2015, 06-08 Permit App: BLD-2015-1336 Park Shelter Community Development Department (Staff Use Only)
Permit Center •
11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
CrrYor Spokane Valley, WA 99206
pokane Tel: (509) 688-0036 PERMIT FEE:
Fax: (509) 688-0037
alley permitcenterOsobkanevallev.orq
COMMERCIAL(NON-RESIDENTIAL)CONSTRUCTION PERMIT APPLICATION
® NEW CONSTRUCTION ` `�
flTENANT IMPROVEMENT [ -JT_.,FIER
SITE ADDRESS:800 S PARK ROAD 4�
ASSESSORS PARCEL NO.:35241.4101 LEGAL DESCRIPTION:
BUILDING OWNER NAME:CITY OF PSOKANE VALLEY PARKS DEPARTMENT
MAILING ADDRESS:2426 N DISCOVERY PLACE
•
CITY:SPOKANE VALLEY STATE:WA ZIP:99216
CONTACT PERSON NAME:MIKE STONE
PHONE:509-720-5400 FAX: CELL:
CONTRACTOR NAME:CLEARWATER SUMMIT GROUP
MAILING ADDRESS:PO 6470
CITY:SPOKANE STATE:WA ZIP:99217
PHONE:509-482-2722 FAX: CELL:
CONTRACTOR LICENSE No.:CLEARSGOOKN EXPIRES:7/11/2016 CITY BUSINESS LICENSE
No.:B12032723BUS
ARCHITECT/COMPANY NAME:MICHEAL TERRELL
MAILING ADDRESS:1421 N MEADOWOOD LANE SUITE 150
CITY:LIBERTY LAKE STATE:WA ZIP:99019
PHONE:509-922-7449 FAX: CELL:
NAME OF OCCUPANT OF STRUCTURE:CITY OF SPOKANE VALLEY PARKS DEPARTMENT
PHONE:509-720-5400 FAX: • CELL:
CONTACT PERSON NAME:MIKE STONE
PHONE: FAX:
CELL:
DESCRIBE THE SCOPE OF WORK IN DETAIL
NEW OPEN AIR SHELTER AT EDGELCIFF PARK. PREMANUFACTURED STRUCTURE,NEW CONCRETE FLAT WORK AND ELECTRICAL FOR SHELTER
TYPE OF PROJECT:PARK SHELTER TOTAL BUILDING SQ FT:880
HEAT SOURCE:NONE FIRE SPRINKLERS:NONE
PRIMARY OCCUPANCY: SQ FOOTAGE:
SECONDARY OCCUPANCY: SQ FOOTAGE:
TOTAL COST OF PROJECT:$42,000
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 submitted and subsequently approved before this application can be processed.
Signature Date:
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