2014, 07-22 Permit App: BLD-2014-1728 Remodel Accessory BldgSPliane
V•alley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2g$6 ,_._ ....-
Fax: (509) 688-00,37 (�
permitcenter@soo'kanevallevorg1/
RESIDENTIAL CONSTRIJCTIONJPERM]T APPLICATION
RY BUILDING
NEW CONSTRUCTION 0 ADDITIO /REMODEL 0 ACCES
0 DECK OTHEFeER('.-UT CENTER
SITE ADDRESS: (� �' VW/(
ASSESSORS PARCEL NO.: L//C ( ( L ESCktIPTION;- fj 'se E. klti`r��
`s e. s 75
BUILDING OWNER NAME: -.04v,1--k.'r f,= `z e t
NAME: ! ' �J) 41? p (11ti l 1 ,4 e I
ADDRESS: /c�� WL't `'
CITY: (1))L J 0 P /lL 1G: (.C? f !/ 69 c j STATE: LJ
PHONE: S " c f Er (1/S-3-tffs4718Frix:/ S�'c i _•(G `% FS tS¢
CONTACT NAME:f�Lj� "F2 p(
PHONE(n S3�_/ - 7 6' FAX:
CONTRACTOR NAME:
ZIP:
CELL:
‘15,7"-- .767‘/
CELL:
4'3 L�
MAILING ADDRESS:
CITY: S /11l4—€ ea
L4
)
PHONE: Ste% "� Y 6 / K�d�`AX: COLI l S 14-
CONTRACTOR LICENSE NO.: iAt t,cj \, T EXPIRES: 2/
ZIP: 9
CELL: S `(a / L(
CITY BUSINESS LICENSE NO.:
/ D CRIBS THE SCOPE OF WORK IN D5TAIL ANC) INDICATE USE. & PROPOSED USF:
n;! /- �1l%_ os,e v1/J L't L� a(Jg6',t C� �.�C J' �vtC t -b&_ �, L'.- 44 -
Cs aeo/Gt
****YOU MUST COMPLETE THE FOLLOWING****
RK N/A IF NOT APPLICABLE
Height to Peak: N
Iv t
Dimensions: ,�
i .- X 2—C..
No. of Stories:
1.
Total Habitable
Space: i\l/lL.
Main Floor SQ FT: 'k\
Upper Floor SQ FT: `� -
Unfinished Basement SQ
FT: m k
Finished Basement SQ
FT: tV t4 -
Garage SQ FT: (v tc
Deck/Covered Patio SQ
FT:\\li
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms: IN.4.
Construction Type: sk XI. L
Heat Source: p (0._(.,_4
¢ewer,or Septic:
TOTAL COST OF PROJECT: $ `t)Gi 000
pISCLAIMER
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 submIted and subseskentl r) apoved before this application can be processed.
Signature
Date:
7
Updated 1-11-11
C:\Users\bryan.happeny\Desktop\BLD APPS\BLD-RES.doc
Page 1 of 1
Applicant Name:
Ci s etA . c
Phone : S - —418 -1‘77 -
Site Address/parcel number: //.2 l Z frf 1';^ �, '`
FILE
REVIEWED FOR CODE COMPLIANCE
$ VALLEY BUILD j DIVISION
/i
%rev.,.