2004, 06-26 Permit: BLD-04-04720 ResidenceSpokane
Valley
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• 1505 N FELTS RD
SPOKANE VALLEY WA 99206
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address•
COOK, KEVIN & TERESA
COOK, KEVIN & TERESA •
6110 N RYLEY LN
OTIS ORCHARDS, WA 99027-8242
Application #: BLD -04-04720
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45171.0510
Phone: (509) 217-1054
Phone:
Lic No:
Zoning:
06/26/2004
12/23/2004
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
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
sfr
115668
17' 6"
40 X 48
1
3
35
200+
10
5
r-3
5-n
1
55 X 320
no
no
2
2
4
1
1
1
1
3
1
• 1
1
3
3
1
Fees:
PLAN CHECK FEE
TYPE II HOOD
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
CITY OF, SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Jnitials / Date
Building
Planning
Public Works
7SP
433.34
10.00
1,083.35
4.50
12.00
12.00
24.00
6.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
3.00
30.00
1,689.19
0.00
1,689.19
%1X)
EWED FOR CODE COMPLIANCE
E VALLEY BUILD DI ISION
°� o `J��
LLLD3 W9
SQ,LAA ' ,)41t. LiL
THIS IS NOT A RECEIPT
Sp®kane
cootscgalley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
NEW SINGLE FAMILY RESIDENTIAL PERMIT
Job Address: 1505 N FELTS RD
SPOKANE VALLEY WA 99206
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
COOK, KEVIN & TERESA
COOK, KEVIN & TERESA
6110 N RYLEY LN
OTIS ORCHARDS, WA 99027-8242
Lot:
Permit #:
Blk: Parcel No: 45171.0510
Phone: (509) 217-1054
Phone:
Lic No:
Applied:
Issued:
Expires:
BLD -04-04720
06/26/2004
07/27/2004
01/23/2005
Zoning:
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
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
SINKS
DISHWASHER
sfr
115668
1
1
1
3
1
1
1
3
3
1
1T6"
40 X 48
1
3
35
200+
10
5
r-3
5-n
1
55 X 320
no
no
2
2
4
1
Fees:
PLAN CHECK FEE
TYPE II HOOD
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
FUEL BURNING APPL <= 100,000
Total Calculated:
Deposits/Receipts:
Total Due:
433.34
10.00
10.00
10.00
3.00
30.00
1,083.35
4.50
12.00
12.00
24.00
6.00
6.00
6.00
6.00
18.00
15.00
1,689.19
1,689.19
0.00
THIS IS NOT A RECEIPT
*Wane
Walley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-04720
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 th p oreperry owner.
\tCQ C
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
Date