2013, 10-14 Permit App: BLD-2013-2108 Pole Bldgmmuntty Development Department
Permit Center
11703 East Sprague Avenue, Suite 8 3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION
❑ ADDITION/REMODEL
❑ DECK 'I El OTHER
SITE ADDRESS: 430 s 'lin, Q_t S�
ASSESSORS PARCEL NO.: 4532_4.12_14 LEGAL DESCRIPTION:
ACCESSORY BUILDING
BUILDING OWNER NAME:
� Y1 P �
_fie1-14
NAME:
>l sz X 1 cah oc iI
wanness: `t 3c, j n 1 v e—Y
Cm: pr.) Val(
l
PHONE: SC)°t - 570 43 I a
STATE zip: -1 9 2 0 lQ
FAX: CELL:
CONTACT NAME: y»
PHONE: x. �1 - —1— 7 7 FAx:c3(J�� - 3r 7 7 7 CELL;
CONTRACTOR NAME: C cmtlL�C�LLV e S
MAILING ADDRESS: (794
CITY: j,0n11' .'-' 4 STATE: L }rA ZIP:
PHONE: Seri -4?7277 LO c) PAX: C67 - 3,..w7 - 73 3 3 CELL:
CONTRACTOR LICENSE No.: SOLT 1`SL<>64/4\1I EXPIRES: DI- /9C)(./ CITY susINess LICENSE No.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
_____ . _.. __ X_ ciaa..____ ..(,)0U.. ;p .L o a_ vl_ -.A.1_ _ _ ,_. __.v1v __i^aa 2..kY .r► Z t ec1.1
****YOU MUST COMPLETE THE FQLLOWING****
T APPLICAB
Height to Peak:,
-1
Dimensions:
C X LI '
No. of Stories:
1
Unfinished Basement SQ
FT:
Total Habitable
Vie:
Finished Basement SQ
FT:
Main Floor SQ FT:
Upper Floor SQ FT:
Garage SQ FT:
1 LC`C� 9FT:
Deck/Covered Patio SQ
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Constructlon Type: iU c ,.,:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $ (.)
=cumin
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) An 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! violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted apd sub d ntly approved before this application can be processed.
Signature
Date: / 0 - 7 / 3
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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Residential Driveway
PAVING WAIVER
Community Development — Planning Division
11703 E Sprague Ave Suite 8-3 • Spokane Valley WA 99206
509,720.5026 Fax: 509.688.0037 • glaanInMkokan,evallmgrg
Spokgno valley Municlpal Code S'ilfaC) Section 1 94O,Q2OO All residential driveway and off-street panting areas shall be paved with
asphalt. Portland cement, grasscrete, paver blocks or other equivalent hard surface material". A paving waiver can only be granted lt
the structure you are proposing is not going to require o driveway for daily WIRt.
PART i — OWNER INFORMATION
OWNER NAME:
Methas14.4
14-30 S UniVerSitql
ADDRESS:
CITY: SOlcare. VO TA : 61/4)4q P: c42OL,
Mime: S7 - 21 FAX: CEW
14532Li
PART 11 —DETAILS OF PAVING WAIVER
1. Do you have an existing garage for parking daily use vehicles YES 0 NO
2. Is the proposed detached structure used for storage only? YES 0 NO
3. Do you plan on using the detached structure to park vehicles? 0 YES ONO If yes, then
what type of vehicles?
4. Do you plan to conduct a business frail 'proposed detached structure? 0 YES 'NO if so, what
is the nature of your business?
PART IU —AUTHORIZATION
I,(PRINT NAME) y
/9-ko,-y - 1/4owner, hereby confirm that the information provided on this
form is true and correct 1 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 conditions to
the Spok e Valley Com Development Department, Manning Division, within 30 days.
/' 7 3
Date
Owner Signature
PART IV — DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ON BEHALF OF THE COMMUNITY DEVELOPMENT
DIRECTOR AND FIND THE REQUEST IS GRANTED AT -44505 3‘ -(///e -le_ y
SAID ADDRESS FOR PERMIT #: