2012, 08-10 Permit App: BLD-2012-1255 ResidenceSj4W&. 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@saokanevalley.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
El NEW CONSTRUCTION ❑ ADDITION/REMODEL ❑ ACCESSORY BUILDING
❑ DECK ❑ OTHER
SITE ADDRESS: 11805 Rivercrest Lane
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: Lot 16 Block 2 Rivercrest
BUILDING OWNER NAME: Victory Homes
NAME: Victory Homes
ADDRESS:2120 Northwest Blvd. Ste. B
CITY: Coeur d'Alene
PHONE: 208 777-7000
STATE: ID
FAX: 208 457-8043
zip: 83814
CELL:
CONTACT NAME: Victory Homes
PHONE: 208 777-7000
FAX: 208 457-8043
CELL:
CONTRACTOR NAME: Victory Homes
MAILING ADDRESS: 11805 Rivercrest Lane
CITY: Coeur d'Alene
STATE: ID
zip: 83814
PHONE: 208 777-7000 FAX: 208 457-8043
CELL:
CONTRACTOR LICENSE NO.: VI' -i O I"4 q fG 64/6/EXPIRES:
CITY BUSINESS LICENSE NO.: G O 1 %7-4O 17`i
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: 17
Dimensions: 30X70
No. of Stories: 1
Total Habitable 1414
Space:
Main Floor SQ FT: 1414
0Upper Floor SQ FT:
Unfinished Basement SQ
FT: 0
Finished Basement SQ
FT:0
Garage SQ FT:
440
Deck/Covered Patio SQ
FT:
0
Impervious Surface
Area: Z S Q 0
30% Slopes on
Property: 0
No. of Bedrooms: 2
Construction Type:
Heat Source: las
Sewer or Sept .sewer
TOTAL COST OF PROJECT: $ 130,000 Project # &Li • 219/7.- • 125.5 -
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit i$ 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 he property owner. 3) The gnator�r is the property
owner or has permission to represent the property owner in this transaction. 4) All construction is to be dont`kih 411 @o plifi 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 loaf laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this appliQation can pe `R!9.ce55gdR M I T CENTER
SUB # fl f EV. #
RECEIVED
Effective October 28, 2007
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc