2014, 04-03 Permit App: BLD-2014-0665 Pole BldgSpokane e'
_#Valley°
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter( spokanevalley.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT
BtP za L/. dam;
AimiloICATION
EI NEW CONSTRUCTION
® DECK
SITE ADDRESS:
tI
ADDITION/REMODEL
0 OTHER
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APR 0 3 2014 51
ASSESSORS PARCEL NO.:
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
CSV PERMI1 CEN1 tR
NAME: I /,/ir) O SC9 e-1 J`
ADDRESS: 6454- R�R 61
601/4115
dcQv OAt/c
500/ c?u
CITY:
PHONE:
CONTACT NAME:
SUb #
RE -v. # r—
STATE:
LOA
ZIP: /,-2/.
FAX:
CELL:
PHONE:
FAX:
CELL:
CONTRACTOR NAME:
MAILING ADDRESS: fljjve%2
CITY:
STATE:
ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.: -
EXPIRES: CITY BUSINESS LICENSE NO.:
D CRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
t e- Qui Icl (yt „c(— 3a FI 510,249„'
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Dimensions:
,-"-/t/ W
No. of Stories:I
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
300/0 Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $
DISCLAIMER
The permitted verifies, 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 to be submitted and subsequently approved before this application can be processed.
Signature
Date: 4-7-3420fy
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_ _Residential_11-11-11.doc
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PLANNING DEPT. APPROVED
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coc
Spokane
_FValley6
Project # 6`4)'at31i-n(L
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- RECEIVED
APR 0 3 2014
community De
CSV PER MIyToc7n55b�6 SFaxgS
SI IR it / REV
esidential_ Driveway
PAVING WAIVER
elopment — Planning Division
Ave Suite B-3 • Spokane Valley WA 99206
9.688.0037 ♦ planning@spokanevallev.orq
Spokane Wiley Municipal Code (SVMC) Section 19.40.020.B; "All residential driveway 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.
— OWNER INFORMATION
OWNER NAME:,/Yt i1i�,/,
"i2;ny')
PARCEL#: ��l B 7• $V�
ADDRESS: C (c. 1C/ Jv
Z�
CITY: 7 /c OA/ice `/
STATE: Wilt-
r
ZIP: 0/920.,
PHONE:: V/6 !-(36
FAX:
CELL:
EMAIL:
PART II —DETAILS OF PAVING WAIVER
1. Do you have an existing garage for parking daily use vehicles? ❑ YES ET1'J
2. Is the proposed detached structure used for storage only? L21 YES ❑ NO
3. Do you plan on using the detached structure to park vehicles? ❑ YES R J if yes, then
what type of vehicles?
4. Do you plan to conduct a business from proposed detached structure? ❑ YES 01JCIf so, what
is the nature of your business?
PART III —AUTHORIZATION
I,(PRINT NAME)04t,n oe-co,A 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.
Qne
�. stcZkL//3 42efv
r Signature Date
PART IV — DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ON BEHALF OF THE COMMUNITY DEVELOPMENT
S
DIRECTOR AND FIND THE REQUEST IS GRANTED AT J'f (f/ 0 if fo .r%
SAID ADDRESS FOR PERMIT #:
Plann/ ing Division Staff Signature Date
Created 6/27/11
Page 1 of 1