2003, 11-13 Permit BLD-03-03059 Residence, GarageSpokane
.0.0Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
NEW SINGLE FAMILY RESIDENTIAL PERMIT
Job Address: 16902 E DAYBREAK LN
SPOKANE VALLEY WA 99037
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
MORNINGSIDE PHASE I PUD
GODUN, VALENTIN & NADEZHDA
GODUN, VALENTIN & NADEZHDA
14702 E 48TH AVE
VERADALE, WA 99037
Lot: 6 Elk: 4 Parcel No:
Phone: (509) 891-0908
Phone:
Lic No:
Permit #:
Applied:
Issued:
Expires:
BLD-03-03059
11/13/2003
11/19/2003
05/17/2004
Zoning:
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
CLOTHES WASHER
GARBAGE DISPOSAL 1
SEWAGE EJECTOR 1
CROSS CONNECTION DEVICE 1
FUEL BURNING APPL <= 100,000 1
GAS LOG, INSERT, FIREPLACE 1
DRYER 1
FUEL BURNING WATER HEATER 1
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
HEAT PUMP/AIR COND 0 - 3 TON
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
sfr
206161
1
3
5
1
1
26
64 X 58
2
4
30
87
20
30
r-3
5-w
1
no
no
3
2
1
6
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
SEWAGE EJECTOR
CROSS CONNECTION DEVICE
FUEL BURNING APPL <= 100,000
Total Calculated:
Deposits/Receipts:
Total Due:
637.18
1,592.95
10.00
10.00
10.00
3.00
50.00
12.00
4.50
18.00
12.00
6.00
36.00
6.00
6.00
6.00
6.00
6.00
15.00
2,446.63
2,446.63
0.00
THIS IS NOT A RECEIPT
Spokane
..•,ley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
NEW SINGLE FAMILY RESIDENTIAL PERMIT
Permit #: BLD-03-03059
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 per i inure to the property owner.
I/LE/t/77f/ �oduv
Print Name Signature
- i g o3
Date
Staff Initials
THIS IS NOTA RECEIPT