2003, 07-17 Permit App: BLD-03-02048 Finish BasementMalley
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11 707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (509 688-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS:
508 1\l,I�essrl e_
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION:
PERMIT DESCRIPTION: jc'j S<
® BUILDING PERMIT
®RELOCATION
M1,SA
CI CHANGE IN USE • ® GRADING
El SIGN ®TENANT
® MANUFACTURED HOME
OTHER
OWNER / APPLICANT INFORMATION
® OWNER: L-bcry ioakc
PHONE:922 9 0�h j 9 9 FAX:
ADDRESS: 508 lug1 Ss7e
0 SQokarel%d(Ie�� WWA-Q `112.0 �TE, ZIP
CONTRACTOR: SAWLE - T
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE #
® APPLICANT: SAr+ E
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
ARCHITECT: C
PHONE: FAX: b 27 .(5-
ADDRESS:
(5-
ADDRESS:
CITY, STATE, ZIP
619/.5
rpt o hQ E
CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECTI2)000 (tat)
BUILDING HF'gHT TO PEAK: -
BUILDING DIMENSIONS:$OXVQ
NUMBER OF STORIES: /
NUMBER of BEDROOMS: 2 -
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
CONSTRUCTION TYPE: 0..A1✓ C
STRUCTURES ON PROPERTY: /
CRITICAL AREAS:
CURRENT PROPERTY SIZE: /OD X1((06
CURRENT PROPERTY USE: IM UL. Fant
CURRENT SEPTIC USE: K
CURRENT WELL USE: /Aid&
RIGHT SETBACK: IMPERVIOUS SURFACE AREA:
MAIN FLOOR SQ FT: /d.2-1
2N0 FLOOR SQ FT:
UNFIN BASEMENT:
FINISHED BASEMENT. --0
GARAGE: 471-(2.Cla 1
COVERED DECK: 0
DECK: --la' -
-IOD OF
1SH
Spokane
AS Valley
11707 East Sprague Avt'.;:.e, Suite 106 509-688-0036 - Phone
Spokane Valley, WA .992 V` 509-688-0037 - Fax
For Inspections, call 509-688-0054
Plumbing Permit Application
PROJECT ,�1 �J ,� / 2
ADDRESS: 5 V O /" FJLSS / C._
DESCRIPTION
PERMIT
USE:
OWNER: La re -,i,
le) 7o fL
COST
PHONE (Daytime Contact):122 _ ? co 1t
i
MAILING ADDRESS:
502nD
13SSsit , 5pO(<
(4-01et )(A/A 99a-ocP
(street)
(city/state)
- (LP)
CONTRACTOR: _ eTh 7ThjokRy
-
LICENSE 1: on
MAILING ADDRESS:
URINALS
PHONE 1:
(street)
(city/state)
(ZIP)
PLUMBING FIXTURES
�3
DESCRIPTION
DETAILS
it OF UNITS
X
COST
EQUALS
AMOUNT
. - 1
TOILETS
WATER CLOSET, BIDETS
/
X
$6
-
2
URINALS
X
56
_
TUBS
,
X
$6-
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6
-
— 5
SINKS
LAVS/BASINS, BAR, FLOOR KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
Z
X
$6
6
DISHWASHER
X
$6
-
1.4 7
CLOTHES WASHER
i
X -
56
-
8 '
GARBAGE DISPOSAL
X
$6
-
9
WATER SOFTENER
X
$6
-
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
-
12
FOUNTAINS, DRINKING
X
56
-
13
WATER PIPING/DRAIN-IN
WASTE, VENT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6
'
-
14
SEWAGE EJECTOR
GRINDER SUMP PUMP
/
X
$6
-
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER, HOSE BIB,
STEAMER PROOFER, CARBONATOR,
SWAMP COOLER
X
$6
-
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
-
17
SPRINKLERSYSTEM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL-
HOLDING TANK
X
56
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC. PLUMBING FIXTURE
X
$6-
PAYMENT
4 CHECK
YISA'R(ast_
.._.n
•
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
■ EMU= ■
TOTAL PERMIT FEE DUE:
CARD NUMBER:
ORIZED SIGNATURE:
SlS1 ems'°"'
, ..Valley
-Mechanical Permit Application
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
ADDRESS: 0 6
1\3 ` 1557 i'
PERMIT
USE:
OWNER } -� .,_, ,
X
PHONE (Daytime Contact):
—17--/‹..,e_.,
MAILING ADDRESS:
1
FUEL BURNING APPLIANCE
(street)
(city/state)
(ZIP)
CONTRACTOR:
-
LICENSE 5:
2
MAILING ADDRESS:
> 100,000
PHONE t:
X
519
-
(street)
(city/state)
(ZIP) .
METHOD OF PAY]
0 CASH 0 CHECK ❑ ❑ ! s
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
*OFUNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
- OR < 100,000
X
515_
-
2
FUEL BURNING APPLIANCE
> 100,000
X
519
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR <400,000
X
550.
-
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
5100
• -
5
USED APPLIANCE (WSEC tn(n. AFUE rating)
• of <400,000
X
550
-
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
.100
-
7
BOILER/REFIUCERAT1ON
1-100M BTU
X
515
-
8
BOILER/REFRIGERATION
101.500M BTU
X
528
-
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
539
-
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
X .
557
-
11
BOILER/REFRIGERATION
+1750M BTU
X
595
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
510
-
13
RANGE
-
X
510
-
14
DRYER
-
X
510
-,
15
FUEL BURNING WATER HEATER
-
X
510
-
16
MIST FUEL BURNING -
-
X
510
-
-
17
GAS PIPING (es. Outlet)
-
X
S1
-
18
DUCT SYSTEMS
.-
-
' X
510
-
-
59,
VENTILATING FANS
-
X
S10
-
20
AIR HANDLER (DOES NOT Include ducting)
- OR c 10,000CPM
X
512
-
21
AIR HANDLER (DOES NOT Include ducting)
> 10,000 CFM
X
519
-
22
EVAPORATIVE COOLERS
--
X
510
-
23
TYPE I HOOD
-
X
550
-
24
TYPE U HOOD
-
X
510
-
25
HEAT PUMP/AIR CONDrFI0NER
0-3 TON
X
• 512
-
26
AUR CONDITIONER
3-15 TON
X
520
-
27
AIR CONDITIONER
15-30 TON
X_
525
-
28
AIR CONDITIONER
30-50 TON
X
535
-
29
AIR CONDITIONER
+50 TON'
X
560
-
30
LPG STORAGE TANK
--
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
X
520
-
32
WOOD STOVE - FREE STANDING
--
X
525
-
YIEN'T .
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
METHOD OF PAY]
0 CASH 0 CHECK ❑ ❑ ! s
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
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Atte View
APPROVED a?II7/"
061162.003 Pagel 10