2013, 11-04 Permit App: BLD-2013-02973 Pole BldgSpokane
ley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
18615 E ALKI AVE
GREENACRES WA 99016
NEW RESIDENCE W /ATTACHED GARAGE - NATURAL GAS
HICKS, GREG & SUE
LIBERTY BUILDERS & DESIGN INC
24134 E DREAMWOOD CIR
LIBERTY LAKE, WA 99019
LIBERTY BUILDERS & DESIGN INC
24134 E DREAMWOOD CIR
LIBERTY LAKE WA 99019
Application #:
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 55184.0609
Phone: (509) 855 -9482
Phone:
Lic No:
(509) 255 -9482
LIBERBD972NG
BLD -03 -02973
11/04/2003
05/02/2004
Zoning:
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
CLOTHES WASHER
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
sfr
155026
20
74 X 56
1
3
50
100+
15.5
15.5
r -3
5 -w
1
105 X 323
yes
no
3
2
1
4
1
1
2
1
1
1
1
3
4
1
X14 tt''t
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits /Receipts:
Total Due:
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials / Date
Building
Planning
Public W • ' 4 r IMO —
522.94
1,307.35
4.50
18.00
12.00
6.00
24.00
6.00
6.00
12.00
15.00
10.00
10.00
10.00
3.00
40.00
2,006.79
0.00
FOR CODE COMPLIANCE
NE VALLEY BUILDING DI i 10
LA
•
XJ((.IAILL1
THIS IS NOT A RECEIPT
1469 °afluRu-
OCT 26 2003 14 21 FR
Sbralifillrir
doisiValky
TO 2555780 P.01/04
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99208...,
Phone: 509 688 -0036 Fax: 509 688 -0037
REQUIRED SITE INFORMATION
STREET ADDRESS
Lk..
ASSESSOR'S TAX PARCEL NUMBER(S):a
LEGAL DISORIPTION:
PERMIT DESCRIPTION: • SM!t- f )
gil tuilitIlG PERMIT athiANGB IN USE
QRELOCATION USW*
Ilgd •rj•1�A1�iiT3'AC'IC[XRED. nOAIlI;
DISNANT it
OWNER /.APPLICANT INFORMATION
*OWNER;
�}
13 APPLICANT: _
PHONE: 9z`r» 9 Q 2 PAIL: • _ I. �j�• PHONE; FAX:
ADORES$: 'poi A%k.i */E . Via€ �1(, 7 ? '6 ADORES$:
,�� `CITY,$TATE/,;JP .. g�,,��. /,. ,• CITY, STATE. ZIP
koNTRACrop: G/ RT/r 1)LDtI S yeln a ARCHITECT. X11.4 -03 De >./6■=
PHONE: zsc-- Yeti FAc PHONE: 92;1 — 4'0 - i Isu?i:�„+,,,
ADDRESS: xir /' i e' aeoYfri td a2 Cfl, .L 6-
�/ V /J,tiA ,9 pp,CITY..STATE,ZIP
WA ST CGNTRACTOR LICENSE* 1- /ZER.80 972/06-
ADDRESS*
cONTACr; #?1 kJ; 7174c,C/N
CITY, STATE, ZIP
PERMIT/BUILDING INFORMATION
COST OF PROJECT: 1 0 0
BUILDING HEIGHT TO PEAK: 2-0 /
BUILDING DIMENSIONS:/ (4 '
'NUMBER OF STORIES:, QNL`
NUMBER of BEDROOMS: *
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:,
RIGHT SETBACK;
50/
/90'-4
rc-6-.
/56
30% SLOPES 014 PROPERTY:
OCCUPANCY GROUP:; Q1- _
CONSTRUCTION TYPE• li/c� "7'
STRUCTURES ON PROPERTY; N6nl
CRITICAL AREAS:
CURRENT: PROPERTY SIZE: 1
CURRENT PROPERTY USE; '(110 0-7C.au .
CURRENT SEPTIC USE.
•
CURRENT WELL USE; CO^'W440/([L Wes&
IMPERVIOUS SURFACE AREA;,,,_,_,._
MAIN FLOOR SG FT: 693
210 FLOOR SQ FT: • -G
UNMN BASEMENT: 680
FINISHED BASEMENT:
GARAGE: g 7//
COVERED DECK4,I'
DECK: CM P&P 0
ETHOD OF
1 CASH
ATE:
, NKCARD NUMBER:
OCT 26 2003 14 :28 FR
err �
Vy
Plumbing Permit Application
TO 2555780
P. 04/04
11707 East S,prague Avenue, Suite 106 509 -688 -0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509- 688 -0054
PROJECT _
ADDRESS: 1g6/5 44144/ Il(;: Gz� •le n s NO //s
PE.RNITT
USE:
DETAILS A
OWNER ' C}t / /�/�
S
COST E
PHONE (Daytime Contact): 9 / _ 13 % S
MAILING ADDRESS:
/86c1 6:44_,K/ AJz
6/6-29.4,
s" , ws 9q0 /.4
(street)
(city /state)
X $
- (ZIP)
CONTRACTOR
2 U
LICENSE 4:
3 T
MAILING ADDRESS:
-- X
PHONE t:
$6 •
• —
—
(street)
(city /state)
5 S
(ZIP)
PLUMBING FIXTURES
GL
❑ CHECK p El alIPILIK
TOTAL PERMIT PEE DUE: / V
/THOR1ZE,D SIGNATURE:
** TOTAL PAGE.04 **
DESCRIPTION D
DETAILS A
A OF UNITS %
% C
COST E
EQUALS A
AMOUNT
1 T
TOILETS W
WATER CLOSET. BIDETS r
r -1 X
X $
$6 -
-
2 U
URINALS X
3 T
TUBS
-- X
X $
$6 •
• —
—
4 S
SHOWERS (PER TRAP) B
5 S
SINKS L
LAYS/BASINS, BAR, FLOOR KITCHEN,
LAUNDRY, UTAITY, JANITOR, PHOTO, X• •
• L j x
x 1
16 -
- 2
2 t� —
6 D
DISHWASHER T
T( S
S6 -
- 6
6 -
7 C
CLOTHES WASHER X
X S
S6 •
• 6
6 -
8 G
GARBAGE DISPOSAL X
X $
$6 •
• .
.
4 W
WATER SOFTENER X
X, •
•
10 E
ELECT, HOT WATER TANK N
NOTE IF CAS, SEA MECHANICAL X
X 1
16
11 F
FLOOR DRAINS A
AREA, CASE, COIL, TRENCH, CONDENSATE X
X $
$6 •
•
)(
46 -
-
13 W
WATER PIPING/ DRAIN -IN I
14 S
SEWAGE EJECTOR •
• G
16 C
CROSS CONNECTION DEVICE V
VACUUM BREAKER, CHECK VALVE, AND X
17 B
BPRINKLEi6$YSTBM X
X 4
425 -
-
18 I
INTERCEPTORS G
GREASE TRAP. SAND TRAP, CHEMICAL X
X
-
19 M
MEDICAL GAS per outlet N
NITROUS, OXYGIIN X
X 4
46 •
•
// ._
ML4G PLUMBING FIXTURE X
... a P
SUBTOTAL
L:
/
PLUS PROCESSING PEE: $
$35.00
/THOR1ZE,D SIGNATURE:
** TOTAL PAGE.04 **
OCT 26 2003 14:28 FR
Tthie
Mechanical Permit Application
TO 2555780 P.03/04
ale
11707 East Sprague Avenue, Suite 106 509 - 688 -0036 - Phone
Spokane Valley, WA 99206 509- 688 -0037 - Fax
For Inspections, call 509 - 688 -0054
PROJECT n /
ADDRESS: M6/5- E, Nil NV
1
.
-I^(. "
9fty6
PERMIT
USE:
PHONE (Daytime Contact): 7.51 .- (,/.3', - -�*
-mss w 0/6
OWNER 6,4f7 r ,3y tc,e
MAILING ADDRESS:%
_ /g 60/ .C• �Ot'xi AC
G s 'a
(street)
1
(thy/state)
(ZIP)
CONTRACTOR: it i/e
✓rj
-
LICENSE 0:
2
}OIL BURNING APPLIANCE
MAILING ADDRESS_
Llo /Q 6 C
1. "NE.
PHONE I.
�er J Rio ,,
i
9g---17
(ZIP)
UNLISTED APPLIANCE (ADDITIONAL FEE)
(street)
.
(city/state)
METHb17 05, PA
❑ CASH ❑
DATE
EXPIRES:
BANKCARD NUMBER: -
ALTfHORIZRD SICNATLIRF.
AE9'CPJPTYON OF WORK
t of imrrs
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
- OR<100Ib0
X
115
-
2
}OIL BURNING APPLIANCE
a 100,000
X
519
•
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
• OR < 400,000
X
550
-
4
UNLISTED APPLIANCE (ADo_rnoNAL its)
, 00.000
X
5200
1
USED APPLIANCE (WSW Min. A111S rating)
- or < 400,000
X
550
-
6
USED APPUANCE (WS= min. APUE Mine
a 400,000
X
5100
•
7
B01LER/REFRico...n0N
1 -100M 9121
X
315
•
8
110R.6R/KS .hIGSL4TION
101.5004.1 BTU
X
52■
-
9
BOILER/REPRIGBRATIGN
501.2,000M BTU
X
539
-
10
BORER/REFRIGERATION
1002 - 1,ysOM BTU
X
557
•
11
0011.AR/REF9JcERAI1ON
.1750M 011/
X
$95
-
12
GAS LOG, GAS INSERT. CAS FIREPLACE
-
/
X
SRI
•
J) --
13
RANGE
-
X
$10
-
14
1
DRYER
-
X
510
-
15
FUEL BURNING WATER HEATER
-
1
X
310
-
/0 --
16
MSC- PAL BURNING APPL.
-
X
510
-
17
OAS PIPING (u. Outlet)
-
X
$1
-
11
DUCT SYSTEMS
-
X
510
11
VENTILATING FANS
-
X
110
-
70
AIR HANDLIQ= (DOR S NOT Include durlu,S)
• OR < 10,000CFM
X
312
•
21
AIR HANDLER (DOES NOT Include ducting)
a 10,000 C5 M
X
319
•
72
EVAPORATIVE COOLERS
-
X
510
-
3
24
TYPE (HOOD
-
x
MO
-
TY?B II HOOD
--
/
X
510
-
2S
_
FEAT PUMP /AIR CONDITIONER
043 TON
X
512
-
76
AIR CONti5T1ONER
34510N
X
520
-
2Y
AIR CONDITIONER
15.30 TON
X
-
125
•
21
AIR CONDITIONER _
30.0 TON
X
335
•
Z9
AIR CONDmONER
+50 TON
X
560
■
30LPG
STORAGE TANX
-
X
510
-
31
WOOD OR PELLET SIMTVINSERT
-
X
510
•
32
_
WOOD SAVE • FREUTANDING
-
X
52S
_
-
KENT
— ;i-° 2. +r it,
SUBTOTAL:
�'` -
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE: 6.,---
EXPIRES:
BANKCARD NUMBER: -
ALTfHORIZRD SICNATLIRF.
TRACT 2
NEW 2044 so.-
PT. RANCHER
Z
NEW "AGG"
WALKWAY
NEW CONC.
WALKWAY
889'64'19"Z
106.00'
SITE PLAN
2E' -0"
APPROVED
SCALE: 1"=3(Y-0"
ifieXs 1,6„
.4o4/ .4E.
24c /‘
NORTH