2012, 11-20 Permit App: BLD-2012-2127 Pole Building {
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Community Development Department (Staff Use Only)
Permit Center
_ 11703 East Sprague Avenue,Suite B-3 PERMIT NUMBER:
Spol�ane Spokane Tel: (50 ) ley,W 99206
(509) 688-0036 PERMIT FEE.
..o0Valley (
Fax: (509) 688-0037
pax: 5 enter@spokanevallev.oro
Project >_ 1.�._.L (._ 7 •
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RESIDENTIAL CONSTRUCTION PERMI APPLICATION
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Q NEW CONSTRUCTION 0 ADDITION/REMODELE •CCESSO Y B DING
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SITE ADDRESS: S Zc�6 /t/ /�Z((�r� �� �_ w C �''
ASSESSORS PARCEL NO.: LEGAL DESCR • 7 ____ V . 1 i
BUILDING OWNER NAME: /1-6/0 V, .1a1/1-M/
NAME: 0 /U 1//fit ,.(/L24 --7.44:
ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX: CELL:
•
CONTACT NAME:
PHONE: FAX: CELL:
CONTRACTOR NAME: E2-.)/ I (btis {/G770.j) .
MAILING ADDRESS: F s A) . /t /,f/c),,c) J(/€ZZ 4 • ,�^�
CITY: . ) �/ �� STATE: 4./ ZIP: COW
PHONE: W1 -.2j FAX: SO ! ? C�((? V71. 7 6 // I
y � �CELL: S
CONTRACTOR LICENSE No.: Lf 44.1c.R( 69,,t/ EXPIRES: ,r ? CITY BUSINESS LICENSE NO.:
DESCRLBE THE_ SCOPE OF WORK IN DETAIL AND `INDICATE USE & PROPOSED USE:
l e.LI� S7aet-6 eo&i9/4/l
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: ( Dimensions: No.of Stories: Total Habitable
g f S V �,U I Space:
Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
FT: FT: --
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
~-- FT: Area: Property: 41C
No. of Bedrooms: Construction Type: d(.L Heat Source: i//� Sewer or Septic: 4.//,,C
TOTAL COST OF PROJECT: $ 6 (i�1 r
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 an..• - • ently roved before this application can be processed.
Signature ----'--- Date: /( W /?—
Updated
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit=_Residential_11-11-11.doc
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PLANNING DEPT. APPROVED
BY:
DATE: 11/2/ /20'2—
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Sfitikane �` ; PAVING WAIVER •
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Community Development-- Planning Division
11703 . -gue Ave Stu e : • Spokane Valley WA 99206
509.720.502,. • Fax: 509.688.0037 ♦ ,n' e@spokaneyalley,org
Spokane Valley Municipal Code(SVMC)Section 19.40.020.8; "All residential driveway and off-street parking areas shall be paved with
asphalt,Portland cement grasscrete,paver blocks or other equivalent hard surface material". A paving waiver can only be granted if
the structure you are proposing Is not going to require a driveway for daily use.
PART I – OWNER INFORMATION.
OWNER NAME: A Va J Li)? (A4 Ing l� PARCEL#: 3 W /5-p3
ADDRESS: $ 6 ju- .71e-A.
CITY: y 5' 49 ?4",--`—) STATE; (� Zip: . 9P,V�
PHONE: f,7-7-,6,7 FAX; CELL: EMAIL: N V0 ,-AJ ,CQ
PART 11—DETAILS OF PAVING WAIVER
1. Do you have an existing garage for parking daily use vehicles?OYES ❑ NO
2. Is the proposed detached structure used for storage only?,YES ❑ NO
3. Do you plan on using the detached structure to park vehicles? ❑ YES A NO If yes, then
what type of vehicles?
4. Do you plan to conduct a business from proposed detached structure? ❑ YES ANO If so,what
is the nature of your business?
PART III –AUTHORIZATION
I,(PRINT NAME) Potv Vag Dcumt'w-t owner, hereby confirm that the information provided on this
form is true and correct. I acknowledge that any change In the foregoing conditions, could require
the City to impose paving requirements. I further agree to report any change in these condition to
the S. „ane Valley Community D velopment Department, Planning Division, within 30 days.
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Owner Signature Date
PART IV-- DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ON BEHALF OF THE COMMUNITY DEVELOPMENT
DIRECTOR AND FIND THE REQUEST IS GRANTED AT 5 2(.2(P WeU-Ea2 �ll
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SAID DDRESS FOR PERMIT#: f la " 10 12.- ZI7 1
7 A. v 7 �� -- )//z, /2-0
Planning Division Staff Signature Date
Created 6127/11 Page 1 of 1