2004, 04-30 Permit: BLD-04-04230 DuplexCITY 11E r`
Isp►411e
.0,00Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
•
NEW SINGLE FAMILY RESIDENTIAL PERMIT
Job Address: 715 S FLORA LN
VERADALE WA
Description: NEW DUPLEX W/ATTACHED GARAGE - GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
GOOD SAMARITAN
J S KIRKLAND CO
4005 S BEST CT
VERADALE, WA 99037
J S KIRKLAND CO
4005 S BEST CT
VERADALE WA 99037
Lot:
Blk: Parcel No:
Phone: (509) 928-6414
Phone:
Lic No:
(509) 928-6414
JSKIRC*029J7
Permit #:
Applied:
Issued:
Expires:
BLD -04-04230
Zoning:
04/30/2004
05/03/2004
10/30/2004
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
CLOTHES WASHER
GARBAGE DISPOSAL
WATER PIPING/DRAIN-IN WASTE
CROSS CONNECTION DEVICE
SPRINKLER SYSTEM
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
HEAT PUMP/AIR COND 0 - 3 TON
BUILDING HEIGHT TO PEAK
DIMENSIONS
COST OF PROJECT
# 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
dup
216636
2
2
2
6
2
2
2
2
2
2
6
6
2
2
17
77 X 77
200000.00
1
4
20
15
5
5
r-3
5-n
1
100 X 129
no
no
4
2
2
6
2
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER PIPING/DRAIN-IN WASTE
CROSS CONNECTION DEVICE
SPRINKLER SYSTEM
FUEL BURNING APPL <= 100,000
Total Calculated:
Deposits/Receipts:
Total Due:
659.58
1,648.95
20.00
20.00
20.00
20.00
6.00
60.00
24.00
4.50
24.00
12.00
12.00
36.00
12.00
12.00
12.00
12.00
36.00
50.00
30.00
2,731.03
2,731.03
0.00
THIS IS NOT A RECEIPT
Spokane
.000Valley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-04230
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 own q
Date
Print Name
Staff Initials
re
THIS IS NOT A RECEIPT