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2004, 03-11 Permit App: BLD-04-03746 Residencecalokane 4.•00Va11ey 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 THIS IS NOTA PERMIT • Penalties will be assessed for commencing work without a permit NEW SINGLE FAMILY RESIDENTIAL Job Address: 702 S SHELLEY LAKE LN SPOKANE VALLEY WA 99037 Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Subdivision: Owner: Applicant: Address: Contractor: Address: MADDEN, KEVIN M MADDEN CONSTRUCTION 10601 E NIXON LN SPOKANE VALLEY, WA 99206 KEVIN MADDEN CONSTRUCTION 10601 E NIXON LN SPOKANE WA 99206-3794 Lot: Blk: Parcel No: Application #: BLD -04-03746 Applied: 03/11/2004 Issued: Expires: 09/07/2004 Zoning: Phone: (509) 924-6497 Phone: Lic No: (509) 927-7526 KEVINMC146J5 General Information: TYPE OF RESIDENTIAL PERMIT VALUATION BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES # OF BEDROOMS FRONT SETBACK REAR 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 SHOWERS (PER TRAP) SINKS DISHWASHER CLOTHES WASHER WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD sfr 173200 35.5 56' 6" X 40' 3" 2 3 30 48 5 5 r-3 5-n 1 69 X 120 no no 3 3 1 5 1 1 2 1 1 1 1 3 3 1 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SHOWERS SINKS DISHWASHER CLOTHES WASHER WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS Total Calculated: Deposits/Receipts: Total Due: CITY OF SPOKANE VALLEY APPROVED FOR SUBMITTAL Building Planning Public Worts 563.26 1,408.15 4.50 18.00 18.00 6.00 30.00 6.00 6.00 12.00 15.00 10.00 10.00 10.00 3.00 30.00 2,149.91 0.00 2,149.91 Jnitials / Dat4EV1EWED FOR CODE COMPLIANCE SPOKANE VOLLEY BUILD}NGpMSION «2W/_(p), Stac - THIS IS NOT A RECEIPT / 'Y.f.fY1 BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: '7d.2 Shell&it J, e dw�✓e Assessor's Tax Parcel Number(s): Legal Description: Lrt-/3 61k PERMIT DESCRIPTION: RI Building Permit ❑ Change in Use ❑ Tenant Improvement n Relocation ❑ Grading ❑ Manufactured Home Fire Safety U Other OWNER/APPLICANT INFORMATION E Owner: X /n1 Madt er( Const Lo Phone:q4- 1 ( -Fax: Celt 2 17- (0704 Address: Sf7..04- ►01,-e55. Rd. 99 03 7 — (City d State Zip Code ❑ Contractor: ev,;✓ /12a.dde.( Phone: Fax: Address: City State Zip Code WA State Contractor License #:/',1 /11C /'T ❑ Applicant: 4/Y/adde,�✓ Phone: qty - (,q ei7 fax Address: E-jo(o( Mid,/ hccNe Cit7J�. 61 qi q 2 it r State Zip Code ❑ Architect: Phone: Address: Fax: City State Contact: Th"�,:F�. Cry\ A/s e// .2/7-47a Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: C ee rictAs + 33. DIMENSIONS: _re rei x. (al- # OF STORIES: Ode. MAIN FLOOR TO SQ. FTG: 1833 2"U FLOOR SQ. F: N,4 UNFIN BASEMENT SQ.�1� FIG: 1, 119 FINISHED BASEMENT SQ. FTG: NoNe- GARAGE SQ. FTG: /6'3 ?` ii -e -6:1 --No DECK/COV. PATIO SQ. FTG: dek OCCUPANCY GROUP: CONSTRUCTION TYPE: Ora.M e. HEAT SOURCE: /1�a.6W''a-i-- 0.s # OF BEDROOMS: 2 TOTAL HABITABLE SPACE: 1833. IMPERVIOUS SURFACE AREA: COST OF PROJECT: az/0 0 o o, a © 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? Sew e.A.-- t MANUFACTURED HOME Width: Manufacturer: Length: Year: Pit Set: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: Tent: # of Heads: Fire Alarm: Paint Booth: Fireworks Display: Blasting: Date/Time: Valuation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Address: Phone: Fax: City Inspector: Phone: Address: State Fax: Zip City State Zip SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE Firm Name: ❑ REINFORCEMENT Phone: Inspector(s): Fax: ❑ WELDING 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 Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: FeD1) 65 -At ' ADDRESS ZONE ROAD worm FRONT FINKING COMMENTS REVIEWED BY G9, 3a' 40-r 3 aL.ocK 3 831 �. . /$3341". 4, Buy in9 ewe tone