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2013, 06-14 Permit App: BLD-2012-1112 Repair Fire Damage OU-2Di-- I(( Community Development Department (Staff Use Only) Permit Center _, , Li1 19 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: CITY OF 11101.19\11111111146, 11 Spokane Valley,WA 99206 Tel: (509)688-0036 PERMIT FEE: k Fax: (509)688-0037 4•000 1 permitcenter@sookanevallev.org (...D RESIDENTIAL CONSTRUCTION PERMIT APPLICATION 0 NEW000NS OTHER RUCTION 0 ADDI IO ODEL ACCESSORY BUILDING DECf SITE ADDRESS: 11712- 3 C± ry e - ASSESSORS PARCEL NO.: .S 3 31 , II or LEGAL DESCRIPTION: BUILDING OWNER NAME: ..LOVA) S CN L M/4-c hi NAME: ADDRESS: 1 '(44.-4 `-7 , 2- e ((1(4 e42 t J1(-CITY: S ]�a l44.-4 Jo.. STATE: 4 ZIP: q(j LCO/ (G PHONE: 'd q f.f f f T 17 T FAX: CELL: CONTACT NAME: i GAJ S cl-kL 4-c H PHONE: S A FAX: CELL: CONTRACTOR NAME: CL Q S S CP-xi S T- MAILING ADDRESS: vS'Zjt Aof• /_1 IIiCe7( <1T- CITY: 3,S ke.A.4 STATE: 11-42(-- ZIp: ?fle I PHONE: S 6 g. 53 2- ©6.cc FAX: CELL: CONTRACTOR LICENSE NO.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCPBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOS D SE: 9A-M- cf O 4-'e b CTUAC /,/V�/Oi,V6 o(--- -77W C 74 5 s /LE-P�A-e g f -e ?L . OM/i•P' .-1/ u OZ.6/Jefi act�i--i,✓ ****YOU MUST COMPLETE THE FOLLOWING**** ie (---Ix_-Ct7"7chf/S MARK N/A IF NOT APPLICABLE Height to Peak: / Dimensions: ki Fr 4 No.of Stories: / Total Habitable Main Floor SQ FT: Upper Floor / Space: 2t S # SQ 7 Unfinished Ba ent SQ Finished���Basement SQ DF i� nsfE// FT: FT: Garage SQ FT: Deck/Covered Patio Q Impervious Surface 30%Slopes on 5-0(7 FT: PA' Area: tij Property: No.of Bedrooms: if Construction Type: •F//-04-14 Heat Source: frf1A 14 ( Sewer or Septic: S'EWeet_ TOTAL COST OF PROTECT: $ 7'/ 1' I LI 0 0 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)Ownership of this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws,codes or ordinances. 6) Plans or additional information may be required to be submitted and subsequently approved before this application can be processed. Effective October 28,2007 Page 1 of 2 P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Residential Construction Permit App 10.28.07.doc Signature Date: Method of payment: 0 Cash 0 Check 0 Visa 0 Mastercard Bankcard #: EXP: VIN#: Authorized Signature: Effective October 28, 2007 Page 2 of 2 P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Residential Construction Permit App 10.28.07.doc 400, Target Date sheet For City Use Only SCITY PLUS Project e)tii-U(Project Address (17(1 E. 36 Valle Y 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206 509.720-5240 ♦ 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. 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 D Submit complete,accurate plans and documents. Extra time may be required for re-submittals as project applicatio,. 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. D 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 is a 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 will process 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. CD-003 V-7/06-21-11 Page 1 of 1