2013, 09-06 Permit App: BLD-2013-1800 Residences 'r i aine
Valley
Community Development
3(I SC?- -, ( &3
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www. spokanevalley.org.com
Residential Construction
Permit Application
yi New Construction
❑ Addition/Remodel
❑ Other:
kP-a[3--1co
❑ Accessory Bldg
❑ Deck
SITE ADDRESS 17301 _ (d W r A
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: 1 o4 � 5 HP- S- 0 g
Intact
erso
Name:
Phone: Z l - � 9 2 I
Describe the scope of work in detail:
✓fie) S F
DIMENSIONS: Z $,XS�
Name: D i a✓ e/No' Roc k (OA S f.
Address: 2.(oOZ N SulI i ►) Al
Name:
iA,
`2-OG K
�St•
Address:
GARAGE SQ. FTG:
S3O
Lic No:
Exp. Date:
City:
CONSTRUCTION TYPE:
mood Fr-a,n,.L
Zip:
SEWER OR SEPTIC?
Se fir'
Phone:
Fax:
Intact
erso
Name:
Phone: Z l - � 9 2 I
Describe the scope of work in detail:
✓fie) S F
SEP 0 6
Cost of Proje
CS'J PERMIT CENTER
$ (�5, Cock
S
REV #
1
* * * * * * * * * * * ** *The following MUST be complete: ( rite Ni A if not ap licable) * * * * * * * * * * * * * **
HEIGHT TO PEAK: Z3
DIMENSIONS: Z $,XS�
Name: D i a✓ e/No' Roc k (OA S f.
Address: 2.(oOZ N SulI i ►) Al
City: S �Oo ,�.a,tie l
Zip: 11 Z k,
Phone: 9Z.y_ $(96 i
/
Fax: '''26- o941
FINISHED BASEMENT
SQ. FTG: -""'
GARAGE SQ. FTG:
S3O
Lic No:
Exp. Date:
City Business Lic No:
CONSTRUCTION TYPE:
mood Fr-a,n,.L
SEP 0 6
Cost of Proje
CS'J PERMIT CENTER
$ (�5, Cock
S
REV #
1
* * * * * * * * * * * ** *The following MUST be complete: ( rite Ni A if not ap licable) * * * * * * * * * * * * * **
HEIGHT TO PEAK: Z3
DIMENSIONS: Z $,XS�
P
# OF STORIES: Z
TOTAL HABITABLE SPACE:
yyv
MAIN FLOOR TO SQ.
FTG: v 7O
2Nu FLOOR SQ. FTG:
75c)
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: -""'
GARAGE SQ. FTG:
S3O
DEC! /COVTIO S TG:
7
30% SLOPES ON
PROPERTY: �t/�/4
# OF BEDROOMS: 3
Ille `1 AMACD
CONSTRUCTION TYPE:
mood Fr-a,n,.L
HEAT SOURCE:
Na�t� - J Gas 1r nrA GC
SEWER OR SEPTIC?
Se fir'
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This 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 c e processed.
Signature
Date q " G - /3
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN #:
Authorized Signature:
REVISED 8/25/2005
❑ Other
3o'
n
•
N
0
Project #12112:____- ��
RECEIVED
SEP 09 2013
CSV PERMIT CENTER
SUB #
REV.#
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AN ND D 'PT, A PROVED
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