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2004, 10-15 Permit: BLD-04-07932 Residencet i S iorkane .00017alley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 NEW SINGLE FAMILY RESIDENTIAL PERMIT Job Address: 5219 N CALVIN RD SPOKANE VALLEY WA 99206 kfbo- ssQ. pa, Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Subdivision: Owner: Applicant: Address: Contractor: Address: LANZCE G DOUGLASS INC LANZCE G DOUGLASS INC 8510 N CRESTLINE SPOKANE, WA 99217 LANZCE DOUGLASS INC. 8510 N CRESTLINE SPOKANE WA 99217 Lot: Blk: Parcel No: Permit #: BLD -04-07932 Applied: 30 Issued: Expires: Phone: (509) 483-6532 Phone: Lic No: (509) 483-6532 LANZCGD072P5 Zoning: 10/15/2004 11/12/2004 05/11/2005 General Information: TYPE OF RESIDENTIAL PERMIT VALUATION CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE CROSS CONNECTION DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS 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 SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SINKS DISHWASHER sfr 114058 1 1 1 3 1 1 1 1 1 3 4 1 19 40 X 56 1 2 36 35 10 9 r-3 5-n 1 80 X 126 no no 3 3 4 1 Fees: PLAN CHECK FEE TYPE 11 HOOD GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE CROSS CONNECTION DEVICE FUEL BURNING APPL <= 100,000 Total Calculated: Deposits/Receipts: Total Due: 431.10 10.00 10.00 10.00 10.00 3.00 40.00 1,077.75 4.50 18.00 18.00 24.00 6.00 6.00 6.00 6.00 18.00 6.00 15.00 1,719.35 1,719.35 0.00 THIS IS NOT A RECEIPT errs it , Spine .0000Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit NEW SINGLE FAMILY RESIDENTIAL Job Address: 5219 N CALVIN RD SPOKANE VALLEY WA 99206 Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Subdivision: Owner: Applicant: Address: Contractor: Address: LANZCE G DOUGLASS INC LANZCE G DOUGLASS INC 8510 N CRESTLINE SPOKANE, WA 99217 LANZCE DOUGLASS INC. 8510 N CRESTLINE SPOKANE WA 99217 Lot: Blk: Parcel No: Application #: BLD -04-07932 Applied: 10/15/2004 Issued: Expires: 04/13/2005 Zon ing: Phone: (509) 483-6532 Phone: Lic No: (509) 483-6532 LANZCGD072P5 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 GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE CROSS CONNECTION DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD sfr 114058 19 40 X 56 1 2 36 35 10 9 r-3 5-n 1 80 X 126 no no 3 3 4 1 1 1 1 3 1 1 1 1 1 3 4 1 Fees: PLAN CHECK FEE TYPE II HOOD BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE CROSS CONNECTION DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS Total Calculated: Deposits/Receipts: 431.10 10.00 1,077.75 4.50 18.00 18.00 24.00 6.00 6.00 6.00 6.00 18.00 6.00 15.00 10.00 10.00 10.00 3.00 40.00 1,719.35 0.00 C-' THIS IS NOT A RECEIPT Spokane .,, 0 Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Permit #: BLD -04-07932 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. el-/' 11).(k\ Pnn Name Staff Initials THIS IS NOT A RECEIPT