2004, 05-20 Permit: BLD-04-04404 ResidenceV)
Spokane
d'�Ualley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address
Contractor:
Address:
NEW SINGLE FAMILY RESIDENTIAL PERMIT
1421 N BESSIE RD
SPOKANE VALLEY WA 99212
NEW RESIDENCE W/ATTACHED GARAGE - RADIANT FLOOR HEAT
BYE, RICK
BYE, RICK
PO BOX 1274
VERADALE, WA 99037
Lot:
Blk: Parcel No:
Phone: (509) 995-8232
Phone:
Lic No:
Permit #:
Applied:
Issued:
Expires:
BLD -04-04404
05/20/2004
05/26/2004
11/22/2004
Zoning:
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
CLOTHES WASHER
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
CROSS CONNECTION DEVICE
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
TYPE 11 HOOD
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
sfr
145688
1
1
3
1
1
1
2
3
1
18
68 X 32
1
3
35
37
5 FROM EASEMEN
7
r-3
5-n
1
96 X 104
no
no
2
2
4
1
Fees:
PLAN CHECK FEE
WSBCC SURCHARGE
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
BASIC PERMIT FEE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
CROSS CONNECTION DEVICE
Total Calculated:
Deposits/Receipts:
Total Due:
500.54
4.50
10.00
10.00
20.00
3.00
1,251.35
12.00
12.00
24.00
6.00
6.00
6.00
18.00
6.00
1,889.39
1,889.39
0.00
THIS IS NOT A RECEIPT
Stiokan
4_i %j lley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-04404
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 p4,fmit inureto the property owner.
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
Date
Sp®kane�'�
Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
1j
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
Application #:
Job Address: 1421 N BESSIE RD
SPOKANE VALLEY WA 99212
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
BYE, RICK
BYE, RICK
PO BOX 1274
VERADALE, WA 99037
Lot: Blk: Parcel No:
Phone: (509) 995-8232
Phone:
Lic No:
Applied:
Issued:
Expires:
D'/ -5'1s17
BLD -04-04404
Zoning:
05/20/2004
11/16/2004
THIS BUILDING SUBJECT
TO FIELD INSPECTION CORRECTIONS
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
CROSS CONNECTION DEVICE
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
TYPE II HOOD
sfr
145688
18
68 X 32
1
3
35
37
5 FROM EASEMEN
7
r-3
5-n
1
96 X 104
no
no
2
2
4
1
3
1
1
1
2
3
1
Fees:
PLAN CHECK FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
CROSS CONNECTION DEVICE
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
BASIC PERMIT FEE
Total Calculated:
Deposits/Receipts:
Total Due:
500.54
4.50
12.00
12.00
24.00
6.00
6.00
6.00
18.00
6.00
10.00
10.00
20.00
3.00
1,251.35
1,889.39
0.00
CITY OF SPOKANE VALLEY
APPROVED FOR.SUBMITTA ne . -
•
l ills1 s � - A GODEy -.
(Ze�rl F� R GY BUUE� G DIVIS ONE
iu Ud. wS.. b(a11�J(
BUilding
Hann y
Public Works
AerkUitf
THIS IS NOT A RECEIPT