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SUB # r� t. Valley 1
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
perm itcenter(nlsookaneva Ilev.orq
•
(Staff .Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION 0 ADDITION/REMODEL
OTHER
SITE ADDRESS: 011 C. MAIIJ 4VE
DECK
0 ACCESSORY BUILDING
ASSESSORS PARCEL NO.: g57Ly„0324 LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
CAME,2oJ GALL
ADDRESS: (Oil E. MA/iv Ave
CITY:
SPOKANE VAL.LeY
STATE:
WA
ZIP: 4703 7 9q206
PHONE: 5O / " q95- 1 iOJ FAX: CELL: 94741C
CONTACT NAME: SAMt
PHONE:
FAX: CELL:
CONTRACTOR NAME: Z sEGi_e4 hre2 Co,
MAILING ADDRESS: 6 2-0 C. AO LC
CITY: 5/90kAN E
PHONE: 1 in'`1Ow
CONTRACTOR LICENSE No.:
STATE:
wet
ZIP:
`14,21'
FAX: CELL:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL ANDJNDICATE USE & PROPOSED USE:
30 gt3o' POLE $L)u1..4W6 At. IC JOrtit e
****YOU MUST COMPLETE THE FOLLOWING****
MARK N
Height to Peak: `.i
Dimensions: 30 $ D
No. of Stories: t
Total Habitable
Space:
Main Floor SQ FT:Upper
hf A
Floor SQ FT:
A) IA
Unfinished Basement SQ
FT: N rA
Finished Basement SQ
FT: A% /A
Garage SQ FT:
900
Deck/Covered Patio SQ
FT: O/A
Impervious Surface
Area: 4/A
300/e Slopes on
Property: 44
No. of Bedrooms: 1.-//A
Construction Type: wodd
Heat Source: 1-11A
Sewer or Septic: NIA
TOTAL COST OF PROJECT: $ R'j00
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
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PLANNING DEPT. APPROVED
11411 E. M4- J Aqe Spo. Vat -LE -1 J4
pRoPEATM SQ Fr- 35,612
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Residential Driveway
PAVING WAIVER
Community Development— Planning Division
11703 E Sprague Ave Suite 8-3 • Spokane Valley WA 99206
509.720.5026 • Fax: 509.688.0037 ♦ plannin9@spokanevalley.org
Spokane Valley Municipal Code (SVMC) Section 19.40.020.B; "All residential driveway and 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: A M&o4 ,,ALL
PARCEL #: 451L 'l, 0 3-2 i
ADDRESS: ((9 17 6 . 044 110
4 vE
Cm: SPOMfE ✓A[.LEy
STATE:
k/4
ZIP: 7!pL 266
PHONE: G 4I- 9 %io3
FAX:
CELL:
S,4 4&
EMAIL: Ca-wLCar �'4ointa: /.Cc
PART II —DETAILS OF PAVING WAIVER
1. Do you have an existing garage for parking daily use vehicles? ® YES ❑ NO
2. Is the proposed detached structure used for storage only? ® YES ❑ NO
3. Do you plan on using the detached structure to park vehicles? E YES ❑ NO If yes, then
what type of vehicles? ^2 CLASSIC G¢!LS a ti VGA C-10 MMES /4 4a4�
4. Do you plan to conduct a business from proposed detached structure? ❑ YES 3 NO If so, what
is the nature of your business?
PART III —AUTHORIZATION
I,(PRINT NAME)d4k5AelAi�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
thypokan -Hey Com unity Development Department, Planning Division, within 30 days.
C/,( 7-,2 -r 3
Owner Signature
Date
PART IV — DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ON BEHALF OF THE COMMUNITY DEVELOPMENT
/7 9/ 7 E Ila i,r/ Al/e n u e
DIRECTOR AND FIND THE REQUEST IS GRANTED AT
SAID ADDRESS FOR PERMIT #:
aire6:0 7477 _3
Planning Division Staff Signature Date
Created 6/27/11
Page 1 of 1