CELL:
CON-A:T NAME: \
PHONE: FAX: %1 /1 CELL:
CONTRACTOR NAME:
MAILING ADDRESS: 1 � V C ' 1 10-7)Q21aUL h � k
cl": `. ` STATE: WA �J ZSP: c1Ci Z6 Z, - --
P ri
CO.
DESCRIBE THE SCOPF.,9F WORK tIN D TAIL D INDICATE USE:
i Tear Off
TOTAL COST OF PROJECT: s—
,�� vF40, c9 O . . .
❑ Overlay
DISCLAIMER
...rea .erdieS. ack-ow, edges and agrees by the•r signature (-let: t) if th s permit is for cor.scn cacn :r o•: a ^_well.ng, tre _ . ; .>.:. .
,Na:e'. 2) Ovi-.ership of chis City of Spckar.e Va ley perm t .nire to the property owner. 3) The signatory ._ :^.e ; ::e-;
rias per-n,ss.cn tc reoresent the property o.rner in this uansac:ion. 4) All cons:ruct:on is to Oe acne it f...l ccnpliance .+ to -
_,_ _ :3 e, Ge•:e:�pme�t code. Referenced :owes are available `or reviev, at the City of SPorcane vaney Permit Ce^.ter. 5: ,ne
pern!: is nct a permit or approval for any viora: or. of federal, state or local laws, codas C orc:n_,-c=5. 5; =idr,; ,__
"e 'e:;.•rc� :o ,e 5, 0mitte•d ano s_bsequently approved before this application car. be processed.
Signature Date:
D Cash l Check Q Mastercard REDACTED
= l��� REDACTED EXFr. REDACTED
. :nor;zza Si•ynatu�e:
4 This document originally contained confidential credit card
,oer 3 2�C� information which was redacted pursuant to RCW 19.255.010
7*ev2loOmertVJ2 : oinin stration\03 Forms - and the original document destroyed pursuant to SOS DAN
10.2 GS2014-030.
0� 3 11:28a Spokane Roofing �� (509) 747-8990 p.b
Oct. 21. 2013 11: 05A61 No. 5316 F. 4/4
�191-)-(S-q8
assembly has previously been tested in situ within the previous two years in the project
under construction by the builder, by another member of the construction team such as
an architect orengineer, or by an independent testing laboratory; and
(b) An independent periodic review of the building enclosure during the course of
construction or rehabilitative construction to ascertain whether the multiunit residential
building has been constructed, or the rehabilitative construction has been performed, in
substantial compliance with the buildings enclosure design documents,
Item (a) above is not required for rehabilitation projects, if windows and cladding are not altered.
C. Certification
Once the above tests and inspections are completed, the building enclosure inspector must
submit a signed letter to the City, certifying that the building enclosure has been inspected during
the construction of the project, and that it has been constructed in substantial compliance with the
building enclosure design documents, including any revisions.
In summary, the city cannot issue a permit for a building meeting the definition of a multiunit residential
building until the building enclosure design documents and the design professional statement have been
submitted, A certificate of occupancy will not be issued until the building enclosure inspector certification
letter has been submitted. The City will not be reviewing the design documents, the qualifications of the
building enclosure inspector, nor the reports of the building enclosure inspector.
If you have further questions, please contact the Spokane Valley Permit Center at (509) 688-0036 or
email at 1,ermitcenter@saokanevelleYorg.
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