2004, 07-19 Permit: BLD-04-07105 Residence 4
Sri& ane '
,,0,00MAalley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07105
Job Address: 14611 E QUEEN AVE Applied: 07/19/2004
SPOKANE VALLEY WA 99216 Issued: 07/29/2004
Description: NEW RESIDENCE W/ATTACHED GARAGE-GAS Expires: 01/15/2005
Subdivision: Lot: Blk: Parcel No: 46353.4403 Zoning:
Owner: HARLEY C. DOUGLASS, INC
Applicant: HARLEY C. DOUGLASS, INC Phone:
Address: 8510 N CRESTLINE ST
SPOKANE,WA 99217-
Contractor: HARLEY C DOUGLASS INC Phone: (509)487-9792
Address: 8510 N CRESTLINE Lic No: HARLECD110PE
SPOKANE WA 99217
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 455.74
VALUATION 125095 SHOWERS 12.00
CLOTHES WASHER 1 SINKS 18.00
FLOOR DRAINS 1 DISHWASHER 6.00
WATER USING DEVICE 2 CLOTHES WASHER 6.00
FUEL BURNING APPL<= 100,000 1 FLOOR DRAINS 6.00
GAS LOG, INSERT, FIREPLACE 1 WATER USING DEVICE 12.00
DRYER 1 FUEL BURNING APPL<= 100,000 15.00
FUEL BURNING WATER HEATER 1 GAS LOG, INSERT, FIREPLACE 10.00
GAS PIPING(ea. OUTLET) 3 DRYER 10.00
DUCT SYSTEMS 1 FUEL BURNING WATER HEATER 10.00
VENTILATING FANS 3 GAS PIPING 3.00
AIR HANDLER<= 10,000 CFM 0 DUCT SYSTEM 10.00
TYPE II HOOD 1 VENTILATING FANS 30.00
BUILDING HEIGHT TO PEAK 35 TYPE II HOOD 10.00
44 X 38 BASIC PERMIT FEE 1,139.35
#DIMENSIONS STORIESWSBCC SURCHARGE 4.50
O2 TOILETS 12.00
#OF BEDROOMS 3 TUBS 12.00
FRONT SETBACK 23
REAR SETBACK 0 Total Calculated: 1,781.59
LEFT SETBACK 35 Deposits/Receipts: 1,781.59
RIGHT SETBACK 15
OCCUPANCY GROUP r-3 Total Due: 0.00
CONSTRUCTION TYPE 5-b
STRUCTURES ON PROPERTY NA
CURRENT PROPERTY SIZE 76 X 111
CURRENT PROPERTY USE RESIDENCE
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no
TOILETS 2
TUBS 2
SHOWERS(PER TRAP) 2
SINKS 3
DISHWASHER 1
THIS IS NOT A RECEIPT
•
��/I��_ THIS IS NOT A PERMIT
„ a "tuuu Penalties will be assessed forpolite commencing work without a permit
„f0Milky NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-07105
Job Address: 14611 E QUEEN AVE Applied: 07/19/2004
SPOKANE VALLEY WA 99216 Issued:
Description: NEW RESIDENCE W/ATTACHED GARAGE-GAS Expires: 01/15/2005
Subdivision: Lot: Blk: Parcel No: 46353.4403 Zoning:
Owner: HARLEY C. DOUGLASS, INC
Applicant: HARLEY C. DOUGLASS, INC Phone:
Address: 8510 N CRESTLINE ST
SPOKANE,WA 99217-
Contractor: HARLEY C DOUGLASS INC Phone: (509)4$7-9792
Address: 8510 N CRESTLINE Lic No: HARLECD110PE
SPOKANE WA 99217
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 455.74
VALUATION 125095 GAS LOG, INSERT, FIREPLACE 10.00
BUILDING HEIGHT TO PEAK 35 DRYER 10.00
DIMENSIONS 44 X 38 FUEL BURNING WATER HEATER 10.00
#OF STORIES 2 GAS PIPING 3.00
#OF BEDROOMS 3 DUCT SYSTEM 10.00
FRONT SETBACK 23 VENTILATING FANS 30.00
REAR SETBACK 0 TYPE II HOOD 10.00
LEFT SETBACK 35 BASIC PERMIT FEE 1,139.35
RIGHT SETBACK 15 WSBCC SURCHARGE 4.50
OCCUPANCY GROUP r-3 TOILETS 12.00
CONSTRUCTION TYPE 5-b TUBS 12.00
STRUCTURES ON PROPERTY NA SHOWERS 12.00
DISHS 18.00
CURRENT PROPERTY SIZE 76 X 111
DISHWASHER 6.00
CURRENT PROPERTY USE RESIDENCE CLOTHES WASHER 6.00
SERVED BY SEPTIC SYSTEM no FLOOR DRAINS 6.00
WELLS LOCATED ON PROPERTY no WATER USING DEVICE 12.00
TOILETS 2 FUEL BURNING APPL<= 100,000 15.00
TUBS 2
SHOWERS(PER TRAP) 2 Total Calculated: 1,781.59
SINKS 3 Deposits/Receipts: 0.00
DISHWASHER 1 Total Due:
CLOTHES WASHER 1 1,781.59
FLOOR DRAINS 1 .)
WATER USING DEVICE 2 CITY OF SPOKANE VALLEY
FUEL BURNING APPL<= 100,000 1 APPROVED FOR SUBMITTAL j ��
GAS LOG, INSERT, FIREPLACE 1 •_
DRYER 1 n i i `t
FUEL BURNING WATER HEATER 1 / 0I �k
GAS PIPING(ea.OUTLET) 3 Building ll✓
DUCT SYSTEMS 1 ,� �'����
Planning _
VENTILATING FANS 3 '��/ '°/�I • R-' ~~
AIR HANDLER<= 10,000 CFM 0
TYPE II HOOD 1Public Works t f/i *0 4 -
THIS IS NOT A RECEIPT ® fl i ¢-®t 1 _
.� t
ITY
Spokne
,,,,00.1rValley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07105
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- • ••erty owner.
ohl1‘1,'77 A •• ./21114War `���
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT