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2004, 09-17 Permit App: BLD-04-07686 Garage000"s, *lane Z: 'ADM PERMIT APPLICATION WORKSHEET City of E ane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 .Phone: (509) 688-9036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION' . • Street Address: 72.14-- £•, Assessor's Tax Parcel•Number(s): Legal Description: PERMIT DESCRIPTION:���X C �Lo �a � Gp�. ogc Building Permit 0 Change in Use • 0 Gradin ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Manufactured Home ty . ❑Other 1 Owner: bar+ Phone: 9 —(o Fax: Address: to 7/ E, gar -ft, Srok.awQ--- IAA • 6 G • State Zip Code OWNER/APPLICANT INFORMATION 0 Contractor: Phone: Fax: Address: City State Zip Code ga .❑ Applicant: t nLo fv- b, Ida 61.E Phone: 2--VS-'6 I G Fax: Address: 1 SIL Ci .State Zip Code Architect: Phone: Address:' Fax: City State WA State Contractor License #: Contact: Zip Code PERMWTIBUIh:DING INFORMATION I r 7 • DIMENSIONS: 9,4:„. v .0 r # OF STORIES:- ., HEIGHT TO PEAK MAIN FLOOR TO SQ; FTG • - 2"" :FLOOR ,SQ.- FTG: / -UNFIN BASEMENT SO. FTG: FINISHED BASEMENT SO_ FTG; GARAGE SQ; FTG: •702,0 DECKICOV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTIONTY. "Poi vt... HEAT SOURCE: # OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: • l�Am Q / 30% SLOPES ON PROPERTY: • t 'SEWER OR ON-SITE SEPTIC -SYSTEM? Se 'Pete *MANUFACTURED HOME Width.; Manufacturer: • Length: Year:' Pit Set RELOCATION • Previous Address: Proposed Use: • FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Paint.Booth: Tent: Fireworks Display: Blasting: s Date/Time: Valuation: . Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Address. Phone: ' Fax: City Inspector: Phone: Address: State Fax: Zip City State Zip SPECIAL INSPECTIONS 1 0 BOLTING 0 CONCRETE D REINFORCEMENT Firm Name: Phone:. Inspector(s): Fax: ❑ -WELDING DISCLAIMER The permitee verifies, acknowledges and agrees by their signature that: 1)• If this permit Is for construction of or on a dwelling, the dwelling is/.wili 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 orhas permission to represent the property owner in this transaction. 4) All construction is to. be done In fuW comptiance with the City of Spokane Valley Development Code. -Referenced codes are available for review at•the City of Spokane Valley Permit Center. 5) This City of'•Spbkane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. Ownership ofresulting development rights granted by any issued permit inure to the property owner. Print Name ' Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard)• 0 Cash D Check 0 Mastercard . 0 VISA 0 Other • Bankcard #: Expires: . VIN#: Authorized Signature: I 0 G crape -370 HOO5t iZokev4 D, 7.414- E. +h 5 oLwv e_ WA, 9 9021) This site plan is being submitted for the purpose of obtaining a building permit and is a true and correct representation of the proposal. All known property lines/dimensions, curb lines, structures and easements have been identified. Also indicated are wetlands. bodies of w_ rsteep sloped Qr ether critical areas. Signed- Date: 'O D,OORES57 (4 E s 0 ONE t — I MrVIOAD WIDTF& FRONT . '5 C' FLANKING COMMENTS REVIEWED SY, 1" Si�� Stre,A iae Sgiane es"alleY DEPARTMENT OF COMMUNITY DEVELOPMENT CURRENT PLANNING ADMINISTRATIVE EXCEPTION APPLICATION AND DETERMINATION TI APPLICANT: 1 .bLa P. I>, A MAILING ADDRESS: 79 I (F. t ( Y(� CITY: S 10 kL- STATE: �T^- u:p J� PHONE: (HOME) /4--1`�56 16 (WOR() co-/ - apCjCLa.15-5--6 I6j NOTE: IF APPLICANT IS NOT THE OWNER, INCLUDE OWNER AUTHORIZATION FROM THE LEGAL OWNER BELOW LEGAL OWNER: 1�Ip�+ I), I``N%n�-- MAILING ADDRESS: 102 I G ( 2y '1 I^_ / ,( CITY: C kn,,v__ STATE: 1v4 1; 0 P _ C. Pte) TAX PARCEL No: et LEGAL D SCRIFTION: ge1,51- kik (:LLT et © c - Tr � DRESS OF SITE: 3 zr': "02-06 QI-6 tsr, SECTION(S) TOWNSHIP RANGE ZONING CLASSIFICATION: V rt --7 COMPREHENSIVE PLANCATEGGORY: TYPE OF ADMINISTRATIVE EXCEPTION REQUESTED: . S"e+ be c L U Q y (04,k EXPLAIN REAS?qN FOR REQUEST:4 y\40- o.d. bAl 5 al\o5 a_c LI roe', j hI' APPLICABLE SECTION(S) OF ZONING CODE: 14 , - Cc5 ainei Q — c// a / , o NOTE: A SITE PLAN AND SUPPORTIVE DOCUMENTS SHALL BE INCLUDED WTTH THIS APPLICATION PART II LEGAL OWNER SIGNATURE jj (Signature of of legal owner or representative as authorized by legal owner) I, 010 €fr`f k , .Vt/4S , (print name) SWEAR OR AFFIRM THAT THE ABOVE RESPONSES ARE MADE TRUTHFULLY AND TO THE BEST OF MY KNOWLEDGE. I FURTHER SWEAR. OR AFFIRM THAT I AM THE OWNER OF RECORD OF THE AREA PROPOSED FOR THE ABOVE IDENTIFIED LAND USE ACTION, OR, IF NOT THE OWNER, ATTACHED HEREWITH IS WRITTEN PERMISSION FROM THE OWNER AUTHORIZING MY ACTIONS ON HIS/BER BEHALF. ADDRESS: %l, Fr oTST CL/e-eb (Signature) c,/1a , (State) NOTARY (Fbr Partil above) PHONE: 9.2eF" �' od cP ZIP: 9 Sa U 6 c)-.2 /-v y (Date) STATE OF WASHINGTON) ss: COUNTY OF SPOKANE )I SUBSCRIBED AND SWORN to before me this 6 '�'�' day of cYSQ Q t. 20 00 NOT SEAL 70C1 ckX NOTARY SIGNATURE Notary Public in and for the State of Washington Residing at: � IIS QW (d Qk (k A. I My appointment expires: ) � �� 1 FEE: FILE No.: PART III (To be completed by the Plannj Staff) DATE SUBMITTED: G 1 RECEIVED BY: PART IV File No: AE3-7 DETERMINATION applicant and required does / does not as conditioned of the Zoning Code. be transferred to future conditions of approval the Zoning Code. The Department of compliance with the adverse affect on the The Department of below, for the property This administrative 1) This administrative property owners, contained herein. 2) The applicant and 3) . The applicant shall Community Development finds that the information provided by the City of Spokane Valley Zoning Code and all other development regulations, adjacent properties nor the public's general health, safety and welfare. Community Developme a ' . ro / denies this "Administrative Exemption" described in Part I, pursuant to Sections 14.506.000 and 14.506.020 exception is subject to the following conditions of approval: decision shall apply to the subject property indefinitely and may heirs or any successor in interest to the property subject to the property owner shall comply with all requirements and regulations of comply with all applicable development regulations and standards. 4) The applicant and' property owner shall comply with the following additional conditions: 7O / & J% O/V \L- nie 18f_ This administrati, , 200 exceptionhereby.approv d this/ day. of . .i r 1tApproved J/I. by: / Title: `T{�j�{,ri- Under Section 14.412.041 of the City Zoning Code, any person aggrieved by this administrative determination has the right to appeal this administrative decision to the City of Spokane Valley Hearing Examiner. An appeal must be filed by submitting the appropriate appeal application together with the required fee to the Department of Community Development Current Planning, within fourteen (14) calendar days after the decision is issued. Upon receipt of a complete appeal application, a public hearing will be scheduled. For information or questions, please call (509) 921-1000 Rev 6/03 �e_