2013, 04-01 Permit App: BLD-2013-0552 Residence W/GarageCommunity Development Department
Permit Center
11703 East Sprague Avenue, Suite B -3
Spokane Valley, WA 99206
Tel: (509) 688 -0036
Fax: (509) 688 -0037
permitcenter Ospokanevallev.orq
Project # IS3-53—Z
RECEIVE
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
SUE
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
al ADDITION /REMODEL
INj OTHER
NEW CONSTRUCTION
DECK
SITE ADDRESS:
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
. Dit. ot4
ACCESSORY BUILDING
3y,77 /g0,/ LEGAL DESCRIPTION: LK 6,.K• 1 1,47,1 4.. L
NAME: I� L Hot'4v- L✓ .
ADDRESS: � 10 . 1•1I`lt? IV N0
CITY: G eaa � ` STATE: .
FAX: iU Z 0115
PHONE: CZ . 1141
CONTACT NAME: f)td.4 I t-4 C' It
CELL:
ZIP: 491 -f
ZIP:
PHONE: t 1 ~ / 61/e. FAX: 9 (2 0 1q5 CELL: ✓ , 1 r 1.11g,
CONTRACTOR NAME: L _N f 14 Q re- LL 6-
MAILING ADDRESS: . 1 I �) f 0C*TY ,,.:* �JJO
CM: '% _ Cry 9 w +`�` STATE:
14 — I� I(. FAX-016:1
CONTRACTOR LICENSE No.: V�1,.. C7j, j4 f 26 1 is EXPIRES: 111,141 CITY BUSINESS LICENSE NO.:
PHONE:
CELL:
41‘;1'Z067
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT AP
Height to Peale. 1
`'. "l��
D mgnsi°jQs: ( II
4'0'0" l�%�D' (Q
No. of Stories: �J
'li
Total Ha ita A' iU
Space: p�j `
Main FIogI SQJT,f
�� ��
Upper Floor SQ ,}r
1 I
Unfinished Basement SQ
FT: .�-- -•
Finished Basement SQ
FT:
Garage SQ 1�:
s -r
Deck /Cove,-p_d Patio SQ
FT: �(
Constron Type; Q p
Impervious Surface
Area: �y
30% Slopes on
Property: �.—.
Heat Source: 4 j∎, ,
No. of Bedrooms: �j
wei)or Septic:
TOTAL COST OF PROJECT: $ 6/ /1?
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 -rmit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be require o be ubmitted an . - quently approved before this application can be processed.
Effective 0
P: \Com
er 28, 2007
Page 1 of 2
unity Development \02 Admi istration \03 Forms - Official Versions \Permit Center \Residential Construction Permit
App 10.28.07.doc
Project # 8V-13- SS
RECEIVED
APR012313
CSV PERMIT CENT
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