2012, 03-16 Permit App: BLD-2012-0168 AdditionSpokane
Valley.
•
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
Derm itcentercat sooka neva I ley. ora
r(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
VD- 2.0(Z- Oath
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION
❑ DECK
SITE ADDRESS:1804 S MCCABE RD
SPOKANE VALLEY, WA. 99216
❑ ADDITION/REMODEL ® ACCESSORY BUILDING
❑ OTHER
ASSESSORS PARCEL NO.:45271.1708 LEGAL DESCRIPTION:
BUILDING OWNER NAME:DAVID KARLE
NAME:DAVID KARLE
ADDRESS:1804 S MCCABE RD
CITY:SPOKANE VALLEY STATE:WASHINGTON
Zzp:99216
PHONE:
FAX: CELL:509.701.3599
CONTACT NAME:DAVID KARLEY
PHONE: FAX: CELL:509.701.3599
CONTRACTOR NAME:LOGAN TEILBORG / Vey f(.to,fn
MAILING ADDRESS:1 O21 O E STRONG RD
Teir'{-0r i- LLC_
CITY:CHATTAROY
STATE:WA
PHorE:509.238.4185 FAX:
CONTRACTOR LICENSE No.:NORTHTL92OMH 7/13// Z EXPIRES:
NO.:
CELL:509.220.6467
TY BUSINESS LICENSE/
602 S` l93y
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
BUILD A 20X20 WITH 10' EAVE WALLS, 4/12 PITCH ROOF, 1 GARAGE DOOR, 1 MAN DOOR, 1 WINDOW AND A
CONCRETE FLOOR. FOR GARAGE USE.
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:160 IN
Dimensions:20X20
No. of Stories:1
Total Habitable Space:N/A
Main Floor SQ FT:N/A
Upper Floor SQ FT:N/A
Unfinished Basement SQ
FT:N/A
Finished Basement SQ
FT:N/A
Garage SQ F :400
O/c"-
Deck/Covered Patio SQ
FT:N/A
Impervious Surface
Area:
30% Slopes on
Property:N/A
No. of Bed • • :N/A
Construction Type:POLE
B
Heat Source:N/A
4ewSo er S tIt /A
TOTAL COST OF PROJECT: $$12,776.62
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 thls City of Spokane Valley permit Inure to the property owner. 3) The signatory Is the property
BD -02 V-1
Page 1 of 2
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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 40 9 oO, 1 Date: 31/(JRO/4.2
Method of payment: 0 Cash 0 Check
Bankcard #:
® Visa 0 Mastercard
EXP: VIN#:
Authorized Signature:
BD -02 V-1 Page 2 of 2