2012, 08-03 Permit App: BLD-2012-1251 ResidenceSpok, •
ane
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
oermitcenter@spokanevalley.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
Project # 61-0. f2S/
RECEIVED
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
[} NEW CONSTRUCTION
0 DECK
0 ADDITION/REMODEL
OTHER i
SITE ADDRESS: c \ p,
?t' ACCESSORY BUILDING
CSV PERMIT CENTER
ASSESSORS PARCEL NO.: 4 S LEGAL DESCRIPTION:
\'J4 240 qr -•� ��c�#,4,k
BUILDING OWNER NAME: \-\Oc�Q,a��or\
NAME:
Q
T"'• ^Scw>'‘. •�c�
ADDRESS:
S.
CITY:
PHONE:
c.T
STATE: \..,,,JC?
Fax: c'\�_c •
ZIP: ICN O\
CELL: 'N Olt \4 cTh
CONTACT NAME:
PHONE: FAX:
CELL:
CONTRACTOR NAME:
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE NO.: ��mES ,LEXPIRES:
CITY BUSINESS LICENSE
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\P_eak:
``�k
Dimensions:
Ni A `-\
No. of Stories:
\
Total Habitahle
Space: VS'Z C,
Main Floor SQ FT:
\''.
Upper Floor SQ FT:
—
Unfinished Basement SQ
FT: —
Finished Basement SQ
FT:
Garage SQ FT:
C . ,.--
Deck/Covered Patio SQ
FT: —
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms: -
Construction Type:
Heat Source: (Np,,,
(Sewe r 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 thls 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: -'s\ _ \2
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
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PLANNING DEPT. APPROVED
BY:
DATE:
,ter.-..,♦c.-y•��
2012
41,
SPOKANE COUNTY BUILDING AND PLANNING
PERMIT
Application Number: SW -12001860
Permit Issued Date:
07/31/2012
Expiration Date:
Project Description:
Permit Type:
SEWER CONNECTION
SEWER
Primary Contact: HOMESTEAD CONSTRUCTION, INC
Applicant: HOMESTEAD CONSTRUCTION, INC
Address:
Phone:
Email:
312 S FARR RD
SPOKANE VALLEY, WA 99206
(509)892-0454
SITE INFORMATION:
Site Address:
Parcel Number:
707 N FLORA RD
45134.2404
Subdivision: FLORA ACRES
SUBDIVISION
Assessor's Description: (CITY OF SPOKANE VALLEY) LT 2 OF SHP 13-
09 (PENDERGRASS) AUDITORS #5855282 BK 26
PGS 10 & 11 BEING A PTN OF TR B OF SP 94-970
BEING A PTN OF BLK 1 OF FLORA ACRES SUBD
OF VERA
Inspection Area:
Water District: Vera
Irrigation District #15
Zoning:
Owner:
Address:
Phone:
Email:
HOMESTEAD CONSTRUCTION, INC
312 S FARR RD
SPOKANE VALLEY, WA 99206
(509)892-0454
Fire District: Spokane Valley Fire
Land Area: 8485 Square Feet
CONTRACTOR INFORMATION:
General Contractor
FOLSOE1994DO
FOLSOM EXCAVATING INC
16701 E VALLEYWAY AVE
VERADALE, WA 99037
509-891-1232
raject # 641i•°e0(Z•/Z5/
RECEIVED
DETAILS:
Class
Type
Quantity
AUG 0 3 2012
CSV PEF:',%'117- CENTER
7-.1 RE V. #
Unit Charge Value
SEWER SEWER CONNECTION
FEE DETAIL:
Processing - Utilities
Utilities Permit
1
$125.00 $125.00
Total Fee:
$125.00
$25.94
$125.00
$150.94
CONDITIONS:
Inside Public Transit Benefit Area
Date Printed: 07/31/2012 10:30:37
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