2015, 01-27 Permit App: BLD-2015-0139 Pole BldgSpokane
Valleyh
Community Devekopm. nt .)epartment
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spokanevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION
❑ DECK
SITE ADDRESS: JJ 7 N
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
❑ ADDITION/REMODEL RI ACCESSORY BUILDING
❑ OTHER
FgRA rd . Ye)k4r?e Val G.)4.
yS j ' 3 , /6o q LEGAL DESCRIPTIO -k:
NAME: ).<r15fop1'cSr n/22//�!i
ADDRESS: /0 7 I, f4f?f Rd-
CITY:
d-
CITY: <51oi.4e.ert; Va ,j%4. STATE: z.,AZIPP: 7/,?, 6 c
PHONE: L56)?'8. 1 7'. 7,5-110FAX: CELL: ,50q �/
' t / - $ 1IO
CONTACT NAME:
PHONE:
FAX:
MAILING ADDRESS:
CITY:
Pr61V6t tgL oi5 - o(fj
CONTRACTOR NAME:RPePIVPU
STATE:
ZIP:
PHONE:
FAX:
cd L$V PERMIT CENTER
CONTRACTOR LICENSE No.:
EXPIRES: CI-1egUSINESS LIONS NOR EV. #
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****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:
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: $
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
7
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
1
Residential Driveway
SC'T okanePAVING WAIVER
p
Ualley�°
Community Development — Planning Division
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.720.5026 ♦ Fax: 509.688.0037 ♦ planning@spokanevallev.org
Spokane Valley Municipal Code (SVMC) Section 19.40.020.8; "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.
— OWNER INFORMATION
OWNER NAME: )1-%('/5/Z/�1( re floc);
PARCEL #: k5 ) 7_3. J to 1
ADDRESS: )0 7 N. E/l. \ - f D•
CITY: ,51j)(t. ,vitot /I
STATE: L„1) •
ZIP: 477 e iJ
PHONE: CA/.ay7"7
FAX:
CELL: 7' 811 Jy(J
EMAIL: hl/,Ilii`r g/a',6 q'',[oni
PART II —DETAILS OF PAVING WAIVER
1. Do you have an existing garage for parking daily use vehicles? X YES ❑ NO
2. Is the proposed detached structure used for storage only? YES ❑ NO
3. Do you plan on using the detached structure to park vehicles? ❑ YES] NO If yes, then
what type of vehicles?
4. Do you plan to conduct a business from proposed detached structure? ❑ YES III NO If so, what
is the nature of your business?
PART III —AUTHORIZATION
I,(PRINT NAME) AbirieC5 fMet< 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
the Spokane Valley Communit Development Department, Planning Division, within 30 days.
Owner Signature
9 2Y -/s
Date
PART IV — DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ON BEHALF OF THE COMMUNI
DIRECTOR AND FIND THE REQUEST IS GRAN—ED AT
Y DEVELOPMENT
SAID ADDRESS FOR PERMIT #: Project # Ol 39
I RECEIVED //›._7//S
PlSnr rig Division Staff Signature
JAN 27 2015 Date
Created 6/27/11
CSV PERMIT CENTER
SUB # I I 1 REV. #
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