2004, 06-16 Permit: BLD-04-04616 Residence Sj o1 ane `"' "`
.000Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04616
Job Address: 14310 E 10TH AVE Applied: 06/16/2004
SPOKANE VALLEY WA 99037 Issued: 08/23/2004
Description: NEW RESIDENCE-GAS Expires: 12/13/2004
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: WHITE WATER CONSTRUCTION INC
Applicant: WHITE WATER CONSTRUCTION INC Phone: (509)299-4969
Address: 10403 S GRANITE DR
MEDICAL LAKE,WA 99022
Contractor: WHITE WATER CONSTRUCTION INC Phone: (509)299-4969
Address: 10403 S GRANITE DR Lic No: WHITEWC974N5
MEDICAL LAKE WA 99022
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 361.10
VALUATION 86054 TYPE II HOOD 10.00
CLOTHES WASHER 1 RANGE 10.00
FLOOR DRAINS 1 DRYER 10.00
SEWAGE EJECTOR 1 FUEL BURNING WATER HEATER 10.00
WATER USING DEVICE 2 GAS PIPING 3.00
FUEL BURNING APPL<= 100,000 1 VENTILATING FANS 20.00
RANGE 1 BASIC PERMIT FEE 902.75
DRYER 1 WSBCC SURCHARGE 4.50
FUEL BURNING WATER HEATER 1 TOILETS 12.00
GAS PIPING(ea.OUTLET) 3 TUBS 18.00
SINKS 18.00
VENTILATING FANS 2
DISHWASHER 6.00
TYPE II HOOD 1 CLOTHES WASHER 6.00
BUILDING HEIGHT TO PEAK 21 FLOOR DRAINS 6.00
DIMENSIONS 32 X 35 SEWAGE EJECTOR 6.00
#OF STORIES 1 WATER USING DEVICE 12.00
#OF BEDROOMS 2 FUEL BURNING APPL<= 100,000 15.00
FRONT SETBACK 30
REAR SETBACK 85 Total Calculated: 1,424.35
LEFT SETBACK 15 Deposits/Receipts: 1,424.35
RIGHT SETBACK 35 Total Due:
0.00
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-n
CURRENT PROPERTY SIZE 82.5 X 150.84
CURRENT PROPERTY USE RESIDENCE
SERVED BY SEPTIC SYSTEM yes
WELLS LOCATED ON PROPERTY no
TOILETS 2
TUBS 2
SINKS 3
DISHWASHER 1
Conditions of sewage system designed for a maximum of 2 bedrooms or 240 gallons per day. Per Tom Hemkin. 8/16/04
Approval:
THIS IS NOT A RECEIPT
THIS IS NOT A PERMIT
c,Tvc / Penalties will be assessed for
� � commencing work without a permit
.0,00017alley NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-04616
Job Address: 14310 E 10TH AVE Applied: 06/16/2004
SPOKANE VALLEY WA 99037 Issued:
Description: NEW RESIDENCE -GAS Expires: 12/13/2004
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: WHITE WATER CONSTRUCTION INC
Applicant: WHITE WATER CONSTRUCTION INC Phone: (509)299-4969
Address: 10403 S GRANITE DR
MEDICAL LAKE,WA 99022
Contractor: WHITE WATER CONSTRUCTION INC Phone: (509)299-4969
Address: 10403 S GRANITE DR Lic No: WHITEWC974N5
MEDICAL LAKE WA 99022
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 361.10
VALUATION 86054 TYPE II HOOD 10.00
BUILDING HEIGHT TO PEAK 21 BASIC PERMIT FEE 902.75
DIMENSIONS 32 X 35 WSBCC SURCHARGE 4.50
#OF STORIES 1 TOILETS 12.00
#OF BEDROOMS 2 TUBS 12.00
FRONT SETBACK 30 SINKS 18.00
REAR SETBACK 85 DISHWASHER 6.00
LEFT SETBACK 15 CLOTHES WASHER 6.00
RIGHT SETBACK 35 FLOOR DRAINS 6.00
SEWAGE EJECTOR 6.00
OCCUPANCY GROUP r-3
WATER USING DEVICE 12.00
CONSTRUCTION TYPE 5-n FUEL BURNING APPL<= 100,000 15.00
CURRENT PROPERTY SIZE 82.5 X 150.84 RANGE 10.00
CURRENT PROPERTY USE RESIDENCE DRYER 10.00
SERVED BY SEPTIC SYSTEM yes FUEL BURNING WATER HEATER 10.00
WELLS LOCATED ON PROPERTY no GAS PIPING 3.00
TOILETS 2 VENTILATING FANS 20.00
TUBS 2
SINKS 3 Total Calculated: 1,424.35
DISHWASHER 1 Deposits/Receipts: 0.00
CLOTHES WASHER 1 Totil Due: 1,424.35
FLOOR DRAINS 1 ��'c�
SEWAGE EJECTOR 1 CITY OF SPOKANE VALLEY 110166Y`-__,;‘,. ,_.__ _
WATER USING DEVICE 2 APPROVED FOR SUBMITTRELWEWED FO � /� 3 5
FUEL BURNING APPL<= 100,000 1 MPLIANCE
RANGE 1 initials/ Date AJE VALLEY BUILDING DIVISION
DRYER 1 (171.- -64-, e 2�L,0`
FUEL BURNING WATER HEATER 1 Building
GAS PIPING (ea.OUTLET) 3
VENTILATING FANS 2 Planning ca/C6/
TYPE II HOOD 1 AlIr
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" THIS IS NOT A RECEIPT
08/16/2004 09:14 5093241567 SRHD EHS .�_•„ PAGE 01/01
JI- lbelauct n•(.q� rm .Y GI~W.,
•I THIS IS NOT A PERMIT
I` Penalties win be ameseed for
.i i+ , : le commencing work without a permit
Milky NEW SINGLE FAMILY RESIDENTIAL
11707 E.Sprague AM..Suite 108
Spoken,Volley,WA, 99208 Application N: OLD-04-04616
.
Job Address: 14310 E 10TH AVE Applied: Diill6/2004
SPOKANE VALLEY WA 99037 Issued:
Description: NEW RESIDENCE W/ATTACHED GARAGE-GAS Ibrpiree: 1211312004
Subdivision: Lot: Bik: Parcel No; Zoning:
Owner: WHITE WATER CONSTRUCTION INC
Applicant WHITE WATER CONSTRUCTION INC Phone: (609)299-4969
Address: 104433 S GRANITE DR
MEDICAL LAKE.WA 99022
Contractor: WHITE WATER CONSTRUCTION INC Phone: (509)299-4909
Address: 104103 S GRANITE DR Lie No: WHITEWC974N5
MEDICAL LAKE WA 99022
-
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT efr PLAN CHECK FEE 381.10
VALUATION 88054 TYPE II HOOD 10.00
BUILDING HEIGHT TO PEAK 21 BASIC PERMIT FEE 902.75
DIMENSIONS 32 X 35 WSBCC SURCHARGE 4.50
SOF STORIES 1 TOILETS 12.00
#OF BEDROOMS 2 TUBS 12.00
FRONT SETBACK 30 SINKS 18.00
REAR SETBACK 85 DISHWASHER 6.00
LEFT SETBACK 16 CLOTHES WASHER 6.00
FLOOR DRAINS 6.00
RIGHT SETBACK 36' SEWAGE EJECTOR 6.00
OCCUPANCYOTGROUP r-3 WATER USING DEVICE 12.00
CONSTRUCTION PROPERTY 82. FUEL BURNING APPL�100,000 15.00
CURRENT SSE 82.6 X 1 x.84 RANGE 10.00
CURRENT PROPERTY USE RESIDENCE DRYER 10.00
SERVED 9Y SEPTIC SYSTEM Yea FUEL BURNING WATER HEATER 10.00
WELLS LOCATED ON PROPERTY no GAS PIPING 3.00
TOILETS 2 VENTILATING FANS 20.00
TUBS 2
SINKS 3 Total Calculated: 1,424.35
DISHWASHER 1 Depoi1 WWRecaip : 0.00
CLOTHES WASHER 1 T per;
FLOOR DRAINS 1 1,424.35
SEWAGE EJECTOR 1 MY O,[ oIcANE VALLEY S°
WATER USING DEVICE 2
FOR SUstaTTAL
FUEL.BURNING APPL 100.000 1
RANGE 1 • .,101141s.Lfte
DRYER 1
FUEL BURNING WATER HEATER 1 &NUM '
GAS PIPING(sa.OUTLET) 3 +
VENTILATING FAN; 2 Plowing J/ /
TYPE II HOOD 1
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RUG 16 2004 10:16 5093241567 PRGE.01
44.
CITY OF
po ane
.00.0\galley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04616
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.
'Bark `--- -etA,s (-L/.
Print Name Signat re Date
Staff Initials
THIS IS NOT A RECEIPT