2013, 05-06 Permit App: BLD-2013-0815 Pole BuildingPr'+Iject -h_GO425 4.--1)81g
RE C 7 a i E D imunityDevelopment Department
i! 11703 East Sprague
OF 11703 Sprague Avenue, Suite 8-3
Spokane Wiley, WA 99206
Tel (509) 688-0036
Fax:(509)688-0037
permitcenterPsookanevaIlev.oro
SUB #
RESIDENTIAL -CONSTRUCTION PERMIT APPLICATION
Q NEW CONSTRUCTION El
ADDITION/REMODEL ,ACCESSORY BUILDING
I1 DECK ®OTHER
SITE ADDRESS: JMtOC (; • Cs,1 (0IA
0 -'
►�poxane2013
FValleyiR
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
ASSESSORS PARCEL NO.:
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: Jckry\CS V. \ t/ rr r- j
ADDRESS: 1411419.5- E
CITY: Sp v "c `J .tic
PHONE: `fie.a,9D-25-36 1 .
STATE: t/UA—
zip: 9 Sar (,
FAX:
CELL: c,c;,
CONTACT NAME: /"� S �- , r
PHONE: S D / /O '- Zr3%
FAX: CELL: ce.,"
CONTRACTOR NAME: 2 jc
MAILING ADDRESS:
17coa E
CITY:
PHONE:
5p ..
r '
4/9 3- 6 (kb
Sp
STATE: Lift- zIP: 9c3 O ? 7
FAX:
CELL:
CONTRACTOR LICENSE No.: •
EXPIRES:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
x / r� /rk-e I A: eC l'^ ,r:V•Ak Gly
****YOU MUST COMPLETE THE FOLLOWING****
NIA IF NOT APPLICABLE
Height to Peak:�j,
/�`i
Dimensions:
"30 C2`tK 1 0
No. of Stories:
Total Habitable
Space:
Main Floor SQ
Upper Floor SQ FT: N,.
Unfinished Basemenl:,,SQ
FT: ,A)FT:
Finished Basement SQ
,(.) /t
Garage SQ FT:
'7 `lI�
Deck/Covered Pati Q
FT: �
Impervious Surface
Area: 4/(j-
30% Slopes on
Pro arty: /1)
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer Septic:
TOTAL COST OF PROJECT: $
l3, oo2
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: ,5--(9 -(3
Updated 1-11-11 Page 1 of 1,
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_ _Residential_11-11-11.doc
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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 t 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.
- OWNER INFORMATION
OWNER NAME: Joi ,.--€Q S F_ Petr -(
PARCEL #: 1 37 03 / (.o
ADDRESS: Jtj'g/I0S E (`I'4Jt !-tom
.
CITY: n f are -
//1
STATE: "V"!T'
ZIP: 9,3' Z ( to
�I°
PHONE: 57'-29o_7s3L
FAX:
CELL: S
EMAIL: JY, -Pc; ,-
PART II -DETAILS OF PAVING WAIVER
1. Do you have an existing garage for parking daily use vehicles? giYES ❑ NO
2. Is the proposed detached structure used for storage only? .YES ❑ NO
3. Do you plan on using the detached structure to park vehicles? 0 YES g NO If yes, then
what type of vehicles?
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
(,(PRINT NAME) J °lr 5 F. Pc N owner, hereby confirm that the information provided on this
form is true and correct. I acknowledgee that any change in the foregoing conditions, could require
the City to impose paving requirements. I further agree to report any change in these conditions to
the Spgkane Valleyommunity Development Department, Planning Division, within 30 days.
5-(,-(3
Owner Signature
Date
PART IV - DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ONBEHALFOFTHE �CCOMMUNITY DEVELOPMENT
DIRECTOR AND FIND THE REQUEST IS GRANTED AT /"/'1�DSE-[_/�,
SAID ADDRESS FOR PERMIT#:
Planning �DiviiissioonS aff Signature Date
i
Created 6/27/11
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