2014, 08-14 Permit App: BLD-2014-1945 ResidenceSc`pokane
.00Valley
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
Community Development
Department
Permit Center
11703 East Sprague
A.,o , Io CI ro n_"2
(Staff Use Only)
PERMIT NUMBER:
® NEW CONSTRUCTION ❑ ADDITION/REMODEL ❑ ACCESSORY BUILDING
❑ DECK ❑ OTHER
SITE ADDRESS:.. RAgneksea Ijf,2.2 rcrcrcJr
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
•
NAME:CLIFFORD MORT
Dimensions:
)g),y f
No. of Stories:
.2
Total Habitable
Space: /7‘4 lir
ADDRESS:1950 BELLERIVE LN
ire' k°)
[M.
CITY:COEUR D'ALENE
Garage SQ FT:
flab 4-7
STATOD 1 4 201144
ZIP:83814
PHONE.
FAX.
CS 1 PERMI 1 U`_�5TER
Heat Source:
CONTACT NAME:JEREMY VOELLER
PHONE:2086600013
FAX:
S U B L
t: VV..,�I
CELL:2
OOO
CONTRACTOR NAME:MORT CONSTRUCTION
MAILING ADDRESS:1950 BELLERIVE LN
CITY:COEUR D'ALENE
PHONSs O
CONTRACTOR LICENSE No.:RCE-29740
NO.:
STATE: I D
FAX:
EXPIRES:4.6.2015
ZIP:83814
cELL:208.777.3000
CITY BUSINESS LICENSE
A`t C;Ql ‘-1(6,(0-50
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: d
Dimensions:
)g),y f
No. of Stories:
.2
Total Habitable
Space: /7‘4 lir
Main Floor SQ FT:
%JOy g
Upper Floor SQ FT:
Unfinished Ba ent SQ
FT:
Finished Basement SQ
FT: 6",(0-Z__
Garage SQ FT:
flab 4-7
Deck/Covered Patio SQ
FT: 6y47
Impervious'Surface
Area:
30% Slopes on
Property:
No. of Bedrooms: 3
Construction Type:
Heat Source:
Sewer or Septic: ,r.,.rr
TOTAL COST OF PROJECT: $ [ - (gcr
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.
Updated 1-11-11
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