2014, 11-14 Permit App: BLD-2014-2758 Pole Bldg Community Development Department (Staff -.e Only ,_—i
Permit Center
,- cinO 11703 East Sprague Avenue, Suite B P RMi M E :��1� ��"-��
Spokane Spokane Valley, WA 99206 Pro ec
Tel: (509) 720-2540 Pit:_
Fax: (509) 688-0037 I
permitcenitcenter(asDokanevalley.orq
NOV 1 4 2014
RESIDENTIAL CONSTRUCTION PER IT ER
1� NEW CONSTRUCTION 0 ADDITION/REMODEL suS 4`CCEfSCiRIRlitiILtlING
0 DECK 0 OTHER
SITE ADDRESS:12521 E. 15TH AVE.
ASSESSORS PARCEL NO.:45223.1236 LEGAL DESCRIPTION:
BUILDING OWNER NAME:GORDON PATTERSON
NAME:GORDON PATTERSON
ADDRESS:3844 EVERGREEN AVE.
CITY:KETCHIKAN STATE:AK ZIP:99901
PHONE:907-617-9273 FAX: CELL:
CONTACT NAME:DIONNE AUSTIN
PHONE:800-833-9997 FAx:208-457-8470 cELL:208-659-2008
CONTRACTOR NAME:STEEL STRUCTURES AMERICA, INC.
MAILING ADDRESS:PO BOX 895
CIrv:POST FALLS STATE:ID ZIP:83877
PHONE:800-833-9997 FAx:208-457-8470 CELL:208-659-
2008
CONTRACTOR LICENSE No.:STEELSAO44BD EXPIRES:12/1/15 CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
30X40X12 POLE BLDG./STORAGE
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:17'-0" Dimensions:30x40 No. of Stories:1 Total Habitable Space:N/A
Main Floor SQ FT:1,200 Upper Floor SQ FT:N/A Unfinished Basement SQ Finished Basement SQ
FT:N/A FT:N/A
Garage SQ FT:N/A Deck/Covered Patio SQ Impervious Surface 30% Slopes on
FT:N/A Area:N/A Property:N/A
No. of Bedrooms:N/A Construction Heat Source:N/A Sewer or Septic:SEwER
Type:RESIDENTIAL
TOTAL COST OF PROJECT: $22,000
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 Page 1 of 2
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/Res_Permit.doc
Signature '� Date:10/31/2014
Updated 1-11-11 Page 2 of 2
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/Res_Permit.doc
pro ect � t� 17SE
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Community Devgl !plDiivision
fi.+� 11703E Sprague Ise. t t 99206
509.720.50264 Fax: 509.68: • annin•es••ka - ally •r•
Spokane Valley Municipal Code(SVMC)Section 19.40.020.B;"All residential driveway and off-stree parking areas shall be paved with
asphalt Portland cement,grasscrete,paver blocks or other equivalent hard surface material". A•-ving waiver can only be granted If
the structure you are proposing is not going to require a driveway for daily use.
PART I—OWNER INFORMATION
cD N d44.-a fides`oefi✓ PARCEL#: 4�D O3 . 1 J3142OWNER NAME' 0it} I �'� G
ADDRESS: /ZCZI j 1Yk. '
CITYC44 libct,2_02.1
STATE: WA— ZIP:
PHONE: FAX; CELL: EMAIL.'
PART II—DETAILS OF PAVING WAIVER
1: Do you have an existing garage for parking daily use vehicles? 1YES ❑ NO
2. Is the proposed detached structure used for storage only? EYES D NO
3. Do you plan on using the detache5 structure to park vehicles? rg YES ❑ NO If yes,then
what type of vehicles? Cip//t ,� lie 693o)
4. Do you plan to conduct a business from proposed detached structure? ❑YES. in-NO if so,what
is the nature of your business?
PART III--AUTHORIZATION
�,,,,,,, // e-- eevner, herebyconfirm that the information provided on this
!,(PRINT NAME) -64Q44) �. ���� b
form is true and correct. I acknowledge that any change in the foregoing conditions, could require
the City to impose paving requirements. I further agree to report any change in these conditions to
the Spokane Valley Community Development Department, Planning Division,within 30 days.
65‘2—�: r/A-4-11/1-
Owner Signature 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 DSD l l 111 �lU
E
SAID ADDRESS FOR PERMIT#:
1'
\\ .4111 ( call I I 3 4
Planning Division Staff Signature Date
Created 6/27/11 Page 1 of 1
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Appt.Time
STEEL STRUCTURES AMERICA, INC. Date
1-800-833-9997
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Telephone Home 1O7" too 1 7 Work Building Size 30 x CO x-I--
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0 10' 20' 30' 40' of 50' 60' 70' 80' 90'
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Project # ZC7CC( 9�
20' RECEI \IED
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PLANNING DEPT. APPROVED
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kov"' DATE: \ 11�'\ i4
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70' = 4 '
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Customer Signature Sales Signature
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