2013, 12-19 Permit App: BLD-2013-2576 Fire Damage RepairS`�,kae
P Valle
y
Community Development
Residential Construction
Permit Application
11703 1 17031 en�cr
E Sprague Ave, Suite $-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-00311 E C E 1 V E D
www.spokanevallev.org
.3�
T NUMBER:
PERMIT FEE:
"
New Construction
Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS: / yoLi 5 G/e/4�1
Reil tr llev 1J 9gaoo
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
g
DIMENSIONS:
((''
Name: / ,if,,,_ p re,
Name: i ez C(Z
iC ner- -
City: Sp0 0 1t
Address: f t/O i/
c; 6/,, 0 ,t .&f'
Fax: /c7 `2. .. 0 O 45 (o
Ci 5/2044(
� //,'State: zo"�
Zip: e/5?a
Phone:
Fax:
HEAT SOURCE:
Contact Person
Name: G/erg ,1 V /Ke:'uc
Phone: (.5-e c() q 7 9 -Co3g4.
Describe the scope of work in detail:
Contractor:
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DIMENSIONS:
((''
Name: / ,if,,,_ p re,
p et f'.y iee. _63falion
J�/f 0 4t. S u 4 4<.. 1 e0
Address: /0020 7:7-,Q.1),_
1),`
City: Sp0 0 1t
State: LL,e( Zip:'/92c
Phone: `l 5, t D t? /
otic
Fax: /c7 `2. .. 0 O 45 (o
Contracto No: 0 6 i
Exp Date:
City Business Lic. No:
# OF BEDROOMS:
Cost of Project: $ J lU/ Zvo
„Jag, bo 1.47e,7 f 147 otif ,- ill 1Q � 5 c)
Proposed Use: S. vn
**************The followin MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
g
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2Nu 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?
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 processed.
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
Check
DATE:
❑ Mastercard 0 VISA
Expires: VIN#:
Basement
11404 5• -Henn K�
27' 1"
cj j1cC�rb ��
LL Living/kitch
48' 3
JOHN_LENERTZ2
LL Laundry1=
20'
Furh2(B
lity Room
12' 11
Suite 2
8'
ste 2Bathroot 2 kitstittIal
I 5'7"-IF2'6"-
4'7".1.
G
rD
C
way
0
8'3
ste 2 master
16' 10"
8' 7
s*.e 2 clo et
22'5"
52' 2'
4"
2)
c.l Cin
N
10' 7'
Bedroom 1
42' 5"
1' 1
11
12' 6"
18' 7"
Hallwayl
2' 8 Bedroom 2
HT 6
E 10"
BD2 Closes
1--4'2
1
fa -5
11' 9'
12' 1
Project D '!-0 (5-1-S7bi
RECEIVED
DEC 1U2013
CSV PERMIT CENTER
SUB 447 REV. # I
I
REVIEWED F�ppCOMPLIANCE
S ALLEY BUILDING DIVISION
12/18/2013
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Basement
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