2003, 06-20 Permit App: BD-03-670 ShopCity o f
SPOKANE VALLEY
Phone`
FAX
Inspection
PERMIT #
BUILDING PERMIT APPLICATION
688-0036
688-0037
688-0054
Box 1 OWNER ..e rF- PC' JOB LOCATION
OWNER'S ADDRESS ep(5 CITY //1e T. PHONE
DESCRIBE JOB
1?
THIS PROPERTY IS OWNED BY: SINGLE MARRIED /K PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME
A.) <,9 PHONE
CONTRACTOR'S ADDRESS 03 $ Te (-C!^J S CITY
CONTRACTOR'S REG.# 5 -rCO 633 Ca- EXPIRATION DATE j "' v? 00 `/
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED
BOX 3 CONTACT PERSON OF PROJECT{ -
ADDRESS 3732:7 /v , ZIP
BOX 4 SEWER AVAILABILITY WATER AVAILABILITY
BOX 5 ESTIMATED PROJECT COST $
EXISTING BLDG. VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed)
1ST FLOOR /
2ND FLOOR /
3RD FLOOR / OTHER / BASEMENT FINISHED /
BASEMENT UNFINISHED / DECK / GARAGE /
CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING FT.
BOX 8 ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS
( ) COMMERCIAL / INDUSTRIAL
( ) TENANT IMPROVEMENT
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
IMPERVIOUS SURFACE
SQ. FT.
SQ. FT.
BOX 9 PLUMBING FIXTURES (Including rough -ins)
MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL.
BOX 10 Water Service meter size (if known) Also see BOX 4
BOX 11 Septic Tank — Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
BOX 12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
1 VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BE T OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISES Te+ ' RFOR jTHE WORK FOR WHICH THE APPLICATION IS MADE.
OWNER / AGENT
i
DATE
—O (OVER)
s-vappbp 4-16-03
7)0
-rs
A9 a3M3IA
S1NBWWO
DNI>'Ntrld -INOad
HIQIM OVO
3NO
SSBUaCI
?0
CITY OF SPOKANE VALLEY DIVISION OF PLANNING
ADMINISTRATIVE VARIANCE- XeeP2-/t;,()
A. GENERAL INFORMATION File No: AV/'V- -�
Tax parcel no(s): /06) j Sectio Township:, -45- Range:
Legal description: ci: 671 C 9C�' _ 1/71-firI / cf°'( Le '/ / / /3/6,cR / (
Applicant: �) (" i^ C- L i'` Agent? Yes
ig
Mailing address:
City:
Phone:
s
Current zoning:
Current use of parcel: �( ./2_(//e,
B. SPECIFIC INFORMATION
Administrative variance requested:
(home)
State:
Zip: -c,2/.
(work)
Comprehensive plan: A/.,Z %�' ; f . J,' _Sar,tirr./
f"e,�--/Cf'E t( • 6._>
(describe in terms of the standard from which you are seeking relief)
Applicable chapter/section of code: L/ 9z) `f
Explain reason for request: 'X ) 6/0'e4;//a./„Al) Sr) .hy_, 1),,L.)&74.41J/u,f-)11e(7.-d
?
I am the owner of record or au horized agent for the proposed site. All of the above responses and those
on the supporting document are made truthfully and to the best of my knowledge.
Signed:
Date:
THIS DOCUMENT MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION
NOTE: The applicant or an interested party may file an appeal within 14 calendar days of the above date of signing. The
appeal must be accompanied by the proper fee. Appeals may be filed at the City of Spokane Valley Division of Planning,
11707 E Sprague, Suite 106, Spokane Valley, WA 99206 (Section 14.412.041 of the City of Spokane Valley Zoning Code).
FOR STAFF USE ONLY:
File No: AV / 9 - c 3
City of Spokane Valley Division of Planning finds that the information provided by the applicant along
the required compliance with the City of ai Va ey Zoning Code and all other development
regulations, described in 2) below, does oes not verse affect on the adjacent properties nor the
public's general health, safety and welfare. omments (if applicable):
The City of Spokane Valley Division of Planning approves / denies this "administrative variance" for
the property described above, pursuant to the Zoning Code of the City of Spokane Valley, Section
14.404.090.
This administrative variance is subject to the following conditions and/or stipulations:
1) The applicant and property owner shall comply with all requirements and regulations of the Zoning
Code.
2) The applicant and property owner shall comply with all City of Spokane Valley development
regulations, such as but not limited to water, sewage, stormwater, grading, critical areas, access, approach
permits and others.
3) The applicant and property owner shall comply with the following additional conditions:
This administrative exception shall run with the land.
Dated this f ?6, day of &C//t..(%._ 20Q
,
Division of Planning Signature
Zia
A9 O2M3A
JNIANtild _---SLN2WW0
H1OIM OVO
SS3E1OO
14
ey
46' CITY