2012, 06-04 Permit App: BLD-2012-0809 Pole BuildingSfialiane
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenter@sookaneva I ley.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION ADDITION/REMODEL ACCESSORY BUILDING
9 DECK 0 OTHER
SITE ADDRESS: a3.).1:s SA\5b aR. $L,'3 b
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: 113 \-{qtt
NAME:
ADDRESS:
Cm:
PHONE:
a3sab ems -we Btdt\
etas zi%‘
STATE:
FAx:
Project # 6/4- 2d/Z 030j
RECEIVED
CELL:
CONTACT NAME:
PHONE:
CONTRACTOR NAME:
JUN 0 4 2012
FAx:
CSV PERMIT CENTER
CELL:
SUB#L I REV. #I
MAILING ADDRESS: Vit.+ t\ `V t 1 SpUceO \-;
Cm:
PHONE:
4%11 11-)C11
STATE:: y I` A ZIP:qq 'Di 1
FAX: %XI `Ta33 CELL: 01 2.(71'3o
CONTRACTOR LICENSE NO.: $Dt%S ipgti 1\4 EXPIRES: 3' `b— V3 CITY BUSINESS LICENSE NO.: I 110 105 o J Bo S
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
QQ•FCrc QFl.5h `3a\tNa. SG
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: /
Dimensions: ao5C3D
No. of Stories: `
1
otal Habitable_.
Space:
Main Floor SQ FT: 1
A \q
Upper Floor SOFT:
*JVA
Unfinished Basement SQ
FT:
Finished Bnient SQ
FT:
Garage S9 FT:
/OM
Deck/Coved Patio SQ
FT: �
Impervious ‘Surface
Area: Ott, fl/
30% Slopes on
Property:
No. of Bedrooms: a`\,
Construction Type: Qot
Heat Source: Ma.,
Sewer or Septic: Wi{Z
TOTAL COST OF PROJECT: $ i3 Ckiaq
pISCIAIMER
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 requIr d to be submitted and su2. -. uently approved before this application can be processed.
Signature
Date: — 4 --la
Updated 1-11-11 Page 1 of 1
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PLANNING DEPT. APPROVED
BY• 44 ' �r
DATE: (a - S- zorz
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Residential Driveway
PAVING WAIVER
Community Development - Planning Division
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.720.5026 • Fax: 509.688.0037 0 plannin¢@sookanevallev.org
Spokane Valley Municipal Code (SVMC) Section 19.40.020.6; "All residential driveway and off-street parking areas shall be paved with
asphalt, Portland cement, grasscrete, paver blocks or other equivalent hard surface material". A paving waiver can only be granted If
the structure you are proposing is not going to require a driveway for daily use.
PART I - OWNER INF
OWNER NAME: `'1r1��N -� 'L_.t\ (ki& .
PARCEL #: 4 d l 1 - O 1 15
ADDRESS: ^lo
3oi CNA -St Q
c o,,x t
CITY: S4+O�Gk�t
``
STATE: Wr7
ZIP: a'1 t..otz,
PHONE: Di§64N5 J
FM:
CELL:
EMAIL:
PART II --DETAILS OF PAVING WAIVER
1. Do you have an existing garage for parking daily use vehicles?,$YES ❑ NO
2. Is the proposed detached structure used for storage only?,YES ❑ NO
3. Do you plan on using the detached structure to park vehicles? ❑ YES R NO If yes, then
what type of vehicles?
4. Do you plan to conduct a business from proposed detached structure? ❑ YES ,KNO If so, what
is the nature of your business?
PART III -AUTHORIZATION
(,(PRINT NAME) LEZ1i E Hat..L owner, hereby confirm that the information provided on this
form is true and correct. I acknowledge that any change in the foregoing conditions, could require
the City to impose paving requirements. I further agree to report any change in these conditions to
the Spokane Valley Community Development Department, Planning Division, within 30 days.
CA -. 6-s-
Owner Signature
Date
PART IV - DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ON BEHALF OF THE COMMUNITY DEVELOPMENT
DIRECTOR AND FIND THE REQUEST IS GRANTED AT 232(0 6 3A Lroo P-
1Z'N
SAIDADDRESSS�FFOR'jPPEERRMMIIT#: P,LD-2-0iZ - 0'09/ 7
(r , to -J —20/2--
Planning Division Staff Signature Date
Created 6/27/11
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