2012, 08-24 Permit App: BLD-2012-1422 Workshop !' 14
Community Development Department (Staff Use Only)
Permit Center
11703 East Sprague Avenue,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
■rlo Tel: (509)688-0036 PERMIT FEE:
Fax: (509)688-0037
40..ValkY
permitcenter@sookanevallev.orq
RESIDENTIAL CONSTRUCTION PERMIT A_ PPLICA • ..- ��__.- .__._
Ci NEW CONSTRUCTION ❑ ADDITION/REMODEL ' ACCESSOR B DING
❑ DECK ❑ OTHER J r i
SITE ADDRESS: 13474,7 ,E• .."-0717 pee '
ASSESSORS PARCEL NO.: a7s471 a LEGAL DESCRIPTION:
BUILDING OWNER NAME: $
NAME: •1&'-O Cr-s46ill i
ADDRESS: /3 c:'7 F- - r9ti� ("
CITY: CiC)F 7/c l./oF 1 2,,, STATE: (. ).9. ZIP: y
/l C; Us
PHONE: FAX: CELL: .0-
CONTACT NAME: ,,,,,7 '
PHONE: 4'c9 3'79. X'7/() FAX: CELL:
CONTRACTOR NAME: Yay7c„," S- an15J`' Ve-
•
MAILING ADDRESS: /.2y0, ,i ' pIO-/s%d/.1 13 6 q
CITY: �kAMC? STATE: '9' ZIP: 9.Cf` G
PHONE: j 09'''- N 7'- 9 79) FAX: CELL:
CONTRACTOR LICENSE No.: I.A/58c>l y p y EXPIRES: JO/)2-.. CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
„ti- 3e)',e. 3 e ' G&&rrrJcSHOP ./. .7,,,?,;(/),74-1 f/SC`?
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peals: Dimensions: No.of Stories: ( Total Habitable
)$ 3.6)150 Space: H
Main Floor/ SQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
/S% /Jf FT: ✓V/r. FT: ,M4
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
A)fr FT: N/4 Area: /vifi Property:
No.of Bedrooms:itht Construction Type:Po/,G Heat Source: f-4& Sewer or Septic: 6r"ric
TOTAL COST OF PROJECT: $ 30-/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, 200747 I
I-- Page 1 of 2
P:\Community Development\02 dministration\03 Forms- Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
d &.
Signature Date:
Method of payment: ❑ Cash ❑ 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
To: Community Development-lolannin Division Page 2 of 20 12_oe_oe 09:se-os POT 108651 sa74e From: Grimes Law Group
f � �
Residential Driveway
SPoliane PAVING WAIVER
D
Community Development—Planning Division
11703 E Sprague Ave Suite B-3♦Spokane Valley WA 99206
509.720.5026♦Fax 509.688.0037•plannfnecOsookanevallev.org
Spokane Valley Municipal Code(SVMC)Section 19A0.020.B;"At►resldenifai driveway and oM street parfdng areas shag be planted with
asphalt Portland consent grass ale,paver blocks or other equivalent hard surface material". A paving waiver can only be grand ad N
the structure you are proposing is not going to require a driveway fortom.
PART) OWNER INFORMATION
3-Q
OWNER NAME: . e.4.D Z PARCEL.#: Lia 7 / y7
ADDRESS; /3 go.go .4 E 020 `` ,1l/
Cny: S./049 kt e. Pa i/e STATE:(/iM ZIP: 9q - / 6
S'v?
/�
PHONE:y,,‘— `/Y/O FAX ,41.04 CELL: .1/,,4 (EMAIL: ✓V/A
PART Il—DETAILS OF PAVING WAIVER
I. uo you nave an existing garage Tor parking May use venicies? IN YES U NO
2. Is the proposed detached structure used for storage only? ❑YES J1 NO
3. Do you plan on using the detached structure to park vehicles? ❑YES ® NO If yes,then
what type of vehicles?
4. Do you plan to conduct a business from proposed detached structure? 0 YES ja,NO If so,what
is the nature of your business?
P1RT III AUTHORIZATION
I,(PRINT NAME) e L ( 'o,i owner, 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 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.
r Sin i Date
PART IV—DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ON BEHALF OF T THE COMMUNITY DEVELOPMENT ,
DIRECTOR AND FIND THE REQUEST IS GRANTED AT /3-?t+7 6zo'; ALE-
SAID
i.E SAID ADDRESS FOR PERMrT#: - 1- �'_aa
•
Planning ivision Staff Signature Date
Created 6127111 Page 1 of 1
• Received Time Aug. 9. 2012 9: 40AM No, 9265
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PLANNING DEPT. A"PROVED
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