2003, 08-14 Permit: BLD-03-02236 Residence.Spokane
. Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:4918 E CROWNAI
SPOKANE VALLEY WA 99216
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THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
•
8
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL 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
Application #: BLD -03-02236
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 46354.3805
Phone: (509) 487-9792
Phone: (509) 487-9792
Lic No: HARLECD110PE
Zoning:
08/14/2003
02/10/2004
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
SHOWERS (PER TRAP)
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER <= 10,000 CFM
TYPE II HOOD
sfr
114693
35
44 X 38
2
3
38
37
11
5
r-3
5-w
1
71 X 127
no
no
2
2
2
3
1
1
1
1
2
1
1
1
1
3
1
3
1
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
DUCT SYSTEM
VENTILATING FANS
AIR HANDLER <= 10,000 CFM
Total Calculated:
Deposits/Receipts:
Total Due:
431.10
1,077.75
4.50
12.00
12.00
12.00
18.00
6.00
6.00
6.00
6.00
12.00
10.00
10.00
10.00
10.00
3.00
10.00
30.00
12.00
1,698.35
0.00
42eAvac,kd.
1,698.35
THIS IS NOT A RECEIPT
7-/ S -c3
Spokane
,,f Valley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -03-02236
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be in
compliance. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
wnership of resulting development rights granted by any issued permit inure to the property owner.
Please print name here
S—Icr
Date Counter Approval
THIS IS NOT A RECEIPT