2004, 07-19 Permit: BLD-04-07101 ResidenceSpokane
Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address•
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
NEW SINGLE FAMILY RESIDENTIAL PERMIT
5115 N CALVIN RD
SPOKANE VALLEY WA 99216
NEW RESIDENCE W/ATTACHED GARAGE -GAS
HARLEY C. DOUGLASS, INC
HARLEY C. DOUGLASS, INC
8510 N CRESTLINE ST
SPOKANE, WA 99217-
HARLEY C DOUGLASS INC
8510 N CRESTLINE
SPOKANE WA 99217
Lot:
Permit #:
Blk: Parcel No: 46353.4501
Phone:
Phone:
Lic No:
(509) 487-9792
HARLECD11OPE
Applied:
Issued:
Expires:
BLD -04-07101
07/19/2004
07/29/2004
01/15/2005
Zoning:
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER <= 10,000 CFM
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
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
sfr
141812
1
1
2
1
1
1
1
3
1
3
0
1
35
30 X 60
2
3
37
0
19
8
r-3
5-b
NA
16699
RESIDENCE
no
no
2
2
2
3
1
Fees:
PLAN CHECK FEE
TYPE II HOOD
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
DUCT SYSTEM
VENTILATING FANS
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
Total Calculated:
Deposits/Receipts:
Total Due:
491.58
10.00
10.00
10.00
10.00
3.00
10.00
30.00
1 228 95
4.50
12.00
12.00
12.00
18.00
6.00
6.00
6.00
12.00
15.00
1,907.03
1,907.03
0.00
THIS 15 NOT A RECEIPT
SpOk,CITY OF
ane
40,0•' Millet'
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-07101
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 permit inure to the property owner.
1 C
Pr?
Name
"ire rte— Date
/7-Z'/ - o7
Staff Initials
THIS IS NOT A RECEIPT