2015, 04-24 Permit App: BLD-2015-0909 Duplex•
Si%lane
400.Valley.
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-5240
Fax: (509) 688-0037
permitcenterCasookanevallev.orq
i
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
NEW CONSTRUCTION
DECK
Q ADDITION/REMODEL
Q OTHER
SITE ADDRESS:;2711/2713 N Fox LN SPOKANE VALLEY, WA 99206
Ei ACCESSORY BUILDING
ASSESSORS PARCEL NO.:4509.2909 LEGAL DESCRIPTION:
OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACT ®):VADIM DERKACHEV
NAME: VADIM DERKACHEV
ADDRESS: 815 W LINCOLN BLVD
CITY: SPOKANE
STATE: WA ZIP: 99224
PHONE: (509)868-6687 FAX: EMAIL: VADIMDERKACHEV@GMAIL.COM
CONTACT NAME: VADIM DERKACHEV
PHONE: (509)868-6687 FAX: EMAIL: VADIMDERKACHEV@GMAIL.COM
CONTRACTOR NAME (CHECK BOX, IF MAIN CONTACT ®): SAME AS OWNER
MAILING ADDRESS:
CITY:
PHONE:
STATE:
RPCEIVED °
FAX: EMAIL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSe2NO.2U15
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE 801:11ppp§FRIU@tNTER
NEW RESIDENTIAL BUILDING (DUPLEX) ALL DIMENSIONS, SQUARE FOOTAGE, AND NUMBER OF BEDROOM ARE PER EACH
SUB # [ / 1 RFV. =
UNIT.
RENTAL PROPERTY
****YOU MUST COMPLETE THE FOLLOWING****
E
Height to Peak: 29Fr
Dimensions:20Fr x 40Fr
No. of Stories:2
Total Habitable
Space:1357sF
Main Floor SQ FT:556sF
Upper Floor SQ FT:801sF
Unfinished Basement SQ
FT:N/A
Finished Basement SQ
FT:N/A
Garage SQ FT:245sF
Deck/Covered Patio SQ
FT:N/A
Impervious Surface
Area:240sF
30% Slopes on
Property: N/A
No. of Bedrooms:3
Construction Type:wooD
Heat Source:GAs FURNACE
Sewer or Septic:sEwER
TOTAL COST OF PROJECT: $-230,000
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or on a dwelling, the dwelling
0 ership of this City of Spokane Valley permit inure to the property owner. 3) The signatory is the
is/will be served by potable water.
property owner or has perm
with the City of Spokane Vali
The City of Spokane Valley
or additional information ma
Signature
ion
to
re
it is
requi
pr
pm
d
a
sent the property owner in this transaction. 4) All construction is to be done In full compliance
t code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5)
permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans
be submitted and subsequently approved before this application can be processed.
Date: /2/i5
4
CASH
RECEIPT
Received From
Address
For #94a(97.4
ACCOUNT
6187491
1 Dollars $ ').0
AMT, OF
ACCOUNT
CASH
AMT PAID
BALANCE
DUE
CHECK 1).A10
4°D
MONEY ORDER•By 4,4qe
CREDIT CARD
Project #BLD -201S-0909
RECEIVED eo
APR 2 4 2015
CSV PERMIT CENTER
SUB #- REV.