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2005, 02-10 Permit App: 05000488 AdditionVa11e °M - td 10 2005 % PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT . BUILDING DIVISION 0) n n n �n !� �j 11707 East Sprague Ave Ste 106 / U Il LJJ ll�J `j�1 Spokane Va//ey, WA 99206 Phone: (509)688 -0036 Fax: (509)688 -0037 REQUIRED SITE INFORMATION STREET ADDRESS: 41312. M44 Allah ROID ASSESSOR'S TAX PARCEL NUMBER(S): T5 0.31 .0116 LEGAL DISCRIPTION: • PERMIT DESCRIPTION: EYJ BUILDLNG PERMIT Q RELOCATION ❑ CHANGE IN USE ❑ GRADING Q SIGN 0 TENANT JFACTUREL) HOME Of HER reefed I c OWNER / APPLICANT INFORMATION ❑ OWNER: .lar,eS FI'nkk)I PHONE( ZOO- lo.5-41 ' %2i/ FAX: ADDRESS:264,2 % W )J‘iW Ci 3 �lci%��rair 2:40 �3�5 CITY,STATE, ZIP El CONTRACTOR: SC' rote PHONE: FAX: ADDRESS: CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # 0 APPLICANT: S4c e PHONE: FAX: ADDRESS: CITY, STATE, ZIP ARCHITECT: PHONE: FAX: ADDRESS: CITY, STATE, ZIP CONTACT: PERMIT /BUILDING INFORMATION COST OF PROJECT: i l)0O i BUILDING HEIGHT TO PEAK: 221 6// BUILDING DIMENSIONS:24 '!C `('2 NUMBER OF STORIES: 2, NUMBER of BEDROOMS: �I FLANKING SETBACK: 15 i FRONT SETBACK: 7 REAR SETBACK: LEFT SETBACK: RIGHT SETBACK: zg' 30% SLOPES ON PROPERTY: YI f7 MAIN FLOOR SQ FT: 2- OCCUPANCY GROUP: �gm;ly 2N0 FLOOR SQ FT: 664,44 CONSTRUCTION TYPE: rP5 l'cil UNFIN BASEMENT: 30DStP¢: STRUCTURES ON PROPERTY: yy$ FINISHED BASEMENT: CRITICAL AREAS: I/O GARAGE: ti C•-• � CURRENT, PROPERTY SIZE: 0.51X %5-1 COVERED DECK: none CURRENT PROPERTY USE: re5;ck.•1;4/ DECK: r,rt r- CURRENT SEPTIC USE: YGS,drN +,'aI CURRENT WELL USE: • IMPERVIOUS SURFACE AREA: MANUFACTURED HOME SIGN WIDTH: LENGTH: YEAR: PIT SET: MANUFACTURER: SQ FT OF SIGN: HEIGHT OF SIGN: # OF SIGNS: AREA OF EXIST SIGN: TYPE OF SIGN: RELOCATION FIRE SAFETY PREVIOUS ADDRESS: PROPOSED USE: FIRE SPRINKLER: FIRE ALARM: PAINT BOOTH: TENT: FIREWORKS DISPLAY: BLASTING: DATE/TIME: WA STATE NON - RESIDENTIAL ENERGY CODE PLANS EXAMINER: PHONE: FAX: ADDRESS: INSPECTOR: ADDRESS: CITY, STATE, ZIP PHONE: FAX: CITY, STATE, ZIP SPECIAL INSPECTIONS ® BOLTING °CONCRETE ❑ REINFORCEMENT FIRM NAME: INSPECTOR(S): PHONE: WELDING FAX: BUILDING STAFF USE ONLY i IS PUBLIC SEWER AVAILABLE: ® YES ® NO IS PUBLIC WATER AVAILABLE: YES NO IF YES: 0 COUNTY 0 CITY IF YES, WHICH WATER DISTIIRR: IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO IS THE PROPERTY LOCATED WITHIN ASA: EI YES ❑ NO PSSA: ® YES ❑ NO IDATE: STAFF: METHOD OF PAYMENT.. 0 0 CASH CHECK BANKCARD 40; EXPIRES: VIN # AUTHOR /ZED SIGNATURE. *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD Project Address: Owner: Mailing Address: MECHANICAL PERMIT APPLICATION Phone: (509) 688 -0036; FAX: (509) 688 -0037 For Inspections, Call (509) 688 -0054 `/'3 /Z arakt C =,' u) iii .`3' Permit Use: Pone (Daytime Contact): City State Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 34?) Zip Co •e Contractor: License #: Phone #: Mailing Address: State Zip Code AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 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 = UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100.00 = 4 USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X $50.00 = 5 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 = 8 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 = BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 = 10 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 = 12 13 RANGE 4 X $10.00 = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER X $10.00 MISC. FUEL BURNING APPLIANCE X $10.00 = 16 GAS PIPING (each outlet) q 1 X $1,00 = /,690 17 DUCT SYSTEMS L I X $10.00 = r (5•d 18 19 VENTILATING FANS 2- X $10.00 = ?-0../.-.)n AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 = 20 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15.00 = 21 EVAPORATIVE COOLERS X $10.00 = 22 TYPE I HOOD X $50.00 = 23 24 TYPE 11 HOOD X $10.00 = HEAT PUMP /AIR CONDITIONER 0-3 TON X $12.00 = 25 AIR CONDITIONER 3 -15 TON X $20.00 = 26 AIR CONDITIONER 15 -30 TON X $25.00 27 AIR CONDITIONER 30-50 TON X $35.00 = 28 29 AIR CONDITIONER More than 50 TON X $60.00 = LPG STORAGE TANK X $10.00 = 30 31 WOOD OR PELLET STOVE/INSERT X $10.00 = WOOD STOVE - FREE STANDING 1. X $25.00 = ¢% 2.‘; y/ .�J i®�, 32 REPAIR & ADDITIONS X $15.00 = /// 33 VENTILATION SYSTEMS X $12.00 = 34 VENTILATION MECHANICAL EXHAUST X $12.00 = 35 INCINERATOR - RESIDENCE X $19.00 = 36 37 INCINERATOR - COMMERCIAL X $22.00 = METHOD OF PAYMENT: ❑ CASH © CHECK ❑ VISA ❑ MC �� .. DATE: SUBTOTAL �G '©0 PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: 4,31 . co AUTHORIZED SIGNATURE: PLUMBING PERMIT APPLICATION Phone: (509) 688 -0036; FAX: (509) 688 -0037 For Inspections, Call (509) 688 -0054 Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Project Address: `f 3 /Z 11 4yd Im Rfi . Permit Use: Owner: Het,- k rM /ck.Y Phone (Daytime Contact): (ioV) (, 4 - /OZ.r Mailing Address: 26..2. 7 1.v 1-41( w c3 kirk) t ,, .Z6 v, K City State Zip Code Contractor: License #: Phone #: Mailing Address: City State Zip Code BANKCARD NUMBER: AUTHORIZED SIGNATURE: # OF UNITS X COST = TOTAL AMOUNT 1 OF WORK DESCRIPTION TOILETS WATER CLOSET, BIDETS X $6.00 = $ /2-00 URINALS X $6.00 = 2 X $6.00 = 3 TUBS TRAP) BATH H `STALL, ON -SITE BUILT X $6.00 / z . Lc' 4 5 SHOWERS (PER SINKS LAVS /BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X FOOD, PREP /CULINARY MEAT X $6.00 = J z o0 DISHWASHER -RAY, l X $6.00 be, I l 6 WASHER f X $6.00 = //_,. (Q . oo 7 8 CLOTHES DISPOSAL X $6.00 = GARBAGE SOFTENER X $6.00 = 9 WATER HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL / X $6.00 = yii / b 6 10 ELECTRIC DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 = 11 FLOOR ROOF DRAINS /OVERFLOW X $6.00 = 12 DRAINS DRINKING X $6.00 = 13 FOUNTAINS, WATER PIPING /DRAIN -IN WASTE, PLUMBING, REVERSAL NSTALLATION,Q4LTERATION'>REPAIR, REVERSALS X $6.00 14 VENT, EJECTOR GRINDER, SUMP PUMP X $6.00 = 15 16 SEWAGE WATER USING DEVICE ICE AN /OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER X $6.00 = CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6.00 = 17 CROSS INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.00 18 MEDICAL GAS outlet) NITROUS, OXYGEN X $6.00 = 19 (per MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 20 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = 21 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = 22 METHOD OF PAYMENT: ❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD _ - -- CYOIDCo- SUBTOTAL 66 . 00 PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: -- )CJ l 00 BANKCARD NUMBER: AUTHORIZED SIGNATURE: Project Number: 05000488 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 02/15/2005 Project Information: Permit Use: 2 STORY ADDITION OVER EXISTING PORTION Contact: FINLAY, JAMES Address: 20627 W HWY 53 C - S - Z: RATHDRUM, ID 83858 Phone: (208) 659 -1028 Group Name: Site Information: Project Name: Plat Key: 002397 Name: SMILEYS SUB OF BASEMENT Setbacks: Front 69 Left: 18 Right: 15 Rear: 30 Page 1 of 3 District: East Parcel Number: 45031.0110 SiteAddress: 4312 N AVALON RD Location:: CSV Zoning: UR -3.5 Water District: Block: Lot: Urban Residential 3.5 Owner: Name: FINLAY, JAMES Address: 20627 W HWY 53 RATHDRUM, ID 83858 Hold: ❑ Area: .00 Acres Width: 75 Depth: 139 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Plan Review Approach / Drainage eptic Sys em Review c sif zu3 r Permits: j Released By: Released By: ( 'Released By: _{ � 7 ✓� ` 'fir ' -r�sc- t Operator: DMD Printed By: DMD Print Date: 02/1 /05 Project Number: 05000488 Inv: 1 `Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 02/15/2005 Page 1 of 3 Project Information: Permit Use: 2 STORY ADDITION OVER EXISTING PORTION OF BASEMENT Setbacks: Front 69 Left: 18 Right: 15 Rear: 30 Site Information Plat Key: 002397 Name: SMILEYS SUB Contact: FINLAY, JAMES Address: 20627 W HWY 53 C - S - Z: RATHDRUM, ID 83858 Phone: (208) 659 -1028 Group Name: Project Name: District: East Parcel Number: 45031.0110 Block: SiteAddress: 4312 N AVALON RD Location:: CSV Zoning: UR -3.5 Water District: Urban Residential 3.5 Lot: Owner: Name: FINLAY, JAMES Address: 20627 W HWY 53 RATHDRUM, ID 83858 Hold: ❑ Area: .00 Acres Width: 75 Depth: 139 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: , Review Site Plan Review Released B , _... _ 4:A0" . K1 - Plan Review Approach / Drainage Released B Septic 2 ystem Review Release Permits: wanffr Operator: DMD ' Printed By: DMD miresnuss-ot 2. ooms, orZgdns per OCCUPANCY NOT ALLOWED until swam // Print Date: 02/1 105 Project Number: 05000488 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 02/15/2005 Contractor: OWNER Group: R -3 Total Area Building Height Stories Description 2ND FLOOR RES ADD Type: VB 1752 23 2 Building Permit Page 2 of 3 Firm: OWNER Phone: (000) 000-0000 Building Characteristics Grp Type Notes R -3 VB R -3 VB Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Contractor: OWNER Item Description DUCT SYSTEMS GAS PIPING VENTILATING FANS WOOD STOVE FREE STANDING This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 660 $49,288.80 660 $49,288.80 1,092 $81,550.56 1,092 $81,550.56 Totals: 1,752 $130,839.36 1,752 $130,839.36 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Permit Total Fees: Mechanical Permit Fee Amount $1,167.35 $4.50 $466.94 Firm: OWNER Phone: Units Unit Desc 1 NUMBER OF 1 # OF UNITS 2 NUMBER OF 1 NUMBER OF Operator: DMD Printed By: DMD Permit Total Fees: $1,638.79 (000) 000-0000 Fee Amount $10.00 $1.00 $20.00 $25.00 $56.00 Print Date: 02/15/2005 Project Number: 05000488 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 02/15/2005 Contractor: OWNER Item Description TOILETSBIDETS SINKS SHOWERS DISH WASHERS CLOTHES WASHER ELECTRIC HOT WATER TANK WATER PIPING - DWV Notes: Payment Summary: ,, Permit Type Building Permit Mechanical Permit Plumbing Peiiiut Plumbing Permit Page 3 of 3 Firm: OWNER Phone: (000) Units Unit Desc 2 NUMBER OF 4 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Fee Amount $1,638.79 $56.00 $72.00 Permit Total Fees: Invoice Amount $1,638.79 $56.00 $72.00 $1,766.79 $1,766.79 000 -0000 Fee Amount $12.00 $24.00 $12.00 $6.00 $6.00 $6.00 $6.00 Amount Paid $0.00 $0.00 $0.00 $0.00 $72.00 Amount Owing $1,638.79 $56.00 $72.00 $1,766.79 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: DMD Printed By: DMD Print Date: 02/15/2005 use of 3rrect 'party nents ands, areas. -7S' H j