2012, 03-22 Permit App: BLD-2012-0212 GarageCommunity Development Department
Permit Center
11703 East Sprague Avenue, Suite 13-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spokanevallev.orq
'vole
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION 0 ADDITION/REMODEL
0 DECK ❑ OTHER
/ %
SITE ADDRESS: C "�! � (,�jc�(.t.1�i�f /'?
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
At ACCESSORY BUILDING
BUILDING OWNER NAME: 1) o•‘a I ) LNgJ tr� / C I i
NAME:
J7o„, t d L 1-4 n ,e_ 1() be -
ADDRESS:
r
ADDRESS: / ill402 ^/ QG✓a//S ^
Cm:
PHONE:
.Spa kcyn.2
36g-9x39i CEN
CONTACT NAME:
STATE: 1r 'ZIP: _
FAX: CELL:
PHONE:
36, -X2-3
CONTRACTOR NAME: /�
FAX:
Ai
MAILING ADDRESS: 4�
CITY:
2012
CELL: ( ii
.: i::.J I t l I I i:.z!
STATE: ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE/SCOPE O ORK IN DETAIL4ND IN CATS & PROPOSE USE:
Co`nJ7ivC?.(1 I / a)�J�ll�9 � `�7 i� J�/ c vi ,„ Lix/ . 6 /r
a r e ct / r(C �0 de d / I-( CJ b vp l �i (/ /t iy 7�4 /
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:�� ,
Dimensions:
5 zt4
No. of Stories: '/4
/L'
Total Habitable/i%/4'
Space:
Main Floor SQ FT: tya
n
Upper Floor SQ FT: /v4
�T
Unfinished Basement SQ
FT: /v/?
Finished Baseme t SQ
FT: Bases
Garage SQ FT
1- .5
/34
Deck/Covered Patio/7
FT: 3 ` /A-
i"
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms: ^/¢
Construction Type:e�:
Heat Source: t/4.Sewer
r Septic: //4 -
TOTAL COST OF PROJECT: $ 1 D/ OOC
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 vailable for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is not a permit or approval for . y elation of federal, state or local laws, codes or ordinances. 6) Plans or additional
inform. . be required to be submitted a, ubse• • : tly approved befth•_ pplication can be processed.
ive October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 F - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
Spokane
Valley
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 ♦ planning®spokanevallev.org
Spokane Valley Municipal Code (SVMC) Section 19.40.020.8; "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 INFORMATION
I: -
OWNER NAME: � 6-06t/) awe (1_, c / (/ 3-X,
PARCEL #: 4 5 / 6- 1, c)?,s)
ADDRESS: I / Z f /?6, j tJ d, /' RJ
CITY: C/ -7 \ 0'1
' p A 7"1 a / !C
STATE: SM
ZIP: 2(.20,,c
PHONE:so._ya 39
FAX:
CELL: 70 I — 9 6 JS
EMAIL: a atLh) 4
PART II -DETAILS OF PAVING WAIVER
CC 777
1. Do you have an existing garage for parking daily use vehicles? El --Y4.
❑ NO
2. Is the proposed detached structure used for storage only? fel YESI NO
3. Do you plan on using the detachestructure to park veh' les? LA'S' S El NO If yes, then
91
'v
what type of vehicles? /ic t Ca- ( /710 1-c 1 c /"-
4. Do you plan to conduct a business from proposed detached tructure? [j YES sp iwhat
is the nature of your business? -' g . `'_'__ _
PART III -AUTHORIZATION '�E`
/e/ac/X owner, hereby confirm that the infibrmstiort kthi_s_
I,(PRINT NAME)a7xr J)1,
form is true and correct. I acknowledge that any change in the foregoing Cdfl'�i�. tiOnc�ul rp vir_e._ j
the City to impose paving requirements. I further agree to report any change in these conditions to
pokane Valley Comm ity Developmej. Department, Planning Division, within 30 days.
Owner Signature
D,o/E
Date
PART IV - DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ON BEHALFOFTHE COMMUNITY DEVELOPMENT
DIRECTOR AND FIND THE REQUEST IS GRANTED AT H L 2- !� ub:
SAID ADDRESS FOR PERMIT #:
- J��i' /Gf A/2�i T
-44,addef___
Planning Division Staff Signature Date
3 -21- ZaiZ-
Created 6/27/11
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