2004, 10-16 Permit: BLD-04-07940 ResidenceSpokan�
��alley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
1510 N CENTER ST
SPOKANE VALLEY WA 99212
NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
WALKER, ELBERTA
MILLER, CRNA.
6629 W RIVERVIEW DR
COEUR D'ALENE, ID 83814
Application #: BLD -04-07940
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45182.0307
Phone: (208) 765-5170
Phone:
Lic No:
Zoning:
10/16/2004
04/14/2005
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 1
CLOTHES WASHER 1
WATER USING DEVICE 1
FUEL BURNING APPL <= 100,000 1
GAS LOG, INSERT, FIREPLACE 1
DRYER 1
FUEL BURNING WATER HEATER 1
GAS PIPING (ea. OUTLET) 3
VENTILATING FANS 3
TYPE II HOOD 1
sfr
100112
20
40 X 52
1
no
2
1
1
3
Fees:
PLAN CHECK FEE
TYPE II HOOD
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
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:
CITY OF SPOKIMIE VALLEY
APPROVED FOR SUBMITTAL
Initials /Date
Building -
Planning 4 (C 1 1648
n
Public Works
THIS IS NOT A RECEIPT
C
t,Stypie
til 6 b FOR
399.74
10.00
999.35
4.50
12.00
6.00
6.00
18.00
6.00
6.00
6.00
15.00
10.00
10.00
10.00
3.00
30.00
1,551.59
0.00
1,551.59
T
Royd- 4 D`iaasisE‘
Siaane
.0,00FValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
NEW SINGLE FAMILY RESIDENTIAL PERMIT
Job Address. 1510 N CENTER ST
SPOKANE VALLEY WA 99212
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address•
Contractor:
Address:
WALKER, ELBERTA
MILLER, CORRENA
6629 W RIVERVIEW DR
COEUR D'ALENE, ID 83814
Lot:
Permit #:
Elk: Parcel No: 45182.0307
Phone: (208) 765-5170
Phone:
Lic No:
Applied:
Issued:
Expires:
BLD -04-07940
10/16/2004
11/01/2004
04/30/2005
Zoning:
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
CLOTHES WASHER
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
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
sfr
100112
1
1
1
1
1
1
3
3
1
20
40 X 52
1
3
?
r-3
5-n
1
no
no
2
1
1
3
1
Fees:
PLAN CHECK FEE
TYPE II HOOD
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
Total Calculated:
Deposits/Receipts:
Total Due:
399.74
10.00
10.00
10.00
10.00
3.00
30.00
999.35
4.50
12.00
6.00
6.00
18.00
6.00
6.00
6.00
15.00
1,551.59
1,551.59
0.00
THIS IS NOT A RECEIPT
o
Stiolane
aosolFUalley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-07940
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
tre.,c X)/ /1/7/c! (1&% /(;//14. /%1e //-
Signature Date
THIS IS NOT A RECEIPT