2010, 11-01 Permit: 10003586 Remodel*Wane
Site Address: 3012 N DICK RD
Parcel Number: 45072.2904
Zoning: R-2
Fire District: FD 01
Project
Transmittal
City of Spokane Valley
Community Development
Department
11703 E. Sprague Ave, Suite B3
Spokane Valley, \VA 99206
Phone: 509.688.0036
New project�i"
Previous pre -app meeting 0
Plan revisions ❑
Transmittal Date:
Friday, October 29, 2010
Project Number: 10003586
Water District: ORCHARD AVENUE
Applicant: LOLA & JAY HANSON
3012 N DICK RD
SPOAKNE VALLEY, WA 99212
(509) 474-1864
e-mail:
Contact: LOLA & JAY HANSON
3012 N DICK RD
SPOAKNE VALLEY, WA 99212
(509) 474-1864
e-mail:
Contractor: OWNER
( ) - 0
Owner: MCMILLEN, DAWNDAE
PO BOX 7308
SPOKANE, WA 99207-
e -mail:
Occupant:
e-mail:
Arch / Engineer:
e-mail:
RECEIVE
2070
Project
Description: CONVERT GARAGE TO RECREATIONAL ROOM
Building
Landuse
Engineer
Utilities
Health
Fire Dist
Assessor
APPLICATIO
PLAN
Please send all plan review and project comments via e-mail to the
highlighted individuals.
Community Development Department (Staff Use Only)
Permit Center
11703 East Sprague Avenue,Suite B-3 PERMIT NUMBER:
S"'pokane Spokane Valley,WA 99206
Tel: (509)688-0036 PERMIT FEE:
valley,t perFax:mTc(509)ente688 0037
Ka�spokanevallev.orq
4000
RESIDENTIAL CONSTRUCTION PERMIT APPLICA ON
0 NEW CONSTRUCTION D ADDITION/REMODEL 0 ACCESSORY B DING
0 DECK ❑ OTHER
SITE ADDRESS: 2O , ,
ASSESSORS PARCEL NO.: • , .,, v • LEGAL DESCRIPTION: *-4 .s„•,,, ; WAIF i 4_
BUILDING OWNER NAME: 14 _. i _ 0 M u c Al 0(K. 15 I IV „ i"''18-i'79-Et
NAME: l.- C I L� , . O il► AMININV
ADDRESS: O '4 '&. , 1 : - /
Cr : A ii, _ .� 1 •_J i STATE: iA
CITY: ZIP: 11.
•PHONE: — 1 talleit : A / 0
CONTACT NAME:
PHONE: FAX: ELL:
CONTRACTOR N E: a ,a,0 i/ .L.0 14 :V y41111 •
MAILING ADDRE
All111111111111111111111.
CITY: �p~ 'VISIF ZIP:
PHONE: �_ ;,, CELL:
CONTRA' OR LICENSE NO.: E CITY BUSINESS LICENSE NO.:
DE ti 4• BE THE SCOPE OF WORK IN D"mill SAND INDICA SE & PROPOSED USE: c
.r,,•' . ,. / 1 - ... ., S — ' ` i,Vi1f �.._ -•g — - `A. i --A- VV - • J`-'
► > \.A, l,/ . .. ..S _ + . / .- 14.l •I' . --s-. i '' -11"0-
4.1N4-65-11 w' • • ' q S n. s,..:' --•--, ►4Mi L-V .o w'
-' M R• 1, --T. TIE F•LL• _A N ****
`\ AllirrarrPrirti N•T APPL CABLE
Height to Peak:Nair ensions: j 4ffla`- No.of Stories: A TotalHabitable
.
Main Floor SQ FT: �� Upper Floor • Unfinished Basement SQ Finish- • Basement SQ
i/I 7`t ii FT: k t„ FT: N n
Garage SQ FT: `' Deck/Co • Patio SQ Impervious Surface 30%Slopes on
N A , FT: N Area: Property: N
No.of Bedrooms: ,1 Con uction T Heat Source: L. Q ewer o 41-7:. 111,1
Nuw
TOTAL COST OF PROM $ •
DISCLAIMER AA j,
The permitted verifies,acknowledges and agrees by their signature that: 1)if ,.,,qq� f con5erucgod.or( dwelling,the dwel ing is/will
be served by potable water. 2)Ownership of this City of Spokane Valley pe t tntf�e •ror.: o.0- U_: signatory is th property
owner or has permission to represent the property owner in this transaction. ) All constru ---.. _.... ••i•lance with e City of
Spokane Valley Development code. Referenced codes are available for revi w at the City .f .....r: - . - •e i enter. 5) e 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 befo - this application f1i
p.e prs �2
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Effective October 28, 2007 Pag: 1 of 2
P:\Community Development\02 Administration\03 Forms-Official eri'oj D l\P rrytit-E \Reiaj;CttO n 'emit
'I App 10.28.07.1o6 U 7-,-
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Signature. 4-6.1.^v®-r.0 . . _ Date: /Q/9 1140
Method of payment: El Cash 0 Check Aj Visa 0 Mastercard
Bankcard #: EXP: VIN#:
Authorized Signature:
Enri
= EL- EN
CITY OF SPOKANE VALLEY
PERMIT CEN!Eh
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Effective October 28, 2007 Page 2 of 2
P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
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MATERIALS LIST
• 1 2X1.)1 -X 12 GREEN TREATED
• 10 2X4X10
• 4 2X4X8
• 3 T1-11 4X8
• 1 ROLL TAR PAPER
1 48X48 WINDOW
• 4 ANCHOR BOLTS
• 1 ROLL WINDOW TAPE
• 1 ROLL INSULATION R-21
• 3 4X8 7/16 OSB PLYWOOD
• 1 ROLL SEAL SEAL
• 1 BOX JOINT COMPOUND
• 3 4X8 SHEET ROCK