2014, 05-13 Permit App: BLD-2014-1062 Residence IProject #-fDOt' ,
Community DevefcTpr rt'E7e agi t (Staff Use Only)
Permit Center
SanOP 11703 East Spr AvO e`LUI'Teg_3 PERMIT NUMBER:
po� ►iI.ile Spokane Valley, 9 [tJ'VV 1Li t+ Tel: (509) 688-0036 PERMIT FEE:
,,,,,r,0 '� a1ley. Fax: itcen rta68soa0 v Ie f LATER
Dermit4enter@spoK3 v I eV. f
SUB # L 1 REV• , , i
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
' `� DECK
J� NEW CONSTRUCTION ADDITION/REMODEL 9 ACCESSORY BUILDING
It OTHER
SITE ADDRESS: 7 0 .9 'd ,tr 0 .• .F�to
ASSESSORS PARCEL NO._- .,5791 /_57 2.- LEGAL DESCRIPTION: I ' /
BUILDING OWNER NAME:
NAME: LLLL}(II ESL.,,J.wL..
ADDRESS: 21(J I Ung')la(/i t :-'36-.)c)
ST
CITY: _.J f . E, ALLEY'
f LEY- STATE: . fZIP: C
i? ;,
LJ)6
PHONE: )b3 - 92E71 FAX: C')/2-2
3 ,2, ''. 01C 5 CELL: -, ti .
74, 7.9
CONTACT NAME: IMN-1g1)` ,c jj �)L ,,_
PHONE: 36Y,-6'2 I- 2._)f FAX: I , L.. -0 1 9 CELL: ,..J cd�li..4141 i�. /
CONTRACTOR NAME:f. LTJ L_ i lid� Li C,
MAILING ADDRESS: '2/b , LI ki( jzia II-1'v'
CITY: .6 /� L':(-�L 7V4LLI Zt STATE: W/4- ZIP: Cl';`.Gz;L
PHONE: L I 7 ,2-/r FAX: e 9 2 2 —L3/ 5 CELL: _ V'/-79 Z'
CONTRACTOR LICENSE NO.:LA(I 0114% 1L XPIRES: 7/9,4/ CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
Jl /%Lgt--
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: „n i Dimensjo}y,,. �/pi 1 No.of Stories: Total Habitab! I�3-Z
Main Floor SQ ! Space: �i'�✓
Upper''-+^�-��+ �y Unfinished c)------•'r Finished Basement SQ
/ � / FT: T---- FT:
Garage SQ ® --, Deck/COVarrtl Dari.SQ Impervious ge..fa,'e 30% Slopes on
FT: /69a ,E)----_ Area: -- Property:
No.of Bedrooms: Construction TYP Heat Source: 645 art Septic:
TOTAL COST OF PROJECT: $ + ..
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/win
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 permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information )be requir be submitted and subsequently approved before this application can be processed.
-477-
.--ot xttel: .57/3/AL
tff'ective October 07
Pae 1 of 2
P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Residential Construct on Permit
App 10.28.07.doc
t XI Lt
Community Development Department (Staff Use Only)
Permit Center , I -
11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: /4&., - t4 (0 -
siTiorkan Spokane Valley, WA 99206
Tel: (509) 688-0036 PERMIT FEE:
.000V 1ky. Fax: (509) 688-0037
perm itcenter@sooka neva)lev.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION In ADDITION/REMODEL ® ACCESSORY BUILDING
110 DECK ® OTHER ������ �
SITE ADDRESS: 9/ 61 s� z-ej e-1 .,95--1 -Sua '�✓e- A--(4411_ !(/4. fr.06
ASSESSORS PARCEL NO.• qJ, /9O� LEGAL DESCRIPTION: L .BZ `.il/revc- �,ir
BUILDING OWNER NAME: i
NAME: Lki ES ) 1 /
ADDRESS: 21 u i �/J�nil Vk f`i'( Si 30� ilk �J
CITY: SP[� E 1 STATE: IY 4 ZIP:Sq4`(J"�
PHONE: 436 I — `i24—)21/ FAX: `AL2 OiQ,,S CELL: ,_J-/Q / ?1J
CONTACT NAME: DfI k E ki IlhCC
PHONE: S(!/ .q 2 /- ILII FAX: / 22 --0 1 95 CELL: 5C/V qg V
CONTRACTOR NAME: Lki L Ffrowi?5 LLC-
MAILING
ADDRESS:
- 2` 1/3/ �k. , LA�l t�9(S ��(�/� /r n/
CITY: __Se)
b chtif3- Y A LL L1' STATE: T`y�/l ZIP: q'�J ZG/L�
PHONE: LS-09 — 7 Zq'' all '/ a FAX: Q22 —C1 /95-
CELL: .. --9 ---751 -72,
CONTRACTOR LICENSE No.:L.NLH )I/L :J IthEXPIRES: 7-/9'/I/ CITY BUSINESS LICENSE NO.:
DESCRIBE THESCE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
C_
****YOU MUST COMPLETE THE FOLLOWING****
MAR N/A IF N T APPLICABLE
Height to Peak: / • Dimension �/ /' No.of Stories: Total Habitabl 7/-:-ii
{ Space: �-// l <J
Main Floor S ��O Upper"^-- ^ Unfinished ^c---•• Finished Basement SQ
FT: - FT: -. "-�
Garage SQ Fe Deck/Covarerl Patin S Impervious SO..f=ee 30%Slopes on
780 FT: /6201
Area: Property: ,
Gil/ �
No.of Bedrooms: , _ Construction Type( Q Heat Source: 6.-7,-.5 ( Sewer Septic:
TOTAL COST OF PROJECT: $ ash(z....0
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 . permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information be requlr=• be submitted and subsequently approved before this application can be processed.
Ac / j
Effective October :, .I07 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc