2014, 03-19 Permit App: BLD-2014-0533 Basement RemodelSpokane
4"Valley.
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenterOspokanevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PER g ��► t - • RRk •
E DECK OTHER
NEW CONSTRUCTION ADDITION/REMODEL AC - = DOING
oi4
MAR 1 9 2 V
SITE ADDRESS:
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
LEGAL DES ' RIPTj PERMIT CC
NAME:
ADDRESS:
CITY:
PHONE:
CONTACT NAME:
L jsct. "S t lards — -tat
IJ . 56'but`,0t611
okkf hit(id
SUB DEV.
STATE:
FAX:
ZIP: G 20
�
CELL: (. ` Q L'` z L
PHONE: NyGivar4/6A,
CONTRACTOR NAME: PtI( �'tvaYi
FAX:
CELL:
MAILING ADDRESS: F). r3 . Ual -Fard Av-c
CITY: O\MV STATE:
PHONE: 5 IJ -1/i .-104A FAX:
ZIP: of -611 LitE'
CELL:
CONTRACTOR LICENSE No.: AI,D Oi *d3OQ1JXPIRES:
til2or5-
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WO K IN DET IL AND .INDICATE USE & ' ROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak: ` ` vA
tv
. • ^ .
Dimensions:
No. of Storir:
Total Habitable
Space:
Main Floor SQ FT: �,..i
1 !4
Upper FIFT:
NQt
o J,
Unfinished Basement SQ
FT: 300
Impervious Surf ce
Area: N Q.
lr,
Finished Basement SQ
FT: 311
30% Slopes on N1,1
Property:
Garage SQ FT: A �v
Deck/Covered IA, SQ
FT:
No. of Bedrooms: 3
t�
Construction Type: tt 1
Heat Source:
Sewer or Septic: `}fide,
TOTAL COST OF PROJECT: $
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 •.d1e. Referenced code§, are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is no - per or ..proval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be require' to be-ubmittes and ,subsequentlyapRroved before this application can be processed.
Signature
Date:
Updated 1-11-11
http://www.spoka neva 1ley.org/filestorage/ 124/938/210/948/1496/2743/Res_Permit.doc
Page 1 of 1
1
Project #
RECEIVED
MAR 19 2011
CSV PERMIT CENTER
sue # ET= REV. #
•01,
Applicant Name: Lici\,9dekaifeisPhone : L 14(4 -o-K4)
Site Address/parcel number: !U ` 5c),Zot, 1•J6i1, cpi(LQ- h AA/ OQ2%o
piotytels- OtIt