2003, 09-12 Permit: BLD-03-02450 ResidenceSficlka000ne
.000Ualley
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: 5214 N BURNS RD
SPOKANE VALLEY WA 99216
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner: DOUGLASS, LANZCE G
Applicant: DOUGLASS, LANZCE G
Address: 8510 N CRESTLINE
Contractor:
Address:
SPOKANE, WA 99217
LANZCE DOUGLASS INC.
8510 N CRESTLINE
SPOKANE WA 99217
Application #: BLD -03-02450
Applied:
Issued:
Expires:
Lot: 11 Bik: 17 Parcel No: 46354.3811 Zoning:
Phone: (509) 483-6532
Phone:
Lic No:
(509) 483-6532
LANZCGD072P5
09/12/2003
03/10/2004
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
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
IMPERVIOUS SURFACE AREA
sfr
115128
20
53 X 52
1
2
40
8
14
r-3
5-w
1
75 X 131
no
no
3
3
4
1
1
1
2
1
1
1
1
3
4
1
1992
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
433.34
1,083.35
4.50
18.00
18.00
24.00
6.00
6.00
6.00
6.00
12.00
15.00
10.00
10.00
10.00
3.00
40.00
1,705.19
0.00
JJat 9/3
cl~iLt;(
Ll ,
)1,(7
1,705.19
#. .9.0 )
113011
THIS IS NOT A RECEIPT
f171'or
Spokane
.0,00Valley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -03-02450
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.
Print Name
Staff Initials
Signature Date
THIS IS NOT A RECEIPT