2008, 08-01 Permit App: 08003001 DeckSpokane
. Valley
Community Development
Residential Construction
Permit Application
Permit Center
11703 E S -10,e Ave, Suite B-3
Spokane, WA 99206
(509)688-00 FAX: (509)688-0037
www.spokanevalley.org
x
PERMIT NUMBER: (14 - j 0
PERMIT FEE:
New Construction n Accessory Bldg
Addition/Remodel Deck
Other: , --r2t I CZ,
SITE ADDRESS: 42 l k S , ' l "'`jl M C.. D& g) 'D a. $ Pc 14f-rNe cit tuC 2..156
ASSESSORS PARCEL NO:
LEGAL DESC PTION:
Building Owner:
Name: C (s0J S V 5/VP.
Address:4.2
City: r;` ICpt vpcuivirState: id A Zip: r
Phone: .-( 6 Fax:
Contact Person,
Contr
Name:
A. • ess
Ci
Pho
Name: L t ,t; e
Phone: 9aa —TZ5Q
Describe the scope of work in det
State: Zip:
Fax:
actor Lic No: / Exp Date:
ity Business Lic. No:
t of 'moi •c . 596. DU
1'alck1 ` 1201 LPACe, Aertiovetb �S
Proposed Use: t d l IG
**************The following MUST be complete (
: write N/A if not applicable)**********************
RAs
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
5 ,
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This 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 proces
SIGNATURE:
Method of Payment:
❑ Cash Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
DATE: 41)6 1)) 9-00 'B
Authorized Signature:
REVISED 2/15/07
1
•
Siiokane
j ley
PERMIT CENTER
11703 E. Sprague Ave., Suite B-3
Spokane Valley, WA 99206
509-688-0036; Fax 509-688-0037
www.spokanevallev.org
Affidavit in Lieu of General Contractor Registration
State of Washington
County of Spokane
)
ep /i D E' ( e
, state as follows:
(Print name as signed)
1. I have made application for a building permit from the City of Spokane Valley, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under RCW 18.27.090, a copy of
which is printed on the reverse side of this affidavit.
3. I understand that prior to issuance of a building permit for work that is to be done by any contractor,
the City of Spokane Valley must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Spokane Valley of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I
consider the work authorized under this building permit to be exempt under No. f Z_ , and will
therefore, not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any
decision to engage an unregistered contractor to perform construction work.
tcsQi L. 4/4.1"/
ts
N-+ / 9 &BO,-
/" 1, 0'' WASN��
Signed and sworn to before me this
/ Day of As/t7 , 20.129 .
L )'1or1
NOTARY PUBLIC in and for the �S,ta�teof,
Ov-S°-County
Washington, residing
My Commission expires: 9 -9-
October 15, 2007 Page 1 of 2
P:\Community Development\Forms\Building Forms
Project •
Sitikane Transmittal
City of Spokane Valley
4.0.00Valley
Community Development
Department
11703 E. Sprague Ave, Suite B3
Spokane Valley, WA 99206
Phone: 509.688.0036
Site Address: 4216 S FOREST MEADOWS DR
Parcel Number: 45333.0604
Zoning: R-2
Fire District: FD 01
New project
Previous pre -app meeting 0
Plan revisions 0
Transmittal Date:
Friday, August 01, 2008
Project Number: 08003001
Water District: SPO CO WATER DIST#3B
Applicant: SMITH, SUSAN K/EDIE, COLIN F Owner: SMITH, SUSAN K/EDIE, COLIN F
4216 S FOREST MEADOW DR 4216 S FOREST MEADOW DR
SPOKANE VALLEY, WA 99206 SPOKANE VALLEY, WA 99206
(509) 922-7758
e-mail: e-mail:
Contact: SMITH, SUSAN K/EDIE, COLIN F Occupant:
4216 S FOREST MEADOW DR
e-mail:
SPOKANE VALLEY, WA 99206
(509) 922-7758
e-mail:
Contractor: OWNER
( ) - 0
Arch / Engineer:
e-mail:
Project
Description: REPAIR EXISTING RESIDENTIAL DECK PER APPROVED PLANS
Building
Landuse
Engineer
Utilities
Health
Fire Dist
Assessor
CONSTRUCTION
DRAWING
Please send all plan review and project comments via e-mail to the
highlighted individuals.
Spokane
,00Valley
di For City Use Cily� ,:}
PLUS sect Number 0(3' 3 00
Project Address
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
`lf<C\ /
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re -submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre -Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re -
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE -APPLICANT PINK- BUILDING FILE REV 9/07