2014, 07-21 Permit App: BLD-2014-1718 Accessory BldgMi1Iey
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
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PERMIT >� 201
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PERMIT FEE:
SUB # l 1 REV. #
RESIDENTIAL CONSTRUCTION! PERMIT APPLICATION
XACCESSORY BUILDING
❑ NEW CONSTRUCTION
❑ DECK
SITE ADDRESS: 1 t 1 S. L() fl C1 12 -Ci
ASSESSORS PARCEL NO.: `-j j CI 1 . C4C` • LEGAL DESCRIPTION:
❑ ADDITION/REMODEL
D OTHER
as
BUILDING OWNER NAME:
NAME: n Jo rd' a f1
ADDRESS: it S . Le -fig
cm: Gi �'Q9 (�i iC ve
PHONE:
STATE: Lt ) 13,
zip: CGOC L
FAX:
CELL:
CONTACT NAME:
PHONE:
FAX:
CELL:
CONTRACTOR NAME:I i ��. l
MAILING ADDRESS: (f)--73.4_ N P � v � (As
St //�� �
Cm: �/01 C�. - 7109 STATE: tj�\A ZIP: c 1j
21 7
/
9 - 7 - FAX: 909-327-72 3 CELL:
CONTRACTOR LICENSE NO.: L.i (SL O /C'Jni EXPIRES: /2.0 IS CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WOR IN DFTAIL AND INDICATE USE & PROPOSED USE:
(14_1_501 12 30 i)b
PHONE:
leve
****YOU MUST COMPLETE THE FOLLOWING****
MARK NIA IF NOT A
Height to Peak: I I
Dimensions:X ��
o74 -Main
No. of Stories:
TotalHabitable
Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
7 20 J( ft
Deck/Covered Patio SQ
FT:
Impervious Surface
Area: 32-7
/
30% Slopes on
Property:
No. of Bedrooms: iv /i
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PRO3ECT: $ 10 roc
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 fpr y violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may be required to ubmitted and- su$eegnuen aproved before this application can be processed.
Date: 7 - 21
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
p�kane
.0.Valley.
Project #7L -ti -CH 7('
RECEIVED
JUL 2 1 2014
RpsidentialtkrivewayR
siPAYIN/GINNY
Community Development — Planning Division
11703 E Sprague Ave Suite 8-3 + Spokane Valley WA 99206
509.720.5026 • Fax: 509.688.0037 I ptannin*P of gIrlikaa.gra
Spokane Valley Municipal Code (SVMC) Section 19.40.020.13; "Ali residential driveway end off-street paridng areas shall be paved with
asphalt, Portland cement, grasscrate, 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 NAME:
ADDRESS:
PART 1— OWNER INFORMATION
'fkc.`ck("A
PARCEL #:
PHONE:
FAX:
CELL:
EMAIL:
PART II —DETAILS OF PAVING WAIVER
1. Do you have an existing garage for parking daily use vehicies? 2TYES 0 NO
2, Is the proposed detached structure used for storage only? 2IYES 0 NO
3. Do you plan on using the detached structure to park vehicles? 0 YES ;TNO if yes, then
what type of vehicles?
4. Do you plan to conduct a business frOm proposed detached structure? 0 YES ZNO If so, what
is the nature of your business?
PART 111 —AUTHORIZATION
I,(PRINT NAME) r (1. 01 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. 1 further agree to report any change in these conditions to
the Sp*ane Valley Commuity Development Department, Planning Division, within 30 days.
OW"ner Signature
2-!
Date
PART IV — DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ON BEHALF OF THE COMMUNITY DEVELOPMENT
DIRECTOR AND FIND THE REQUEST IS GRANTED AT
SAID ADDRESS FOR PERMIT #: 2-0 t
Planning Division
a
Date
Signature
Created 6/27111
Page 1 of 1
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PLANNING DEPT. APPROVED
BY.
DATE' 712-/i2o/5/
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330'
Project #.3(4)-101(4-1'71 t
- RECEIVED
JUL 21 2014
CSV PERMIT CENTER
SUB # I / 1 REV. #
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