2004, 06-26 Permit: BLD-04-04721 Residencert,ur
SMalley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
NEW SINGLE FAMILY RESIDENTIAL PERMIT
5202 N CALVIN RD
SPOKANE VALLEY WA 99216
NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
LANZCE DOUGLASS INC.
LANZCE DOUGLASS INC.
8510 N CRESTLINE
SPOKANE, WA 99217
LANZCE DOUGLASS INC.
8510 N CRESTLINE
SPOKANE WA 99217
Lot:
Blk: Parcel No:
Phone: (509) 483-6532
Phone: (509) 483-6532
Lic No: LANZCGD072P5
Permit #:
Applied:
Issued:
Expires:
BLD -04-04721
06/26/2004
06/30/2004
12/27/2004
Zoning:
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
FLANKING SETBACK
OCCUPANCY GROUP .
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
Fees:
sfr PLAN CHECK FEE
145987 TYPE II HOOD
1 GAS LOG, INSERT, FIREPLACE
1 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:
1
3
1
1
1
1
1
3
4
1
22
53 X 52
2
3
36
40
45
15
45
r-3
5-n
1
17080
no
no
3
3
4
1.
Total Due:
500.54
10.00
10.00
10.00
10.00
3.00
40.00
1,251.35
4.50
18.00
18.00
24.00
6.00
6.00
6.00
6.00
18.00
6.00
15.00
1,962.39
1,962.39
0.00
THIS IS NOT A RECEIPT
sp®lea e
Valley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-04721
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