2013, 08-20 Permit App: BLD-2013-1652 Change of OccupancySpokane
Va11ey.x
it.mmunity Development Department
mit Center
703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@sookaneva Ilev.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
Q NEW CONSTRUCTION I ADDITION/REMODEL a ACCESSORY BUILDING
Q DECK OTHER
SITE ADDRESS: 42)02)
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
VleAN
Dp.446Vb LEGAL DESCRIPTION:
cCCu.19Clm 0,/
NAME: /4.7. �A �/ rk`'S
ADDRESS: � x
•
•
4." 1 1 • L. / %J C- / !... / L'b t.—
PHONE: c '—' 2 s --/c 3
3
FAX:
v ..� ..-. vV '.-?
/..Ic..�0.,../
PrniE -'- /.
,-Ci
CONTACT NAME: Se:. kw, -c
Unfinished Basement SQ
FT: ,iJ - e
Finished Basement SQ
FT: it/o✓1
Garage SQ FT:
/Uv.,1 r"
RECEIVED
PHONE:
•
30% Slopes on
Property:
FAX:
Construction Type:.!Sick
CELL: 6111")" 11 �1
CONTRACTOR NAME:
MA)" U LWj
MAILING ADDRESS:
CSV PERMIT CENTER
CITY:
STATE:
SUB I� REV. .? rL
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE NO.:
EXPIRES:
CITY BUSINESS LICENSE -NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE/ &PROPOSED USELQc
Ac. l. nr-% /lis• 11! cgp- i iy✓c, c & a L,. /nc tU.,J
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
/�
Dimensions:
a` -i X a4-1
No. of Stories:,Total
Habitable
Space: LS-VS^•06
Main Floor SQ FT:
SyS
Upper Floor SQ FT:
Am-
Unfinished Basement SQ
FT: ,iJ - e
Finished Basement SQ
FT: it/o✓1
Garage SQ FT:
/Uv.,1 r"
Deck/Covered Patio SQ
FT:
A/c -v1 e
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms: 1_,
Construction Type:.!Sick
Heat Source: Sase /36.
Sewer or Septic: SNf-LJcr-
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 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:
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