2013, 11-25 Permit Application: BLD-2013-2411 Pole Bldgcrtv akane
jval�y.
2ommunity Development Department
Permit Center
11703 East Sprague Avenue, Suite B -3
Spokane Valley, WA 99206
Tel: (509) 720 -2540
Fax: (509) 688 -0037 tt�
permitcenter (aspokanevalley.DFgr0Iect
a013 -P141I
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RE1vEU'
RESIDENTIAL CONSTRUCTION PERMIT APPLICATI IN
fNEW CONSTRUCTION ❑ ADDITION/REMODEL, v 1/ .ACCES',. QR B ILDING
El DECK ❑ OTHER
SITE ADDRESS: I8a'-d S. 4 tRP4 -Rtc PR., $PoK U q t,UJ4 qq2c6
ASSESSORS PARCEL NO.: 4/5"?. 6, 2 . os-! / LEGAL DESCRIPTION:
BUILDING OWNER NAME: 1...•/ Le (co -r) Jo RA)
NAME: LN/LE (c. R-r) )ol- t- rJsorJ
ADDRESS: E 2 - S. A I R_P -teiC
CITY: S Po teA-ki C
5e q • a. 8 ° -
PHONE:
t�R
STATE: ZIP: i 9 20 (p
FAX: CELL:
CONTACT NAME: S'T''N Pi RI
PHONE: 50q- a30 -4,13q5"--
FAX: CELL:
CONTRACTOR NAME: 4 LL ST l A - - T I C — S C o r.J -fl u G'T I o'J
MAILING ADDRESS: P. 0. Box 10 %3
CITY: b T(. s OR C44 A-Iz -O'S STATE: UL) 4 ZIp: q 90 2
PHONE: 50 q - 02 N L./ - 9 177 FAX: 5 oq - e q i - -a it - -CELL: 9/q- 521-3
CONTRACTOR LICENSE No.: aJ t 5 i-s G, 49 yq p `J" EXPIRES: (e rl sl i N CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
Co J -rQ J c-r A 3o X 3(r POLE- Bu►
* ** *YOU MUST COMPLETE THE FOLLOWING * * **
MARK N/A IF NOT APPLICABLE
Height to Peak,
1
Dimensions:
3 o % 341
No. of Stories:
I
Total Habitable
Space:
Finished Basement SQ
FT: Tf�"
Main Floor SQ FT:
Upper Floor SQ FT:
�'j
Unfinishe4 Basement SQ
FT:
Garage SQ FT:
1080
Deck /Covered Patio SQ
FT: 93
Impervious Surface
Area: 7"
30% Slopes on
Property: 0
No. of Bedrooms: (2(
Construction Type: pos-r
Heat Source: V5
Sewer r Septic:
TOTAL COST OF PROJECT: $ 135D
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.
Signature 1'z.t t. e
Date: 1112.1 113
Updated 1 -11 -11
C: \Users\Stan\Downloads\Res_Permit.doc
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Project # r - ?O r' a'O)
RECEIVED
NUV 2 0 2013
SUB #
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Curt Johnson
1824 S. Airpark Dr.
Spokane Valley Wa.
Parcel # 45262.0511
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PAGE 01/01
= SPOKANE COUNTY HEALTH DEPARTMENT
E.O.PLOEGER,M.D,,M.p.H.,Health Officer
Ili-vision of Sanitation
N. 510 Jefferson Street
Spokane, Washington 99201 D ATF.
PERMIT NO._ A ? 9.!
Name
Address of Proposed Site
Type of Use__..iC-
Na A 04930
APPLICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES
Number of Bedroom
Water Supply ZFOLZFC
Septic tank capacity
Length
Address
(1)
(2)
Phone No
Ta?�rr Q .%%
s basement for building planned?
1 i1ding Capacity - -- -- .___.,_„___Camp Capacity -- ,T– .17ther
(City, Well, Spring).
D teals.
r
of disposal field Absorption }ts
Drywell
Style of tank —.
ach. Bert
Show relntive location of: ProposIhouA4. 4:t tahk,; r L� — ,
dlepeeol field. wail, sar.Q an. o er`4 -,1"et uildinta.., r a
\I.
Make note of any heavy lope br awamfty,� 1,-- --
other important topooraph c details.. ' 0.J,l��I
0 \ �I t
i
f f f
v \„)
1
Final Inspection
Remarks:
Th
Y rzr-' P
1.04• a6 17tw.NERLT4
For Spokane County Health Department
Spokan �
Valley®
Target Date sheet
For City Use Only
PLUS Project
Project Address
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 I
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
> Submit complete, accurate plans and documents.
Extra time may be required for re- submittals as project application 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.
> 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
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