2003, 10-14 Permit: BLD-03-02772 Residence THIS IS NOT A PERMIT
�+cn' r Penalties will be assessed for
►...'"pok ne commencing work without a permit
401000Va.Hley NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application#: BLD-03-02772
Job Address: 11016 E 4TH AVE Applied: 10/14/2003
SPOKANE VALLEY WA 99206 Issued:
Description: NEW RESIDENCE W/ATTACHED GARAGE- NATURAL GAS Expires: 04/11/2004
Subdivision: Lot: 1 Blk: 2 Parcel No: 45212.2101 Zoning:
Owner: FARRELL CONSTRUCTION
Applicant: FARRELL CONSTRUCTION Phone: (509)216-7163
Address: 6013 S MT VERNON ST #2
SPOKANE,WA 99223
Contractor: FARRELL CONSTRUCTION Phone: (509)216-7163
Address: 6013 S MT VERNON ST #2 Lic No: FARREC*021C3
SPOKANE WA 99223
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 389.10
VALUATION 96911 BASIC PERMIT FEE 972.75
BUILDING HEIGHT TO PEAK 14 WSBCC SURCHARGE 4.50
DIMENSIONS 40 X 26 TOILETS 12.00
#OF STORIES 1 TUBS 6.00
#OF BEDROOMS 2 SINKS 18.00
FRONT SETBACK 25 DISHWASHER 6.00
REAR SETBACK 25 CLOTHES WASHER 6.00
LEFT SETBACK 16 FLOOR DRAINS 6.00
RIGHT SETBACK 5 WATER USING DEVICE 12.00
FUEL BURNING APPL<= 100,000 15.00
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-w DRYER 10.00
FUEL BURNING WATER HEATER 10.00
STRUCTURES ON PROPERTY 1 GAS PIPING 2.00
CURRENT PROPERTY SIZE 82.64 X 135 VENTILATING FANS 20.00
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no Total Calculated: 1,489.35
TOILETS 2 Deposits/Receipts: 0.00
TUBS 1 CITY OF SPOKANE VAL '' 1,489.35
DISHWASHERasgigAPPROVED FOR SUBMITTAL �u SIS GU
ey
CLOTHES WASHER REVIEWED FORICODE COMPLIANCE Initials/ Date 01,639 .3 -7-D
FLOOR DRAINS SPOKANE VALLEY BUILDING DIVISIO,1
WATER USING DEVICE 2 ,-i
FUEL BURNING APPL<= ,•,,g i ,� ilding tite(,
tt frie-ilk___
DRYER 1
FUEL BURNING WATER HEATER 1 Planning — / i /
GAS PIPING (ea. OUTLET) 2
VENTILATING FANS 2 Public Works ttyc-' E J_
TYPE II HOOD 17-take.A- : 4 _
Oa( 0 `��t
1
THIS IS NOT A RECEIPT
Spokane
.0/0Vdlley NEW SINGLE FAMILY RESIDENTIAL PERMIT
: C. —0 4,7
11707 E.Sprague Ave., Suite 106 OLI
Spokane Valley,WA 99206 Permit#: BLD-03-02772
Job Address: 11016 E 4TH AVE Applied: 10/14/2003
SPOKANE VALLEY WA 99206 Issued: 10/16/2003
Description: NEW RESIDENCE W/ATTACHED GARAGE- NATURAL GAS Expires: 04/13/2004
Subdivision: Lot: 1 Blk: 2 Parcel No: 45212.2101 Zoning:
Owner: FARRELL CONSTRUCTION
Applicant: FARRELL CONSTRUCTION Phone: (509)216-7163
Address: 6013 S MT VERNON ST #2
SPOKANE,WA 99223
Contractor: FARRELL CONSTRUCTION Phone: (509)216-7163
Address: 6013 S MT VERNON ST #2 Lic No: FARREC*021C3
SPOKANE WA 99223
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 389.10
VALUATION 96911 BASIC PERMIT FEE 972.75
BUILDING HEIGHT TO PEAK 14 WSBCC SURCHARGE 4.50
DIMENSIONS 40 X 26 TOILETS 12.00
#OF STORIES 1 TUBS 6.00
#OF BEDROOMS 2 SINKS 18.00
FRONT SETBACK 25 DISHWASHER 6.00
REAR SETBACK 25 CLOTHES WASHER 6.00
LEFT SETBACK 16 FLOOR DRAINS 6.00
RIGHT SETBACK 5 WATER USING DEVICE 12.00
FUEL BURNING APPL<= 100,000 15.00
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-w DRYER 10.00
FUEL BURNING WATER HEATER 10.00
STRUCTURES ON PROPERTY 1 GAS PIPING 2.00
CURRENT PROPERTY SIZE 82.64 X 135 VENTILATING FANS 20.00
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no Total Calculated: 1,489.35
TOILETS 2 Deposits/Receipts: 1,489.35
TUBS 1 Total Due:
SINKS 3 0.00
DISHWASHER 1
CLOTHES WASHER 1
FLOOR DRAINS 1
WATER USING DEVICE 2
FUEL BURNING APPL<= 100,000 1
DRYER 1
FUEL BURNING WATER HEATER 1
GAS PIPING(ea. OUTLET) 2
VENTILATING FANS 2
TYPE II HOOD 1
THIS IS NOT A RECEIPT
Spokane
.,, .,Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-02772
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.
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Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT