2012, 04-27 Permit App: BLD-2012-0566 Awning r 3
Community Development Department (Staff Use Only)
Permit Center
11 pp 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
Scrry oJ���ss��O��il/ly Spokane Valley,WA 99206
Tel: (509)688-0036 PERMIT FEE:
�� Fax: 688-0037
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RESIDENTIAL CONSTRUCTION PERMIT APP - ' • k c'L�
❑ NEW CONSTRUCTION ❑ ADDITION/REMODEL.�{ ZACC;SSORY GEJ ED
❑ DECK Jti. OTHER 1,1/4_.0C• � iNCSVPERMIT CENTER
SITE ADDRESS: I g7aLi g .2re kit.l (A1 -,
ASSESSORS PARCEL NO.: SSZOZ, 090 LEGAL DESCRIPTION: Pt iajrt it ii —1 Z
BUILDING OWNER NAME: i Name__ C ((
(j yi * ,M cy w Submittal 4NAME: �Q 1'{� v-14ADDRESS: 1 )a� t ' 2
CITY: 111 t, _ �/G.l( y STATE: w14_ ZIp: n1
PHONE: �cr-7/4 -C15<%,/ FAX: CELL:
CONTACT NAME: 'FC) yd(e.C-
PHONE:SZ '.,9..7.., 9 -.-6 FAX:SrP( 2)erl /34W) CELL: 679 37.2 o76 3
CONTRACTOR NAME: aa4—S1
MAILING ADDRESS: 9. O. .1",a X �
CITY:C1 5 0 Vd.5 STATE:. -ZIP: q9002 7
PHONE:St z ciCf - /FAX: ZIG-fent) CELL:Seri 3L/2 d X 3
CONTRACTOR LICENSE NO.:tOr � (�FXPIRES:,,VOlhLI CITY BUSINESS LICENSE NO.: (L)2 150 S' ?ii
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
tgIM.'tio " 1 -._ At • in. c.. 4.
4.011
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: i3 a Dimensions: No.of Stories: Totals Habitable
SpacMain Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
FT: FT:
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
FT: Loo Area: Property:
No.of Bedrooms: Construction Type: Heat Source: Sewer r Septic:
TOTAL COST OF PROJECT: $ 5 792 c.C�
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.
Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
I � 7
Signature *119 A4 Date: 3Ci -a022
Method of payment: ❑ Cash—r ❑ Check ❑ Visa ❑ Mastercard
Bankcard #: EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 2 of 2
P:\Community Development\02 Administration\03 Forms- Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
FINAL AS-BUILT INSTALLATION
Address/Legal Description: /1 L r F
Subdivision/Block/Lot: r 7 .4Z 2 / 1.24,-,>-;`..,,, �
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Note: The location of the on-site sewage system Pump Chamber: �J gals.
represented by the drawing is not to be construed as an _Y
exact location of the system. Septic Tank Size: _o 5 iOQ gals.
Remarks: Drainfield: 1/ ft.
Leachbed: sq. ft.
Density is based on soil type: r��
Partial Inspection 'gnatur:.A Measured drawdown: in.
Date: Residual head: ft
Final kis S'i. ,....10 da r/ min.
�f
.-- Pump run time:
Date: / 0 ip/o1 Pump off time: hr.
Asbuilt 612000
Dun-Bide
PO Box 218
Otis Orchards,WA 99027
THIS BUILDING RECEIVED
TO FIELD INSPECTIpN C1 it- T CSV'PERMIT CENTER
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PLANNING DEPT. APPROVED .
AECEIVED
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DATE: 5/Li I 121-2_,...
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PO Box 218
Ods Orchards,WA 99427
THIS BUILDING SUBJECT
TO FIELD INSPECTION CORRECTIONS
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THIS BUILDING SUBJECT
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SPa‘.\ -
REVIEWED FOR CODE '
SPOKANE VALLEY BUILD NQ DIVISION
CITY COPY