2013, 05-02 Permit App: BLD-2013-0795 ResidenceCommunity Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spokanevallev. orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION EN ADDITION/REMODEL 13 ACCESSORY BUILDING
a DECK
OTHER
;SV PERP,11T r EN'TFR
SITE ADDRESS: i�f:pil?
ASSESSORS PARCEL NO..: i 34/ /9c'S LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
VG GZC:
ADDRESS: Zj `7 $(1' (/4e --sr
CITY: P0.- ! U441 -6 4,0‘K STATE: /AL ZIP: qq,e V
PHONE: `.(24- /21/ FAX: q22
CONTACT NAME:
CELL:
PHONE:
FAX: j070/q---
CONTRACTOR
qCONTRACTOR NAME: / Ai 6, L`S`D /To i ZZ
CELL:
MAILING ADDRESS: '0.42 X . (Ai! J tr•e. 46- '3ar
CITY: ‘/I !/ /CIWZ Jj/f STATE:
PHONE: g. .- /21/ FAX: 47r-* /`7J CELL:
CONTRACTOR LICENSE No.:4v( a4,14 8,13ib , EXPIRES: -7-&-i-[
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
ZIP: Wt2oc
CITY BUSINESS LICENSE NO.:
J J AJ to PJJ 7 4L, Co,J)'V70&)
****YOU MUST COMPLETE THE FOLLOWING****
MARK NLA IF NOT APPLICABLE
Height to Peak/ /
Dimeusipnsr Z � i fi
�5� O
No. of Stories: /
Total Habitable/600�{
Space:
Main Floor cn FT: ..e.
Upper FI hSQ
/470
Unfinished R�c,m+..^t SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT: a
8 /J� l:
Deck/ overe Patio SQ
FT: / �.� LP
Impervious gUrface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type: &J OQ
Heat Source: G,/3 ,wer
r Septic:
TOTAL COST OF PROJECT: $ 34 000
?
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 Octal) 28, 2007
P:\Commu Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
l
i 5/2/13
Page 1 of 2
SPOKANE COUNTY BUILDING AND PLANNING
PERMIT
Application Number: SW -12002500
Permit Issued Date:
11/05/2012
Expiration Date:
Project Description:
Project Name:
Permit Type:
SEWER CONNECTION
ROTH ADD PH II
SEWER
Primary Contact: LOTS N LAND
Applicant: LOTS N LAND
Address:
Phone:
Email:
210 N UNIVERSITY RD STE 300
SPOKANE VALLEY, WA 99206
SITE INFORMATION:
Site Address: Fr103-N AVALON /3409 L' ,&4/7/1//Owner:
Parcel Number: 46344.0609
Subdivision: PLAT NO 4 OF WEST
FARMS IRRIGATED
TRACTS
Assessor's Description: W FARM IRR TR PL 4 W1/2 8110 EXC PLATTED
PTN ALSO EXC PTN DAF: BEG AT SE COR OF
LT 4 ROTH ADD PHASE 1 TH S89°56'30"W ALG
S LN OF LT 4 39FT TH S00°0220"W 5FT TO NE
COR OF LT 5 BLK 2 TH N89°56
Inspection Area:
Water District: Trentwood
Irrigation District #3
Zoning:
Address:
CONTRACTOR INFORMATION:
General Contractor
FOLSOE1994D0
FOLSOM EXCAVATING INC
16701 E VALLEYWAY AVE
VERADALE, WA 99037
509-891-1232
Phone:
Email:
LOTS N LAND
210 N UNIVERSITY RD STE 300
SPOKANE VALLEY, WA 99206
Fire District: Spokane VaIley FirAY 0 2 2013
Land Area: 4.6 Acre(s) CSV PERMIT CENTER
3US
DETAILS:
Class
Type
Quantity Unit Charge Value
SEWER SEWER CONNECTION
FEE DETAIL:
Processing - Utilities
Utilities Permit
1 $125.00 $125.00
Total Fee:
$125.00
$25.94
$125.00
$150.94
CONDITIONS:
Inside Public Transit Benefit Area
Date Printed: 11/05/2012 08:51:13
Printed by: IIS APPPOOL\ASP.NET v4.0
Project # PAP( -13-7141
RECEIVED
MAY 0 2 2013
CSV PERMIT CENTER
SUB #) ' j REV.#
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5/2/3
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Spu'okane~
Valley®
Target Date sheet
For City Use Only
PLUS Project — _7 S
Project Address
136/9 ((/
r1r,.,
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.720-5240 ♦ Fax: 509.688.0037 ♦ permitcenter®spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project application, we are
providing you with a TARGET DATE for the initial technical application review. If for any reason we cannot meet
this date, we will contact you with a revised target date.
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical review. It is
not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
> Submit complete, accurate plans and documents.
Extra time may be required for re -submittals as project application reviewers work on multiple applications and it may be
several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the expertise
for dealing with reviewer comments would be the best choice for the entire review process.
> Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if you haven 't heard from us by your
target date. Staff may contact you before the target date if the initial review is complete. By following this procedure, you will
save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required documents, as
indicated on your Pre -Application Checklist have been submitted or have been approved for deferred submittal. This does
not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free from
substantive flaws that would prevent technical staff from completing the technical review once it is started. When this step is
complete, your application will be routed to the appropriate staff and remain in their review queue until it comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance review.
Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by phone, fax, email,
or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re -
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections of the
application are received, a Permit Specialist will process the application and contact the person specified on your application for
permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by the Permit Specialist at
that time.
CD -003 V-7/ 06-21-11 Page 1 of 1
Project # •6(c-1.3-75<—
RECEIVED
MAY 1 0 2013
CSV PERMIT CENTER
SUB# REV. #
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PLANNING DEPT. APPROVED
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DATE:
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