2004, 04-26 Permit: BLD-04-04191 Residence THIS IS NOT A PERMIT
Spode °�` Penalties will be assessed for
��' commencing work without a permit
.000Valley NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-04191
Job Address: 14608 E QUEEN AVE Applied: 04/26/2004
SPOKANE VALLEY WA 99216 Issued:
Description: NEW RESIDENCE W/ATTACHED GARAGE- NATURAL GAS Expires: 10/23/2004
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: LANZCE G DOUGLASS INC
Applicant: LANZCE G DOUGLASS INC Phone: (509)483-6532
Address: 8510 N CRESTLINE
SPOKANE,WA 99217
Contractor: LANZCE DOUGLASS INC. Phone: (509)483-6532
Address: 8510 N CRESTLINE Lic No: LANZCGD072P5
SPOKANE WA 99217
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 431.10
VALUATION 114058 BASIC PERMIT FEE 1,077.75
BUILDING HEIGHT TO PEAK 19 WSBCC SURCHARGE 4.50
DIMENSIONS 40 X 56 TOILETS 18.00
#OF STORIES 1 TUBS 18.00
#OF BEDROOMS 2 SINKS 24.00
FRONT SETBACK 36 DISHWASHER 6.00
REAR SETBACK 44 CLOTHES WASHER 6.00
LEFT SETBACK 16.5 GARBAGE DISPOSAL 6.00
RIGHT SETBACK 20 FLOOR DRAINS 6.00
WATER USING DEVICE 18.00
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-n CROSS CONNECTION DEVICE 6.00
FUEL BURNING APPL<= 100,000 15.00
STRUCTURES ON PROPERTY 1
GAS LOG, INSERT, FIREPLACE 10.00
CURRENT PROPERTY SIZE 10783
SERVED BY SEPTIC SYSTEM no DRYER 10.00
WELLS LOCATED ON PROPERTY no FUEL BURNING WATER HEATER 10.00
TOILETS GAS PIPING 3.00
3 VENTILATING FANS 40.00
TUBS 3
SINKS 4 Total Calculated: 1,709.35
DISHWASHER 1 Deposits/Receipts: 0.00
CLOTHES WASHER 1
Total Due: 1,709.35
GARBAGE DISPOSAL 1
FLOOR DRAINS 1
WATER USING DEVICE 3 Ck.i 5t'b
CROSS CONNECTION DEVICE 1
APPROVED FOR SUBMITTAL ')CITY OF SPOKANE VALLEY
FUEL BURNING APPL<= 100,000 1 `� -}'
GAS LOG, INSERT, FIREPLACE 1 initials/ Date
DRYER 1 mss ,
FUEL BURNING WATER HEATER 1 BuildingREVIEWED FOR CODE COMPLIANCE
GAS PIPING(ea. OUTLET) 3 / SP VALLEY BUILDING DIVISION
VENTILATING FANS 4
TYPE II HOOD 1 Planning �o . i t ►u. . (" 3D e ____
Public Works p .Oki
_ ,A,Gt,e)t : AL,Lt CiTtM.0
THIS IS NOT A RECEIPT
.......... .....
.0000Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04191
Job Address: 14608 E QUEEN AVE Applied: 04/26/2004
SPOKANE VALLEY WA 99216 Issued: 05/03/2004
Description: NEW RESIDENCE W/ATTACHED GARAGE-NATURAL GAS Expires: 10/30/2004
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: LANZCE G DOUGLASS INC
Applicant: LANZCE G DOUGLASS INC Phone: (509)483-6532
Address: 8510 N CRESTLINE
SPOKANE,WA 99217
Contractor: LANZCE DOUGLASS INC. Phone: (509)483-6532
Address: 8510 N CRESTLINE Lic No: LANZCGD072P5
SPOKANE WA 99217
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 431.10
VALUATION 114058 BASIC PERMIT FEE 1,077.75
CLOTHES WASHER 1 GAS LOG, INSERT, FIREPLACE 10.00
GARBAGE DISPOSAL 1 DRYER 10.00
FLOOR DRAINS 1 FUEL BURNING WATER HEATER 10.00
WATER USING DEVICE 3 GAS PIPING 3.00
CROSS CONNECTION DEVICE 1 VENTILATING FANS 40.00
FUEL BURNING APPL<= 100,000 1 WSBCC SURCHARGE 4.50
GAS LOG, INSERT, FIREPLACE 1 TOILETS 18.00
DRYER 1 TUBS 18.00
FUEL BURNING WATER HEATER 1 SINKS 24.00
GAS PIPING(ea. OUTLET) 3 DISHWASHER 6.00
VENTILATING FANS 4 CLOTHES WASHER 6.00
TYPE II HOOD 1 GARBAGE DISPOSAL 6.00
BUILDING HEIGHT TO PEAK 19 FLOOR DRAINS 6.00
DIMENSIONS 40 X 56 WATER USING DEVICE 18.00
CROSS CONNECTION DEVICE 6.00
#OF STORIES 1 FUEL BURNING APPL<= 100,000 15.00
#OF BEDROOMS 2
FRONT SETBACK 36 Total Calculated: 1,709.35
REAR SETBACK 44 Deposits/Receipts: 1,709.35
LEFT SETBACK 16.5 Total Due:
RIGHT SETBACK 20 0.00
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-n
STRUCTURES ON PROPERTY 1
CURRENT PROPERTY SIZE 10783
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no
TOILETS 3
TUBS 3
SINKS 4
DISHWASHER 1
THIS IS NOT A RECEIPT
C9TY i1F
Spol l ne
.00 lley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04191
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 Signature Date
Staff Initials
THIS IS NOT A RECEIPT