2014, 08-05 Permit App: BLD-2014-1872 Accessory BldgSpokane
Valley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenter@spokanevalley.orq
(Staff Use Only)
Project
PERMIT NUMB E l V ED
PERMIT FEE:
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CSV PERMIT CENTER
RESIDENTIAL CONSTRUCTION PERMITAFAICATIQIV --�
® NEW CONSTRUCTION
❑ DECK
SITE ADDRESS:11913 E. 4T" AVE.
❑ ADDITION/REMODEL
❑ OTHER
ACCESS
ASSESSORS PARCEL NO.:45211.1013 LEGAL DESCRIPTION:OPPORTUNITY E1/2 L9
B179
BUILDING OWNER NAME:TOM CLARK
NAME:TOM CLARK
ADDRESS:11913 E. 4T" AVE.
CITY:SPOKANE VALLEY
STATE:WA
ZIP:99206
PHONE:509-994-5171
FAX:
CELL:509-499-9999
CONTACT NAME:DIONNE AUSTIN
PHON E:208-777-7290
Fax:208-457-8470
CELL:208-659-2008
CONTRACTOR NAME:STEEL STRUCTURES AMERICA, INC.
MAILING ADDRESS:PO BOX 895
CITY:POST FALLS
STATE:ID ZIP:83877
PHONE:208-777-7290
FAx:208-457-8470 CELL:
CONTRACTOR LICENSE No.:STEELSA044BD
NO.:
EXPIRES:12/1/2015 CITY BUSINESS LICENSE
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
30X24X12 POLE BUILDING/ STORAGE
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:17'
Dimensions:30x24
No. of Stories:1
Total Habitable Space:N/A
Main Floor SQ FT:720
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:0
Construction
Type:RESIDENTIAL
Heat Source:
Seyuer or Septic:
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TOTAL COST OF PROJECT: $7,500.00
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.
Updated 1-11-11
http://www. spokanevalley.org/filestorage/ 124/938/210/948/1496/2743/Res_Permit.doc
Page 1 of 2
I' k
r
Signature
Date:7/29/2014
Updated 1-11-11 Page 2 of 2
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/Res_Permit.doc