2004, 08-17 Permit: BLD-04-07395 Residence • oeSTHIS IS NOTA PERMIT
S i"Qae
SPenalties will be assessed for
commencing work without a permit
ley NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-07395
Job Address: 310 S SHELLEY LAKE LN Applied: 08/17/2004
SPOKANE VALLEY WA 99037 Issued:
Description: NEW RESIDENCE W/ATTACHED GARAGE- NATURAL GAS Expires: 02/13/2005
Subdivision: Lot: BIk: Parcel No: Zoning:
Owner: PURYEAR,TED
Applicant: PURYEAR,TED Phone: (509)220-9378
Address: 14120E 21ST AVE
SPOKANE,WA 99037-8305
Contractor: Phone:
Address: Lic No:
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 592.38
VALUATION 186952 TYPE II HOOD 10.00
BUILDING HEIGHT TO PEAK 19'6" BASIC PERMIT FEE 1,480.95
DIMENSIONS 38 X 50 WSBCC SURCHARGE 4.50
#OF STORIES 2 TOILETS 18.00
#OF BEDROOMS 3 TUBS 18.00
FRONT SETBACK 20 SHOWERS 6.00
REAR SETBACK 15 MIN SINKS 30.00
OCCUPANCY GROUP r-3 DISHWASHER 6.00
CONSTRUCTION TYPE 5-n CLOTHES WASHER 6.00
STRUCTURES ON PROPERTY 1 FLOOR DRAINS 6.00
CURRENT PROPERTY SIZE 9179 SQ FT WATER USING DEVICE 6.00
SERVED BY SEPTIC SYSTEM no FUEL BURNING APPL<= 100,000 15.00
WELLS LOCATED ON PROPERTY no GAS LOG, INSERT, FIREPLACE 10.00
DRYER 10.00
TOILETS 3 FUEL BURNING WATER HEATER 10.00
TUBS 3 GAS PIPING 3.00
SHOWERS(PER TRAP) 1 VENTILATING FANS 30.00
SINKS 5
DISHWASHER 1 Total Calculated: 2,261.83
CLOTHES WASHER 1 Deposits/Receipts: 0.00
FLOOR DRAINS 1Taal Due:
WATER USING DEVICE 1 C` OF SPOKANE VALLEY 261.83
FUEL BURNING APPL<= 100,000 1 APPROVED FOR SUBMITTAL .,j
GAS LOG, INSERT, FIREPLACE 1
;`TIIEWED FOR CODE COMPLIANCE
DRYER 1 initjals./ Date SP,9KANE VALLEY BUILDING DIVISION
FUEL BURNING WATER HEATER 1 O _ `��
GAS PIPING (ea. OUTLET) 3 Budding / 1`
VENTILATING FANS 3 (Let TYPE II HOOD 1 Planning {U Let
Public Works k) - 142ILIL tiP
THIS IS NOT A RECEIPT
VCITY OF
Sj30laile
.0001/alley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07395
Job Address: 310 S SHELLEY LAKE LN Applied: 08/17/2004
SPOKANE VALLEY WA 99037 Issued: 08/27/2004
Description: NEW RESIDENCE W/ATTACHED GARAGE-NATURAL GAS Expires: 02/23/2005
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: PURYEAR,TED
Applicant: PURYEAR,TED Phone: (509)220-9378
Address: 14120E 21ST AVE
SPOKANE,WA 99037-8305
Contractor: Phone:
Address: Lic No:
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 592.38
VALUATION 186952 TYPE II HOOD 10.00
BUILDING HEIGHT TO PEAK 19'6" BASIC PERMIT FEE 1,480.95
DIMENSIONS 38 X 50 WSBCC SURCHARGE 4.50
#OF STORIES 2 TOILETS 18.00
#OF BEDROOMS 3 TUBS 18.00
FRONT SETBACK 20 SHOWERS 6.00
REAR SETBACK 15 MIN SINKS 30.00
OCCUPANCY GROUP r-3 DISHWASHER 6.00
CONSTRUCTION TYPE 5-n CLOTHES WASHER 6.00
STRUCTURES ON PROPERTY 1 FLOOR DRAINS 6.00
CURRENT PROPERTY SIZE 9179 SQ FT WATER USING DEVICE 6.00
SERVED BY SEPTIC SYSTEM no FUEL BURNING APPL<= 100,000 15.00
WELLS LOCATED ON PROPERTY no GAS LOG, INSERT, FIREPLACE 10.00
TOILETS 3 DRYER 10.00
FUEL BURNING WATER HEATER 10.00
TUBS 3 GAS PIPING 3.00
SHOWERS(PER TRAP) 1 VENTILATING FANS 30.00
SINKS 5
DISHWASHER 1 Total Calculated: 2,261.83
CLOTHES WASHER 1 Deposits/Receipts: 2,261.83
FLOOR DRAINS 1 Total Due:
WATER USING DEVICE 1 0.00
FUEL BURNING APPL<= 100,000 1
GAS LOG, INSERT, FIREPLACE 1
DRYER 1
FUEL BURNING WATER HEATER 1
GAS PIPING (ea. OUTLET) 3
VENTILATING FANS 3
TYPE II HOOD 1
THIS IS NOT A RECEIPT
CITY OF 0� r
kane
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07395
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 f. - at the i-v of Spokane Valley Permit Center. 5)This City of
Spokane Valley Permit is not a permit or approval for any violation of :eral,stat: or local law-,codes or ordinances.
Ownership of resulting development rights granted by any issu-. per',i ' . _ • the • •p- owner.
Cr/21_1#
)4e APIreei--- _J
Print Name !!! Signature Date
Staff Initials
THIS IS NOT A RECEIPT