2014, 08-12 Permit App: BLD-2014-1917 ResidenceCommunity Development Department
Permit Center
crn'oe��t's�s��n 11703 East Sprague Avenue, Suite 8-3
Sp®d�b`Ile Spokane Valley, WA 99206
Tel: (509) 720-2540
509) 688-0037 •
� le� permit enter(&sDokanevallev.orct Project # 17 - (9-. j 1-�' li
�J RECEIVED
RESIDENTIAL CONSTRUCTION PERMIT APIPLICATION
vi NEW CONSTRUCTION ❑ ADDITION/REMODEL 0 ACCESSORY BUILDING
0 DECK 0 OTHER CSV PERMIT CENTER
SITE ADDRESS: Z2t. S. IAue..�.eW L -N1 c1im 1- 1 I ori 1. I I
ASSESSORS PARCEL NO.: 415 ;Al 2.34 0 1 LEGAL DESCRIPTION;;;;;AF 40,64 t-ptcJ 3i14:1 -
BUILDING OWNER NAME: PeNb 1)Jb Lj 1 AUL 2 (WNW' 5J-tgss4. t),
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE'
(1
NAME: 1IFtt_'F A1.14C FYI-CANGLI tsf-.d
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX: CELL:
CONTACT NAME:
PHONE:
FAX: CELL:
CONTRACTOR NAME: Suq.4 r,( sricuLTZQd IALC
MAILING ADDRESS:
.Uzk,t CA -use{ ST.
CITY: C -rp Q
PHONE: (tOCt) [I]SM I 63 FAX: :�ITf- 3 -- 4"1 I
CONTRACTOR LICENSE NO.: . . , 910q EXPIRES: 5/3i / ( S CITY BUSINESS LICENSE NO.: St>?,a-N'Cr1(ah,(,t,
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
STATE:
WA
CELL:
ZIP: 992,0s
9.5)-19 os
****YOU MUST COMPLETE THE FOLLOWING****
K N/A IF NOT APPLICABLE
Height to Peak:
g 23 f
Dimensions:
52x53
No. of Stories:
Total Habitable
Space: �►2 I
l
Main Floor SQ FT:
I1 -V1
Upper Floor SQ FT:
BonoS -1-02
Unfinished Basement SQ
FT: .3'
Finished Basement SQ
FT: .8'
Garage SQ FT:
'4-2_,
Deck/Covered Patio SQ
FT: ;12
Impervious Surface
Area: AM-
30% Slopes on
Property: QA
No. of Bedrooms: .3
Construction Type: kbohreentzptieat
Source: / eCEI Alit.
.�Sewei-gr Septic:
TOTAL COST OF PROJECT: $ / 40( Opo
DISCLAIMER
The permitted venfies, 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 iia k
Alt 75—AA J\
Date: 6// 2I'2.-0 l4
1 Inrlahw1 1-11-11
Pana 1 of 1