2013, 06-28 Permit App: BLD-2013-1268 ResidenceL _A.# 'ADS I _ # ens
t a31NBO ±IWddd ASC
Eio3 8 Z r n' Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
(Spokane
Spokane Valley, WA 99206
(' pokane Tel (509) 688-0036
�afoad Fax; (509) 688-0037
Valley% • permitcenter�spokanevallev.Orq
:•oject # 2p(3—/?,r
RECEDED
(Staff Use On`V)3 2013
PERMIT NUMBER:
PERMIT FEECV PERMIT CEN ER
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION ❑ ADDITION/REMODEL El ACCESSORY BUILDING
❑ DECK ❑'yOTHER
SITE ADDRESS: 3S L / 5• e bo AIN AN, 05:
ASSESSORS PARCEL NO.: Li -5 345 • 3S07 LEGAL DESCRIPTION: 'Fib*, eczaltr L'7 JBe-
BUILDING
hC
BUILDING OWNER NAME:
NAME: ci.4soa ¶rrci ') COW\
ADDRESS: /
CITY: STATE: (0'7t
ZIP: C l (/L
PHONE: FAX:
CELL:
CONTACT NAME:
PHONE:
FAX: CELL:
CONTRACTOR NAME: ��y!/ .5,2-2 40-7143m ' z 7&X .,
MAILING ADDRESS:
7,C, )5ov) 1c1 -1 -1t} -c3
CITY: 5F c5J E., D -t-.e # STATE:
PHONE: `Sc ) 12-$4'
CONTRACTOR LICENSE No.:
FAX:
CELL:
ZIP: CAC1 CJtI'J'
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOTAPPLICABLE
Height to Peak: 251
Dimensions:,No.
`t' % 3`cI
of Stories:
2
Total Habitable ,'I
Space: _ 3 119 -
Main Floor SQ FT:
9) / 2.
Upper Floor SQ FT:
1 5 C
Unfinished Basement SQ
FT: �l 12—
Finished Basement SQ
FT: C2
Garage SQ FT:
u -
Deck/Covered Patio SQ
FT: ®• co
Impervious Surface
Area: as76--
30% Slopes on
Property: C5
✓1
No. of Bedrooms: 3
Construction Type:
Heat Source: AS
Sew 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.
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 Date:
Method of payment: ❑ Cash ❑ Check
Bankcard #:
❑ Visa ❑ Mastercard
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
i
•
Project # 61-V r? , fin_ t
t.
RECENED
1U;1 2 8 2013
CSV PERMIT CENTER
SUB #L rI REV.
PLA,SNG DEPT. APPROVED
DATE: L 128 i3
65.00' S00°14'2SW
3819 S MCDONALD LANE
PARCEL #: 45345.3507
BLOCK 3 / LOT 7
PINE ROCK RIDGE 3RD
ADDITION PUD
8,060 Sq Ft
BUILDER INFO:
LEXINGTON HO
PO BOX 141749
(509)924-1519
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65.00
MCDONALD LANE