2004, 10-16 Permit: BLD-04-07939 ResidenceSpokane
• lley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 214 N BLAKE RD
SPOKANE WA 99212
Description: NEW RESIDENCE - FORCED AIR ELECTRIC
Subdivision:
Owner:
Applicant:
Address•
Contractor:
Address:
HAMLIN, JACK
HAMLIN, JACK
18724 E LINCOLN RD
OTIS ORCHARDS, WA 99027-8215
GLACIER HOMES INC
8580 W YOSEMITE
RATHDRUM ID 83858
Lot:
Permit #:
Blk: Parcel No: 45154.1404
Phone: (509) 926-4724
Phone:
Lic No:
(208) 687-4441
GLACIH1960L4
Applied:
Issued:
Expires:
BLD -04-07939
10/16/2004
10/19/2004
04/17/2005
Zoning:
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
CLOTHES WASHER
ELECTRIC HOT WATER TANK
WATER USING DEVICE
DRYER
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER <= 10,000 CFM
TYPE II HOOD
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
FLANKING SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
sfr
108752
1
1
2
1
1
3
1
1
14
28 X 50
1
3
48
86
17
5
N/A
r-3
5-n
2
50 X 190.5
no
no
2
2
1
3
1
Fees:
PLAN CHECK FEE
TYPE II HOOD
DRYER
DUCT SYSTEM
VENTILATING FANS
AIR HANDLER <= 10,000 CFM
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
ELECTRIC WATER HEATER TANK
WATER USING DEVICE
Total Calculated:
Deposits/Receipts:
Total Due:
417.66
10.00
10.00
10.00
30.00
12.00
1,044.15
4.50
12.00
12.00
6.00
18.00
6.00
6.00
6.00
12.00
1,616.31
1,616.31
0 00
THIS IS NOTA RECEIPT
Spokane
jValley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-07939
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 r iew at the City of Srokane Valley Permit Center. 5) This City of
Spokane Valley Permit is not a permit or approval for any violation of federal,/ -te or local laws, ..es or ordinances.
Ownership of resulting development rights granted by any issued permit inu
Jot"sr/W60
to the prope . ' er
Print Name Sig
Staff Initials
THIS IS NOT A RECEIPT
Date