2003, 10-27 Permit: BLD-03-02873 Residence C.1'fF(7F / i.�
Spokane
Walley NEW SINGLE FAMILY RESIDENTIAL PERMIT 04—. 2:1(F3
Sprague 11707 E. Ave. Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-02873
Job Address: 16317 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: 5 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 549.82
VALUATION 167155 BASIC PERMIT FEE 1,374.55
BUILDING HEIGHT TO PEAK 30 WSBCC SURCHARGE 4.50
DIMENSIONS 60 X 56 TOILETS 24.00
#OF STORIES 1 TUBS 6.00
#OF BEDROOMS 2 SHOWERS 18.00
FRONT SETBACK 20 SINKS 42.00
REAR SETBACK 30 DISHWASHER 6.00
LEFT SETBACK 10 CLOTHES WASHER 6.00
RIGHT SETBACK 10 GARBAGE DISPOSAL 6.00
OCCUPANCY GROUP r 3 WATER USING DEVICE 18.00
CONSTRUCTION TYPE 5_N, CROSS CONNECTION DEVICE 6.00
STRUCTURES ON PROPERTY 1 FUEL BURNING APPL<= 100,000 15.00
SERVED BY SEPTIC SYSTEM no GAS LOG, INSERT, FIREPLACE 10.00
RANGE 10.00
WELLS LOCATED ON PROPERTY no DRYER 10.00
TOILETS 4 FUEL BURNING WATER HEATER 10.00
TUBS 1 GAS PIPING 3.00
SHOWERS(PER TRAP) 3 VENTILATING FANS 40.00
SINKS 7
DISHWASHER 1 Total Calculated: 2,158.87
CLOTHES WASHER 1 Deposits/Receipts: 2,158.87
GARBAGE DISPOSAL 1 Total Due:
0.00
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) 3
VENTILATING FANS 4
TYPE II HOOD 1
THIS IS NOT A RECEIPT
THIS IS NOT A PERMIT
Sprt r,cue �Irr,. Penalties will be assessed for
okane commencing work without a permit
40000 Valley NEW SINGLE FAMILY RESIDENTIAL
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application#: BLD-03-02873
Job Address: 16317 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: 5 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 549.82
VALUATION 167155 BASIC PERMIT FEE 1,374.55
BUILDING HEIGHT TO PEAK 30 WSBCC SURCHARGE 4.50
DIMENSIONS 60 X 56 TOILETS 24.00
#OF STORIES 1 TUBS 6.00
#OF BEDROOMS 2 SHOWERS 18.00
FRONT SETBACK 20 SINKS 42.00
REAR SETBACK 30 DISHWASHER 6.00
LEFT SETBACK 10 CLOTHES WASHER 6.00
RIGHT SETBACK 10 GARBAGE DISPOSAL 6.00
OCCUPANCY GROUP r-3 WATER USING DEVICE 18.00
CONSTRUCTION TYPE 5 w CROSS CONNECTION DEVICE 6.00
STRUCTURES ON PROPERTY 1 FUEL BURNING APPL<= 100,000 15.00
SERVED BY SEPTIC SYSTEM no GAS LOG, INSERT, FIREPLACE 10.00
RANGE 10.00
WELLS LOCATED ON PROPERTY no DRYER 10.00
TOILETS 4 FUEL BURNING WATER HEATER 10.00
TUBS 1 GAS PIPING 3.00
SHOWERS(PER TRAP) 3 VENTILATING FANS 40.00
SINKS 7
DISHWASHER 1 Total Calculated: 2,158.87
CLOTHES WASHER 1 Deposits/Receipts: 0.00
GARBAGE DISPOSAL 1 -I Due:
WATER USING DEVICE 3 CITY OF SPOKANE VALLEY 2,158.87
CROSS CONNECTION DEVICE 1 APPROVED FOR SUBMITTAL. ��
FUEL BURNING APPL<= 100,000 1 WED FOR CODE COMPLIANCE
GAS LOG, INSERT, FIREPLACE 1 Initials/ Date-4 . E VALLEY BUI G DIVISION
RANGE 1 i3
A 5/e3�e`
DRYER 1 Building /
FUEL BURNING WATER HEATER 1
GAS PIPING(ea. OUTLET) 3 Planning ii4
VENTILATING FANS 4 ./7�
TYPE II HOOD 1 Public Works \i`k- I�, li..2airt d� •
THIS IS NOT A RECEIPT
C.ITk'(1F
Spol�ane
.0,/"'Walley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-02873
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 Spokan0 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 o ordinances.
Ownership of resulting development rights granted by any issue errripure to the property owne
fr )'-,1 LA.-Q ,72 -70Jci3
Print Name / Signature Date
Staff Initials
THIS IS NOT A RECEIPT