2003, 11-05 Permit: BLD-03-02989 ResidenceSikikane
Valley
11707 E. Sprague Ave , Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
10921 E GERTRUDE DR
SPOKANE WA 99212
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
NEW RESIDENCE W/ATTACHED GARAGE - GAS
Lot: Blk:
BROWN, KENNITH R & JUDITH A (T
CLIFF SCHMITZ CONSTRUCTION
CLIFFORD SCHMITZ CONSTRUCTION
16520 E SECRETARIAT LN
VERADALE WA 99037 -
Application #: BLD -03-02989
Applied:
Issued:
Expires:
Parcel No: 44042.9132
Phone: (509) 999-7733
Phone:
Lic No:
(509) 922-4297
CLIFFSC104RF
Zoning:
11/05/2003
05/03/2004
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
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
CLOTHES WASHER
FLOOR DRAINS
SEWAGE EJECTOR
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
sfr
249666
32
90 X 46
2
1
63
75
27
10
r-3
5-n
1
95 X 200
RESIDENCE
yes
no
3
2
1
6
1
1
1
4
1
1
1
1
3
4
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
FLOOR DRAINS
SEWAGE EJECTOR
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts.
Total Due:
733.50
1,833.75
4.50
18.00
12.00
6.00
36.00
6.00
6.00
6.00
24.00
15.00
10.00
10.00
10 00
3.00
40.00
2,773.75
0.00
2,773.75
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REVIEWED FOR CODE COMPLIANCE 3 00 Od 03M31A38
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Building
Planningnig
Public Works
THIS IS NOT A RECEIPT ilio
Spokane
,Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address• 10921 E GERTRUDE DR
SPOKANE WA 99212
Description: NEW RESIDENCE W/ATTACHED GARAGE - GAS
Subdivision:
Owner:
BROWN, KENNITH R & JUDITH A (T
Applicant: CLIFF SCHMITZ CONSTRUCTION
Address:
Contractor:
Address:
Lot:
CLIFFORD SCHMITZ CONSTRUCTION
16520 E SECRETARIAT LN
VERADALE WA 99037 -
Permit #:
Applied:
Issued:
Expires:
BIk: Parcel No: 44042.9132
Phone: (509) 999-7733
Phone:
Lic No:
(509) 922-4297
CLIFFSC104RF
BLD -03-02989
Zoning:
11/05/2003
11/06/2003
05/04/2004
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
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
,DISHWASHER
CLOTHES WASHER
FLOOR DRAINS
SEWAGE EJECTOR
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
sfr
249666
32
90 X 46
2
1
63
75
27
10
r-3
5-n
1
95 X 200
RESIDENCE
yes
no
3
2
1
6
1
1
1
4
1
1
1
1
3
4
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
FLOOR DRAINS
SEWAGE EJECTOR
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
733.50
1,833.75
4.50
18.00
12.00
6.00
36.00
6.00
6.00
6.00
24.00
15.00
10.00
10 00
10.00
3.00
40.00
2,773.75
2,773.75
0.00
THIS IS NOT A RECEIPT
Siblane
.000Valley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -03-02989
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 .ermit in
th prop
rty owner.
/1 -/a -Os
Print Name Signatur; / Date
Staff Initials
THIS IS NOTA RECEIPT