HomeMy WebLinkAbout2015, 02-18 Permit App: BLD-2015-0281 ResidenceSpokane
Valley'
Community Development Department
Permit Centers
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
oermitcenter@ sookanevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
INEW CONSTRUCTION ❑ ADDITION/REMODEL
0 DECK ❑ OTHER
SITE ADDRESS: Ai /54// c5
ASSESSORS PARCEL NO.: y/,,5,2 /4/, 7/ 3 l) LEGAL DESCRI
BUILDING OWNER NAME: &,z,..-61, '3 J 2L 6 "D6C-/0
NAME: Bo cG-7 • 4j 22_6--
ADDRESS:
LADDRESS: J// —)/
CITY:
PHONE: jpZ SL
CONTACT NAME:
ACCESSORY
roject
RECEIVED
TION:
.5:,/x4E0140-v;ez
CSV PERMIT C�
FAX:
STATE: (/!/
CELL: 9
PHONE:
7.52.2/o r'
CONTRACTOR NAME:
FAX:
CELL:
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:
****YOU MUST COMPLETE THE FOLLOWING****
K N/A IF NOT APPLICABLE
Height to Peaj�:
,,L�i
Dimensions:
No. of Stories:
/1"
Total Habitable
Space: /yO4.°
Main Floor SQ FT:
/%,e--')
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
5 4)
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 Developme code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is of a permit or app - al for a violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be r fired to be submi -.:nd subse ently approved before this application can be processed.
Date: /? -I ? % ->
Signature
Updated 1-11-11 Page 1 of 1
http://www.spokaneval ley.org/fi lestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc
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15'-0" 20'-0" 5
SITE PLAN
SCALE: 1"=30'
0
9
4
14521,/,9130
302'-0"
18'1'-0"
PLANNING DEPT. APPROVED
BY:
DATE:11326/`