2004, 05-19 Permit: BLD-04-04392 Addition, RemodelSpokane
4 \ii11ey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
RESIDENTIAL ADDITION/REMODEL PERMIT
17811 E MONTGOMERY
OTIS ORCHARDS WA 99027
2 STORY ADDITION - LIVING, KITCHEN & GARAGE W/REMODEL OF EXISTING
HOUSE - OWNER CONTRACTOR
JOE & SHARI BURNS
JOE & SHARI BURNS
17811 E MONTGOMERY
OTIS ORCHARDS, WA 99027
Lot:
Bik: Parcel No:
Phone: (509) 922-0117
Phone:
Lic No:
Permit #:
Applied:
Issued:
Expires:
BLD -04-04392
Zoning:
05/19/2004
05/19/2004
11/15/2004
General Information:
VALUATION
REROOF
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
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
CLOTHES WASHER
WATER PIPING/DRAIN-IN WASTE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
AIR CONDITIONER 3 - 15 TON
97916
N
24-2
46 X 40
30000.00
2
3
40
145
14
10
r-3
5-n
2
70 X 225
RESIDENCE
yes
no
3
3
1
5
1
1
1
4
1
1
6
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
WATER PIPING/DRAIN-IN WASTE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
AIR CONDITIONER 3 - 15 TON
Total Calculated:
Deposits/Receipts:
Total Due:
391.90
979.75
4.50
18.00
18.00
6.00
30.00
6.00
6.00
6.00
60.00
10.00
10.00
6.00
20.00
1,572.15
1,572.15
0.00
THIS IS NOT A RECEIPT
SpolC1TY LIF ��►
ane
,,,,,•'�Ualley
RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-04392
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 1 r to the property owner.
Print Name
Staff Initials
Sig Lure
THIS IS NOT A RECEIPT
Date