2014, 06-27 Permit App: BLD-2014-1521 Decks - LD -�o►y- 521
Project
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ComniinitgQgdp grtlapartment (Staff Use Only)
Permit Center
• 11703 liof Eprpcyu-4• •nue, Suite B-3 PERMIT NUMBER:
CSiSpokan A •• e6
��VLaliv Tel: (509) 720-2540 iSi PERMIT FEE:
prig � CE�TERV 'ky. Faneev
SUB # 1-7-1 REV.
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION
❑ ER
RUCTION 0' ADDITION/REMODEL
ODEL ❑' ACCESSORY BUILDING
SITE ADDRESS: /t ?---fa F___ 2_ T,�/
ASSESSORS PARCEL NO.: LEGAL DES IPTION:
BUILDING OWNER NAME:
NAME: t'& \ ' / r Czi (y hT;, T;� i a, k
ADDRESS: / kiO 3—,0 —0—, CT
CITY: [P, STATE: kt\I A ZIP: 9?/613 7
qlq
�1PHONE: t— V 7 FAX: CELL:
CONTACT NAME: Mi
` e-
PHONE: 99 I `^b (/ 77 FAX: CELL:
CONTRACTOR NAME: {{{ r Vv_Li ( CO 1"--
c
MAILING ADDRESS: hia? N i 1 y 15 fro 1,‘_CITY: 0 111 STATE: , ZIP: I t` 9
PHONE: V4“.,61, 1%, FAX: . /7CELL: CI / f4S16.----
CONTRACTOR LICENSE NO.: f O'V I, / x il� IV / .'USINESS LICENSE NO.:
VVV t P7
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE SE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N ' IF NOT APPLICABLE
Height to Peak: h I Dimensions: I No. of Stories:/ Total Habitable f/A,
Space: /�/
Main Floor SQ Upper Floor SQ - • /ii
Unfinished B n Q Finished Baseme t Q�
FT: FT: /y
Garage SQ FT: Deck/Covered Pati• Impervious Br
30% Slopes on
FT: r? � IN Area: / Property:
No. of Bedrooms: N k Constructs Type: Heat Source:`/ Sewer or Septic:5Q,� ./' 1
f
TOTAL COST OF PROJECT: $ 101400 7
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. Ownership of this City of Spokane Valley permit Inure to the property owner. 3) The signatory Is the property
owner or has permission to r pr•sent the property owner In this transaction. 4) All construction is to be done In full compliance with the City of
Spokane Valley Developme t co'e. ferenced codes are available for review ' the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit Is n•t a •-rmit r approval fo n solation of federal, -te or local laws, codes or ordinances. 6) Plans or adds nal
Information may be requIr:d to •- su itted and i•s • • ' appFoved bef. - his application can be processed. /
Signature a I/ Date: b /;-- 1 f
Updated 1-11-11 Page 1 of 1
C:\Users\bryan.happeny\Desktop\BLD APPS\BLD-RES.doc
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Applicant Name: iltyne, e.r‘d reirne...r.,-VS Phone :
Site Address/parcel number: 14905 5 . g40T4 CJ .
1,ZmogG Pc(\lb -6-.13ctN,c,E, --)(11VCI b GC-1K
Spiianem Minimum Residential Site Plan Requirements
jValley
❑ Site Address and/or parcel number 0 Footprint of proposed structures
❑ Street(s) name **Please label all existing and proposed structures
❑ Property Dimensions 0 Setbacks from proposed structure wall to property lines
❑ Property Square footage 0 Setbacks from proposed structure eave line to property lines
❑ Location of proposed driveway
❑ Easements(utility, border or access)
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