2014, 11-12 Permit App: BLD-2014-2744 Residencespokan'�e '�
.0001FUalley
Community Development
Permit Center
11707 E Sprague Ave,
Spokane Valley, WA
(509)688-0036 FAX:
www. Spokane vall ey. or
Residential Construction
Permit Application
Project = -YA,1_.-0191`[-
uite106 RECPAVED
9206
.com
09)688-0037 Nu '/ 1 L 1111
CSV_PFPUT CENT"
w Construe ion 10 Accessory Bldg
SUB f 6�
ti embdel l❑ Deck
❑ Other:
SITE ADDRESS 31 19 $ . Int/ -c y L✓1
ASSESSORS PARCEL NO: . $ 3 3 Z . 31; 17 LEGAL DESCRIPTION: 'Port der es -A.
•
f']vpR I Lt
7477
Name: • i &t Mo,.
I
11.
Address: - .2 IJ• Suit; V .41 /2Z
Phone: $b?- "2 : - _ • Fax:
Name: ?eta
Phone: Zt $-L/9ZN
Describe the scope of work in detail:
f3u i l d a rel.) SFR
(as t Lo f /71/x /
Cost of Project:
$ 7z,oao
**************The following MUST be comlete: write N/A if not applicable)**********************
p(
HEIGHT TO PEAK
35
DIMENSIONS:
%ix s-2.`#
OF STORIES:
TOTAL HABITABLE SPACE:
6 `177 sP'
MAIN FLOOR TO SQ.
FTG: 1.7 P4-
2"" FLOOR SQ. FTG:
7$ �.-1-
UNFIN BASEMENT SQ. FTG:
�/�
IMPERVIOUS SURFACE
AREA: �� 5g R -
FINISHED BAS NT
SQ. FTG:
GARAGE SQ. Fit:
71s- F*.
DECK/COV. PATIO SQ. FTG:
/01 1 -
30% SLOPES ON
PROPERTY: 'tip
# OF BEDRO S:
neer a AIRACD
CONSTRRUG/TIONTYPE:
coVWa J :0 e.
HEAT SOURCE:SEWER
G'a
OR SEPTIC?
s
The permitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of 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) This 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
Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash 0 Check 0 Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
❑ Other
4uthorized Signature:
2EVISED 8125/2005