2011, 08-31 Permit App: 11002680 Pole Bldg ~ ..., Community Development Department (Staff Use Only)
Permit Center
,u 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
SpOkane
CITY Spokane Valley, 99206
Tel: (509) 720-2540 -
20 25454 0PERMIT FEE: S1:::•
`alley (5 Fax: 688-0037
pax: itcen enterPspokanevaIley.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
01 NEW CONSTRUCTION QADDITION/REMODEL ID ACCESSORY BUILDING
0 DECK ❑ OTHER
SITE ADDRESS:4708 N TOLFORD RD
ASSESSORS PARCEL NO.:45012.1111 LEGAL DESCRIPTION:WELLESLEY MANOR
L11 B1
BUILDING OWNER NAME:PERRY, RICHARD J &KERRY L
NAME:PERRY, RICHARD RECFIVED I
ADDRESS:4708 N TOLFORD RD CSV PERMIT CENTER
CIT':SPOKANE VALLEY STATE:WA j,...Lz_UG 3 1 2011
ZIP:99216 Project#
Name
PHONE: 456-3314 FAX: SubrpjttAi - CELL:
CONTACT NAME:NATHAN ROBINSON
PHONE: 4-f;. I 14(l X- FAX: CELL:
CONTRACTOR NAME:QUALITY STEEL BUILDINGS, INC.
MAILING ADDRESS:361 SANDY SHORES RD
CIT':N EW PO RT STATE:WA ZIP:99156
PHONE:509-468-1606 FAx:509-468-3720 CELL:
CONTRACTOR LICENSE No.:QUALIBO81 C7 EXPIRES:2/2012 CITY BUSINESS LICENSE
No.:6013705910010001
DESCRhB��TRH�QQlnO� ,l� IDETAIL
TAIL�A+ND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: ,Z j / Dimension v /i6 No. of Stories: ' Total Habitable. rm
1 0 i[ ) Space: r1/
Main FloorrSQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished �a ement SQ
fr N J ft FT: fl/A- FT: (V �
Garage SQ FT:1200 Deck/Co ered Patio SQ Impervious Surface 30% Slop s on
FT: IV/A, Area: I/A. Property: Nr
/if
No. of Bedrooms: I Construction Type: n
(1,�� Fc(-E._ Heat Source: i'u/f} Sewer or Septic:
agektaatUrPlingaccTI $ /3 /%U0
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
Updated 1-11-11 Page 1 of 2
http://www.spoka neva Iley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc
Spokane Valley permit is not a permit o pproval for any violation of federal, state or local laOr 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: //- //
Updated 1-11-11 Page 2 of 2
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit=_Residential_11-11-11.doc
Residential Driveway
Spokane PAVING WAIVER
4,,,,•*Valley Community Development— Planning Division
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.720.5026 ♦ Fax: 509.688.0037•ptanning®sookanevallev.org
Spokane Valley Municipal Code(SVMC)Section 19.40.020.B; "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
J /
OWNER NAME: od-_ -_4(ed `;/ . , �-.��" PARCEL#: /S�/�/ /
ADDRESS: '?a /17.1i 2 //2cJ7 ��
CITY: /2l.G07.4„ ad ' / STATE: elif ZIP: Iii?--16
PHONE: 3 X.4-33,/FAx: CELL: EMAIL:
PART II —DETAILS OF PAVING WAIVER
1. Do you have an existing garage for parking daily use vehicles? El YES ❑ NO
2. Is the proposed detached structure used for storage only? jYES y% NO
3. Do you plan on using the d aced structure to park vehicles? 14 YE ❑ NO If yes, then
what type of vehicles?
4. Do you plan to conduct a business from proposed detached structure? ❑ YES lg NO If so, what
is the nature of your business?
PART III —AUTHORIZATION
I,(PRINT NAME) fie, 4R / ge.,, A owner, hereby confirm that the information provided on this
form is true and correct. I acknowle a that any change in the foregoing conditions, could require
the City to impose paving requirements. I further agree to report any change in these conditions to
the Sp ane Valle Commu ' y Development Department, Planning Division, within 30 days.
ze. 4' s.„_31_//3/ //
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 Li 70 '3 A) "TOLFogb lib. ,
SAID ADDRESS FOR PERMIT#: 1100210 oO .
._ 7174> /T7g, 7/31/Wit
i(
Planning Division Staff Signature Date
Created 6/27/11 Page 1 of 1
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