2013, 03-25 Permit App BLD-2013-0502 Re-Roof03/25/2013 11:58 FAX
- Residenti::l_ConstructionPermit Application.pdf
0002/0003
,pokane
Valley.
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
perm i tcenter@epok anew al ley. ora
(Staff Use Only)
PERMIT NUMBER: PERMIT FEE: l /� V `! •7
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
Q NEW CONSTRUCTION
I-1 nFE:IK
SITE ADDRESS: H II iV .
ASSESSORS PARCEL NO..:
BUILDING OWNER NAME:
NAME: Joe.x\,
ADDITION/REMODEL
�)Y1►vt/si nTe nk
S_J\.\ `l\OY'
Cl ACCESSORY BUILDING
LEGAL DESCRIPTION:
ADDRESS: 1--1 \Ve.YCiiIT_Q
CIT,r: j}�G1/ r2 „ �JV',j •-�
PHONE:
STATE: \..1...)\P%
FAX: CELL:
ZIP: Ct2�% lQ
CONTACT NAME:
PHONE:
FAX: CELL:
CONTRACTOR NAME: NkC�t .1
MAILING ADDRESS:
CITY: Sc Y C x A 9 STATE: l ��
PHONE: FAX:
CONTRACTORLICENSE NO.: EXPIRES:
CITY BUSINESS I..IcENSF_ NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING***
MARK N/A IF NOT APPLICABLE
Height to Peak: : Dimensions: No. of Stories:
Main Floor SQ FT:
Total Habitable
Space:
Upper Floor SQ FT: Unfinished Basement SQ • Finished Basement SQ
FT: FT:
Garage SQ FT:
: Deck/Covered Patio SQ ': Impervious Surface • 30% Slopes on
FT: i Area: . Property:
. No. of Bedrooms: Construction Type:
: Heat Source: Sewer- or Scpric::
TOTAL COST OF PROJECT: $ • l 2j90. '.)O
DISCLAIMER )
it
II
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or an a dwelling. the ewls 'i i
be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. ) 'ri e sionatc,-; i : ,Lie orcl.:.:�
owner or has permission to represent the property owner in this transaction. 4) AI consln;cdon is to be dcne in full compliance 'wit;: t:l°:• (: i '.,
Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Perm:t Center. ''i 71'.e C i•' • •`
Spokane Valley permit is riot a permit or approval for any violation of federal, state or local laws, codes or orina:n:es. 6) Plans ;;r .:,dd;:i r',.,:
information may be required to be submitted and subsequently approved before this application can be processed.
Effective October 28, 2007 Pace 1 c,f
P:\Community Develcpment,,02 Adrninistration\03 Forms - Official Versions\Permit Center:,Resideniial Conttrucrinr:
App 10.28.07.doc
1 of
3;25. ,ii: .
03/25/2013 11:57 FAX L-Q0001/0003
E 11420 MONTGOMERY SPOKANE, WA 99206
Phone: (509) 928-4686
Fax: (509) 252-2996
Fax
Fax: 509-688-0037 Date: March 25, 2013
Phone: 509-688-0036 Pages: 2 including cover
Re: Permit Request- Minor Cc:
0 Urgent ❑ For Review ❑ Please Comment X Please Reply 0 Please Recycle
•Comments: Attached is an application(s) for building permit If you could please fax me a copy of the permit at
your earliest convenience it would be greatly appreciated, as we would to start These jobs shortly after you receive
the application. As for the receipt, please mail us the original if it is unable to be faxed.
Feel free to contact me with any questions or concerns that may arise.
Thank you -
Hope Latiolais
McVay Brothers
FAX (509) 928-7570
hope@McVayBrothers.com