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2012, 10-16 Permit App: BLD-12-1837 Residence • CITY of (Staff Use Only) Spokane PERMIT NUMBER: 41eValley N PERMIT FEE: CITY OF SPOKANE VALLEY Community Development Department • Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 permitcenter©sbokanevallev.org r- RESIDENTIAL CONSTRUCTION PERMIT APPLICATION ►� NEW CONSTRUCTION ❑ ADDITION/REMODEL 0 ACCESSORY BUILDING ❑ DECK 0 OTHER SITE ADDRESS:5206 N KELLER ROAD, SPOKANE VALLEY,WA 99216 ASSESSORS PARCEL NO.:46344.1505 LEGAL DESCRIPTION: BUILDING OWNER NAME:RON&JUDY VAN DAMME NAME:RON&JUDY VAN DAMME ADDRESS:6215 E UPRIVER LANE Cm:SPOKANE STATE:WA ZIP:99217 PHONE:5094873261 FAX: CELL:5099819861 CONTACT NAME:TIM LEWIS PHONE:509-998-2304 Fax:509-279-0967 CELL:509-951-6959 CONTRACTOR NAME:LEWIS CONSTRUCTION&DEVELOPMENT, INC. MAILING ADDRESS:8225 N DIVISION-SUITE A CITY:SPOKANE STATE:WA ZIP:99208 PHONE:509-998-2304 FAx:509-279-0967 cELL:509-951- 6959 CONTRACTOR LICENSE NO.:LEWISCD917BN EXPIRES:01/15/2013 CITY BUSINESS LICENSE No.:602-728-595 DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: NEW,SINGLE FAMILY RESIDENCE-3 BED,2 BATH,3 CAR GARAGE, 1 1/2 STORY,2,141 SF,CRAWL SPACE,RANCHER PROPOSED USE: Effective October 28, 2007 Page 1 of 3 F:\Ron Vandamne to be transfered to new computer\Permit Docs\5206 N Keller- 2012.10.15 Building Permit Application cover.doc 0 • ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak:19'-10" Dimensions:51'-0"x No. of Stories:1 1/2 Total Habitable FROM FINISH GRADE 62'-6" Space:2141 Main Floor SQ Upper Floor SQ Unfinished Basement Finished Basement FT:1730 FT:411 SQ FT:N/A SQ FT:N/A Garage SQ FT:818 Deck/Covered Patio Impervious Surface 30% Slopes on SQ FT:403 Area:1270 Property:No No. of Bedrooms:3 Construction Heat Source:GAs, Sewer or Type:STICK FRAME FORCED AIR Septic:SEWER TOTAL COST OF PROJECT: $226,000 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 submittedsubsequently moved before this application can be processed. Signature /Z' - Date:10/15/12 Method of payment: 0 Cash 0 Check 0 Visa 0 Mastercard Bankcard #: - EXP: VIN#: Authorized Signature: Effective October 28, 2007 Page 3 of 3 F:\Ron Vandamne to be transfered to new computer\Permit Docs\5206 N Keller- 2012.10.15 Building Permit Application cover.doc (' i !-- ia t L. .,,,:: !r" —It Rear Setback=18950" -- .. ""P7.,;,r-4 .! I ., . ... /.•...4 /,-- , / 1 / IWO' --4--- 15,0. P 5.-6" q I T ! 1 . 7 F' i! -- -2 rlei II EN 1 , ! , 1 , t 8 2 t 11 30 I 0 % I 1 1 , _ ! ,l, 2 i - 1 2. ' 2 t tEr.-22 1 I f - 1 1 1 1 1 4' $ H , t g ' 5 1 VEICij I ' i , 1 1 1 1 I I '5 0 CI 0 uto ur _ -L , 5 I 1 1 , 1._ /vv. ,. 11..tr 1 M.O. 1 5-0" ,". 2 (:) 62=6" ; I ; 1 41 i 5 I' PLANNING DEPT. APPRINED , iC frof,'G' I ' i C-"fiff"/ ..1 V Ifir / 1pr DATE: /0//(c120/2—