2005, 11-25 Permit App: 05004469 Repair Fire DamagersT� Permit Center
Spokane 11707 E Sprague Ave, Suite 10
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688
Community Development www.spokanevalley.org.com
Residential Construction
Permit Application
(11E6EoME
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#4IT NUMBER: 44 q
N RMIT FEE:
D 0 P
❑ New Construction
❑ Addition/Remodel ❑ Deck
E Other: 1pz -z f;ct;r
34) 2S
❑ Accessory Bldg
SITE ADDRESS I 1 2- E. /-\P.,C, I-keckl
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
Building owner
Name: C, ctir C pt,vm
Address: Ci l (2- L • A RCkA Cie■I
City: S �0e, KLx,,,,2. \� r, �� l Zip:
Phone: 1 Fax:
Contact Person
Name: C`� -}�V €
Phone: 21(6 - r i 5
Describe the scope of work in detail:
Contractor.
DIMENSIONS: �D x 30
Name: C.Cil,,,.p0.;S c{-rvG,,4't.- N,,
TOTAL HABITABLE SPACE:
0 P
Address: 2A26 N. 0..)0,, \\
2Nu FLOOR SQ. FTG:
W
City: S f C k Zip: CA 26 c,
IMPERVIOUS SURFACE
AREA: 'VA
Phone: W-79- C,5 43 Fax: 324.:1,- i (09'5
GARAGE SQ. FTG:
tJ
Lic No: Corn po,d0ctCA Exp. Date: 2-- IL, -_
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City Business Lic No:
CONSTR CTION IX I E:
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Cost of Project:
* * * * * * * * * * * ** *The followinw MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK: N
DIMENSIONS: �D x 30
# OF STORIES: ,,,,
TOTAL HABITABLE SPACE:
0 P
MAIN FLOOR TO SQ.
FTG: Pi P,
2Nu FLOOR SQ. FTG:
W
UNFIN BASEMENT SQ. FTG:
WI\
IMPERVIOUS SURFACE
AREA: 'VA
FINISHED BASEMENT
SQ. FTG: 0/A
GARAGE SQ. FTG:
tJ
DECK/COV. PATIO S FTG:
N f j�
30% SLOPES ON
PROPERTY: N�i�
# OF BEDROOMS:
IJ /A
CONSTR CTION IX I E:
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HEAT SOURCE:
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SEWER OR SEPTIC?
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DISCLAIMER 1
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) Plans or additional information may be required to be submitted, and subsequently approved before
this application \can �be processed.
Y `
Signature � t
Date
Method of Payment: (Faxe.: -rmit applications will only be accepted with major bankcard)
❑ Cash N..4 Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN #:
❑ Other
Authorized Signature:
REVISED 8/25/2005
Permit Center
Sfitaane 11707 E Sprague Ave, Suite 106
Valley .000 Valley, WA 99206
V (509)688 -0036 FAX: (509)688 -0037
w w.spokanevallev.ors.com
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
❑ 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
Spokan e�
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www.spokanevallev.ora.com
Plumbing Permit Application
[1 Commercial
PERMIT NUMBER:
PERMIT FEE:
E Residential
SITE ADDRESS:
Building owner
DESCRIPTION OF WORK
Name:
Phone:
Fax:
Address:
City: State:
Zip:
Contractor
WATER CLOSET, BIDETS
Name:
Phone:
Fax:
Address:
City : State:
Zip:
License No:
City Business License No:
X
Contact
=
Name:
Phone:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
.00
-
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
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
X
$6.00
=
7
CLOTHES WASHER
X
$6.00
=
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
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 DISPOSALJSYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK
Card#
SUBTOTAL
❑ VISA ❑ MASTERCARD
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
_ Permit Center
Spokane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
Community Development www-.spokanevallev.ore.com
Mechanical Permit Application
. Valley
Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS:
Building owner
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business License No:
Contact ..
Name:
Phone:
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
Equal to or less than 100,000
# OF UNITS
X
COST
TOTAL AMOUNT
X
$12.00
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
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
14
DRYER
15
FUEL BURNING WATER HEATER
X
$10.00
X
$10.00
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
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
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
860.00
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE /INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
33
REPAIR & ADDITIONS
34
VENTILATION SYSTEMS
X
$25.00
X
$15.00
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
Project Number: 05004469 Inv: 1
. Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/28/2005 Page 1 of 2
Project Information:
Permit Use: FIRE DAMAGE REPAIR
Setbacks: Front
Site Information:
Left: Right: Rear:
Contact: COMPASS CONSTRUCTION
Address: 2420 N WALL
C - S - Z: SPOKANE WA 99205
Phone: (509) 879 -5543
Group Name:
Project Name:
Plat Key: 002367 Name: SHERWOOD FOREST
District:
E
Parcel Number: 45203.1418 Block:
SiteAddress: 9712 E ARCHERY AVE
Location:: CSV
Zoning: SFR
Water District:
Lot:
Owner: Name: CHRISTENSON, JIM & CAROL
Address: 9712 E ARCHERY AVE
SPOKANE VALLEY, WA 99206
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: m maw._ -;
Permits:
Contractor: COMPASS CONSTRUCTION
Address: 2420 N WALL
SPOKANE WA 99205
Building Permit
Firm: COMPASS CONSTRUCTION
Phone: (509) 879 -5543
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Si Ft Valuation
RESIDENCE R -3 VB FIRE 0 $18,000.00 0 $18,000.00
REPAIR
Item Description
RESIDENTIAL PERMIT FEE
Totals: 0 $18,000.00 0 $18,000.00
Units Unit Desc
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$293.25
$293.25
Contractor: COMPASS CONSTRUCTION Firm: COMPASS CONSTRUCTION
Address: 2420 N WALL Phone: (509) 879 -5543
SPOKANE WA 99205
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
BOILER/REFER 101 -500M BTU 1 NUMBER OF $20.00
Permit Total Fees: $30.00
Operator: CJJ Printed By: MTK Print Date: 11/28/2005
Project Number: 05004469 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/28/2005 Page 2 of 2
Plumbing Permit
Contractor: COMPASS CONSTRUCTION Firm: COMPASS CONSTRUCTION
Address: 2420 N WALL Phone: (509) 879 -5543
SPOKANE WA 99205
Item Description
TOILETSBIDETS
SINKS
WATER SOFTENER
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$6.00
$6.00
$ 6.00
$18.00
Payment Summary: ,, nft g ,,, _ ..:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $293.25 $293.25 $0.00 $293.25
Mechanical Permit $30.00 $30.00 $0.00 $30.00
Plumbing Permit $18.00 $18.00 $0.00 $18.00
$341.25 $341.25 $0.00 $341.25
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: MTK Print Date: 11/28/2005
Washington Oregon Claim Service
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