2015, 04-23 Permit App: BLD-2015-0900 ShopCommunity Development Department
Permit Center
11707 East Sprague Avenue, Suite 108
Spokane Valley, WA 99206
Tel: (509) 720-5240
Fax: (509) 688-0037
permitcenter@spoka neva l lev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION ADDITION/REMODEL
[] DECK ❑ OTHER
SITE ADDRESS: (Q c( 1E_ E.A,YN,P��
ASSESSORS PARCEL NO.: Li -S-0,4 3 c:53bci LEGAL DESCRIPTION:
ACCESSORY BUILDING
OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACT ❑b:
NAME:
—
ADDRESS: /� C(.ti
(t VVI f
CITY: pD kc. c2 (/42
SCOCt 72z—o3
PHONE:
CONTACT NAME:
FAX:
STATE: W 0_ ZIp: (g6
EMAIL: J ��/ ✓7 Gi✓L.� IS �� ��i1!
cum
PHONE: FAX:
EMAIL:
CONTRACTOR NAME (CHECK BOX, IF MAIN CONTACT ❑): L (_
MAILING ADDRESS:
CITY:
STATE:
PHONE:
FAX:
CONTRACTOR LICENSE No.:
EXPIRES: CI
DESCRIBE THE SCOPE OiF WORK IN DETAIL AND INDICATE
,,9Lf ' L C( ( ( cam.` LCt`
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Project #b-aouS-p90O
r -—Pc— YED 7,
EMAIL: APR 2 3 2015
TY BUSINESS LICENSE NO.:
CSV PERMIT CENTER
USE & PROPOSED USE:
SUB# ( REV.#
Finished Basement SQ
FT:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Dimensions:
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
. X 014
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $ L p� o D0 r�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 infmation may be required to bsubmitted and subsequently approved before this application can be processed.
Signature
Date: D
*Wane
Va11ey.
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 • planning@sookanevallev.org
Spokane Valley Municipal Code (SVMC) Section 19.40.020.B; "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.
PART I — OWNER INFORMATION
OWNER NAME:r ...e.,N'- /` C( Z
PARCEL#: )45 643,0309
ADDRESS: (�� (O?( (,:::: e l% ,,z -e___ -
CITY: 0 (Get -LA ,i9 yrC31.1 t eye
STATE S
Zip: ?�/��a d c
PHONE:co , g' �
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x:
Z7 5 J
I-4??.'
CE (
2�J�(/l°�rLis�Q-z coo
MAIL(: G011
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PART II —DETAILS OF PAVING WAIVER.
1. Do you have an existing garage for parking daily use vehicles? ❑ YES \16,NO
2. Is the proposed detached structure used for storage only?li YES ❑ NO
3. Do you plan on using the detached structure to park vehicles? ❑ YES ❑ NO If yes, then
what type of vehicles? 1,0.' IA i- / �j t� AZ_?
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
I,(PRINT NAME - - Lk ( 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. 1 further agree to report any change in these conditions to
th Spokane Valley Community Development Department, Planning Division, within 30 days.
Date
PART IV — DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ON BEHALF OF THE COMMUNITY DEVELOPMENT
DIRECTOR AND FIND THE REQUEST IS GRANTED AT /bq/q F E'meIr!_
SAID ADDRESS FOR PERMIT #: 8I -7)-"g26/5"— b9G U
vic
Dail
Created 6/27/11
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