2014, 12-23 Permit App: BLD-2014-2999 Repair Fire Damage*Wane
e
�Va11eyR
Community Development Department
Permit Center
11703 East'Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-5240
Fax: (509) 688-0037
permitcenter@spoka nevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION
Q DECK
ADDITION/REMODEL 0 ACCESSORY BUILDING
0 OTHER
1Ct
I Pro e L'
SITE ADDRESS:
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:R E C, En/ v E D
OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACT I):
NAME: /3RA No o,%) C ot&t,ge( g
ADDRESS: doll /V C61/27-6 ,-e- I? D , ' /
CITY: IPO K A N (Agit . STATE: 1I/,4
PHONE: FAX: EMAIL:
title
2014
CSV PERMIT CENTER
ISUB #
CONTACT NAME:9'-‘,263-51
lx?-, 12,F(x (- ndoe" Rs or-)
PHONE: 5 0 / -, 6 3 -S1 /7 Fax::509-//53th - 7 5/.2 EMAIL: CtI a , 4Mil6!'SOrJ 6AC/-2uKf 6e
CONTRACTOR NAME (CHECK Box, IF MAIN CONTACT U){!% : M,c SEv v/C6 L Ne--/
MAILING ADDRESS:
7)? N1 Conic/ Sr
CITY:SPoKFn/Ec77
PHONE: 50-535---b b 6/
CONTRACTOR LICENSE No.:
STATE: i4.49 ZIP: ( /1002 SIS -et FAX: S�-55� -75 /a EMAIL: &&qo ANcegsvr @SIS-eR14CC
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
RCPA/R FRcnm%I fR.YI>✓gIt AR0(in) P C—XI.S7-,Ai6r Pi Art pi : DAmaa-&,
DVC. Tr) Floe
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
020 '
Dimensions:
No. of Stories:
,
Total Habitable
Space: //00 s(' -fir
Main Floor SQ FT:
I (O 0 se) Er
Upper Floor SQ FT:
i✓/A
Unfinished ftasement SQ
FT: A.//A
Finished B sement SQ
FT: A"/A
Garage SQ FT:
/1
Deck/Covered Patio SQ
FT: N/p
Impervious Surface
Area:
30% Slopes on
Property: //A
No. of Bedrooms: "g
Construction Type: Awo o C
Heat Source: LLUA(v,q cc
Sewer or Septic: 5tu'(7--
TOTAL COST OF PROJECT: $ 7 0 p 0
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: /r2/�j' 3//�
Updated 12-1-14
Page 1 of 1
D:RP►w,&irt NoT To SCA4E
}
1 'usu.) HEADER Z% (a
6.15T ILT
vV+PS°FAZE
Projec
j(1St►r 6:.. ,✓Gr
fol",'
2U14
SUB �_ M _v.
.00Valiey
REV1 a ED FOR CODE COM • CE
I. V Y B DING a VISION
� !! l °,;�;�
FILE
Co40,,GpiztE2- WALL- REPA1lL-
2 0 t c 0. C.En.7E,Z /Z b
s P6Kp,NE ✓AU Y (NA 9?2rz