2014, 08-21 Permit App: BLD-2014-2005 Pole Buildingj�
Community D"e eloprrient Department
Permit Centet
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenter@spokanevalley.org
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
El NEW CONSTRUCTION
El DECK
SITE ADDRESS: 11-7 0
ASSESSORS PARCEL NO.:
❑ ADDITION/REMODEL ACCESSORY BUILDING
❑ OTHER
Project #_I ,)00f
LEGAL DESCRIPTION: RECEIVED
BUILDING OWNER NAME:
NAME: _)()D of I (/r
ADDRESS: 1 061
uC
CITY:
PHONE:
CONTACT NAME:
1 2014
(42t-1-
T
CENTER
eJ2
STATE:
FAX:
ZIP
CELL:
PHONE:
FAX:
CELL:
CONTRACTOR NAME: b
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE No.:
EXPIRES:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
Dco
****YOU M'IJSl COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Dimensions:
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
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 code. Refereed codes are available f.r review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit 's a permit or :proval .r a . ation// ed- :l, state or local laws, codes or ordinances. 6) Plans or additional
information may be ' d to be sub ed a ub--quently ap-. ov-• :efore this application can be processed.
Signature
Date:
Updated 1-11-11
C:\Users\bryan.happeny\Desktop\BLD APPS\BLD-RES.doc
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roject #.__�1'��
AEC/ED
Spokane
Valtey�
Residential Driveway
PAVING WAIVER
1 2014
Com nity Development — Planning Division
CSV R E R r.1 I T CENTER 11703 El Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.720.5026 T Fax: 509.688.0037 • planning@sookanevalley.org
\i
SUB
SUB Y' L
Spokane Valley Municipal Code (SVMC) Section 19.40.020.8; 147riesial'e i aT7DIVeway and off-street parking areas shall be paved with
asphalt, Portland cement, grasscrete, paver bidcks 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
OWNER NAME: .. /6, c- No /(07 s 0 b e i,1 1,etc7e_+K
PARCEL #: 4/5?) 9/ .' /(93(
ADDRESS: // 70 01 G_ (1 V c. k
CITY:, p.) 6,,e_ �c, j I
STATE: 1M4-
ZIP: 9 CI 2.0
PHONE: /f, l 7 77
FAX:
CELL: 9S3 - a 76, 9
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? ,LYES ❑ NO
3. Do you plan on using the detached structure to park vehicles? 1 YES ❑ NO If yes, then
what type of vehicles? ` 1 i c V e t 1 n.: I i.
4. Do you plan to conduct a business from proposed detached structure? ❑ YES NO If so, what
is the nature of your business?
PART III —AUTHORIZATION
I,(PRINT NAME)0k� Sl' Lynch bci &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. 1 further agree to report any change in these conditions to
the Spokane V Ile Comm y Development Department, Planning Division, within 30 days.
caner Signs Datt//b./i0
PART IV — DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ON BEHALF OF THE COMMUNITY DEVELOPMENT
DIRECTOR AND FIND THE REQUEST IS GRANTED AT // 7() .4§7.t.U'7 At*
SAID ADDRESS FOR PERMIT #:
2
Planning Division Staff Signature
Date
Created 6/27/11
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