2009, 05-01 Permit App: 09001066 Addition*Wane
_..Valley
Community Development
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www. sp okaneva l ley. org
PERMIT NUMBER: 10 a (e
PERMIT FEE:
Residential Construction New Construction Accessory Bldg
Permit Application ,Addition /Remodel n Deck
Other:
SITE ADDRESS: l(101. �. tJa-� U�► i.J 7rdicx f4c. U atL1
ASSESSORS PARCEL NO: 5 Sol 2103
LEGAL DESCRIPTION:
Building Owner:
Name: -17.-'t N i ti , C ATN.S4ry 41ord
Name: cA. IN!,(- (Li,L l"N.u•-f r v�
City: JI d U«i State: wk... Zip: ci63�
l
/
Address: i$.,, 1 6 0AA W i N
Contractor Lic No:_nzii4'T'1z* 92,Ex ate: 1 2 I z 1 20l b
�i
City: 5194 0r4k.e I State: Wk.-
Zip: t'i`iOf L
Phone: ciiZ _ ti, Fax:
GARAGE SQ. FTG:
Contact Person
Name: kg-ti ! n+ ✓� t1/4.(
Phone: 2-10 - 130 j
Describe the scope of work in detail:
`MI 01
Contractor:
Name: -17.-'t N i ti , C ATN.S4ry 41ord
Address: 234. s. C - i r-4
City: JI d U«i State: wk... Zip: ci63�
l
Phone: Z1 U- i 3 0 Fax:
Contractor Lic No:_nzii4'T'1z* 92,Ex ate: 1 2 I z 1 20l b
�i
City Business Lic. No:
Atli'- �,� "2 -`74j
Cost of Project: $ 414, cr
A-cirt. I U Y 1 Q,. I t { X Lfle t d • #' l OY• ( 51 v 14 5-1-wr s) —
CIO se4- I cam.. ea". t
ft Ai Sp
Proposed Use:
c
* * * * * * * * * * * ** *The followin>? MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK: ,�
DIMENi I9NNS: ,
# OF STORIES: 4
TOTAL IHATABLE SPACE:
l
MAIN FL 9.0P TO SQ.
FTG: Gy ta
l ��
1 te °
2"" FLOOR SQ. FTG:
��
`
UNFIN BASEMENT SQ. FTG:
-&"
IMPERVIOUS SURFACE
AREA:
FINISHL EMENT
SQ. FTG: 4)--
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
-ter
30% SLOPES ON N�
PROPERTY:
# OF BEDRO S:
CONSTRUCTION TYPE:
C re.Mt .-
HEAT SOURCE:. /+
pug -_/j. a.% r_ F :A.!
SEWER OR SEPTIC?
.. S.Q.r 1 C.
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.
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
❑ Mastercard
Expires:
DATE:
❑ VISA
VIN #:
CITY Ot orur\ANE VALLEY
APR 2 3 2009
�+tl tM tN 1 tH
BY:
Spokane
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
�/ Valley (509)688 -0036 FAX: (509)688 -0037
Community Development wuw.spokanevalley.ore
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial KResidential
SITE ADDRESS:
/Oil c 3c-14
Building Owner
Name: 642 ill_ "--E-1 M^.t/r
Phone: pz_ 6.75- b Fax:
Address: ITlctl c.,
sc 14vv-1,..) t
City: 6 ,,re,s- State:
i„,A5
Zip:
qqDC
I
Contractor
Name:
Phone: ..25/46 Fax:
Address: z_.-sic S-
Lam,\. ✓ I nJ cot
City: c„', (� V14 (. State:
t,\
Zip:
Ct R ,,i7
License No: --r,� �,�r-
1( qZ2._ RB
City Business Lic: indi _461-z___ (16I
Contact
W.--e-V./
i 0...r..."--47\--
Name:
Phone: S,rQ - 7 q/� - / 36/
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
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
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
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
4 -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
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Project Number: 09001066 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/1/2009 Page 1 of 2
Project Information:
Permit Use: RES ADD
Setbacks: Front
Site Information:
Plat Key: 004121 Name: SIMPSONS 03RD ADD TO GREENACRES REPLAT
Contact: TRINITY RECONSTRUCTION
Address: 2311 S CALVIN RD
C - S - Z: SPOKANE VALLEY WA 99037
Left: Right: Rear: Phone: (509) 290 -1301
Group Name:
Project Name:
District: East
Parcel Number: 55074.2703
Block: Lot:
SiteAddress: 18619 E BALDWIN AVE
Location:: CSV
Zoning: R -3 SF Res District
Owner: Name: MCELMURRAY, EDWARD A & EV
Address: 18619 E BALDWIN AVE
GREENACRES, WA 99016-
Water District: 134 CONSOLIDATED ID #19 Hold:
Area: 13,200 Sq Ft Width: 88 Depth: 132 Right Of Way (ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: y>
Review
Building Plan Review
Released By:
Septic Sys Review
Originally Released: 4/28/2009 By: tmelbourn
Released By:
Originally Released: 4/30/2009 By: LHALSEY
Landuse /Zoning/HE Conditions
Released By:
Originally Released: 4/29/2009 By: mbasinger
Permits: 2 __ . m,1 ice_: -d
Operator: JD Printed By: jmm
Print Date: 5/1/2009
Project Number: 09001066 Inv: 1
Application
Date: 5/1/2009 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: TRINITY RECONSTRUCTION Firm: TRINITY RECONSTRUCTION
Address: 2311 S CALVIN Phone: (509) 290 -1301
SPOKANE VALLEY WA 99037
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RES ADD R -3 VB 644 $62,358.52 644 $62,358.52
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 644 $62,358.52 644 $62,358.52
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$734.75
$4.50
$293.90
$1,033.15
Contractor: TRINITY RECONSTRUCTION Firm: TRINITY RECONSTRUCTION
Address: 2311 S CALVIN
SPOKANE VALLEY WA 99037
Item Description
DUCT WORK SYSTEM
Notes:
3 Bedrooms only.
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Phone: (509) 290-1301
Units Unit Desc
1 NUMBER OF
Fee Amount
$11.00
Permit Total Fees: $11.00
Fee Amount Invoice Amount Amount Paid Amount Owing
$1,033.15 $1,033.15 $293.90 $739.25
$11.00 $11.00 $0.00 $11.00
$1,044.15 $1,044.15 $293.90 $750.25
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: JD Printed By: jmm
Print Date: 5/1/2009
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