2004, 04-20 Permit: BLD-04-04123 Residence THIS IS NOT A PERMIT
SsjoF.�� Penalties will be assessed for
pQ commencing work without a permit
4 iley NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-04123
Job Address: 11923 E 13TH AVE Applied: 04/20/2004
SPOKANE VALLEY WA 99212 Issued:
Description: NEW RESIDENCE W/ATTACHED GARAGE-NATURAL GAS Expires: 10/17/2004
Subdivision: Lot: BIk: Parcel No: 45214.3403 Zoning:
Owner: HOMESTEAD CONSTRUCTION INC
Applicant: HOMESTEAD CONSTRUCTION INC Phone: (509)892-0454
Address: 312 S FARR RD
SPOKANE,WA 99206-3666
Contractor: HOMESTEAD CONSTRUCTION INC Phone: (509)892-0454
Address: 312 S FARR RD Lic No: HOMESCI099OC
SPOKANE WA 99206-3666
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 419.90
VALUATION 109256 BASIC PERMIT FEE 1,049.75
BUILDING HEIGHT TO PEAK 18 WSBCC SURCHARGE 4.50
DIMENSIONS 48'6"X 46 TOILETS 12.00
#OF STORIES 1 TUBS 6.00
#OF BEDROOMS 2 SHOWERS 6.00
FRONT SETBACK 30 SINKS 18.00
REAR SETBACK 17 DISHWASHER 6.00
LEFT SETBACK 18 CLOTHES WASHER 6.00
RIGHT SETBACK 48 FLOOR DRAINS 6.00
OCCUPANCY GROUP r_3 WATER USING DEVICE 18.00
CONSTRUCTION TYPE 5 n FUEL BURNING APPL<= 100,000 15.00
DRYER 10.00
STRUCTURES ON PROPERTY 1 FUEL BURNING WATER HEATER 10.00
CURRENT PROPERTY SIZE 83'6"X 124'6" GAS PIPING 2.00
SERVED BY SEPTIC SYSTEM no VENTILATING FANS 30.00
WELLS LOCATED ON PROPERTY no
TOILETS 2 Total Calculated: 1,619.15
TUBS 1 Deposits/Receipts: 0.00
SHOWERS(PER TRAP) 1 Total Due:
1,619.15
SINKS 3 DISHWASHER 1 CITY OF SPOKANE VALLEY � , ,e«k , 5")1
CLOTHES WASHER 1 APPROVED FOR SUBMITTAL - I 1
FLOOR DRAINS 1 ' /5
Initials/ Date -
WATER USING DEVICE 3 REVIEWED FOR CODE COMPLIANCE
FUEL BURNING APPL<= 100,000 1 ZNE VALLEY BUILDING DIVISION
DRYER 1 Building _---/ 7 () /y,G/,;'
FUEL BURNING WATER HEATER 1
GAS PIPING (ea. OUTLET) 2 Planning LIZ/ I-111 ) )
L�!K
VENTILATING FANS 3
TYPE II HOOD 1 PUb1iCWOrkS ' ' ' '
THIS IS NOT A RECEIPT
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. Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04123
Job Address: 11923 E 13TH AVE Applied: 04/20/2004
SPOKANE VALLEY WA 99212 Issued: 04/22/2004
Description: NEW RESIDENCE W/ATTACHED GARAGE-NATURAL GAS Expires: 10/19/2004
Subdivision: Lot: BIk: Parcel No: 45214.3403 Zoning:
Owner: HOMESTEAD CONSTRUCTION INC
Applicant: HOMESTEAD CONSTRUCTION INC Phone: (509)892-0454
Address: 312 S FARR RD
SPOKANE,WA 99206-3666
Contractor: HOMESTEAD CONSTRUCTION INC Phone: (509)892-0454
Address: 312 S FARR RD Lic No: HOMESCI099OC
SPOKANE WA 99206-3666
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 419.90
VALUATION 109256 BASIC PERMIT FEE 1,049.75
BUILDING HEIGHT TO PEAK 18 WSBCC SURCHARGE 4.50
DIMENSIONS 48'6"X 46 TOILETS 12.00
#OF STORIES 1 TUBS 6.00
#OF BEDROOMS 2 SHOWERS 6.00
FRONT SETBACK 30 SINKS 18.00
REAR SETBACK 17 DISHWASHER 6.00
LEFT SETBACK 18 CLOTHES WASHER 6.00
RIGHT SETBACK 48 FLOOR DRAINS 6.00
OCCUPANCY GROUP r_3 WATER USING DEVICE 18.00
CONSTRUCTION TYPE 5-n FUEL BURNING APPL<= 100,000 15.00
DRYER 10.00
STRUCTURES ON PROPERTY 1 FUEL BURNING WATER HEATER 10.00
CURRENT PROPERTY SIZE 83'6"X 124'6" GAS PIPING 2.00
SERVED BY SEPTIC SYSTEM no VENTILATING FANS 30.00
WELLS LOCATED ON PROPERTY no
TOILETS 2 Total Calculated: 1,619.15
TUBS 1 Deposits/Receipts: 1,619.15
SHOWERS(PER TRAP) 1 Total Due:
SINKS 3 0.00
DISHWASHER 1
CLOTHES WASHER 1
FLOOR DRAINS 1
WATER USING DEVICE 3
FUEL BURNING APPL<= 100,000 1
DRYER 1
FUEL BURNING WATER HEATER 1
GAS PIPING (ea.OUTLET) 2
VENTILATING FANS 3
TYPE II HOOD 1
THIS IS NOT A RECEIPT
P
Spokane
.000Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04123
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 Date
Staff Initials
THIS IS NOT A RECEIPT