2014, 10-13 Permit App: BLD-2014-2517 AdditionSp ikanG e�
%alley°
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenter(alsookaneva Ilev. orq
RESIDENTIAL CONSTRUCTION PER
PCoiect w Ei.7-7-0t-c4 `151
R ects e
PV'ERMITorturE : 1U14
PERMIT FEE:
,
CSV PERMIT CENTER
REV. -?
SUB m
❑ NEW CONSTRUCTION X ADDITION/REMODEL
❑ DECK �� ❑ OTHER`r
SITE ADDRESS: 105” Ij' lGwtoti 1
❑ ACCESSORY BUILDING
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS:
Cm:
PHONE:
( c oia Cie1-arey
it Sao £. maxim It Ave
C0reenac re s
5 Oct -'&03 -qq3 J FAX:
CONTACT NAMI (e -(9R iFe•Chelvfarev
STATE:
ZIP:
990/
CELL:
PHONE:
509 - SCAB- 99 31 --FAX:
CELL:
CONTRACTOR NAME: Dton °LC -
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE No.:
EXPIRES:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORT( IN DETAIL AND INDICATE USE & PROPOSED USE:
in» -ler , r e and 6;a rve CUIC/' a So 890e r POroh
i k5 2 r90h7
a �.d
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Dimensions: U
1"' V l 1 tO
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:Upper
31,4
Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered Patio SQ
FT: 40 69
Impervious Surface
Area:
30% Slopes on
Property:
6 96
No. of Bedrooms: 3
Construction Type:
>
Heat Source: tc d-i&.Af
p
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) 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.
Signature
cJohnJarev
Date: /0 - /3 — /4l
Updated 1-11-11
C:\Users\bryan.happeny\Desktop\BLD APPS\BLD-RES.doc
Page 1 of 1