2004, 05-21 Permit: BLD-04-04418 ResidencenTY�r s�•.�,
Spokane
.0.00Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
NEW SINGLE FAMILY RESIDENTIAL PERMIT
Job Address: 631 S SHELLEY LAKE LN
SPOKANE VALLEY WA 99037
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
WELLS, FRANK D & LAURA A
HAWKINS CONSTRUCTION
13718E 41ST AVE
SPOKANE, WA 99206-9332
HAWKINS CONSTRUCTION CO
13718E 41ST AVE
SPOKANE WA 99206-9332
Lot:
Blk: Parcel No:
Phone: (509) 922-1047
Phone:
Lic No:
(509) 922-1047
HAW KICC044KN
Permit #:
Applied:
Issued:
Expires:
BLD -04-04418
05/21/2004
05/28/2004
11/24/2004
Zoning:
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTENER
FLOOR DRAINS
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
FUEL BURNING APPL >100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE 11 HOOD
AIR CONDITIONER 3 - 15 TON
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
sfr
231933
1
1
1
1
1
3
1
2
1
1
4
5
1
1
26
60 X 67
1
4
20
5
5
r-3
5-n
1
70 X 110
no
no
4
3
6
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
AIR CONDITIONER 3 - 15 TON
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTENER
FLOOR DRAINS
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
FUEL BURNING APPL > 100,000
Total Calculated:
Deposits/Receipts:
Total Due:
693.18
1,732.95
20.00
10.00
10.00
4.00
50.00
20.00
4.50
24.00
18.00
36.00
6.00
6.00
6.00
6.00
6.00
6.00
18.00
19.00
2,695.63
2,695.63
0.00
Conditions of SEWER CONNECTION PERMIT TO BE OBTAINED PRIOR TO FOOTING/FOUNDATION INSPECTION.
Approval:
THIS IS NOT A RECEIPT
CITY tlF ��
pie
.000Val.ley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-04418
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 iss ermiF inure to the prpperty owne
atu
8i
<46 HA) 144-tAiVo,,is
Print Name g re
Staff Initials
THIS IS NOT A RECEIPT
Date