2003, 09-09 Permit: BLD-03-02423 Addition' 01�
SpGITfokane
.000Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
RESIDENTIAL ADDITION/REMODEL PERMIT
302 S UNION RD
SPOKANE WA 99206-5371
(2)BEDROOM AND (2)BATH ADDITION TO RESIDENCE
(REVISED CONTRACTOR TO MENDOZA CONSTRUCTION 12/23/03 - PER
OWNER)
MEDLEN, ORVILLE R
MEDLEN, ORVILLE R
302 S UNION RD
SPOKANE, WA 99206-5371
MENDOZA CONSTRUCTION
1818 W 9TH AVE
SPOKANE WA 99204
Lot:
#3
Permit #:
Applied:
Issued:
Expires:
Blk: Parcel No: 45211.0903
Phone: (509) 927-1179
Phone:
Lic No:
(509) 747-0858
MENDOCC995QN
BLD -03-02423
Zoning:
09/09/2003
09/09/2003
03/07/2004
General Information:
VALUATION
REROOF
FUEL BURNING APPL <= 100,000
GAS PIPING (ea. OUTLET)
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
46841
N
1
4
2
1
20
APPROX 24 X 40
1
3
40
100+
N/A
20+
r-3
5-n
3
90 X 325
no
no
2
1
1
3
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
GAS PIPING
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
FUEL BURNING APPL <= 100,000
Total Calculated:
Deposits/Receipts:
Total Due:
245.38
613.45
4.00
20.00
12.00
4.50
12.00
6.00
6.00
18.00
15.00
956.33
956.33
0.00
THIS IS NOT A RECEIPT
Spokane
4 FValley
RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -03-02423
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
Staff Initials
THIS IS NOT A RECEIPT
Date
CITIOf
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 302 S UNION RD
SPOKANE WA 99206-5371
Description: (2)BEDROOM AND (2)BATH ADDITION TO RESIDENCE
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
MEDLEN, ORVILLE R
MEDLEN, ORVILLE R
302 S UNION RD
SPOKANE, WA 99206-5371
OWNER
Lot:
Permit #:
Applied:
Issued:
Expires:
Blk: Parcel No: 45211.0903
Phone: (509) 927-1179
Phone:
Lic No:
BLD -03-02423
Zoning:
09/0912003
09/09/2003
03/07/2004
General Information:
VALUATION
REROOF
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
FUEL BURNING APPL <= 100,000
GAS PIPING (ea. OUTLET)
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
46841
N
20
APPROX 24 X 40
1
3
40
100+
N/A
20+
r-3
5-n
90 X 325
no
no
2
1
1
3
1
4
2
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
FUEL BURNING APPL <= 100,000
GAS PIPING
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
Total Calculated:
Deposits/Receipts:
Total Due:
245.38
613.45
4.50
12.00
6.00
6.00
18.00
15.00
4.00
20.00
12.00
956.33
956.33
0.00
C1T1' Or
RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -03-02423
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 fed - I, state or local laws, codes or ordinances.
Owr3 tehip of resulting development rights grantedby ny issued per
7-7,1 ,tf 6-. z/c/a
Print Name
Staff Initials
ture
Fi re toa pr
9-7-n.2
Date