2003, 11-21 Permit: BLD-03-03137 Residence �,/�� s' - • THIS IS NOT A PERMIT
Sin I .n��"' a `�� ` Penalties will be assessed for
►Jp commencing work without a permit
,/";Valley NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application#: BLD-03-03137
Job Address: 18621 E 4TH AVE Applied: 11/21/2003
GREENACRES WA 99016 Issued:
Description: NEW RESIDENCE W/ATTACHED GARAGE-RADIANT FLOOR HEAT Expires: 05/19/2004
Subdivision: Lot: Blk: Parcel No: 55191.2008 Zoning:
Owner: GRAY,JEREMY M&CHRISTA L
Applicant: GRAY,JEREMY M&CHRISTA L Phone: (509)868-4905
Address: 13811 E 5TH CT
SPOKANE,WA 99216-0604
Contractor: Phone:
Address: Lic No:
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 462.46
VALUATION 128740 BASIC PERMIT FEE 1,156.15
CLOTHES WASHER 1 GAS LOG, INSERT, FIREPLACE 10.00
GARBAGE DISPOSAL 1 RANGE 10.00
WATER USING DEVICE 3 DRYER 10.00
GAS LOG, INSERT, FIREPLACE 1 FUEL BURNING WATER HEATER 20.00
RANGE 1 GAS PIPING 5.00
DRYER 1 VENTILATING FANS 40.00
FUEL BURNING WATER HEATER 2 WSBCC SURCHARGE 4.50
GAS PIPING (ea. OUTLET) 5 TOILETS 18.00
VENTILATING FANS 4 TUBS 18.00
TYPE II HOOD 1 SHOWERS 6.00
BUILDING HEIGHT TO PEAK 22 SINKS 30.00
DISHWASHER 6.00
DIMENSIONS 40 X 48
CLOTHES WASHER 6.00
#OF STORIES 2 GARBAGE DISPOSAL 6.00
#OF BEDROOMS 3 WATER USING DEVICE 18.00
FRONT SETBACK 20
REAR SETBACK 38 Total Calculated: 1,826.11
LEFT SETBACK 25 Deposits/Receipts: 0.00
RIGHT SETBACK 47 Total Due:
OCCUPANCY GROUP r-3 1,826.11
CONSTRUCTION TYPE 5-w G 51).,0() -
STRUCTURES ON PROPERTY 1 CITY OF SPOKANE VALLEY `I�'1
CURRENT PROPERTY SIZE 112 X 106 APPROVED FOR SUBMITTAL.
SERVED BY SEPTIC SYSTEM yes Initials! Date
WELLS LOCATED ON PROPERTY no
TOILETS 3
TUBS 3 J' Building I/.s I % % ( 0 )A)03)
SHOWERS(PER TRAP) 1
SINKS 5 V• Planning
DISHWASHER 1 0 4 O5L.f
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THIS IS NOTA RECEIPT MI
03/02/2004__09:24 5093241567 SRHD EHS PAGE 01/01
" „ ' " I TO 324156? P.02/03
' , THIS IS NOTA PERMIT
W '! Penalties will be assessed for
commencing Work without a permit
NEW SINGLE FAMILY;RESIDENTIAL
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99208 I Application#: BLD 34)3137
c
Job Addreee; 18621 E 4TH AVE Applied: 11/21/2003
GREENACRES WA 99016 I Issued:
Description; NEW RESIDENCE W/ATTACHED GARAGE-RADIANT FLOOR HEAT Expires: 05/19/2004
Subdivision: Lot: Bik: Parcel No: 551912008 Zoning:
Owner: GRAY,JEREMY M&CHRISTA L
Appiioent: GRAY,JEREMY M&CHRISTA L Phone: (509)888-4905
Address: 13811 E 5TH CT
SPOKANE,WA 99216-0804
Contractor: Phone:
Address:
Llc No:
General information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CH eCK FEE 462.46
VALUATION 128740 BASIC PE MIT FEE 1,156.15
CLOTHES WASHER 1 GAS LOG,INSERT,FIREPLACE 10.00
GARBAGE DISPOSAL 1 RANGE I 10.00
WATER USING DEVICE 3 DRYER I 10.00
GAS LOG,INSERT,FIREPLACE 1 FUEL BURNING WATER HEATER 20.00
RANGE 1 GAS PIPING 5.00
DRYER 1 VENTILATING FANS 40.00
FUEL BURNING WATER HEATER 2 WSBCC SURCHARGE 4.50
GAS PIPING(ea.OUTLET) ti TOILETS 18.00
VENTILATING FANS 4 TUBS 18.00
TYPE II HOOD 1 SHOWERS 6.00
SINKS 1 30.00
BUILDING HEIGHT TO PEAK 22 DISHWASHER 6.00
DIMENSIONS 40 X48 CLOTHES WASHER 8.00
#OF STORIES 2 GARBAGE DISPOSAL 6.00
#OF BEDROOMS 3 WATER USING DEVICE 18.00
FRONT SETBACK 20
REAR SETBACK 38 ! Total Calculated: 1,826.11
LEFT SETBACK 26 Deposits/Receipts: 0.00
RIGHT SETBACK 47 Total Due:
OCCUPANCY GROUP r 1,826.11
CONSTRUCTION TYPE 6-w 19 50 I•
STRUCTURES ON PROPERTY 1 CITY OF SPOKANE VALLEY grit- I
CURRENT PROPERTY SIZE 112 X 108 APPROVED FOR SUBMITTAL
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
no MAiSIS I D
TOILETS 3
TUBS 3 Building .l .r < < I ( // ),1/03)
SHOWERS(PER TRAP) 1 •
SINKS 5 Piannind , ,
DISHWASHER 1 �---
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OCCUPANCY N i T ALLOWED until syufOm
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MAR 02 2004 09:22 5093241567 PAGE.01
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4•••.1OVa ley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-03137
Job Address: 18621 E 4TH AVE Applied: 11/21/2003
GREENACRES WA 99016 Issued: 03/02/2004
Description: NEW RESIDENCE W/ATTACHED GARAGE-RADIANT FLOOR HEAT Expires: 08/29/2004
Subdivision: Lot: Blk: Parcel No: 55191.2008 Zoning:
Owner: GRAY,JEREMY M&CHRISTA L
Applicant: GRAY,JEREMY M&CHRISTA L Phone: (509)868-4905
Address: 13811 E 5TH CT
SPOKANE,WA 99216-0604
Contractor: Phone:
Address: Lic No:
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 462.46
VALUATION 128740 BASIC PERMIT FEE 1,156.15
CLOTHES WASHER 1 GAS LOG, INSERT, FIREPLACE 10.00
GARBAGE DISPOSAL 1 RANGE 10.00
WATER USING DEVICE 3 DRYER 10.00
GAS LOG, INSERT, FIREPLACE 1 FUEL BURNING WATER HEATER 20.00
RANGE 1 GAS PIPING 5.00
DRYER 1 VENTILATING FANS 40.00
FUEL BURNING WATER HEATER 2 WSBCC SURCHARGE 4.50
GAS PIPING(ea. OUTLET) 5 TOILETS 18.00
VENTILATING FANS 4 TUBS 18.00
TYPE II HOOD 1 SHOWERS 6.00
BUILDING HEIGHT TO PEAK 22 SINKS 30.00
DISHWASHER 6.00
DIMENSIONS 40 X 48 CLOTHES WASHER 6.00
#OF STORIES 2 GARBAGE DISPOSAL 6.00
#OF BEDROOMS 3 WATER USING DEVICE 18.00
FRONT SETBACK 20
REAR SETBACK 38 Total Calculated: 1,826.11
LEFT SETBACK 25 Deposits/Receipts: 1,826.11
RIGHT SETBACK 47 Total Due:
OCCUPANCY GROUP r-3 0.00
CONSTRUCTION TYPE 5-w
STRUCTURES ON PROPERTY 1
CURRENT PROPERTY SIZE 112 X 106
SERVED BY SEPTIC SYSTEM yes
WELLS LOCATED ON PROPERTY no
TOILETS 3
TUBS 3
SHOWERS(PER TRAP) 1
SINKS 5
DISHWASHER 1
THIS IS NOT A RECEIPT
E
THIS IS NOT A PERMIT
Slim
I
, Penalties will be assessed for
Spokane commencing work without a permi)
,•,,/"$17alley NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave.,Suite 106I
Spokane Valley,WA 99206 i , 1)-0Application#: =LD-03-03137
0/0)V14)-3 %
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Job Address: 1505 N FELTS RD "�U'' Apr ied: 11/21/2003
SPOKANE VALLEY WA 99206 ssued:
Description: NEW RESIDENCE W/ATTACHED GARAGE- RADIANT FLOOR HEAT Expires: 05/19/2004
Subdivision: Lot: Blk: Parcel No: 4:171.0510 Zoning: Lte,3_
Owner: GRAY,JEREMY M&CHRISTA L
Applicant: GRAY,JEREMY M&CHRISTA L Phone: (506 868-4905
Address: 13811 E 5TH CT
SPOKANE,WA 99216-0604 /,,
Contractor: Phone: b q / EL
Address:
Lic No:
General Information: F•es:
TYPE OF RESIDENTIAL PERMIT sfr 'LAN CHECK FEE 462.46
VALUATION 128740 BASIC PERMIT FEE 1,156.15
BUILDING HEIGHT TO PEAK 22 WSBCC SURCHARGE 4.50
DIMENSIONS 40 X 43 TOILETS 18.00
#OF STORIES 2 TUBS 18.00
#OF BEDROOMS 3 SHOWERS 6.00
FRONT SETBACK 40 SINKS 30.00
REAR SETBACK 238 DISHWASHER 6.00
LEFT SETBACK 10 CLOTHES WASHER 6.00
RIGHT SETBACK 5 GARBAGE DISPOSAL 6.00
OCCUPANCY GROUP r_3 WATER USING DEVICE 18.00
CONSTRUCTION TYPE 5-w GAS LOG, INSERT, FIREPLACE 10.00
RANGE 10.00
STRUCTURES ON PROPERTY 1 DRYER 10.00
CURRENT PROPERTY SIZE 55 X .21 FUEL BURNING WATER HEATER 20.00
SERVED BY SEPTIC SYSTEM no GAS PIPING 5.00
WELLS LOCATED ON PROPERTY no VENTILATING FANS 40.00
TOILETS 3
TUBS Total Calculated: 1,826.11
SHOWERS(PER TRAP) Deposits/Receipts: 0.00
SINKS 5 Total Due:
DISHWASHER 1 1,826.11
CLOTHES WASHER 1 ' CITY OF SPOKANE VALLEY ,stuck 5 /.00
GARBAGE DISPOSAL 1 APPROVED FOR SUBMITTAL
0.2_1
WATER USING DEVICE 3 _
GAS LOG, INSERT, FIREPLACE 1 Initials/ Date
RANGE 1 �oICy
DRYER 1 Building / REVIEWED FOR CODE COMPLIANCE
FUEL BURNING WATER HEATS" 2 // SPOKANE,V`ALLEY BUILDING DIVISION
GAS PIPING (ea. OUTLET) 5 /14Planning / /f`('J� /�i , G'0 3
VENTILATING FANS 4 `—�
TYPE II HOOD 1blic WOrkS,fi'< 1 °3----51-2
(A, t) -
THIS IS NOT A RECEIPT
,
SSj O .Ile
.,,.01,alley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-03137
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 property owner.
_
Print Name •Sig ire Date
Staff Initials
THIS IS NOT A RECEIPT