2013, 05-16 Permit App: BLD-2013-0904 AdditionSpokane
.0• Milley k
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@sookanevalleY.orq
Y9 -P-20/3 otor[
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
l
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION
0 DECK
SITE ADDRESS: i/ 17 5, L' A,Ier: L L p r
ASSESSORS PARCEL NO.:
riz ADDITION/REMODEL
0 OTHER
. 116-t1 Uri 99 o3J
LEGAL DESCRIPTION:
0 ACCESSORY BUILDING
BUILDING OWNER NAME: P,r;N, d-yoke(;sse:-r-Vaal
NAME:
ADDRESS: / 7) 7 ,S , L-.1/<
CITY: 510,,,ko, t 1163
PHONE: Scf I---)yi
CONTACT NAME:
STATE: LM4
FAX:
ZIP: 99x37
CELL: 779-%S/ (o
PHONE:
FAX: CELL:
CONTRACTOR NAME:
MAILING ADDRESS:
CITY:
STATE: ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
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:,
uh
Dimensions:
No. of Stories:
NI/
Total Habitable In
Space: —_ /''
Finished Basement SQ
FT: /150
Main Floor SQ FT: �� n
' 1
Upper Floor SQ FT:n
//ff
Unfinished Basement SQ
FT: `50
Garage SQ FT:
A,/
��
Deck/Covered Patio SQ
FT: p, //4
Impervious Surface
Area: �V :"/1
ill
30% Slopes on
Property: /1//t
No. of Bedrooms: jl
Construction Type: 2x y
Heat Source
Sewer or Septic: ,vi/
TOTAL COST OF PROJECT: $ g 00 p
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.
Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
Signature
Date:
Method of payment: ❑ Cash
Bankcard #:
Authorized Signature:
❑ Check
❑ Visa ❑ Mastercard
EXP: VIN#:
Effective October 28, 2007 Page 2 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
elssiseNtet i'vrr
•‘,Q4k
Gi.
950
moke alarms shall be interconnected and hard wired in such a
ranner that the activation of one alarm will activate all alarms
)edrooms, areas approaching bedrooms, vaulted ceiling with rise
f 24 inches & on each floor
fuilPerc-
Project # Gt-t3 c/o
RECEIVED
MAY 15.2013
CSV PERMIT CENTER
SUB # I j REV. #
6cAcrix)6
tAJC)-17-00/ D13
ki61-3
CT ,3
7)411 eiNJwAcrier)
kt-k
N4
TH BUILDING SUBJECT
TO FIELD INSPECTION CORREC-IONS
IA\ k
'1 7
IP-3.60-tYvs\--
-t
1