2015, 06-01 Permit App: BLD-2015-1258 DeckSpokane
�, f Valley•
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-5240
Fax: (509) 688-0037
per mitcenter@spokanevalley.org
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW
CONSTRUCTION
BUILDING
ADDITION/REMODEL
OTHER
SITE ADDRESS: r61-1 5 L` ,,
ASSESSORS PARCEL NO.: 'I , Lisp (o
ACCESSORY
r V.<((c)./ L -/A- 95031 -
LEGAL DESCRIPTION: Vt''I eS zrt' /44311k
OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACT ): arfWallrX - G4� 4 Uri 11%1
NAME:
ADDRESS: J g -v) S 4. • � L'l'L rL
CITY: ,c).
PHONE: S\ -tzy-/Z39
r
STATE: (,.J # ZIP: / / z, 3
FAX: EMAIL:
CONTACT NAME:
PHONE:
FAX: EMAIL:
CONTRACTOR NAME (CHECK BOX, IF h] ONTACT ): 14 (; jTtJ -
MAII,ING ADDRESS:
CITY:
PHONE:
S
/ Co / / 1 /7:2 (•6 A lc
s'-) 1 - 19 - 420 0 1
CONTRACTOR LICENSE No.: 603" / t - �C(O
tJ In.,..f S !(,�
STATE: LI /1-- ZIP: ! U J 4—
FAX:
EXPIRES: 314
4,0i 6 1,11c
EMAIL: Y+.91 ,'S ?(j- 1^-'-'ete-A l `� e__ •
CITY BUSINESS LICENSE NO.: 11_0 /4. - b
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak:
Dimensions: 2044,
No. of Stories: Pdr—
Total Habitable Space:/k74
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ FT:
Finished Basement SQ FT:
Garage AQ__FT:
Deck/Covered Patio SQ FT:
Impervious Surface Area:
30% Slopes n Property:
No. of Bedrooms:
Construction Type: IrAIV 1
Heat Source: NiA--
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) NI construction is to be done in full compliance
with the City of Spokane - Developme cod= Referenced codes are available for review at the City of Spokane Valley Permit Center. 5)
The City of Spokane ey p= mit is not - per % or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans
or additional inforrpa on ma •e requir=• to b su. itted a• • subsequently approved before this application can be processed.
DATE: i / 0/i)—
RESIDENTIAL
/ i
RESIDENTIAL BUILDING PLAN CHECKLIST