2012, 10-15 Permit App: BLD-2012-1824 Pole BldgCommunity Development Department (Staff Use Only)
Permit Center
11703 East Sprague Avenue, Suite B-3 PERpw Nw4mm
C �^ Spokane Valley, 54 99206
►1■r) �,(j` Tel: (509) 720-2540 PERt�a�' FEE:
£ Fax: (509) 688-0037
permitcenter@spokanevalley.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION _
❑ NEW CONSTRUCTION ADD N/ MODEL CCE�p
ORProje
SITE ADDRESS: 0, 71-9\ C 14 4vr R E C E I
ASSESSORS PARCEL NO.: L - intY LEGAL DESC ON: FT
BUILDING OWNER NAME:
CSV P
NAME:
ADDRESS:�� Z ��� ✓✓o _ �L/rE� 1 SUB`t
CITY: �11`��//c. t, STATE: c� ZIP:
PHONE: �" �;'e; 902 5 3/ �>— FAx: CELL: y�3 73
CONTACT NAME:
PHONE: FAx: CELL:
CONTRACTOR NAME: 5v
MAILING ADDRESS: (Cs -724 L AU • Pt- s l � L,4
CITY:': /c,ir Z; . � STATE: CL) ti, ZIP:
/
PRONE: J'W7 - % �_ '7 " _7 7 !v ` FAX: 5-b5 - 327 2_33 CELL: Z z -c, 3 <<s 7
coNTRAcroR LICENSE No.: S cJ L i U 5 (- 0k U,'omREs: yllm?3 c rrY BuslNEss LICENsENo.:
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 Peak , f�W
Dlmewio '
No. or Stories.
Total HaibitaAd+
3� X33
Main Floor SQ FT:
Upper Floor SQ FT.
Unfinished Basement SQ
_
Finished Ba:easwni SQ
( Z Z
FT:
FT:
Garage SQ FT:
Dedc/Covered Patio SQ
Impervious Surface
30% Slopes on
FT:
Area:
Properh/:
No. of OW I
C nsb uction
Heat Source: I
Sewer or
TOTAL COST OF PR03ECT: $ -a `�, cl Y
The permitted verifies, acknowledges and agrees by their signature that: 1) E 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 requl" to be submitted and subsequently approved before this application can be processed.
r "x.1061 Date:
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/niestorage/124/938/210/948/1496/Building_Permit-_Residentiai_11-11-11.doc
000^
Spokane
,,,;ooV;Valley-
Residential Driveway
PAVING WAIVER
Community Development — Planning Division
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.720.5026 ♦ Fax: 509.688.0037 ♦ planninp-@spokanevalley.org
Spokane Valley Municipal Code (SVMC) Section 19.40.020.6; `All residential driveway and off-street parking areas shall be paved with
asphalt, Portland cement, grasscrete, paver blocks or other equivalent hard surface material'. A paving waiver can only be granted if
the structure you are proposing is not going to require a driveway for daily use.
PART I — OWNER INFORMATION
OWNER NAME: 4)!Ea/�X
PARCEL #:
ADDRESS:
STATE: //14
ZIP: ryZ�Z
y%3-733 /
PHONE:ate_ 3 �
FAX:
CELL: R-3,--%2/
EMAIL:
PART II —DETAILS OF PAVING WAIVER
1. Do you have an existing garage for parking daily use vehicles? ❑ YES 9A'NO
2. Is the proposed detached structure used for storage only? [ YES [] NO
3. Do you plan on using the detached structure to park vehicles? ❑ YES [ 10 If yes, then
what type of vehicles?
4. Do you plan to conduct a business from proposed detached structure? ❑ YES [ANO If so, what
is the nature of your business?
PART III —AUTHORIZATION
(,(PRINT NAME) owner, hereby confirm that the information provided on this
form is true and correct. I acknowledge that any change in the foregoing conditions, could require
the City to impose paving requirements. I further agree to report any change in these conditions to
the Spokane Valley Community Development Department, Planning Division, within 30 days.
Owner Signature Date
PART IV — DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ON BEHALF OF THE COMMUNITY DEVELOPMENT
DIRECTOR AND FIND THE REQUEST IS GRANTED ATS
SAID ADDRESS FOR PERMIT #: 6k6 a " /tea Al
Plannin Division Staff Signature
/o//s/�
Date
Created 6/27/11 Page 1 of 1
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