2004, 02-11 Permit: BLD-04-03539 DuplexSpokane �'
OFValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
Application #: BLD -04-03539
Job Address: 819 N FELTS RD
SPOKANE VALLEY WA 99206
Description: NEW DUPLEX W/ATTACHED GARAGES - NATURAL GAS
(2ND ADDRESS IS 821 N FELTS RD)
Subdivision: Lot:
Owner: SEVERSON, ALVIN
Applicant: SEVERSON, ALVIN
Address: PO BOX 141735
SPOKANE VALLEY, WA 99214
Contractor:
Address:
BIk: Parcel No:
Phone: (509) 999-6080
Phone:
Lic No:
Applied:
Issued:
Expires:
Zoning:
02/11/2004
08/09/2004
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
dup
187076
15
70 X 54
1
6
32
30
5
9
r-3
5-n
1
11117 SQ FT
no
no
4
2
6
2
2
2
4
2
2
2
4
4
2
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
594.62
1,486.55
4.50
24.00
12.00
36.00
12.00
12.00
12.00
24.00
30.00
20.00
20.00
4.00
40.00
2,331.67
0.00
2,331.67
G pexack; 50.00
CITY OF SPOKANE VALLEY � g 1 ' 7
APPROVED FOR SUBMITTAL i�le;y
EWED FOR CODE COMPLIANCE
POKANE VALLEY BUIOIG DJVISION
/ 0 D
Initially / p�a� R
Building
Planning
Public Works A101d .Q-®
SatiAa CI
THIS IS NOT A RECEIPT
eic
a
S/pokane�
4.000Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
NEW SINGLE FAMILY RESIDENTIAL PERMIT
819 N FELTS RD
SPOKANE VALLEY WA 99206
NEW DUPLEX W/ATTACHED GARAGES -NATURAL GAS
(2ND ADDRESS IS 821 N FELTS RD)
SEVERSON, ALVIN
SEVERSON, ALVIN
PO BOX 141735
SPOKANE VALLEY, WA 99214
Lot:
Blk: Parcel No:
Phone: (509) 999-6080
Phone:
Lic No:
Permit #:
Applied:
Issued:
Expires:
BLD -04-03539
02/11/2004
02/13/2004
08/11/2004
Zoning:
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
dup
187076
15
70 X 54
1
6
32
30
5
9
r-3
5-n
1
11117 SQ FT
no
no
4
2
6
2
2
2
4
2
2
2
4
4
2
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
594.62
1,486.55
4.50
24.00
12.00
36.00
12.00
12.00
12.00
24.00
30.00
20.00
20.00
4.00
40.00
2,331.67
2,331.67
0.00
THIS IS NOT A RECEIPT
C/
Spokane
�I��alley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-03539
Disclaimer:
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This City of
Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances.
Ownership of resulting development rights granted by any issued pe�mi
Print Name Signature
Staff Initials
nure to th-j.roperty owner.
THIS IS NOT A RECEIPT
/5 OYDate