2013, 04-29 Permit App: BLD-2013-0747 ResidencePrOjeCt l'' —2-40/71(7111F,-..�
R E C z i / E D Community Development Department (Staff Use Only)
Permit Center
11703 East Sprague Avenue, Suite 8-3 PERMIT NUMBER:
Spokane Valley, WA 99206
Tel: (509) 688-0036 PERMIT FEE:
Fax:i(509) 688-0037
permitcenteresookanevallev.0 rq
SUB Li_I REV. #
__. RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
Q NEW CONSTRUCTION f1 ADDITION/REMODEL Q ACCESSORY BUILDING
f OTHER
SITE ADDRESS: 3Z/s 5 /)%Cb>RJ-A- 5
ASSESSORS PARCEL NO.: 45345.3506 LEGAL DESCRIPTION: Lot 6/Block 3 Pine Rock F
BUILDING OWNER NAME:
•
�n n nF�'`77� ss���nnQp?
�Di1L6111.�i� ,
CSV r�"�
CSP :Valley. A
0 DECK
NAME: Hemken Trust
ADDRESS: P.O. Box 230
CITY:
Pac -FF.iL]
STATE:
zip: 99030
PHONE:
FAX: CELL:
CONTACT NAME:
PHONE:
FAX: CELL:
CONTRACTOR NAME: Lt)cp2 72w' ifs
MAILING ADDRESS:
'P:G )c /'P/799
CITY: CS—POCLot3el -i-6y STATE: bilk.
PHONE: Com) v''✓' -t' �� (� FAX:
CONTRACTOR LICENSE No.:
ZIP:
CELL:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/AIF NOT APPLICABLE
Height to Peak:Dimensions:
20'
551160
No. of Stories:
1
Total Habitabl
Space: //4-•.(4)
Main Floor SQ FT:
1 b
Upper FlAr SQ FT:
Unfinish�QBasement SQ
FT: /'kill
Finisheeasement SQ
FT:
Garage SQ FT:
/® 2&
Deck/Cov red Patio SQ _
FT: I/—r
Impervious Surface30%
Area: 3c9 ?l
Slopes on
Property: /(o
tabor Septic:
No. of Bedrooms: 2
Construction Type:
Heat Sourccee:4014n
TOTAL COST OF PROJECT: $ y1/7LF/O3�
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
•
Signature 7Date: ``T/2JE0 A3
Method of payment: El Cash ❑ Check ❑ Visa ❑ Mastercard
Bankcard #: EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 - Page 2 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
,0Z ,l '21V3S
eemen
' 1
•
65'
—NORTH
Project ;# *1.0 65�t -OW
RECEIVED
AVN 2 9 2013
CSV PERMIT CENTER
•
PLANNING DEPT. APPROVED
BY. 1/47)4A
DATE: 61/44P3
PLAT INFO:
Parcel #. 45345 3506
Lot 6/Block 3
Pine Rock Rtdge 3rd PUD
8060 SO
BUILDER:
X
CLIENT:
X
CLIENT.
X
Michael & Sandi Hemken
3815 S. McDonald Lane
BUILDMINFO:
LEXINGTON,HOMES,, INC.
P.O. BOX' . 441$7°4'990
SPOKANE, -WA1992,14,.,,
(509)924-1519
5' Side Setback
El_n
Porch Cone
1365!
—
•p
I
i \
Ic
r -
,,Th
ii- 926 V
Project ;# *1.0 65�t -OW
RECEIVED
AVN 2 9 2013
CSV PERMIT CENTER
•
PLANNING DEPT. APPROVED
BY. 1/47)4A
DATE: 61/44P3
PLAT INFO:
Parcel #. 45345 3506
Lot 6/Block 3
Pine Rock Rtdge 3rd PUD
8060 SO
BUILDER:
X
CLIENT:
X
CLIENT.
X
Michael & Sandi Hemken
3815 S. McDonald Lane
BUILDMINFO:
LEXINGTON,HOMES,, INC.
P.O. BOX' . 441$7°4'990
SPOKANE, -WA1992,14,.,,
(509)924-1519