2014, 04-02 Permit App: BLD-2014-0636 AdditionV%
C'Icrry oni 90000,
3POKane
40;o0valley
Community Development Department
Permit Center ro ect r
11703 East Sprague Avenue, Suite B-3 PERM
Spokane Valley, WA 99206
Tel: (509) 720-2540 PERMIT
Fax: (509) 688-0037
permitcenter@spokanevaIley.org
L
CSV PERMIT C
;5 P—
TER
RESIDENTIAL CONSTRUCTION PERM P TION
NEW CONSTRUCTION ADDITION/ REMODEL
11 DECK IM OTHER
SITE ADDRESS: 11920 E 38T" AVE, SPOKANE VALLEY, WA 99206
ASSESSORS PARCEL NO.:45331.3803 LEGAL DESCRIPTION:MIDILOME 6T" ADD LOT
3, BLK 3
BUILDING OWNER NAME: JEFFREY & DEBRA CLARK
NAME:JEFFREY & DEBRA CLARK
ADDRESS: 11920 E 38T" AVE
CITY:SPOKANE VALLEY STATE:WA ZiP:99206
PHONE: 509-926-0670 FAX: CELL:
CONTACT NAME:JEFFREY CLARK
PHONE: 509-926-0670 FAX: CELL:
CONTRACTOR NAME:SELF
MAILING ADDRESS: SAME AS ABOVE
CITY: STATE: ZIP:
PHONE: FAX: CELL:
CONTRACTOR LICENSE NO.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
ADD A FULL BATH IN THE BASEMENT OF THE RESIDENCE. SEWER WAS RUOUGHED IN ORIGINAL CONSTRUCTION IN 1991.
ADDING BATH, TOILET AND LAVATORY. EXTENDING WIRING AND WATER LINES. SHEETROCK, CEMENT BOARD AND TILE.
****YOU MUST COMPLETE THE FOLLOWING****
FAA01e M /A TC NAT ADDI TrAR1 F
Height to Peak:
Dimensions.
No. of Stories:
Total Habitable
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
FT:
Area:
Property:
No. of Bedrooms:
I Construction Type:
I Heat Source:
I Sewer or Septic:
TOTAL COST OF PR03ECT: $ '2 a UCS
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.
1-11-11 Page 1 of 2
http://www. spoka neva I ley. org/fi lestorage/ 124/938/210/948/ 1496/2743/Res_Permit. doc
coo
Sirgnature �� o (�%, Date:
Updated 1-11-11 Page z or 1
http://www.spokanevaIley.org/filestorage/124/938/210/948/ 1496/2743/Res_Permit.doc
F" /-a
C
F" 7
M
LD
141611
,eKi5,0,&),
7'2114 " If '
b yZo
Sjk)K4,;e v,�lky9.4 YrzUb
Ul
U'1
ED
lq
ENTER
V. # C=
7T
b
s o"51"C.
dal ley
n `. "F 4 � FOR CODE C PLIANCE
VALLEY BUIL G DIVISION
FILE