2012, 07-31 Permit App BLD-2012-1225 AdditionCommunity Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenterPspoka neva I lev.orcj
(Staff Use Only)
PERMIT NUMBER: 6 lC.:k ^ / L (Z LS
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION 0 ADDITION/REMODEL YBUILDING-
❑ DECK ll
SITE ADDRESS: 3316 N. Coleman Rd Spokane -Valley, WA 99212Project # M�,� — Z -122
RECEIVED
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME: N/A
NAME: Fred Joslin
LEGAL DESCRIPTION:
ADDRESS: 3316 N. Coleman Rd.
cITY: Spokane -Valley
PHONE: 509-869-1447
FAX:
STATE: WA
u u 3 1 91112
CSJ PERiIiI F CEN1 ER
SUB Ztp. '99 I21 E'•'
CELL: 509-869-1447
CONTACT NAME: N/A
PHONE: 509-869-1447
FAX:
CELL: 509-869-1447
CONTRACTOR NAME: N/A
MAILING ADDRESS: 3316 N. Coleman Rd Spokane -Valley, WA 99212
clrv: Spokane -Valley
STATE: WA
ZIP: 99121
PHONE: 509-869-1447
FAX:
CELL: 509-869-1447
CONTRACTOR LICENSE NO.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
Convert a bedroom into a bathroom. Add a toilet, a vanity/sink and a bath/shower.
Convert a bedroom into a bathroom. Add a toilet, a vanity/sink and a bath/shower.
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: NA
Dimensions: 80 sq ft
No. of Stories: NA
Total Habitable 80 sq ft
Space:
Main Floor SQ FT: NA
Upper Floor SQ FT:
NA
Unfinished Basement SQ
FT: INHINH
Finished Basement SQ
FT: NANA
Garage SQ FT: NA
Deck/Covered Patio SQ
FT:
NA
Impervious Surface
Area: NA
30% Slopes on /�
Property: N /-�
No. of Bedrooms: NA
Construction Type:
Heat Source: NA
Sewer or -Septic: sewer
TOTAL COST OF PROJECT: $ 2500.00
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, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc