2004, 03-16 Permit: BLD-04-03784 Addition •
,,/ THIS IS NOT A PERMIT
Sem cue I"' ��r,► Penalties will be assessed for
pol�ane commencing work without a permit
4000 Valley RESIDENTIAL ADDITION/REMODEL
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-03784
Job Address: 19322 E VALLEYWAY AVE Applied: 03/16/2004
GREENACRES WA 99016-9658 Issued:
Description: 576 SQ FT FAMILY ROOM& I ADDITION OVER EXISTING GARAGE Expires: 09/12/2004
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Subdivision: Lot: Blk: Parcel No: 55173.1303 Zoning:
Owner: NELSON, DAVID& DEBBRA
Applicant: NELSON, DAVID& DEBBRA Phone: (509)922-1523
Address: 19322 E VALLEYWAY AVE
GREENACRES,WA 99016-9658
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 43016 PLAN CHECK FEE 233.26
REROOF N BASIC PERMIT FEE (`5783.15
BUILDING HEIGHT TO PEAK 20 WSBCC SURCHARGE -4.50
DIMENSIONS 23 X 26 Total Calculated: 820.91
#OF STORIES 2 Deposits/Receipts: 0.00
#OF BEDROOMS 4
FRONT SETBACK EXISTING Total Due:
REAR SETBACK EXISTING 820.91
LEFT SETBACK N/A
RIGHT SETBACK 7'6"
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-w
STRUCTURES ON PROPERTY 1
CURRENT PROPERTY SIZE 80 X 120
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no •, ft
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APPROVED
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CITY OF SPOKANE VALLEY J 03 l� Lf FOR SUBMITTAL
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THIS IS NOT A RECEIPT
Spakane
40000M►11ey RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-03784
Job Address: 19322 E VALLEYWAY AVE Applied: 03/16/2004
GREENACRES WA 99016-9658 Issued: 03/19/2004
Description: 576 SQ FT FAMILY ROOM&LIBRARY ADDITION OVER EXISTING GARAGE Expires: 09/15/2004
Subdivision: Lot: Blk: Parcel No: 55173.1303 Zoning:
Owner: NELSON, DAVID&DEBBRA
Applicant: NELSON, DAVID&DEBBRA Phone: (509)922-1523
Address: 19322 E VALLEYWAY AVE
GREENACRES,WA 99016-9658
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 43016 PLAN CHECK FEE !, 233.26
REROOF N BASIC PERMIT FEE 583.15
BUILDING HEIGHT TO PEAK 20 WSBCC SURCHARGE 4.50
DIMENSIONS 23 X 26 Total Calculated: 821.•1
#OF STORIES 2 Deposits/Receipts: : 0.91
#OF BEDROOMS 4
FRONT SETBACK EXISTING Total Due: 0.00
REAR SETBACK EXISTING
LEFT SETBACK N/A
RIGHT SETBACK 7'6" opt_
OCCUPANCY GROUP r-3 '�� Q
CONSTRUCTION TYPE 5-w � r " ,(.fl✓
STRUCTURES ON PROPERTY 1 Jue
. ' \
CURRENT PROPERTY SIZE 80 X 120 It
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no
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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,stated r .cal I. s,codes or ordinances.
wner§hip of resulting development rights granted by any issued permit inur- :c5". e p .perry o er. e,.
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT
Spokane Valley
Permit Receipt
RECEIPT NUMBER 00001785
Account name: 000763 Date: 3/19/2004
Applicant: NELSON, DAVID & DEBBRA
Type: check #2131
Permit Number Fee Description Amount
BLD-04-03784 PLAN CHECK FEE 204.98
BLD-04-03784 BASIC PERMIT FEE 512.45
BLD-04-03784 WSBCC SURCHARGE 4.50
Total: 721.93
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