2004, 09-27 Permit: BLD-04-07771 Residence THIS IS NOT A PERMIT
�+c�rk cr , • 1 Penalties will be assessed for
►.7p0� ` ne r- commencing work without a permit
4•••••OValley NEW SINGLE FAMILY RESIDENTIAL
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-07771
Job Address: 11605 E 20TH AVE Applied: 09/27/2004
SPOKANE VALLEY WA 99206 Issued: 09/27/2004
Description: NEW RESIDENCE W/ATTACHED GARAGE-GAS Expires: 03/26/2005
OWNER CONTRACTOR
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: MAXEY,JASON&HOOVER, DEIDRA 3P 0,2 -D cL
Applicant: MAXEY,JASON&HOOVER, DEIDRA Phone: (509)998-7488 l
Address: 8704 N MALVERN
NEWMAN LAKE,WA 99025
Contractor: Phone:
Address: Lic No:
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 509.50
VALUATION 150000 TYPE II HOOD 10.00
BUILDING HEIGHT TO PEAK 14 BASIC PERMIT FEE 1,273.75
DIMENSIONS 60 X 44 WSBCC SURCHARGE 4.50
#OF STORIES 1 TOILETS 12.00
#OF BEDROOMS 3 TUBS 12.00
FRONT SETBACK 30 SHOWERS 6.00
REAR SETBACK 40 SINKS 30.00
LEFT SETBACK 15 DISHWASHER 6.00
RIGHT SETBACK 25 CLOTHES WASHER 6.00
OCCUPANCY GROUP r-3 GARBAGE DISPOSAL 6.00
CONSTRUCTION TYPE 5-b FLOOR DRAINS 6.00
WATER USING DEVICE 18.00
STRUCTURES ON PROPERTY 1 CROSS CONNECTION DEVICE 6.00
CURRENT PROPERTY SIZE 100 X 113 FUEL BURNING APPL<= 100,000 15.00
CURRENT PROPERTY USE UR 3.5 GAS LOG, INSERT, FIREPLACE 10.00
SERVED BY SEPTIC SYSTEM no RANGE 10.00
WELLS LOCATED ON PROPERTY no DRYER 10.00
TOILETS 2 FUEL BURNING WATER HEATER 10.00
TUBS 2 GAS PIPING 4.00
SHOWERS(PER TRAP) 1 VENTILATING FANS 30.00
SINKS 5
DISHWASHER 1 Total Calculated: 1,994.75
CLOTHES WASHER 1 p-•• ' - ' ' 0.00
GARBAGE DISPOSAL 1 CITY OF SPIE:V ' '
FLOOR DRAINS 1 1,994.75
APPROVED FOR $UBMITTAi
WATER USING DEVICE 3 6 _ 50DC)
CROSS CONNECTION DEVICE 1 initials/ Data go 7i>i. i4,7�
FUEL BURNING APPL<= 100,000 1
GAS LOG, INSERT, FIREPLACE 1 Building . I____
RANGE 1
DRYER
FUEL BURNING WATER HEATER 1 Planning ' _ _ � '�
7.
GAS PIPING(ea. OUTLET) 4 filo ,_Lt-=
VENTILATING FANS 3 Public Wo
TYPE II HOOD 1 pt,
THIS IS NOT A RECEIPT,;GJ-,Wi — ` l Qkpoz.k
7
q
Spol�ane , t
4000Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07771
Job Address: 11605 E 20TH AVE Applied: 09/27/2004
SPOKANE VALLEY WA 99206 Issued: 09/27/2004
Description: NEW RESIDENCE W/ATTACHED GARAGE-GAS Expires: 03/26/2005
OWNER CONTRACTOR
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: MAXEY,JASON& HOOVER, DEIDRA
Applicant: MAXEY,JASON&HOOVER, DEIDRA Phone: (509)998-7488
Address: 8704 N MALVERN
NEWMAN LAKE,WA 99025
Contractor: Phone:
Address: Lic No:
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 509.50
VALUATION 150000 TYPE II HOOD 10.00
BUILDING HEIGHT TO PEAK 14 BASIC PERMIT FEE 1,273.75
DIMENSIONS 60 X 44 WSBCC SURCHARGE 4.50
#OF STORIES 1TOILETS 12.00
#OF BEDROOMS 3 t s �' - TUBS 12.00
FRONT SETBACK " ! V3`iSHOWERS 6.00
REAR SETBACK
K40rs sY.-- Cl' SINKS 30.00
LEFT SETBACK 15` a
RIGHT SETBACK DISHWASHER 6.00
' CLOTHES WASHER
25( k 1'' 6.00
OCCUPANCY GROUP r-3 GARBAGE DISPOSAL 6.00
�_.� FLOOR DRAINS 6.00
CONSTRUCTION TYPE 5-b WATER USING DEVICE 18.00
STRUCTURES ON PROPERTY 1 CROSS CONNECTION DEVICE 6.00
CURRENT PROPERTY SIZE 100 X 113 FUEL BURNING APPL<= 100,000 15.00
CURRENT PROPERTY USE UR 3.5 GAS LOG, INSERT, FIREPLACE 10.00
SERVED BY SEPTIC SYSTEM no RANGE 10.00
WELLS LOCATED ON PROPERTY no DRYER 10.00
TOILETS 2 FUEL BURNING WATER HEATER 10.00
TUBS 2 GAS PIPING 4.00
SHOWERS(PER TRAP) 1 VENTILATING FANS 30.00
SINKS 5
DISHWASHER 1 Total Calculated: 1,994.75
CLOTHES WASHER 1 Deposits/Receipts: 1,994.75
GARBAGE DISPOSAL 1 Total Due: 0.00
FLOOR DRAINS 1
WATER USING DEVICE 3
CROSS CONNECTION DEVICE 1
FUEL BURNING APPL<= 100,000 1
GAS LOG, INSERT, FIREPLACE 1
RANGE 1
DRYER 1
FUEL BURNING WATER HEATER 1
GAS PIPING(ea. OUTLET) 4
VENTILATING FANS 3
TYPE II HOOD 1
THIS IS NOT A RECEIPT
CrrFCtF .111°N11111 ,
oi�alle •
._..,Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07771
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' ued permit inure to the property owner.
cJ rcA- 1--1OOV E - 9/Z7�6Y
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT