2013, 02-12 Permit App: BLD-2013-0224 Pole BuildingSpokane
j#Valley°
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprak Ave, Suite 13-3
Spokane VaLVA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
PERMIT NUMBER:
ERMIT
FEE:
Project # 1 6 -9
[ New Construction .REGEWEe131dg
Addition/Remodel LjDeck
❑ Other: `t5 1 2 2013
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• SITE ADDRESS: ) 7 I I
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CSV PERMIT CENTER
ASSESSORS PARCEL NO: CS / a a Y CI s LEGAL DESCRIP'iON: SUS
REV.
Bulldmg Owner
Contractor Qu'RCLO\C6:.><^CG.L OP.S 2
Name:
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Name: O0. /J (,`
Address: 1 -)i a j F. C,�.I ,A id J
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Address: 1 \ 30 8 Et. 1 1'44, -4»e-
City:S Zip:
S� PoUnII.� tate:n�'v�
City:cM State: pc• {
pct ((�J lt).� Zi- (r Jrt i
Phone: era_ a _ 4 3 Is 4 / Fax: CJa 4 - (10, rp
Phone: a c..3 , V cl .. Fax:
GARAGE SQ. FTG:
Contractor Lie No:1-LExp Date: /`re�-)S
LSLet1CT 433 %
.,Contact Person ,' "._ :` ' :`
# OF BEDROOMS:
k< 1 /o 5
City Business Lic. No:
`f
Name: °clue i33e4kd0i4
SEWER OR SEPTIC?
s O a % G la)
) pi iN`t/ tai.AQISon o t
Phone: Li S- 3 31 0 4 3 5- 3 5? 7
Describe the scope of work in detail:
POle Qu(t��
Proposed Use: S-1.an:c>sL
**************Tl.n fniln.x.:..n MTTCT do .. .,lore.
Cost of Project: $
*
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HEIGHT TO PEAK: aO - .
DIMENSIONS:
�Xve xUti
# OF STORIES:
I
TOTAL HABITABLE SPAC
MAIN FLOOR TO SQ.
FTG:J •i a A
2" f FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
P
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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 Crter..5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws; codes or ordihances. 6) Plans or additional information may be required to be submitted, and subsequently approved before)
this application can be proc4sspd.
SIGNATURE:
Method of Payment
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
}
❑ Check
DATE: pi1a73
❑ Mastercard ❑ VISA
Expires: VIN#:
Spokane
_valley.
Residential Driveway
PAVING WAIVER
Community Development — Planning Division
11703 E Sprague Ave Suite B-3 0 Spokane Valley WA 99206
509.720.5026 • Fax: 509.688.0037 • planning@spokanevallev.ore
Spokane Valley Municipal Code (SVMC) Section 19.40.020.6; "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: n^
\ Q. \\St
PARCEL #: 5 S I g Zr z3
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Q.A..A.\'-
ADDRESS:
1 l \-a \ CV��y
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CITY: 7J/J\(
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STATE:L
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ZIP: �� V1
PHONE:...
Id(03 (p/v
1FAX:
CELL: SAw-€...
EMAIL: NAcs,CGvv.1C\-7SQ
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PART II —DETAILS OF PAVING WAIVER.
1. Do you have an existing garage for parking daily use vehicles? E'YES ❑ NO
2. Is the proposed detached structure used for storage only? ES❑ NO
3. Do you plan on using the detached/structure for park vehicles? Ly'YES ❑ NO If yes, then
what type of vehicles? Ia7V CAM p *CA/ 9--
4. Do you plan to conduct a business from proposed detached structure? LINES NO If so, what
is the nature of your business?
PART III —AUTHORIZATION
I,(PRINT NAMEa 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. I further agree to report any change in these conditions to
the Spokane Community Development Department, Planning Division, within 30 days.
Date
Owner Signature
PART IV — DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ON BEHALF OF THE COMMUNITY DEVELOPMENT
DIRECTOR AND FIND THE REQUEST IS GRANTED AT 1/ I Z I F e.ATP Lihh Ptij
SAID ADDRESS FOR PERMIT #: P,l.l) - 20 (3-0224
Planning Division Staff Signature
Date
Created 6/27/11
Page 1 of 1
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