2014, 11-24 Permit App: BLD-2014-2838 Pole Bldg P rojoct (4 U 20tc1— 138
Community Development Department
Permit Center R(C ClepCti
11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
San OFkadllillilith joe Spokane Valley, WA 99206 la 2 4 2014
Tel: (509) 720-2540 PERMIT
Fax: (509) 688-0037
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permitcenterPspokanevallev.orq CSV PERMIT CENTER
SUB # P_; REV. #
RESIDENTIAL CONSTRUCTION PER ICATION
ID NEW CONSTRUCTION 0 ADDITION/REMODELd ACCESSORY BUILDING
0 DECK Q OTHER
SITE ADDRESS:
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING!OWNER NAME:
�1C
NAME: �(I v-1)-•) i I ,)
ADDRESS: 1 � �l O E• (Z
CITY: �.F®' bk. I L�c )STATE: t.p.S4 ._ �}�j ZIP: 1 (e,e)
PHONE: FAX: CELL:
CONTACT NAME:
PHONE: FAX: CELL:
CONTRACTOR NAME: i (10—— i'ITA.)G-T
MAILING ADDRESS: 41 (G( /' . p )j). P'0_ CT:
OAC)J CITY: A d �`� STATE: , ZIP: CV
PHONE: We ' 1 , oQ FAX: CELL:
CONTRACTOR LICENSE NO.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
I
**** OU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:�--771 Dimensions: No. of Stories: Total Habitable
c?rJ— Xt'SX(or"))(4 Space:
Main 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
•2- ii)e 1 FT: Area: Property:
No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic:
TOTAL COST OF PROJECT: i�%
DISCLAIMER 1
The permitted verifies,acknowledges and • ees by their signature that: 1) if this permit Is for construction or on a dwelling,the dwelling is/will
be served by potable wat . 2) Owners. o•this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property
owner or has permission • represen t e •rop.rty owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Dev op =nt code Jefe enc d codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley per t i. of a pe 7 or :ppr.val for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may b q •d o b: ,miffed •nd subsequently approved before this application can be processed.
Signature , ;� — _ Date:
Updated 1-11-11 Page 1 of 1
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40,10Vd1Ieyo Community Development it {h� vhion
11703 E Sprague Ave:Suite B-3 1 Spokane Valley WA 99206
509.720.5026♦ Fax: 509.688.0t3te Jo anniRA(9dpekaoe�►a.l�v_o�
Spokane Valley Municipal Code(SVMC)Section 19.40.020.13;1`AII residential driveway fix_oALa?reeir sill }�pUpa__with
asphalt,Portland cement gramme,paver blocks or other equlvalo?lf hard surface',Moller. A paving W9 ,
tho structure you ore proposing le not going to require a driveway for daily use.
PART I—OWNER INFORMATION
OWNER NAM: 1 1 E I � ) PARCEL#: 115-2 13 e q/ 0
ADDRESS: l 1 , 1 A v t,
CITY: 519D-)4A,,) MA)1%.7 STATGe I r ZIP:
•
PHONE:i '77) 6 FAX:w-6)3.6 CELL: c7 ) 6C7)-c EMAIL:jg1SlNbF)s uP►c .A,01'
PART Il —DETAILS OF PAVING WAIVER
1. Do you have an existing garage for parking daily use vehicles? OYES ❑NO
2. Is the proposed detached structure used for storage only? El YES ❑NO
3. Do you plan on using the detached structure to park vehicles? rA YES 0 NO If yes, then
what type of vehicles?,7 14'Gk C.g r)P L(Z t3 071"' r)vlotl4 r c i13 � T U
4. Do you plan to conduct a business from proposed detached structure? []YES -KNO If so, what
la the nature of your business?
PART III—AUTHORIZATION
(,(PRINT NAME)J>% ��l )4,l.N ( G )l2owner, hereby confirm that the Information provided on this
form is true and correct. I acknowledge that any change In the foregoing conditions, could require
the City to Impoee paving requirements. I further agree to report any change in these conditions to
• the Spokane Valley community a -velopment Department, Planning Division, within 30 days.
/ . . liF4)) )) _
Own - ,'na'ure Date
PART IV— DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ON BEHALF OF THE COMMUNITY DEVELOPMENT
DIRECTOR AND FIND THE REQUEST IS GRANTED AT L71/ LG /2Y
SAID ADDRESS FOR PERMIT#:
P angling Division Staff Signature Date
Created 8/27/11Page 1 oft
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