2004, 07-19 Permit: BLD-04-07102 Residence CITI'tIF �• . i
Spokane
.I"' Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07102
Job Address: 14720 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: 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 491.58
VALUATION 141812 TYPE II HOOD 10.00
CLOTHES WASHER 1 GAS LOG, INSERT, FIREPLACE 10.00
FLOOR DRAINS 1 DRYER 10.00
WATER USING DEVICE 2 FUEL BURNING WATER HEATER 10.00
FUEL BURNING APPL<= 100,000 1 GAS PIPING 3.00
GAS LOG, INSERT, FIREPLACE 1 DUCT SYSTEM 10.00
DRYER 1 VENTILATING FANS 30.00
FUEL BURNING WATER HEATER 1 BASIC PERMIT FEE 1,228.95
GAS PIPING(ea.OUTLET) 3 WSBCC SURCHARGE 4.50
DUCT SYSTEMS 1 TOILETS 12.00
VENTILATING FANS 3 TUBS 12.00
SHOW ERS 12.00
AIR HANDLER<= 10,000 CFM 0 SINKS 18.00
TYPE II HOOD 1 DISHWASHER 6.00
BUILDING HEIGHT TO PEAK 35 CLOTHES WASHER 6.00
DIMENSIONS 30 X 60 FLOOR DRAINS 6.00
#OF STORIES 2 WATER USING DEVICE 12.00
#OF BEDROOMS 3 FUEL BURNING APPL<= 100,000 15.00
FRONT SETBACK 37
REAR SETBACK 0 Total Calculated: 1,907.03
LEFT SETBACK 6 Deposits/Receipts: 1,907.03
RIGHT SETBACK 5+ Total Due:
0.00
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-b
STRUCTURES ON PROPERTY NA
CURRENT PROPERTY SIZE 122 X 83
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
t
• THIS IS NOT A PERMIT
S�++r,Tt�� i/ie • • Penalties will be assessed for
t7pQcommencing work without a permit
40010 Valley NEW SINGLE FAMILY RESIDENTIAL
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-07102
Job Address: 14720 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: 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 491.58
VALUATION 141812 TYPE II HOOD 10.00
BUILDING HEIGHT TO PEAK 35 BASIC PERMIT FEE 1,228.95
DIMENSIONS 30 X 60 WSBCC SURCHARGE 4.50
#OF STORIES 2 TOILETS 12.00
#OF BEDROOMS 3 TUBS 12.00
FRONT SETBACK 37 SHOWERS 12.00
REAR SETBACK 0 SINKS 18.00
LEFT SETBACK 6 DISHWASHER 6.00
RIGHT SETBACK 5+ CLOTHES WASHER 6.00
OCCUPANCY GROUP r-3 FLOOR DRAINS 6.00
CONSTRUCTION TYPE 5-b WATER USING DEVICE 12.00
STRUCTURES ON PROPERTY NA FUEL BURNING APPL<= 100,000 15.00
CURRENT PROPERTY SIZE 122 X 83 GAS LOG, INSERT, FIREPLACE 10.00
DRYER 10.00
CURRENT PROPERTY USE RESIDENCE FUEL BURNING WATER HEATER 10.00
SERVED BY SEPTIC SYSTEM no GAS PIPING 3.00
WELLS LOCATED ON PROPERTY no DUCT SYSTEM 10.00
TOILETS 2 VENTILATING FANS 30.00
TUBS 2
SHOWERS(PER TRAP) 2 Total Calculated: 1,907.03
SINKS 3 Deposits/Receipts: 0.00
DISHWASHER 1 Total Due:
1,907.03
CLOTHES WASHER 1
FLOOR DRAINS 1
WATER USING DEVICE 2 CITY OF SPOKANE VALLEYS E
FUEL BURNING APPL<= 100,000 1 APPROVED FOR SUBMITTAL
GAS LOG, INSERT, FIREPLACE 1 '
DRYER 1 Initis___ a/ Date ,
FUEL BURNING WATER HEATER 1 '' '�.10
1 r
GAS PIPING(ea. OUTLET) 3 Building i .'
AO
DUCT SYSTEMS 1
VENTILATING FANS 3Z 416 ,' lir ir
AIR HANDLER<= 10,000 CFM 0 Planning I ---�
TYPE II HOOD 1 - ii„." , J 9
THIS IS NOT A RECEIPT • ( { fj
*Wane
.,, 0V lley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07102
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 •the •roperty owner.
Print Name Signature amp Date
Staff Initials
THIS IS NOT A RECEIPT