2004, 07-19 Permit: BLD-04-07096 ResidenceSpore
valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 5205 N CALVIN RD
SPOKANE VALLEY WA 99216
Description: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
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: 46353.4502
Phone:
Phone: (509) 487-9792
Lic No: HARLECD11OPE
Applied:
Issued:
Expires:
BLD -04-07096
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 II 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
122097
1
1
2
1
1
1
1
3
1
3
0
1
35
39 X 54
2
3
37
50
5
23
r-3
5-b
NA
80 X 121
RESIDENCE
no
no
2
2
2
3
1
Fees:
PLAN CHECK FEE
WATER USING DEVICE
CLOTHES WASHER
FLOOR DRAINS
DUCT SYSTEM
VENTILATING FANS
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
TYPE II HOOD
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
Total Calculated:
Deposits/Receipts:
Total Due:
449.02
12.00
6.00
6.00
10.00
30.00
15.00
10.00
10.00
10.00
3.00
10.00
1,122.55
4.50
12.00
12.00
12.00
18.00
6.00
1,758.07
1,758.07
0.00
THIS IS NOT A RECEIPT
r7TY OF
Sikik�
a le
.0 .1rVal.ley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-07096
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
iLrt
Print Name
Staff Initials
,/Let/
ure to the
roperty owner.
ure
THIS IS NOT A RECEIPT
7-2 ,-/
Date