2013, 07-17 Permit App: BLD-2013-1875 Accessory Bldg►Sjpokane
,,�. Valleya
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenterPsl okanevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION ? ADDITION/REMODEL INV ACCESSORY BUILDING
0 DECK OTHER
SITE ADDRESS: ) `) ac;
I goca
ASSESSORS PARCEL NO.: ( /5 )c .. at, fS LEGAL DESCRIPTION:
BUILDING OWNER NAME: ( ruji heAQ(A
NAME: Oiyc • it �j'Qn
ADDRESS: ) ,3 a -a / V _ Ci - a,
CITY:kia
PHONE:
09 - 9;-`1- i7to
STATE: /4
FAX: CELL:
ZIP: 9 / -/ c
CONTACT NAME: .0 by- ; c--, 1
PHONE: It rr1 1 990
FAX:' ��`-'�����LL: 6106-� / Cj�
CONTRACTOR NAME: Bice S+rO e 4ry 1 C T J a•
MAILING ADDRESS: e 0 . -Blocs
CITY:c�S-.LI�C STATE:
ZIp: X33877
PHONE: Pm -6 FAX: dog- Li5 / $$47 L:
CONTRACTOR LICENSE NO.STERS4O �y� IRES: / d_ I /1(01,ITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN ETAI AND INDICATE USE & PROPOSED USE:
go x30wo '°l 4 ! S+Decifb
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
9 i
Height to Peak: ,.7 / / /
Dimensions: 22
l i�XCJ�
No. of Stories: (
t
Total Habitable . /�n
Space: N ,T
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property: //4 -
No. of Bedrooms:
lei
Construction Type:
S
Heat Source: A) lit
Sewer or Septic:,Seo„ie, —
TOTAL COST OF PROJECT: $- l 5 ocn
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or pp a dwelling, the dwelling is/will
be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the propertypwncr.r5)_T.he_signatoLy_is the property
owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in -fu It-eomplianee}wni h.th eeCity of
Spokane Valley Development code. Referenced codes are available for review at the City oflSpokane ValleyMe{'mit Geritea.ES) fh 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 add ieil
information may be required to be submitted and subsequently approved before this application can be. processed.
SRP 1 7 2013
Effective October 28, 2007 L' V ' t `i NI 1 1 fP_a`ge\i1Tof 23
P:\Community Development\02 Administration\03 Forms - Official Versions\Perm't Center\Residential Construction Permit
App 10.28.07.doc SUB # r-1 1
ProiL
RECEIVED
SEP 1 8 2013
, 1 Residential Driveway
PAVING WAIVER
po -- lie 1
Valle ' csv PERMIT CEEL5Aumity'Development - Planning Division
B#__
-1 REV5i,t
kb •
,. 23.5026 t E. -'4,x,: K9.6gs.u.137 . pl?..apsr-,4-3kanevaite-i.v3Ig
. cn;ac,,e Ave Su5te 5-3 • Spolcane Vatiey WA 99206
, ,
.per•nr.....useornx..4..COISCIaMenaa.,M.....
Spokane Vailey Mvcipat Cede fSVC Section 19.40.0203; -Alt residential driveway and off-street parking areas shall be paved with
asphalt Portland cernen4 grasstrare, paver blacks or other equivaLent 'lard surface waren:re. A paving wrAtter can only be wanted
'Ste structure you are p:-oposings rApt going to require a drivev/ay for daily use.
PART I - OWNER INFORIVIATION
v
OWNER NAME: TC; PARCEL #_L 06 15
AamEss: E -CC\
STATE: (Ai M 990,
CCTV: V\SL
PHOE: 9 40./350 ; F CELL: (9,3/4 _ 33t, (r2 EL: Man aipa
e_cy\ Ct3T •
PART II -DETAILS -OF PAVING WAIVER
1. Do you have an existing-garar.te for parking day use vehicles? EA YES ]NO"
2-. is the proposed detached structure used Of storage only? YES fl NO
3. Do you plan on using the detached structure to park vehicles? YES r9_i NO if es, then
what
type of _________ _
4. Do .yeu plan to conduct a business from proposed detached structure? fl ¥ES j NO if so, what
is the nature of your busine,ss?
PART III —AUTHORIZATION
UPRT NAMEic;)Pvcjse,\ .. owner. hereby confirm that the inforation provided on this
form is true alA correct. acknowledge that any change in the foregoing conditions, could require
the City to impose paving -requirements. agree.to repcii any change in these conditions to
the ahe(..-.0Frimunity Developrherit DepaFtment„ Planning D:rvelon, within 20 days,
Owner Signature
Date--
•OXIIIranIlin•Iranelfa. arainidelenal• .•••
PART IV - DECISION
STAFF HAS RE‘M.WED ME PROPOSED PAViNe-WANER ON -BEHALF OF ME COatiMON5TY DEVELOPMENT
DRECTOR f -ND AO THE. RE-1.ZUEST ;.S- GRANTED AT _ .,..e.. _I r_jkl E4-70AJ P-7).
i.-„.,,
SAO ADDRESS FO PER-.11-3-#:_-....Bka:L.,g)__13._-__1175__ ;
9M/zoi 3
Date
Planntng Division Saff Signatuce
Page cf.:
Created 6127/11
Signature
Method of payment: ❑ Cash
Bankcard #:
❑ Check
Date: 61/1/cpb:3
D Visa ❑ Mastercard
EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 2 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc