2004, 05-03 Permit: BLD-04-04242 Residence 4
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.,,,1.•' 'Malley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04242
Job Address: 7122 E 12TH AVE Applied: 05/03/2004
SPOKANE VALLEY WA 99212 Issued: 05/13/2004
Description: NEW RESIDENCE W/ATTACHED GARAGE-NATURAL GAS Expires: 11/09/2004
(OWNER IS CONTRACTOR)
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: SEMENCHA, SERGEY&RUFA
Applicant: SEMENCHA,SERGEY&RUFA Phone: (509)484-9189
Address: 3724 N COOK ST C211
SPOKANE,WA 99207
Contractor: Phone:
Address: Lic No:
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 574.46
VALUATION 178533 BASIC PERMIT FEE 1,436.15
CLOTHES WASHER 1 DRYER 10.00
GARBAGE DISPOSAL 1 GAS PIPING 1.00
WATER SOFTENER 1 VENTILATING FANS 40.00
ELECTRIC HOT WATER TANK 1 HEAT PUMP/AIR COND 0-3 TON 12.00
ROOF DRAINS 2 WOOD OR PELLET STOVE/INSERT 10.00
WATER USING DEVICE 4 WSBCC SURCHARGE 4.50
FUEL BURNING APPL<= 100,000 1 TOILETS 18.00
DRYER 1 TUBS 18.00
GAS PIPING (ea.OUTLET) 1 SHOWERS 6.00
VENTILATING FANS 4 SINKS 42.00
TYPE II HOOD 1 DISHWASHER 6.00
HEAT PUMP/AIR COND 0-3 TON 1 CLOTHES WASHER 6.00
GARBAGE DISPOSAL 6.00
WOOD OR PELLET STOVE/INSERT 1
WATER SOFTENER 6.00
BUILDING HEIGHT TO PEAK 21 ELECTRIC WATER HEATER TANK 6.00
DIMENSIONS 58'8"X 51'2" ROOF DRAINS 12.00
#OF STORIES 1 WATER USING DEVICE 24.00
#OF BEDROOMS 3 FUEL BURNING APPL<= 100,000 15.00
FRONT SETBACK -2 , i4•5. _ LQ Total Calculated: 2,253.11
REAR SETBACK 59
Ott*ini It" Deposits/Receipts: 2,253.11
LEFT SETBACK 6 n I
RIGHT SETBACK 37 �'`� wu,1l 4
Total Due: 0.00
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-n
STRUCTURES ON PROPERTY 1
CURRENT PROPERTY SIZE 97 X 134
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no
TOILETS 3
TUBS 3
SHOWERS(PER TRAP) 1
SINKS 7
DISHWASHER 1
THIS IS NOT A RECEIPT
, ' THIS IS NOT A PERMIT
sc,io� Penalties will be assessed for
� commencing work without a permit
„0,.0illey NEW SINGLE FAMILY RESIDENTIAL
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application #: BLD-04-04242
Job Address: 7122 E 12TH AVE Applied: 05/03/2004
SPOKANE VALLEY WA 99212 Issued:
Description: NEW RESIDENCE W/ATTACHED GARAGE-NATURAL GAS Expires: 10/30/2004
(OWNER IS CONTRACTOR)
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: SEMENCHA, SERGEY&RUFA
Applicant: SEMENCHA, SERGEY&RUFA Phone: (509)484-9189
Address: 3724 N COOK ST C211
SPOKANE,WA 99207
Contractor: Phone:
Address: Lic No:
General Information: Fees:
TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 574.46
VALUATION 178533 BASIC PERMIT FEE 1,436.15
BUILDING HEIGHT TO PEAK 21 WSBCC SURCHARGE 4.50
DIMENSIONS 58'8"X 51'2" TOILETS 18.00
#OF STORIES 1 TUBS 18.00
#OF BEDROOMS 3 SHOWERS 6.00
FRONT SETBACK 26 SINKS 36.00
REAR SETBACK 59 DISHWASHER 6.00
LEFT SETBACK 6 CLOTHES WASHER 6.00
RIGHT SETBACK 37 GARBAGE DISPOSAL 6.00
OCCUPANCY GROUP r-3 WATER SOFTENER 6.00
CONSTRUCTION TYPE 5-n ELECTRIC WATER HEATER TANK 6.00
ROOF DRAINS 12.00
STRUCTURES ON PROPERTY 1
WATER USING DEVICE 24.00
CURRENT PROPERTY SIZE 97 X 134
FUEL BURNING APPL<= 100,000 15.00
SERVED BY SEPTIC SYSTEM no DRYER 10.00
WELLS LOCATED ON PROPERTY no GAS PIPING 1.00
TOILETS 3 VENTILATING FANS 40.00
TUBS 3 HEAT PUMP/AIR COND 0-3 TON 12.00
SHOWERS(PER TRAP) 1 WOOD OR PELLET STOVE/INSERT 10.00
SINKS
DISHWASHER Total Calculated: 2,247.11
CLOTHES WASHER D..�,vs;Lo/Receipts: 0.00
ey
GARBAGE DISPOSAL REVIEWED FOR ODE COMPL • i'.t111,_OF SPOKANE VALLEYICal Due: 2,247.11
WATER SOFTENER SPO • E VALLEY BUILDING DIV: • OVED FOR SUBMITTAL
ELECTRIC HOT WATER TAN ' 150.00
ROOF DRAINS .4 ~-1 07 ,c-el Initials/ Date (tH.,`,,,Wv,
WATER USING DEVICE 4 n
FUEL BURNING APPL<= 100,000 1 Building / � 9 .i
DRYER 1
GAS PIPING(ea. OUTLET) 1CC)
Planning ()Vt°4/,C (p,
C0
FANS 4 ---`
TYPE II HOOD 1rItHEAT PUMP/AIR COND 0-3 TON 1Public Work -� 3 -
WOOD OR PELLET STOVE/INSERT 1 40
THIS IS NOT A RECEIPT
Spokane
,,_p.lOValley NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04242
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 grantedrby any
issued permit inure to the pro.-• owner.
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y
Print Name Signatu - D e
Staff Initials
THIS IS NOT A RECEIPT