2004, 07-19 Permit: BLD-04-07095 Residence SjQ ,le
4000%/ley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07095
Job Address: 14712 E QUEEN RD 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: 46354.4307 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 462.46
VALUATION 128747 CLOTHES WASHER 6.00
CLOTHES WASHER 1 DUCT SYSTEM 10.00
FLOOR DRAINS 1 VENTILATING FANS 30.00
WATER USING DEVICE 2 TYPE II HOOD 10.00
FUEL BURNING APPL<= 100,000 1 BASIC PERMIT FEE 1,156.15
GAS LOG, INSERT, FIREPLACE 1 WSBCC SURCHARGE 4.50
DRYER 1 TOILETS 12.00
FUEL BURNING WATER HEATER 1 TUBS 12.00
GAS PIPING(ea. OUTLET) 3 SHOWERS 12.00
DUCT SYSTEMS 1 SINKS 18.00
VENTILATING FANS 3 DISHWASHER 6.00
AIR HANDLER<= 10,000 CFM 0 FLOOR DRAINS 6.00
WATER USING DEVICE 12.00
TYPE II HOOD 1 FUEL BURNING APPL<= 100,000 15.00
BUILDING HEIGHT TO PEAK 35 GAS LOG, INSERT, FIREPLACE 10.00
DIMENSIONS 39 X 54 DRYER 10.00
#OF STORIES 2 FUEL BURNING WATER HEATER 10.00
#OF BEDROOMS 3 GAS PIPING 3.00
FRONT SETBACK 37
REAR SETBACK 50 Total Calculated: 1,805.11
LEFT SETBACK 5 Deposits/Receipts: 1,805.11
RIGHT SETBACK 23 Total Due:
OCCUPANCY GROUP r-3 0.00
CONSTRUCTION TYPE 5-b
STRUCTURES ON PROPERTY NA
CURRENT PROPERTY SIZE 83.12 X 126
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
THIS IS NOT A PERMIT
SgT i ar Penalties will be assessed for
p4ri+� commencing work without a permit
......*Valley NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-07095
Job Address: 14712 E QUEEN RD 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: 46354.4307 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 449.02
VALUATION 122097 CLOTHES WASHER 6.00
BUILDING HEIGHT TO PEAK 35 FLOOR DRAINS 6.00
DIMENSIONS 39 X 54 WATER USING DEVICE 12.00
#OF STORIES 2 FUEL BURNING APPL<= 100,000 15.00
#OF BEDROOMS 3 GAS LOG, INSERT, FIREPLACE 10.00
FRONT SETBACK 37 DRYER 10.00
REAR SETBACK 50 FUEL BURNING WATER HEATER 10.00
LEFT SETBACK 5 GAS PIPING 3.00
RIGHT SETBACK 23 DUCT SYSTEM 10.00
OCCUPANCY GROUP r-3 VENTILATING FANS 30.00
CONSTRUCTION TYPE 5-b TYPE II HOOD 10.00
STRUCTURES ON PROPERTY NA BASIC PERMIT FEE 1,122.55
WSBCC SURCHARGE 4.50
CURRENT PROPERTY SIZE 83.12 X 126
TOILETS 12.00
CURRENT PROPERTY USE RESIDENCE
TUBS 12.00
SERVED BY SEPTIC SYSTEM no SHOWERS 12.00
WELLS LOCATED ON PROPERTY no SINKS 18.00
TOILETS 2 DISHWASHER 6.00
TUBS 2
SHOWERS(PER TRAP) 2 Total Calculated: 1,758.07
SINKS 3 Deposits/Receipts: 0.00
DISHWASHER 1Total Due: 6�.
CLOTHES WASHER 1 ` '7 I
FLOOR DRAINS 1 ,� v,
WATER USING DEVICE 2 wg
FUEL BURNING APPL<= 100,000 1 ,� ,` � 10_,GAS LOG, INSERT, FIREPLACE 1 CITY OF SPOKANE VALLEY 0 1
DRYER 1 APPROVED FOR SUBMITTAL
FUEL BURNING WATER HEATER 1 Initials/ Date 0
GAS PIPING(ea.OUTLET) 3
DUCT SYSTEMS 1 -,'?"l,' i I IV
VENTILATING FANS 3 Building —/
AIR HANDLER<= 10,000 CFM 0 _, /**---
TYPE II HOOD 1 Planning rg ''`"I -1A1116
01-/—/5- 4
Public Works
THIS IS NOT,r RFICEIPT_.
,,/�� THIS IS NOT A PERMIT
Scrrvoe 400 ' ari, Penalties will be assessed for
po .rie commencing work without a permit
,r/' ley NEW SINGLE FAMILY RESIDENTIAL
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-07095
Job Address: 14712 E QUEEN RD 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: 46354.4307 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 462.46
VALUATION 128747 CLOTHES WASHER 6.00
CLOTHES WASHER 1 DUCT SYSTEM 10.00
FLOOR DRAINS 1 VENTILATING FANS 30.00
WATER USING DEVICE 2 TYPE II HOOD 10.00
FUEL BURNING APPL<= 100,000 1 BASIC PERMIT FEE 1,156.15
GAS LOG, INSERT, FIREPLACE 1 WSBCC SURCHARGE 4.50
DRYER 1 TOILETS 12.00
FUEL BURNING WATER HEATER 1 TUBS 12.00
GAS PIPING(ea. OUTLET) 3 SHOWERS 12.00
DUCT SYSTEMS 1 SINKS 18.00
VENTILATING FANS 3 DISHWASHER 6.00
FLOOR DRAINS 6.00
AIR HANDLER<= 10,000 CFM 0
TYPE II HOOD 1 WATER USING DEVICE 12.00
FUEL BURNING APPL<= 100,000 15.00
BUILDING HEIGHT TO PEAK 35 GAS LOG, INSERT, FIREPLACE 10.00
DIMENSIONS 39 X 54 DRYER 10.00
#OF STORIES 2 FUEL BURNING WATER HEATER 10.00
#OF BEDROOMS 3 GAS PIPING 3.00
FRONT SETBACK 37
REAR SETBACK 50 Total Calculated: 1,805.11
LEFT SETBACK 5 Deposits/Receipts: 0.00
RIGHT SETBACK 23 Total Due:
OCCUPANCY GROUP r-3 1,805.11
CONSTRUCTION TYPE 5-b St
STRUCTURES ON PROPERTY NA 6 y 5 C5 I (
CURRENT PROPERTY SIZE 83.12 X 126 ) D
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
•
CITY t)F
Stioka e
.,, 011al.ley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07095
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 inur- . -•-rty owner. /
/�' 'n/
-• P4_ eVe47l2?TC
Print Name ire Date
Staff Initials
THIS IS NOT A RECEIPT