2012, 07-09 Permit App BLD-2012-1049 Pole BldgSpokane
4,0Valleyx
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
perm itcenterPs oo ka neva l lev. orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION
❑ DECK
SITE ADDRESS: 5 (; (.5 LI
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
❑ ADDITION/REMODEL
❑ OTHER
cit ACCESSORY BUILDING
14 L 1 2 (✓ 3 LEGAL DESCRIPTION:
NAME:
C;l ��� ri , IQ Vf ' rn (NI 0 �J I
ADDRESS: .J l (% �1- S . F- Its •kd
CITY: ,Sp () ICQ YLP. 00 Q I l_D_ U
PHONE: cia6- 08413 FAX: CELL:
CONTACT NAME: SiNA k&NavY\ Q '(
PHONE: �i ! ie 1 7tf,CI
FAX: Cj(-)q - n,'7--74;2j.R CELL:
CONTRACTOR NAME: (Soli (i Si YI^C-h irPc U_(,
MAILING ADDRESS: i07 214 N
CITY: S()()VfA''! to PHONE: 5(' j ` - -7 7 Co c1 FAX: ��q - '7- 7-)33CELL:
CONTRACTOR LICENSE No.: Solt. L (e) 1 C EXPIRES: 4 4013 3 CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
3C k i C 7c\k O 1rx i;\\(-) f rl c\
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: 1 J ;
Dimensions: 1
.23t"1--St17
No. of Stories:
Total Habitable
Space: r`i
Main Floor SQ FT:
icAN
Upper Floor SQ FT:
l 1
Unfinished Basement SQ
FT: ,�: J k-\
Finished Basement SQ
FT: N 1 1-\
Garage SQ FT:
1 0 BO
Deck/Covered Patio SQ
FT: . 1 / 1 A
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms: 0 J-
P
Construction Type:
Heat Source: N / 10r
Sewer or Septic: N' j W\
TOTAL COST OF PROJECT: $
DISCLAIMER
STATE:
STATE: W ri-
Wei
ZIP: R - / 2 n tO
5oq a i lc - 3(-7
ZIP: qq a )
�1.... rio
The permitted verifies, acknowledges and agrees by their signature that: 1) if t Ppgaiiiei for a� wit r ^a lin9rr,� riwellin is/will
be served by potable water. 2) Ownership of this City of Spokane Valley perm inure to the prepeR+/,orwraer. Tge,signatory is the roperty
owner or has permission to represent the property owner in this transaction. 4) All construction -is to_ bq deelirI utco pliance 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 Iliebroces^sed2Qi2
CSV PERMIT CENTER
Effective October 28, 2007 Page of 2
P:\Community Development\02 Administration\03 Forms - Official hers r tP9nm)t CeitelResilstiel;,9 s uc to P rmit
App 10.28.07.doc
Signature
Date:
Method of pay .•-nt: ❑ Cash
Bankcard #:
Check
❑ Visa ❑ Mastercard
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
?Wt.)
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Project # AGO. jiz- /091
RECEIVED
JUL 0 9 2012
CSV PER-M-IT CENTER
1 SUB # J r REV. #
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Spokane
4.0.0°Valley-
kesidential Driveway
PAVING WAIVER
Community Development — Planning Division
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.720.5026 ♦ Fax: 509.688.0037 ♦ planning@spokanevalley.org
Spokane Valley Municipal Code (SVMC) Section 19.40.020.B; "All residential driveway and off-street parking areas shall be paved with
asphalt, Portland cement, grasscrete, paver blocks or other equivalent hard surface material". A paving waiver can only be granted if
the structure you are proposing is not going to require a driveway for daily use.
PART I — OWNER INFORMATION
OWNER NAME: A (. V L...., 0 V E- R 111 4 rt.l
PARCEL #: YYO S . /,ZO 3
ADDRESS: ,j Q p .( 5'- Fe 1 7-S R d. .
CITY: S p 1- A' N E V a t[ e- `/
STATE: (J
ZIP: ?? A q 4,
I
PHONE:So9- 9� F--o.PD
lJ
FAX:
CELL:
EMAIL:
PART II —DETAILS OF PAVING WAIVER
1. Do you have an existing garage for parking daily use vehicles? QYES ❑ NO
2. Is the proposed detached structure used for storage only? [ ES ❑ NO
3. Do you plan on using the detached structure to park vehicles? ❑ YES El -NO If yes, then
what type of vehicles?
4. Do you plan to conduct a business from proposed detached structure? ❑ YES 1ENO If so, what
is the nature of your business?
PART III —AUTHORIZATION
I,(PRINT NAME) G Rs/ CVE,QmAd owner, hereby confirm that the information provided on this
form is true and correct. (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 Spy. ane Valley Community Development Department, Planning Division, within 30 days.
—/C—I
wner Sigh( titre Date
PART IV — DECISION
STAFF HAS REVIEWED THE PROPOSED PAVING WAIVER ON BEHALF OF THE COM UNITY DEVELOPMENT
DIRECTOR AND FIND THE REQUEST IS GRANTED AT Ci Vr1
IT#: `'i1JM. 1O4 \
1/4/IDN
ing Division Staff Signature Date
Created 6/27/11
Page 1 of 1