2012, 04-12 Permit App BLD-2012-0347 GarageSpokane
Valley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
PermitcenterPspoka nevalley.orq
i
(Staff Use Only)
PERMIT NJ : Z-dt2 —6; -v
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION ❑ ADDITION/REMODEL 0 ACCESSORY BUILDING
DECK 0 OTHER
SITE ADDRESS: SkLA - C s,.: C� - .Q� -A 1:4-k Via. 79d t (o
ASSESSORS PARCEL NO.:` )c �� . `t-61C LEGAL DESCRIPTI t' , r'LC (4, . (L ' `, ;IA h
BUILDING OWNER NAME: L,,c_;iNs - rJ
NAME: l___� s
ADDRESS: SIA t-, c -' C
CITY:
PHONE: - e`'(4-^j
CONTACT NAME: �fl-S ccc oe--)
STATE:
FAX:
CELL:
PHONE: SO2 �”-{sk^ ��3a FAX: t--* CELL:
CONTRACTOR NAME: Les k. so.--)
MAILING ADDRESS: (2)\
CITY:. STATE: ZIP: a( C'�O
PHONE: Sd c 7 — 5-(-'r —0 C-3$ FAX: CELL:
CONTRACTOR LICENSE NO.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK NIA IF NOT APPLICABLE
Height to Peak: ,C/
Dimensions:
No. of Stories:
Total Habitable f ,
Space: .N i
Main Floor SQ FT•
A�
Upper Floor SQ FT:
iU/i
Unfinished Basement SQ
FT: AV /4
Finished B eme t SQ
FT: A/ 41
Garage SQ FT:
7Z8°
Deck/Covered Pa fo SQ
FT: (%/1
Impervious rface
Area: ,r , , f
30% Slo es on
Property: N
No. of Bedrooms: /t'/
Co struction Type: W..06
Heat urce: A//,f%
Sewer or S tic: Aif
TOTAL COST OF PROJECT: $ 7560
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 clone in full compliance with the City of
Spokane Valley Development code. Re -rented codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is not a permi' or =pproval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be s bmi ed and subsequently approved before this application can be processed.
Signa
Date: '/1?-7,0/2.
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_=Residential_11-11-11.doc