2003, 10-23 Permit: BLD-03-02876 Residence Spalane
.000Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-02876
Job Address: 16305 E 9TH LN Applied: 10/23/2003
SPOKANE VALLEY WA 99206 Issued: 10/27/2003
Description: NEW RESIDENCE W/ATTACHED GARAGE-NATURAL GAS Expires: 04/24/2004
Subdivision: Lot: 3 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: GEORGHWO91P8
LIBERTY LAKE WA 99019-0052
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 529.66
VALUATION 158801 BASIC PERMIT FEE 1,324.15
BUILDING HEIGHT TO PEAK 20.5 WSBCC SURCHARGE 4.50
DIMENSIONS 60 X 57.5 TOILETS 18.00
#OF STORIES 1 TUBS 12.00
#OF BEDROOMS 3 SHOWERS 12.00
FRONT SETBACK 20 SINKS 36.00
REAR SETBACK 35 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
WELLS LOCATED ON PROPERTY no GAS LOG, INSERT, FIREPLACE 10.00
RANGE 10.00
TOILETS 3 DRYER 10.00
TUBS 2 FUEL BURNING WATER HEATER 10.00
SHOWERS (PER TRAP) 2 GAS PIPING 3.00
SINKS 6 VENTILATING FANS 30.00
DISHWASHER 1
CLOTHES WASHER 1 Total Calculated: 2,072.31
GARBAGE DISPOSAL 1 Deposits/Receipts: 2,072.31
FLOOR DRAINS 1 Total Due:
WATER USING DEVICE 3 0.00
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) 3
VENTILATING FANS 3
TYPE II HOOD 1
THIS IS NOT A RECEIPT
THIS IS NOT A PERMIT
[�`ICITFVi'�LLPenalties will be assessed for
/` p ka� commencing work without a permit
.0,015.Valley NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application#: BLD-03-02876
Job Address: 16305 E 9TH LN Applied: 10/23/2003
SPOKANE VALLEY WA 99206 Issued:
Description: NEW RESIDENCE W/ATTACHED GARAGE-NATURAL GAS Expires: 04/20/2004
Subdivision: Lot: 3 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 529.66
VALUATION 158801 BASIC PERMIT FEE 1,324.15
BUILDING HEIGHT TO PEAK 20.5 WSBCC SURCHARGE 4.50
DIMENSIONS 60 X 57.5 TOILETS 18.00
#OF STORIES 1 TUBS 12.00
#OF BEDROOMS 3 SHOWERS 12.00
FRONT SETBACK 20 SINKS 36.00
REAR SETBACK 35 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
WELLS LOCATED ON PROPERTY no GAS LOG, INSERT, FIREPLACE 10.00
RANGE 10.00
TOILETS 3 DRYER 10.00
TUBS 2 FUEL BURNING WATER HEATER 10.00
SHOWERS(PER TRAP) 2 GAS PIPING 3.00
SINKS 6 VENTILATING FANS 30.00
DISHWASHER 1
CLOTHES WASHER 1 Total Calculated: 2,072.31
GARBAGE DISPOSAL 1 Deposits/Receipts: 0.00
FLOOR DRAINS 1 Total Due: 2,072.31
WATER USING DEVICE 3
CROSS CONNECTION DEVICE 1 CITY OF SPOKANE VALLEY
FUEL BURNING APPL<= 100,000 1 APPROVED FOR SUBMITTAL
GAS LOG, INSERT, FIREPLACE 1 I��1l�IEWED FOR CODE COMPLIANCE
RANGE 1 Initials/� E VALLEY BU ING I ON
DRYER 1 /0/g-5 03 �
FUEL BURNING WATER HEATER 1 Building / �'
GAS PIPING (ea. OUTLET) 3 /
VENTILATING FANS 3 Planning I K / /6/a 343
TYPE II HOOD 1 c
Public Works N 4,- - 11
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THIS IS NOT A RECEIPT PT r � r` ck(k of
Spokane
.00 Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-02876
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,code or ordinances.
Ownership of resulting development rights granted by any iss =- -- inure to the property owner.
r?L‘,L)
je •E2
Print Name / Signature at
Staff Initials
THIS IS NOT A RECEIPT