2004, 02-20 Permit: BLD-04-03586 Residence N1-1 -5LK'
*Wane V
40, 0Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-03586
Job Address: 16323 E 9TH LN Applied: 02/19/2004
SPOKANE VALLEY WA 99037 Issued: 02/20/2004
Description: RESIDENCE W/ATTACHED GARAGE-GAS Expires: 08/18/2004
Subdivision: Lot: Blk: Parcel No: 45245.9155 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 549.82
VALUATION 167319 BASIC PERMIT FEE 1,374.55
BUILDING HEIGHT TO PEAK 20.6 WSBCC SURCHARGE 4.50
DIMENSIONS 40 X 68 TOILETS 12.00
#OF STORIES 1 TUBS 12.00
#OF BEDROOMS 2 SHOWERS 6.00
FRONT SETBACK 25 SINKS 24.00
REAR SETBACK 54 DISHWASHER 6.00
LEFT SETBACK 12 CLOTHES WASHER 6.00
RIGHT SETBACK 13 GARBAGE DISPOSAL 6.00
OCCUPANCY GROUP r-3 FLOOR DRAINS 6.00
CONSTRUCTION TYPE 5 n WATER USING DEVICE 12.00
STRUCTURES ON PROPERTY 1 FUEL BURNING APPL<= 100,000 15.00
CURRENT PROPERTY SIZE 11770 GAS LOG, INSERT, FIREPLACE 10.00
DRYER 10.00
CURRENT PROPERTY USE RESIDENCE FUEL BURNING WATER HEATER 10.00
SERVED BY SEPTIC SYSTEM no GAS PIPING 2.00
WELLS LOCATED ON PROPERTY no VENTILATING FANS 30.00
TOILETS 2
TUBS 2 Total Calculated: 2,095.87
SHOWERS(PER TRAP) 1 Deposits/Receipts: 2,095.87
SINKS 4 Total Due:
0.00
DISHWASHER 1
CLOTHES WASHER 1
GARBAGE DISPOSAL 1
FLOOR DRAINS 1
WATER USING DEVICE 2
FUEL BURNING APPL<= 100,000 1
GAS LOG, INSERT, FIREPLACE 1
RANGE 0
DRYER 1
FUEL BURNING WATER HEATER 1
MISC FUEL BURNING APPLIANCE 0
GAS PIPING(ea.OUTLET) 2
VENTILATING FANS 3
TYPE II HOOD 1
THIS IS NOT A RECEIPT
THIS IS NOT A PERMIT
Spolcar,or I� rr. Penalties will be assessed for
�ane commencing work without a permit
.0,l 0,Valley NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-03586
Job Address: 16323 E 9TH LN Applied: 02/19/2004
SPOKANE VALLEY WA 99037 Issued:
Description: RESIDENCE W/ATTACHED GARAGE-GAS Expires: 08/17/2004
Subdivision: Lot: Bik: / Parcel No: 45245.9155 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 549.82
VALUATION 167319 BASIC PERMIT FEE 1,374.55
BUILDING HEIGHT TO PEAK 20.6 WSBCC SURCHARGE 4.50
DIMENSIONS 40 X 68 TOILETS 12.00
#OF STORIES 1 TUBS 12.00
#OF BEDROOMS 2 SHOWERS 6.00
FRONT SETBACK 25 SINKS 24.00
REAR SETBACK 54 DISHWASHER 6.00
LEFT SETBACK 12 CLOTHES WASHER 6.00
RIGHT SETBACK 13 GARBAGE DISPOSAL 6.00
OCCUPANCY GROUP r-3 FLOOR DRAINS 6.00
CONSTRUCTION TYPE 5-n WATER USING DEVICE 12.00
STRUCTURES ON PROPERTY 1 FUEL BURNING APPL<= 100,000 15.00
CURRENT PROPERTY SIZE 11770 GAS LOG, INSERT, FIREPLACE 10.00
DRYER 10.00
CURRENT PROPERTY USE RESIDENCE FUEL BURNING WATER HEATER 10.00
SERVED BY SEPTIC SYSTEM no GAS PIPING 2.00
WELLS LOCATED ON PROPERTY no VENTILATING FANS 30.00
TOILETS 2
TUBS 2 Total Calculated: 2,095.87
SHOWERS(PER TRAP) 1 Deposits/Receipts: 0.00
SINKS 4 Total Due:
DISHWASHER 1 2,095.87
CLOTHES WASHER 1
GARBAGE DISPOSAL 1 OFSPOKANE .."\...„„LESpIIe
FLOOR DRAINS 1 APPROVED FOR SUBMITTAL ..io,sValley
WATER USING DEVICE 2 t E , FOR
ODEDINI/OG PL
FUEL BURNING APPL<= 100,000 1 = A
GAS LOG, INSERT, FIREPLACE 1 d- /',L5;/ .ez-67-1
DRYER RANGE 0 1 Q l)l e u.) +E - Building --- -r
FUEL BURNING WATER HEATER 1 it,
p100,D I t anning ALL./ -? q 6
MISC FUEL BURNING APPLIANCE 0 r ,
GAS PIPING(ea. OUTLET) 2 i N i �
VENTILATING FANS 3 Public Works ---
TYPE II HOOD 1 -
�`
THIS IS NOT A RECEIPT
Spode
,,,,,•'\alley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-03586
1
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 's 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, ••des or ordinances.
Ownership of resulting develo ment rights granted by any issu, r sthipure to the pros- own•r.
� r
Print Name / Signatu e N Date
Staff Initials
THIS IS NOT A RECEIPT