2005, 09-08 Permit App: 05003617 DuplexPermit Center
S1polkane 11707 E Sprague Ave, Suite 106
000 Valley Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688-0037
Community Development w'ww'.spokanevallev.orit.com
Residential Construction
Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑_New Construction
❑ Addition/Remodel
❑ Other:
❑ Accessory Bldg
❑ Deck
SITE ADDRESS
2 3a.R ,F- 17 33 O 011_I
ASSESSORS PARCEL NO: )S B • 02.1 ti LEGAL DESCRIPTION: Gip pX
Building owner
DIMENSIONS:
Name:
Name: )
. c1 by
T bc(c1
Address:
iiS //
s, .54 th,,se
City:
G r-re riocve(--,
Zip: ? °l / (`
Phone:
`744 • Z 2 S 6
Fax:
Contact Person
Name:
Phone:
Describe the scope of work in detail:
in lcii�j burie
Contractor
DIMENSIONS:
# OF STORI S:
Name: )
3,--t-
2NU FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
Address:
—
City:
GARAGE SQ. FTG:
�E:
Zip:
Phone:
# OF BEDROOMS: •
yD
Fax:
Lic No:
SEWER OR SEPTIC?
5- ,, ,,
Exp. Date:
City Business Lic No:
Cost of Project:
* * * * * * * * * * * ** *The (write MUST be co
wi
follon m write N/A if not applicable)**********************
- - -- g -- -- - -- P
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORI S:
TOTAL HAB ABLE SPACE:
MAIN FLOOR TO SQ.
FTG: 244_,e5-- ? -7810
2NU FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
—
FINISHED BASEMENT
SQ. FTG: ""-
GARAGE SQ. FTG:
�E:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS: •
yD
CONSTRUCT' /
te>c ,e,,,4.
HEATS E:
'
SEWER OR SEPTIC?
5- ,, ,,
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. 6) Pans or additional information may be required to be submitted, and subsequently approved before
this application can - processecj�/
Signature
Date
Method of Payment: (Faxed permit`dpplications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN #:
❑ Other
Authorized Signature:
REVISED 8/25/2005
�. e� ® Permit Center
So
kane 11707 E Sprague Ave, Suite 106 -
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www. spokanevalley.org.com
.000Valley
Community Development
Residential Plan Submittal Minimums
❑ Completed Building, Plumbing & Mechanical application with: Accurate address,
Parcel Number and /or Legal Description, description of work, owner and
contractor information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8 ") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
El 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One -hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
MECHANICAL PERMIT APPLICATION Community Development Department
`L�t Building Division
Vint Phone: (509) 688 -0036; FAX: (509) 688 -0037 11707 E. Sprague Avenue, Suite 106
For Inspections, Call (509) 688 -0054 Spokane Valley, WA 99206
Project Address: 7,69 X31 t--‘)-.
Permit Use:
Owner: l z>tkcA : 41/diy / Phone (Daytime Contact): 7(12 22-
Mailing Address: 415i/ 5. S la 1')-e' e / 1 (6,4 (a ,, srz ��cK., c� V �l g of (a
City State Zip Code
License #: Phone #:
Contractor:
Mail ng Address:
DESCRIPTION OF WORK
^�
# OF UNITS
X
crate
COST
=
Zip Code
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
l "
X
$12.00
=
21 ® u
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
=
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
13
RANGE
2
x
$10.00
=
do c
14
DRYER
X
$10.00
=
c '
15
FUEL BURNING WATER HEATER
'2
X
$10.00
=
..;)--v
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
dv
17
GAS PIPING (each outlet)
��/
X
$1.00
=
GI
18
DUCT SYSTEMS
X
$10.00
=
l9 '
19
VENTILATING FANS
'G
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
=
__'
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE II HOOD
X
$10.00
=
,r
c.; )
25
HEAT PUMP /AIR CONDITIONER
0 -3 TON
X
$12.00
=
26
AIR CONDITIONER
3 -15 TON
X
$20.00
=
27
AIR CONDITIONER
15 -30 TON
X
$25.00
=
28
AIR CONDITIONER
30 -50 TON
X
$35.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
33
REPAIR & ADDITIONS
X
$15.00
=
34
VENTILATION SYSTEMS
X
$12.00
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
AI I1LJlV'5101-,
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
oie-,InTi,r-t
SUBTOTAL
/
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
O
/ �) 5
PLUMBING PERMIT APPLICATION Community Development Department
tA% Building Division
_ ►one Phone: (509) 688 -0036; FAX: (509) 688 -0037 11707 E. Sprague Avenue, Suite 106
4,Va1 For Inspections, Call (509) 688 -0054 Spokane Valley, WA 99206
Project Address:
Owner:
/-24/-00
c h-ft G l
zcoLr
Permit Use:
Phone (Daytime Contact): 7618- 22 3—(e'
Mailing Address: `{5 /I S- fcds 6e drte vleArv3 !4t"
City State Zip Code
License #: Phone #:
Contractor:
Mailing Address:
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
f
X
$6.00
=
Z Y
2
URINALS
X
$6.00
=
3
TUBS
'
X
$6.00
=
C( c74
4
SHOWERS (PER TRAP)
BATH, STALL, ON -SITE BUILT
X
$6.00
=
5
SINKS
LAVS /BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X -RAY, FOOD, PREP /CULINARY MEAT
X
$6.00
=
6
DISHWASHER
Z
X
$6.00
=
c.,--,
/ a
7
CLOTHES WASHER
2-
X
$6.00
=
%7
8
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
7-
X
$6.00
=
/✓(
12
ROOF DRAINS /OVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN -IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
ICE AN /OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CH K VISA ❑ MASTERCARD
DATE: TT 7 WP > EXPIRES:
SUBTOTAL
/ 6)-0
PROCESSING FEE
$35 00
TOTAL PERMIT FEE DUE:
4.0 .0S
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Project Number: 05003617 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 10/07/2005 Page 1 of 3
Tassacomenzsmnotowetst.atew
Permit Use: DUPLEX W /ATTACHED GARAGE -GAS Contact: TODD RIGBY
Address: 4511 S SALTESE
C - S - Z: SPOKANE VALLEY, WA 99016
Setbacks: Front 26 Left: 22 Right: 22 Rear: 80 Phone: (509) 768 -2256
Group Name:
Project Name:
W.
Name: RANGE
Site Information:
Plat Key:
District: East
Parcel Number: 55183.0216 Block:
SiteAddress: 17328 E ALKI AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 22,072 Sq Ft
Nbr of Bldgs: 1
Review Information:
Urban Residential 3.5
Lot:
Owner: Name: TODD RIGBY
Address: 4511 S SALTESE
SPOKANE VALLEY, WA 99016
Hold: ❑
Width: 124 Depth: 178 Right Of Way (ft): 0
Nbr of Dwellings: 2
Review
Site Plan Review
Originally Released: 10/03/2005 By: CJJANSSE
Plan Review
Approach / Drainage
Released By:
Originally Released: 10/03/2005 By: TMELBOU
Released By:
Septic System Review
Originally Released: 10/03/2005 By: CJJANSSE
Released By: ..
PER DON COPELY
Originally Released: 10/07/2005 By: CJJANSSE
Operator: CJJ Printed By: CJJ
Print Date: 10/07/2005
Project Number: 05003617 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/07/2005 Page 2 of 3
Permits: , e
Contractor: OWNER
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Contractor: OWNER
Description Grp Type Notes
GARAGE U -1 VB
RESIDENCE R -3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Contractor: OWNER
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE < =100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
HOOD -TYPE II
Approach
Firm: OWNER
Phone:
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Building Permit
(000) 000-0000
Fee Amount
$25.00
$25.00
$50.00
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
884 $16,796.00 884 $16,796.00
2,786 $208,058.48 2,786 $208,058.48
Totals: 3,670 $224,854.48 3,670 $224,854.48
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,693.75
$4.50
$677.50
Permit Total Fees:
Mechanical Permit
Firm: OWNER
Phone: (000) 000-0000
$2,375.75
Units Unit Desc
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
4 # OF UNITS
6 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
Operator: CJJ Printed By: CJJ
Permit Total Fees:
Print Date:
Fee Amount
$20.00
$20.00
$24.00
$4.00
$60.00
$20.00
$20.00
$20.00
$188.00
10/07/2005
Project Number: 05003617 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit -
Firm: OWNER
Phone: (000) 000 -0000
Date: 10/07/2005 Page 3 of 3
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
Notes:
Payment Summary: ,.
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Units Unit Desc
4 NUMBER OF
6 NUMBER OF
4 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
Fee Amount
$50.00
$2,375.75
$188.00
$126.00
Permit Total Fees:
Invoice Amount
$50.00
$2,375.75
$188.00
$126.00
Fee Amount
$24.00
$36.00
$24.00
$12.00
$12.00
$12.00
$6.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$126.00
$2,739.75 $2,739.75
$0.00
Amount Owing
$50.00
$2,375.75
$188.00
$126.00
$2,739.75
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CJJ Printed By: CJJ
Print Date: 10/07/2005
0D806761T
L I
��pp11cation ware: iU/US /sUUb Yap 1 of 3
THIS IS NUT A PERMIT
reunifies will be assessed for commencing work without a nPrmit
Pro cc.t Irifarrarioa:
Permit Use: DUPLEX W /ATTACHED GARAGE -GAS
Setbacks: Front 26 i•14}- 22 Right• 7 heart 80
Sift ligforasuliu,i
Plat Key: Name: RANGE
r +-•-et 2S.u.1.�.. AS183 -0216
Contact: TODD RIGBY
Address: 4511 S SALTESE
C - S - Z: SPOKANE VALLEY, WA 99016
Phone: (509) 768 -2256
Group Name:
Project Nome:
' :... • ..] - - - -. 1 ?700 is Atxa -�i+n
Location:: CSV
Zoning: UR -3.5
Water District:
Et logic:
Urban Residential 3.5
District: East
Lot:
r, ........ z r........ :paJG 1%2.0s541-
Ailrireep! .1511 5 >e.tL'TYSz
SPOKANE VALLEY, WA 99016
Hold: ❑
Area: 22,072 Sq Ft Width: 124 Depth: 178 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Nit. R1 .., u..., :.....
Plan Review
vO
Originally Released: 10/03/2005 By: CJJANSSE
■PPra000.i �a »,rntr
ase'
Originally Released: 10/03/2005 BY: TMELBOU
,.r, •. •1
O11g1Litlly Rcleasea: 1U/u3 /LUD3 by: CJJAIVSSE
Septic System Review r- '
Sewage system designed for a rn >ciff itxt; ua
O Y NOT OWED unWr day.
Permits: lrtntiun hats �Rf to
late: c. Men - iLavisio
Operator: CJJ Printed By: CJJ
EO /T0'd L9STWZ2 01
Print Date: 10/03/2005
8d PT :2I S00Z 20 100
OCT 03 2005 13:43 FR
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