2013, 10-16 Permit App: BLD-2013-2130 RemodelCommunity Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenterc saokanevallev.orq
(Staff Use Only)
PERMIT NUMBER:'
PERMIT FEE} - -- -
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
El NEW CONSTRUCTION g ADDITION/REMODEL
DECK E OTHER
SITE ADDRESS: / 9062 L` 1P(0 7 4- . s po(<cint.(Jtt_l(c3 �j Cjt'i�ll%
E ACCESSORY BUILDING
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: An-Hh.y,, d' ill ,,LC LAJ& 4e fS
NAME: 4-,1 h iM �T 7h;7t.L4 WLlg4 Plus
ADDRESS: /5q o(, G • l-&f`o IiuL/
CITY: f'O I'\ G -v -\e 00,1( 4:_i3
SO -340. -. DA.11(6)
PHONE:
CONTACT NAME:
PHONE:
CONTRACTOR NAME: 'II -A
FAX:
%j (Ar‘4hoy\
STATE: W I
nl/ A
ZIP: ei6Poco
CELL:
Fax:
CELL: 'O I -3 - `--1 (.0
MAILING ADDRESS:
Cm:
STATE:
ZIP:•
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE No.:
EXPIRES:
CITY BUSINESS LICENSE NO.:'
16
DESCRIBE THE S,COPE OF WORK IN DETAIL AND IND LATE USE & PROPOSED SE: •
,tl«g- 4-0 'r,v, �.s 1� Re- r� oetc / �� V- a -o I_i' i'r� -7/o 3, r e't�(, (AS/�
1 S JYj en p. ei( R'` S ins �ctwk t j i�06.1 I t'r\�,, Pt oa,3 rc Al5 r5 -PArl i rec /Ufu� 7 pec) -* 5 (t ,volA.J
****YOU MUST COMPLETE THE FOLLOWING**** e/` '64I '�" ( l `-%e
MARK N/A IF NOT APPLICABLE
Height to Peak:,v ? t '
Dimensions: Z3 ' ' IC 2,-)V.
No. of Stories:
Total Habitable
Space:
Main Floor Q FT:
if5103
Upper Floor SQ FT:
Unfinished Basement SQ
FT: N- fl"
Finished Basement SQ
FT: ,V- A -
Garage SQ FT:
79 c/
Deck/Covered Pato SQ
FT: inn knpue, A- ;+riC�
Impervious Surface
Area:
30% Slopes on
Property: A/O
No. of Bedrooms: .1
Construction Type: woo f
Heat Source: E'/e -4-r it_
Sewer or Septic: -Sc.-) rr
TOTAL COST OF PROJECT: $ 2-000
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 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 can be processed.
Signature
Date: JO — i(- t:
Updated 1-11-11 Page 1 of 1
http://www.spokanevaliey.org/filestorage/124/938/210/948/1496/Buiiding_Permit-_Residential_11-11-11.doc