2003, 10-02 Permit: BLD-03-02653 Residence � '''*Tame
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* ilp NEW SINGLE FAMILY RESIDENTIAL PERMIT 9(\ - 2
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-02653
Job Address: 16221 E 9TH LN Applied: 10/02/2003
VERADALE WA 99037 Issued: 10/08/2003
Description: NEW RESIDENCE W/ATTACHED GARAGE-NATURAL GAS Expires: 04/05/2004
Subdivision: Lot: 2 BIk: 4 Parcel No: Zoning:
Owner: GEORGE H WHITE INC
Applicant: GEORGE H WHITE INC Phone: (509)921-9752
Address: PO BOX 52
LIBERTY LAKE,WA 99019-0052
Contractor: GEORGE H WHITE INC Phone: (509)921-9752
Address: PO BOX 52 Lic No: GEORGHWO91P8
LIBERTY LAKE WA 99019-0052
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 558.78
VALUATION 171742 BASIC PERMIT FEE 1,396.95
CLOTHES WASHER 1 GAS LOG, INSERT, FIREPLACE 10.00
GARBAGE DISPOSAL 1 DRYER 10.00
FLOOR DRAINS 1 FUEL BURNING WATER HEATER 10.00
WATER USING DEVICE 3 GAS PIPING 3.00
CROSS CONNECTION DEVICE 1 VENTILATING FANS 30.00
FUEL BURNING APPL<= 100,000 1 WSBCC SURCHARGE 4.50
GAS LOG, INSERT, FIREPLACE 1 TOILETS 12.00
DRYER 1 TUBS 6.00
FUEL BURNING WATER HEATER 1 SHOWERS 12.00
GAS PIPING(ea. OUTLET) 3 SINKS 30.00
VENTILATING FANS 3 DISHWASHER 6.00
TYPE II HOOD 1 CLOTHES WASHER 6.00
GARBAGE DISPOSAL 6.00
BUILDING HEIGHT TO PEAK 19
FLOOR DRAINS 6.00
DIMENSIONS 57 X 62 WATER USING DEVICE 18.00
#OF STORIES 1 CROSS CONNECTION DEVICE 6.00
#OF BEDROOMS 2 FUEL BURNING APPL<= 100,000 15.00
FRONT SETBACK 20
REAR SETBACK 30 Total Calculated: 2,146.23
LEFT SETBACK 10 Deposits/Receipts: 2,146.23
RIGHT SETBACK 10 Total Due:
OCCUPANCY GROUP r-3 0.00
CONSTRUCTION TYPE 5-w
STRUCTURES ON PROPERTY 1
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no
TOILETS 2
TUBS 1
SHOWERS(PER TRAP) 2
SINKS 5
DISHWASHER 1
THIS IS NOT A RECEIPT
THIS IS NOT A PERMIT
S7 or a Penalties will be assessed for
pli�[i commencing work without a permit
.0000Malley NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application#: BLD-03-02653
Job Address: 16221 E 9TH LN Applied: 10/02/2003
VERADALE WA 99037 Issued:
Description: NEW RESIDENCE W/ATTACHED GARAGE-NATURAL GAS Expires: 03/30/2004
Subdivision: Lot: 2 Blk: 4 Parcel No: Zoning:
Owner: GEORGE H WHITE INC
Applicant: GEORGE H WHITE INC Phone: (509)921-9752
Address: PO BOX 52
LIBERTY LAKE,WA 99019-0052
Contractor: GEORGE H WHITE INC Phone: (509)921-9752
Address: PO BOX 52 Lic No: GEORGHWO91 P8
LIBERTY LAKE WA 99019-0052
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 558.78
VALUATION 171742 BASIC PERMIT FEE 1,396.95
BUILDING HEIGHT TO PEAK 19 WSBCC SURCHARGE 4.50
DIMENSIONS 57 X 62 TOILETS 12.00
#OF STORIES 1 TUBS 6.00
#OF BEDROOMS 2 SHOWERS 12.00
FRONT SETBACK 20 SINKS 30.00
REAR SETBACK 30 DISHWASHER 6.00
LEFT SETBACK 10 CLOTHES WASHER 6.00
RIGHT SETBACK 10 GARBAGE DISPOSAL 6.00
OCCUPANCY GROUP r-3 FLOOR DRAINS 6.00
CONSTRUCTION TYPE 5-w WATER USING DEVICE 18.00
STRUCTURES ON PROPERTY 1 CROSS CONNECTION DEVICE 6.00
SERVED BY SEPTIC SYSTEM no FUEL BURNING APPL<= 100,000 15.00
GAS LOG, INSERT, FIREPLACE 10.00
WELLS LOCATED ON PROPERTY no DRYER 10.00
TOILETS 2 FUEL BURNING WATER HEATER 10.00
TUBS 1 GAS PIPING 3.00
SHOWERS(PER TRAP) 2 VENTILATING FANS 30.00
SINKS 5
DISHWASHER 1 Total Calculated: 2,146.23
D.f,�..;t0/Re;eipts: 0.00
CLOTHES WASHER 1
GARBAGEDISPOSAL CITY OF SPOKANE VALL d
1 APPROVED FOR SUBMITTALr 2,146.23
FLOOR DRAINNSS1 tal D
WATER USING DEVICE 3al':1/� �1MtAD FOR CODE COMPLIANCE
CROSS CONNECTION DEVICE 1 tvE VALLEY WILDING DMSION
FUEL BURNING APPL<= 100,000 1
GAS LOG, INSERT, FIREPLACE 1 Building /- ey0yo5
DRYER 1
FUEL BURNING WATER HEATER 1 Planning /1(6 //0/376
GAS PIPING(ea.OUTLET) 3 `�
VENTILATING FANS 3 �tt����,�, /
TYPE II HOOD 1 P�bHci�oricS i.�C /q`.Loo. ( kC 6
•
THIS IS NOT A RECEIPT
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Sil"6141..\'`ne
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� NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-02653
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,cod s or ordinances.
Ownership of resulting development rights granted by any is permit inure to the prope .w r.
Print Name Signa ure Date
Staff Initials
THIS IS NOT A RECEIPT