2012, 05-24 Permit Apop: BLD-2012-0739 GarageCommunity Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenter@ spokanevalley.org
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
pi NEW CONSTRUCTION 0 ADDITION/REMODEL 0 ACCESSORY BUILDING
0 DECK 0 OTHER
SITE ADDRESS: 3'7,SCI) el 91,_26)6
ASSESSORS PARCEL NO.: gS3.,21. , , 9 LEGAL DESCRIPTION:
BUILDING OWNER NAME: 7 Q4 il/S f9e& J'aiwt
NAME: 7-76414 G�1CccS �TT `I o 1'l (/1
ADDRESS:
3 7 2.2. 5 - /2; C1 cvv) e 1J jet„,)
t )-
CITY: J/)/ier
PHONE: 3Z 5 9 q- W (7
CONTACT NAME:
STATE: L. e ZIP: / 9.20k3
FAX: CELL:
PHONE: S,f7n - ,is" /rb iJ FAX:
CONTRACTOR NAME: SO ij,j S4 -y,(4- vie S a C
CELL:
MAILING ADDRESS: 67,2 ,2 y i , of -4'-3sb (t r C�
CITY: ./JC)I.4,IL J STATE: (Ark_ZIP: j 2 / 7
PHONE: (/ 50 S Lig 7- 776 6 % FAX: LD 5- - 727-723 3 CELL:
CONTRACTOR LICENSE No.: 5609.56 ,04.11 EXPIRES: *3 CITY BUSINESS LICENSE NO.: 170.7 INS( 1 cs
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
T APPLICABLE
Height to Peak:/
/7
Dimensions:
'3Qx3a)crt
No. of Stories:
/
Total Habitable
Space: rc/A
Main Floor Fr
/U i
Upper Floor SQ FT:
V//
UnfinishedBasement SQ
FT: /f/
Finished Basement SQ
FT:
Garage SQ FT:
06
?Bedrooms:
Deck/Covered Patio SQ
FT: Vi�
Impervious Surface
Area:
30% Slopes on
Property:
No. of -
Construction Type:
Heat Source: i(/�4
Sewer or Se tic:
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 bsequently approved before this application can be processed.
Signature
Date: 2y-20te_
Updated 1-11-11 Page 1 of 1
http://www.spoka nevalley.org/fi lestorage/124/938/210/948/ 1496/Building_Permit_-_Residentia I_11-11-11.doc
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PLANNING DEPT. APPROVED
By:
51-)S-11-)
z0-6
-reA
137„.2 iCck
4r:)::32).C.)C\ICI
Spokane
. Valley
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. sp okanevalley. ori
exot birfer
li( D1DSf7go-5
MINIMUM RESIDENTIAL SITE PLAN REQUIREMENTS
-
• Site Address or parcel number
• Abutting Street Names
• Actual Property Configuration
• Property Dimensions, Property Lines and Property
Corners
• Property Square Footage
o www.spokanecounty.org/assessor/
• Actual Structural Footprint for proposed and existing
structures with dimensions and square footage also
identified
• Proposed and existing building setbacks
• Distances (in feet) between existing and proposed
primary and accessory structures
• Location of existing or proposed driveways
• Location of septic tank and drain field
• 3 Sets of the site plan
• 8 1/2 x 11 sheet of paper
• Indicate North Arrow
• All bordering Utility and Access easements
**********SAMPLE SITE PLAN ON BACK****************
100'
•
SAMPLE SITE PLAN
f-- 7'--►
1
5'
Proposed
Accessory
Structure 20' 4
20'
24'
30'
53
15'
5'
Septic Tank &
Drain Field
Locations
(If Applicable)
15'
19' ► �,
Pronsed Addition 15'
30'
Proposed/Existing
Residence
1234 E. Main St.
48'
80'
Main St.