2004, 07-27 Permit: BLD-04-07175 Addition pit'ikad � ,
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OMl1y RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07175
Job Address: 11312 E PORTLAND AVE Applied: 07/27/2004
SPOKANE WA 99212 Issued: 07/29/2004
Description: TWO STORY BEDROOM/BATHROOM ADDITION TO RESIDENCE Expires: 01/25/2005
Subdivision: Lot: Blk: Parcel No: 45043.1020 Zoning:
Owner: LEROY, RICHARD W&DEBBIE L
Applicant: TERRY'S QUALITY SERVICE Phone: (509)448-1053
Address: 4019 S HOGAN ST
SPOKANE,WA 99203
Contractor: TERRY'S QUALITY SERVICE Phone: (509)448-1053
Address: 4019 S HOGAN ST Lic No: TERRYI*027DA
SPOKANE WA 99203
General Information: Fees:
VALUATION 28677 PLAN CHECK FEE 172.66
REROOF N BASIC PERMIT FEE 431.65
BUILDING HEIGHT TO PEAK 20 WSBCC SURCHARGE 4.50
DIMENSIONS 12 X 16 TOILETS 12.00
#OF STORIES 2 TUBS 6.00
#OF BEDROOMS 2 SHOWERS 6.00
FRONT SETBACK N/A SINKS 12.00
REAR SETBACK 80 VENTILATING FANS 20.00
LEFT SETBACK EXISTING Total Calculated: 664.81
RIGHT SETBACK EXISTING Deposits/Receipts: 664.81
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-n Total Due: 0.00
CURRENT PROPERTY SIZE 12760
SERVED BY SEPTIC SYSTEM yes
WELLS LOCATED ON PROPERTY no
TOILETS 2
TUBS 1
SHOWERS(PER TRAP) 1
SINKS 2
VENTILATING FANS 2
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 permit inure to the property owner.
ati.
N,e Signature
k) (\:&SL.,\ 9.---o2?-04-/
Print Date
Staff Initials vvvv
THIS IS NOT A RECEIPT
THIS IS NOT A PERMIT
CITYOF �rr Penalties will be assessed for
p0 a commencing work without a permit
400ui M .11ey RESIDENTIAL ADDITION/REMODEL
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application #: BLD-04-07175
Job Address: 11312 E PORTLAND AVE Applied: 07/27/2004
SPOKANE WA 99212 Issued:
•
Description: TWO STORY BEDROOM/BATHROOM ADDITION TO RESIDENCE Expires: 01/23/2005
Subdivision:-. Lot: Bik: Parcel No: 45043.1020 Zoning:
Owner: LEROY, RICHARD W& DEBBIE L
Applicant: TERRY'S QUALITY SERVICE Phone: (509)448-1053
Address: 4019 S HOGAN ST
SPOKANE,WA 99203
Contractor: TERRY'S QUALITY SERVICE Phone: (509)448-1053
Address: 4019 S HOGAN ST Lic No: TERRYI*027DA
SPOKANE WA 99203
General Information: Fees:
VALUATION 28677 PLAN CHECK FEE 172.66
REROOF N BASIC PERMIT FEE 431.65
BUILDING HEIGHT TO PEAK 20 WSBCC SURCHARGE 4.50
DIMENSIONS 12 X 16 TOILETS 12.00
#OF STORIES 2 TUBS 6.00
#OF BEDROOMS 2 SHOWERS 6.00
FRONT SETBACK N/A SINKS 12.00
REAR SETBACK 80 VENTILATING FANS 20.00
LEFT SETBACK EXISTING Total Calculated: 664.81
RIGHT SETBACK EXISTING Deposits/Receipts: 0.00
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-n Total Due: 664.81
CURRENT PROPERTY SIZE 12760
SERVED BY SEPTIC SYSTEM yes
WELLS LOCATED ON PROPERTY no
TOILETS 2
TUBS 1
SHOWERS(PER TRAP) 1
SINKS 2
VENTILATING FANS 2
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials/ Date
Building IL
___)-V\
Hingt /-
THIS IS NOT A RECEIPT
07/28/2004 09:33 5093241567 SRHD EHS PAGE 01
JUL dY eua4 le:4•4 1-K I'O :3241567 P.02/03
i
1 THIS IS NOT A PERMIT
�+ riC I Penalties will be assessed for
�7�! commencing work without a permit
4/0%neYRESIDENTIAL ADDITION/REMODEL.
11707 E.Sprague Ave.,Suite 108 ' '
Spokane Volley,WA 99206 1 Ap'plioaton ft BLD-04.07175
i
Job Address: 11312 E PORTLAND AVE Applied: 07/2712004
SPOKANE WA 99212 ( Issued:
•
Description: TWO STORY BEDROOM/BATHROOM ADDITION TO RESIDi.NCE Expires: 0112312005
Subdivision: Lot: 51k: Parcel No: 48043.1'020 Zoning:
Owner: LEROY.RICHARD W&DEBBIE L
Applicant: TERRY'S OUAUTY SERVICE Phone: (509)440-1063
Address: 4019 S HOGAN ST
SPOKANE,WA 99203
Contractor: TERRY'S QUALITY SERVICE Phone: (509)448-10$3
Address: 4019 S HOGAN ST Lio No: TERRYI*027DA
SPOKANE WA 99203
General Information: Fees:
VALUATION 28677 PLAN CHECK FEE 172.68
REROOF N BASIC PERMIT FEE 431.66
BUILDING HEIGHT TO PEAK 20 WSBCC SURCHARGE 4.50
DIMENSIONS 12 X 18 TOILETS I 12.00
#OF STORIES 2 TUBS I 6.00
#OF BEDROOMS 2 SHOWER 6.00
FRONT SETBACK N/A SINKS 12.00
REAR SETBACK 80 VENTILA SHOWER:
FANS 20.00
LEFT SETBACK EXISTING Total Calculated: 664.81
RIGHT SETBACK EXISTING I Depoaits/Receipts: 0.00
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-n i Total Due: 664.81
CURRENT PROPERTY SIZE 12760
SERVED BY SEPTIC SYSTEM yes
WELLS LOCATED ON PROPERTY no
TOILETS 2
TUBS
SHOWERS(PER TRAP) 1 /
SINKS 2
VENTILATING FANS 2
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
•
Building /
• Pla ning 4 ,
' Y
THIS IS NOT A RECEIPT
JUL 28 2004 10 35 5093241567 PAGE.01