2004, 04-22 Permit: BLD-04-04171 Addition ,,/ THIS IS NOT A PERMIT
i F1 ��r„� Penalties will be assessed for
p �� commencing work without a permit
„ . ey RESIDENTIAL ADDITION/REMODEL
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 l� Application#: BLD-04-04171
Job Address: 18914 E 2ND AVE ) Jr
Applied: 04/22/2004
GREENACRES WA OW Vv Issued:
Description: X 21 FAMILY ROOM ADDITION Expires: 10/19/2004
OWNER CONTRACTOR
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: SKROBKO,ALEX I &ALLA N
Applicant: SKROBKO,ALEX I &ALLA N Phone:
Address: 4105 E HARTSON AVE
SPOKANE,WA 99202-5111
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 26661 PLAN CHECK FEE 164.58
REROOF N BASIC PERMIT FEE 411.45
BUILDING HEIGHT TO PEAK 15 WSBCC SURCHARGE 4.50
DIMENSIONS 17 X 21 Total Calculated: 580.53
#OF STORIES 1 Deposits/Receipts: 0.00
FRONT SETBACK NA
REAR SETBACK 52 Total Due: 40
LEFT SETBACK NA //��
RIGHT SETBACK 32 ��a<,
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-b
STRUCTURES ON PROPERTY 1
CURRENT PROPERTY USE RESIDENCE
SERVED BY SEPTIC SYSTEM yes
WELLS LOCATED ON PROPERTY no
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
initials/ Date
Building i
Pla ning °K'
.70
THIS IS NOT A RECEIPT
04/23/2004 08:15 5093241567 SRHD EHS PAGE 01
APR 22 2004 16:30 FR TO 3241567 P.02/03
t THIS IS NOT A PERMIT
Penalties wilt be assessed for
fiane I commencing work without a permit
,#Valley RESIDENTIAL ADDITION/REMODEL
11707 E.Sprague Ave.,Suite 106 IApplication BLD-04-04171
Spokane Valley,WA 99206
Applied: 04/22l2004
Job Address: 18914 E 2ND AVE Issued:
GREENACRES WA
Description: ( �
t�J expires: 1011912004
N�R FAMILY CONTRACTORADDITIONM
Subdivision: Lot: Bik: Parcel No: Zoning:
Owner: SKROBKO,ALEX I&ALIA N
Applicant: SKROEKO,ALEX I&ALLA N Phone:
Address: 4105 E HARTSON AVE
SPOKANE.WA 99202-5111
Contractor: Phone:
Address: Uc No:
General Information: Fees:
VALUATION 2888 164.58
1 PLAN CH CK FEE 4 .58
REROOF N BASIC P RMIT FEE 1.45
BUILDING HEIGHT TO PEAK 15 WSBCC URCHARGE
4.
DIMENSIONS 17 X 21 Total Calculated: 580.53
#OF STORIES 1 Oeposits/R®c eipts: 0.00
FRONT SETBACK NA
REAR SETBACK 52 I Total Due: 580.53
LEFT SETBACK NA
RIGHT SETBACK 32
OCCUPANCY GROUP r■3
CONSTRUCTION TYPE 5-b
STRUCTURES ON PROPERTY 1
CURRENT PROPERTY USE RESIDENCE
SERVED BY SEPTIC SYSTEM yes
WELLS LOCATED ON PROPERTY no
_,,i_,,,..,
CITY OF SPOKANNE VALE
t
APPROVED FOR SUBM AL .
Building -
Ik
P . Hing . • . 4., A ,
• Moo Li 2 3/171 --
THIS IS NOT A RECEIPT
1
APR 23 2004 09:14
5093241567 PAGE.01
CITY(1F
Sj Uk le
.00rl"' 17alley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04171
Job Address: 18914 E 2ND AVE Applied: 04/22/2004
GREENACRES WA Issued: 04/23/2004
Description: 19 X 21 FAMILY ROOM ADDITION Expires: 10/20/2004
OWNER CONTRACTOR
Subdivision: Lot: BIk: Parcel No: Zoning:
Owner: SKROBKO,ALEX I &ALLA N
Applicant: SKROBKO,ALEX I &ALLA N Phone:
Address: 4105 E HARTSON AVE
SPOKANE,WA 99202-5111
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 29797 PLAN CHECK FEE 176.70
REROOF N BASIC PERMIT FEE 441.75
BUILDING HEIGHT TO PEAK 15 WSBCC SURCHARGE 4.50
DIMENSIONS 19 X 21 Total Calculated: 622.95
#OF STORIES 1 Deposits/Receipts: 622.95
FRONT SETBACK NA
REAR SETBACK 52 Total Due: 0.00
LEFT SETBACK NA
RIGHT SETBACK 32
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-b
STRUCTURES ON PROPERTY 1
CURRENT PROPERTY USE RESIDENCE
SERVED BY SEPTIC SYSTEM yes
WELLS LOCATED ON PROPERTY no
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 p mit inure to the property owner.
i c lU ' - ' > D-c(
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT