2012, 03-12 Permit App: BLD-2012-0137 Pole Building •
Community Development Department (Staff Use Only)
Permit Center
11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
Spo �,e Spokane
(50 ) ley, W 99206
,,jj�l Tel: (509) 688-0036 PERMIT FEE:
.,` ley. Fax: (509) 688-0037
.00Valley.
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION '§ ADDITION/REMODEL ACCESSORY BUILDING
11 DECK L.1 OTHER
SITE ADDRESS: 13Q9 EL/ 3i y f}✓
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: /-t J -1 ` ,
NAME: l LrL.-E E Aci4
p C_k
ADDRESS: p13 O9 a LI (3 F- J'j' /2 -"
CITY: See) 4,4)-Ad VA wSTATE: ki14- ZIP: 99 Zi Z
PHONE: Tap- O LI Z FAX: CELL:
CONTACT NAME:
PHONE: FAX: CELL:
CONTRACTOR NAME:
MAILING ADDRESS: CO J c. 11-VC //��
CITY: 5 Q() �JL STATE: VNT" ZIP: 9 5 Z
PHONE: 5QC1_ yci(4,o FAX: CELL:
CONTRACTOR LICENSE No.:CLO(2-1“-U-/(Si b3 EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
►-�S-r�9 z, Z4 X Zi /0' Po t L .RL-D 6-
****YOU
-
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak Dimensions: No. of Stories: Total Habitable �I
Z4)L 2-`t Space:
Main FIoN Y�oc SO FT: Upper Floor�Q FT: Unfinished Basement SQ Finished Basement SQ
►J (A- FT: N1A- FT: NI a
Garage SQ FT: Deck/Covered Patio SQ Imperviousurface 30%Slopes on
51 CP FT: ` Area: ��>4 Property: NA/-
No. of Bedrooms: N11Construction Type: POLI Heat Source: 010- Sewer or Septic: ,.A ►-
TOTAL COST OF PROJECT: $ 10 Lk g"3. 89
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.
3/4„7//a?
Effettiv ctober 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
LoT -2.1)00043
101,to
PLANNING DEPT. APPROVED
BY.
DATE: --;//3/z0/2._
RECEIVED
CSV PERMIT CENTER
MAR 1 3 2012
rroject# /
Name
Submitld
Residential Driveway
Spokane PAVING WAIVER
ValleCommunity Development— Planning Division
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.720.5026 ♦ Fax: 509.688.0037 $planning@sookanevalley.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.
PART�JI
— OWNER INFORMATION
OWNER NAME: 4e ;c,,,,,,, PARCEL#:
ADDRESS: 7 3 9
CITY: S'v ail STATE: WN ZIP: 7 ��f
3-
PHONE: ,p76j —652 1 a FAX: CELL: EMAIL:
PART II —DETAILS OF PAVING WAIVER
1. Do you have an existing garage for parking daily use vehicles? 1 YES ❑ NO
2. Is the proposed detached structure used for storage only? E YES ❑ NO
3. Do you plan on using the detached structure to park vehicles? ❑ YES NO If yes, then
what type of vehicles?
4. Do you plan to conduct a business from proposed detached structure? ❑ YES PI NO If so, what
is the nature of your business?
PART III —AUTHORIZATION
I,(PRINT NAME) L//6' f3 CS iqG 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
the Spokane Valley Community Development Department, Planning Division, within 30 days.
//a./7,7
Owner Signature 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 -7309 E Ll rty PI\I
SAID ADDRESS FOR PERMIT#: BL 2-012- - 0131
dr/ ,.�?i ...F.., 3/1312•012_
Planning Division Staff Signature Date
Created 6/27/11 Page 1 of 1