2004, 06-15 Permit: BLD-04-04615 Addition THIS IS NOT A PERMIT
��'++CITYOF�y Penalties will be assessed for
�7p0 ' commencing work without a permit
.,,,00Valley RESIDENTIAL ADDITION/REMODEL
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-04615
Job Address: 18814 E 4TH AVE Applied: 06/15/2004
GREENACRES WA 99016 Issued:
Description: 1782 SQ FT ADDITION TO RESIDENCE-KITCHEN, DINING RM, MASTER Expires: 12/12/2004
BEDRM, BATH, UTILITY RM&GARAGE
Subdivision: Lot: BIk: Parcel No: Zoning:
Owner: HARKEN,TRAVIS R&CARA E
Applicant: HARKEN,TRAVIS R&CARA E Phone:
Address: 18814 E 4TH AVE
GREENACRES,WA 99016
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 70292 PLAN CHECK FEE 316.30
REROOF N BASIC PERMIT FEE 790.75
BUILDING HEIGHT TO PEAK 21 WSBCC SURCHARGE 4.50
DIMENSIONS APPROX 64'6"X 63' TOILETS 6.00
#OF STORIES 1 SHOWERS 6.00
#OF BEDROOMS 1 SINKS 24.00
FRONT SETBACK 33'4" CLOTHES WASHER 6.00
GAS LOG, INSERT, FIREPLACE 10.00
REAR SETBACK 126
LEFT SETBACK 40+ DRYER 10.00
RIGHT SETBACK EXISTING GAS PIPING 1.00
OCCUPANCY GROUP r-3 VENTILATING FANS 30.00
CONSTRUCTION TYPE 5-n Total Calculated: 1,204.55
STRUCTURES ON PROPERTY 1 Deposits/Receipts: 0.00
CURRENT PROPERTY SIZE 125 X 250
SERVED BY SEPTIC SYSTEM yes Total Due: 1,204.55
WELLS LOCATED ON PROPERTY no
TOILETS 1
SHOWERS(PER TRAP) 1
SINKS 4
CLOTHES WASHER 1 CITY OF SPOKANE VALLEY
GAS LOG, INSERT, FIREPLACE 1 APPROVED FOR SUBMITTAL
DRYER 1
GAS PIPING(ea. OUTLET) 1 _ •-•VENTILATING FANS 3 I
to •my / - -. 6 WILLEyt C OMPLANCE
Planning
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THIS IS NOT A RECEIPT
Spokane
4_ . Mi11ey RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04615
Job Address: 18814 E 4TH AVE Applied: 06/15/2004
GREENACRES WA 99016 Issued: 06/30/2004
Description: 1782 SQ FT ADDITION TO RESIDENCE-KITCHEN, DINING RM, MASTER Expires: 12/27/2004
BEDRM, BATH, UTILITY RM&GARAGE
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: HARKEN,TRAVIS R&CARA E
Applicant: HARKEN,TRAVIS R&CARA E Phone:
Address: 18814 E 4TH AVE
GREENACRES,WA 99016
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 70292 PLAN CHECK FEE 316.30
REROOF N BASIC PERMIT FEE 790.75
CLOTHES WASHER 1 GAS LOG, INSERT, FIREPLACE 10.00
GAS LOG, INSERT, FIREPLACE 1 DRYER 10.00
DRYER 1 GAS PIPING 1.00
GAS PIPING(ea.OUTLET) 1 VENTILATING FANS 30.00
VENTILATING FANS 3 WSBCC SURCHARGE 4.50
BUILDING HEIGHT TO PEAK 21 TOILETS 6.00
DIMENSIONS APPROX 64'6"X 63' SHOWERS 6.00
#OF STORIES 1 SINKS 24.00
#OF BEDROOMS 1 CLOTHES WASHER 6.00
FRONT SETBACK 33'4" Total Calculated: 1,204.55
REAR SETBACK 126 Deposits/Receipts: 1,204.55
LEFT SETBACK 40+
RIGHT SETBACK EXISTING Total Due: 0.00
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-n
STRUCTURES ON PROPERTY 1
CURRENT PROPERTY SIZE 125 X 250
SERVED BY SEPTIC SYSTEM yes
WELLS LOCATED ON PROPERTY no
TOILETS 1
SHOWERS(PER TRAP) 1
SINKS 4
THIS IS NOT A RECEIPT
06/23/2004 12:10 5093241567 SRHD EHS PAGE 01/01
JUN 23 2004 12:39 FR TO 324156? P.02/03
THIS IS NOT A PERMIT
Penalties will be assessed for
'�'`I 4 , T le commencing work without a permit
Val RESIDENTIAL ADDITION/REMODEL
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application#: BLD-04.04615
Job Address: 18814 E 4TH AVE Applied: 06/1512004
GREENACRES WA 89018 Issued:
Description: 1782 SQ FT ADDITION TO RESIDENCE•KITCHEN.DINING RM,MASTER expires: 12/12/2004
BEDRM,BATH.UTILITY RM&GARAGE
Subdivision: Lot Bik'. Parcel No: Zoning:
Owner: HARKEN,TRAVIgk&CARA E.
Applicant: HARKEN,TRAVIS R&CARA E Phone:
Address: 18814 E 4111 AVE
GREENACRES,WA 88010
Contractor: Phone: 1
Address: Uc No:
1
I
General Information: Fees: 318.30
VALUATION 70292 PLAN CHECK FEE 790.75
REROOF N BASIC PERMIT FEE
BUILDING HEIGHT TO PEAK 21 WSBCC SURCHARGE 4.50
DIMENSIONS APPROX 64'6"X 63' TOILETS 6.00
#OF STORIES i SHOWERS j6.00
#OF BEDROOMS 1 SINKS 1 24.00
CLOTHES WASHER 6.00
REAR SETBTBACKK 12B ARS AC33'4" GAS LOG,INSERT,FIREPLACE 10.00
REDRYER 10.00
LEFT SETBACK 40. GAS PIPING 1.00
RIGHT SETBACK EXISTING VENTIIATINFANS 30.00
OCCUPANCY GROUP r-3 1 1,204,65
CONSTRUCTION TYPE 5-n I Total Caloulated:
STRUCTURES ON PROPERTY I Depoelte/ReOelpts: 0.00
CURRENT PROPERTY SIZE 125 X 250 Total Due: 1,204,55
SERVED BY SEPTIC SYSTEM yes
WELLS LOCATED ON PROPERTY no
TOILETS 1
SHOWERS(PER TRAP) 1
SINKS 4 7. .
CLOTHES WASHER 1 :r 1ve,:
GAS LOG, INSERT,FIREPLACE 1 • . ' , , 1`,7 TIM
'
DRYER 1 • . ., , �•�
VENTIILATINGFANSTLET)GAS PIPING(ea. , 3 �:.,';, •. ;�;,: : pit i , ':T .:..
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THIS 16 NOT A RECEIPT
,
JUN 23 2004 13:11 5093241567 PAGE.01
ft„,TY OF
siT I ne
.000Irr011r al.1ey RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04615
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,code .or ordinances.
Ownership of resultin development rights granted by any issued permit inure to-the pr.aerty -r.
at/I S ?Voir e „004-c-=--
-5-7 67/
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT