2014, 08-12 Permit App: BLD-2014-1940 AdditionSpokane
��Va11ey
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@sooka nevallev.orq
RESIDENTIAL CONSTRUCTION PERM
NEW CONSTRUCTION
gi DECK
SITE ADDRESS: Ill b
ASSESSORS PARCEL NO.:
ADDITION/REMODEL
Q OTHER
t ' E
rem
1P(sta�' Use O..i0
Itilii 'ul�( RD Z( 4-/ 110
ERMIlF CEI V F❑
AUG 1 3 2014 F ,
T AF4 L W6NNTER
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: L t}- 4 `J�
Baa-�a-g— pq1
CONTACT NAME: }�-k 5
7d'/—
ADDRESS:
CITY:
PHONE:
(L);u-1,,A-yr,
STATE:
FAX:
CELL:
PHONE:
Zip: 1 411
coq - 32q -Q35
FAX:
CELL:
CONTRACTOR NAME:,,,rjr_, Z.
MAILING ADDRESS:
CITY:
$1'1 r A S 21 -D60= -
STATE: ZIP:
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE NO.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
BLE
Height to Peak:
6—"
Dimensions:
/3/Z-
No. of Stories: l
Total Habitable ff
Space: b
Main Floor SQ FT:
t
Upper Floor S FT:
/t
Unfinished Basement SQ
FT:/if/ -
Finished Basement SQ
FT: '�/1
Garage FT:
g
A'
Deck/Cove ed Patio SQ
FT:
Imp ervious rface
Area:
30% Slopes on
Property: (11/1No.
of Bedrooms: of
Construction Type:Cia.,)CJ
Heat Source: C,.)e,:d
ewer Septic:
TOTAL COST OF PROJECT: $
/'e) svv #
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