2013, 06-04 Permit App: BLD-2013-1023 ResidenceWP Mg lOi
mmunity Development Department
Permit Center
n�s� 11703 East Sprague Avenue, Suite B-3
(ir,VllNne Of Spokane Valley, WA 99206
Tel: (509) 688-0036
Valley Fax: itcen 688 0037
permitcenter(o�spokaneval lev.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
7(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
011 NEW CONSTRUCTION 0 ADDITION/REMODEL
❑ DECK ❑ OTHER
SITE ADDRESS: 260 ✓ v e Arlt ►('
❑ ACCESSORY BUILDING
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: 1 it
LATS 0i' — aT San �Or,SI(oc T (r
ADDRESS: 13 Z L- .
CITY: 9)"(4--A-
PHONE: Lf91_ Z
CONTACT NAME:
Fax:
STATE: L) ` ZIP:
CELL: Ll C7— / z/ 3
PHONE:
FAX: CELL:
CONTRACTOR NAME: (n J A TS b n n0,) 5 T Vvc I ..ems
MAILING ADDRESS:
CITr:
S/ vil '1 S el V --L'
STATE: ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.: 1JVi4T oc . L (o 1
EgIRES: (9/Gf f 3 CITY BUSINESS LICENSE NO.: 1 1 10 1 ( 1 L(V
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Z Zl •
Dimensions:
L/ D l,J X ? 4c d
No. of Stories• %
���f �v'c
Total Habitable
I space: f ��.� 5
Main Floor SQ FT:
IO'11
Upper Floor SQ FT:
Unfinished Basement SQ
FT: S ?
Finished Basement SQ
FT:
Garage SQ FT:
5790
Deck/Covered Patio SQ
FT: /00
Impervious Surface
Area: Lvov
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:sr.'LU
Heat Source:6A 5
Sewer or Septic: c'We4,-
TOTAL COST OF PROJECT: $ /c /v
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
ADD 10.28.07.doc
•
Signature
Method of payment: ❑ Cash
Bankcard #:
Authorized Signature:
•
❑ Check ❑ Visa
EXP:
lit ate:
❑ Mastercard
VIN#:
Effective October 28, 2007 Page 2 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
ADD 10.28.07.doc
INGRESS/EGRESS
SANITARY 4 UTILITY 4
DRAINAGE EASEMENT 1
IM
100.01'
-689°23'19W
LOT 2
10,000 SF
N. 2604
--L7E1
21'-1"
r
OW -
153.54'
1
1
1
L
`20'-0' 26'-0"
TO qAR • E
--
J
a
e
N
889°23'19"W
LOT 4
12,589 SF
N. 2608
rAirura
75 00"
1
col
e
9
`N
7
I-- -- ••• Mb 153_54' --�13'19'W
1
1
I,_ — J
/ 1 LOT 3 BY:
7' I 13,221 SF ��� ��� 1
1 N. 2606 DATE:
SITE PLAN 1
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•
PLANNING DEPT. APP ` OVED