2003, 12-16 Permit: BLD-03-03282 Addition CITS c7i' 0.09\44..„, r ,
Si ol�ane
�,,1•'�\alley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-03282
Job Address: 4503 E 15TH AVE Applied: 12/16/2003
SPOKANE VALLEY WA 99212 Issued: 12/16/2003
Description: 16 X 24 FAMILY ROOM AND BATHROOM ADDITION Expires: 06/13/2004
Subdivision: Lot: Blk: Parcel No: 35233.1908 Zoning:
Owner: STEVENS, BRYAN
Applicant: KODIAK ROOFING CO INC Phone: (509)487-9910
Address: 1504 E SPRAGUE AVE
SPOKANE,WA 99202
Contractor: KODIAK ROOFING CO INC Phone: (509)487-9910
Address: 1504 E SPRAGUE AVE Lic No: KODIARC000B4
SPOKANE WA 99202
General Information: Fees:
VALUATION 25843 PLAN CHECK FEE 160.54
REROOF N VENTILATING FANS 10.00
BUILDING HEIGHT TO PEAK 12 BASIC PERMIT FEE 401.35
DIMENSIONS 16 X 24 WSBCC SURCHARGE 4.50
#OF STORIES 1 TOILETS 6.00
FRONT SETBACK 25 TUBS 6.00
REAR SETBACK EXISTING SINKS 6.00
LEFT SETBACK 23 Total Calculated: 594.39
RIGHT SETBACK N/A Deposits/Receipts: 594.39
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-w Total Due: 0.00
STRUCTURES ON PROPERTY 2
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no
TOILETS 1
TUBS 1
SINKS 1
VENTILATING FANS 1
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 issue ermit in e to the property owner.
P R TSI-) P o /v ,,r ;#1`--- 1 -16 el
Print Name gnature Date
Staff Initials
THIS IS NOT A RECEIPT
_,,�/�, THIS IS NOT A PERMIT
S+crr4�.W !r" 'x111%. Penalties will be assessed for
pol�ane commencing work without a permit
40,00Mallley RESIDENTIAL ADDITION/REMODEL
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application#: BLD-03-03282
Job Address: 4503 E 15TH AVE Applied: 12/16/2003
SPOKANE VALLEY WA 99212 Issued:
Description: 16 X 24 FAMILY ROOM AND BATHROOM ADDITION Expires: 06/13/2004
Subdivision: Lot: BIk: Parcel No: 35233.1908 Zoning:
Owner: STEVENS, BRYAN
Applicant: KODIAK ROOFING CO INC Phone: (509)487-9910
Address: 1504 E SPRAGUE AVE
SPOKANE,WA 99202
Contractor: KODIAK ROOFING CO INC Phone: (509)487-9910
Address: 1504 E SPRAGUE AVE Lic No: KODIARC000B4
SPOKANE WA 99202
General Information: Fees:
VALUATION 25843 PLAN CHECK FEE 160.54
REROOF N VENTILATING FANS 10.00
BUILDING HEIGHT TO PEAK 12 BASIC PERMIT FEE 401.35
DIMENSIONS 16 X 24 WSBCC SURCHARGE 4.50
#OF STORIES 1 TOILETS 6.00
FRONT SETBACK 25 TUBS 6.00
REAR SETBACK EXISTING SINKS 6.00
LEFT SETBACK 23 Total Calculated: 594.39
RIGHT SETBACK N/A Deposits/Receipts: 0.00
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-w Total Due: 594.39
STRUCTURES ON PROPERTY 2
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no
TOILETS 1
TUBS 1
SINKS 1
VENTILATING FANS 1
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
initials/ Date
Building (.240.
Planning I.S
1
.A.L.pai
Public Works
THIS IS NOT A RECEIPT