2014, 05-27 Permit App: BLD-2014-1196 Repair, RemodelSpokane
.#valley
Community Development Department
Permit `Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenterasDokanevalley.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION ❑ ADDIN/REMODEL ❑ ACCESSORY BUILDING
❑ DECK },OTHER
SITE ADDRESS: 17-07 N F<S 2d /
ASSESSORS PARCEL NO.: L/S (7 / . o $ ((( LEGAL
BUILDING OWNER NAME: 3 /L(r1-N COLL(NS
NAME: Z(L 144 COLL(NS
ADDRESS: 12--0 7 N rE Lr$ 110
CITY:
PHONE:
opal Val<<y
C& j-?“-- 32((0
STATE:
FAX:
CONTACT NAME: 440 /t
PHONE: FAX:
CELL:
CONTRACTOR NAME: („gopaSS (p?v''T
MAILING ADDRESS:
u'2- / AI � e (/a,Iat fr.
CITY:
UV &
STATE:
W
ZIP:
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
to pQ,f 2 6 Ludt /),q,rvW96C0 CO vn/0*T7o?r ADD 4/9Y V 9 Errusd
IA/ iwo u/, 2R - 4/4-u fir 6/Oaymai(
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Illiannal
No. of Stories:
RECEIVED
... ail
'2 ZIP:
CSV P .5MIT CENTER
SUB #I
I 1 REV. fI
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
CELL:
CONTRACTOR NAME: („gopaSS (p?v''T
MAILING ADDRESS:
u'2- / AI � e (/a,Iat fr.
CITY:
UV &
STATE:
W
ZIP:
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
to pQ,f 2 6 Ludt /),q,rvW96C0 CO vn/0*T7o?r ADD 4/9Y V 9 Errusd
IA/ iwo u/, 2R - 4/4-u fir 6/Oaymai(
****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: /I/ y
K((/7
Upper Floor SQ FT: A'/ f'
0/O
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: 7_,...
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $ �) ((, pp
DISCLAIMER
The permitted venfes, 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 • be submitted - d subsequently approved before this application can be processed.
Signature
Date: 2j/Zi77 Y
Updated 1-11-11
C:\Users\User\Downloads\Res_Permit.doc
Page 1 of 1
STRUCTURAL DETAIL
FOR
COLLIINS RESIDENCE FOUNDATION REPAIR
1207 N FELTS RD
SPOKANE VALLEY, WA
DESIGN & PARAMETERS
2012 IBC
OCCUPANCY CATEGORY II
rem,
REVIEWED FOR CODE COMPLIANCE
SPOKAN LLEY BUILDING DIV 0
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Project #
J-01 -�Ig
RECEIVED
MAY 2 7 2014
CSV PERMIT CENTER
SUB #
REV. #
FILE
May 27, 2014
COLLINS RESIDENCE FOUNDATION REPAIR Date: 5/27/2014
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