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2003, 06-24 Permit App: BD-03-693 ResidenceaPR 29 2623 16:47 FR City of SPOKANE VALLEY TS E {J `VJ LLLLJJ 667524507 JUN 2 4 2003 fu fr, - 0o37 PERMIT # .05-67:g BUMMING PERMIT APPLICATION P•01/05 `SOB LOCATION 1 i 31' OWNER'S ADDRESS t CITY ,r ?HONE / DESCRIBE JOB U THIS PROPERTY IS OWNED BY: SINGLEJMARRIED PARTNERSHIP CORP. BOX 2 CONTRACTORS NAMNY ill - T( 1 PHONE = —CI 10 L rot CONTRACTOR'S REG.# I L iKCJ EXPIRATION DATE 71 I I. CA (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT 1 tig1 ', , km PHONE , `---1 Loi .� - C(r C -0 ADDRESS t CITY . '. �� ZIP b F"2 J BOX 4 SEWER AVAILABILITY WATER AVAILABILITY CONTRACTOR'S ADDRESS CITY BOX 5 ESTIMATED PROJECT COST $ CCCr EXISTING BLDG. VALUATION $ BOX 6 PROPERTY TAX ACCOUNT NUMBER L 1 L-1 _36 1 D LEGAL DESCRIPTION (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOTNUMBER BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR WW1 2ND FLOOR / 3RD FLOOR / OTHER / BASEMENT FINIS D BASEMENT UNFINISHED 1r 1 / DECK / GARAGE 'J CARPORT J TOTAL / HEIGHT TO PEAK OF BUILDING FT. BOX lk.(SINGLE FAMILY ( NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL! INDUSTRIAL TOTAL AREA OF PROPERTY SQ_ FT. ( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE SQ. FT. BOX 9 PLUMBING FIXTURES (Including rough -ins) MECHANICAL APPLIANCES PLEASE USE THE ATTACHED PLUMBING 1 MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES, SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS, LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL. BOX 10 Water Service meter size (if known) Also see BOX 4 BOX 11 Septic Tank - Not generally allowed in the City of Spokane Valley. For special circumstances contact Your sewer purveyor and the Health District (See BOX 4) BOX 12 Street use may require a ' Street Use Permit' for sewer, water, sidewalks, curb cuts. Contact the Public Works Department I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF TE -IE ABOVE PREMISES TO PERFORM THE WORK FR WHCH THE APPLICATION SMA E. OWNER / AGENT ��,IU) L/AZ.Q i ) DATE WP C- (OVER) 0' City of SPOKANE VALLEY Phone FAX Inspection PERMIT # BUILDING PERMIT APPLICATION 688-0036 688-0037 688-0054 Box 1 OWNER OWNER'S ADDRESS DESCRIBE JOB JOB LOCATION CITY ST. PHONE THIS PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORP. BOX 2 CONTRACTOR'S NAME CONTRACTOR'S ADDRESS CONTRACTOR'S REG.# PHONE CITY EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT ADDRESS CITY PHONE ZIP BOX 4 SEWER AVAILABILITY WATER AVAILABILITY BOX 5 ESTIMATED PROJECT COST $ EXISTING BLDG. VALUATION $ BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOT NUMBER BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 1STFLOOR / 3RD FLOOR / BASEMENT UNFINISHED CARPORT 2ND FLOOR• / OTHER / BASEMENT FINISHED-- J,. 1,- / DECK ./ GARAGE TOTAL / HEIGHT TO PEAK OF BUILDING FT. BOX 8 ( ) SINGLE FAMILY. ( 3 MULTIFAMILY (NO. OF UNITS ( ) COMMERCIAL / INDUSTRIAL ( ) TENANT IMPROVEMENT ( ) NEW CONSTRUCTION ( ) EXISTING STRUCTURE TOTAL AREA OF PROPERTY SQ. FT. IMPERVIOUS SURFACE • .:" SQ. FT. BOX 9 PLUMBING FIXTURES (Including, ough-ins) ' MECHANICAL APPLIANCES PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES, i SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS, LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL. BOX 10 Water Service meter size (if known) Also see BOX 4 BOX 11 Septic Tank — Not generally allowed in the City of Spokane Valley. For special circumstances contact Your sewer purveyor and the Health District (See BOX 4) BOX 12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public Works Department. I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE. OWNER/AGENT DATE (OVER) s-vappbp 4-16-03 -1 • I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card: Visa Mastercard Expiration Date Print the name of the Holder Signature DO NOT PLACE ANY BUILDING UNDER POWER LINES OR OVER INCOMING GAS LINES. OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS DISAPPROVAL DATE SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DISAPPROVAL DATE REMARKS PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE TYPE OF JOB: NEW RESIDENCE ' ( RES. ADD/ALT - NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY TYPE OF CONSTRUCTIO STORIES /V--106.2_// 7 i Ar' BUILDING SQ. FT./- @ b (. p = 11`172-. 72 BUILDING SQ./ PO 2'G'iY/ @ Z�. /O = Stil b 7 BUILDING SQ. FT. -r`-� @ / f BUILDING SQ. FT. @ _ 9 q.b TOTAL SQ. FT. TOTAL VALUATION / 0 4 2 5 ) BUILDING PERMIT NO $O d3 493 PLAN CHECK FEE RECD RECEIPT NUMBER O 0 PERMIT FEE PC) 7" // PLAN CHECK FEESD!i PLUMBING FEE / 0 MECH. FEE / 0 30O TOTAL FEES WSBCC SURCHARGE T. J 0 ENERGY SURCHARGE OTHER CHARGES AMOUNT DUE BUILDING DEPARTMENT APPROVAL BY ASSIGNED ADDRESS Received DATE 1 METHOD 0 ❑ CASH APR 29 2003 16:48 FR S�cD'kane`` �VaLley TO 12087624507 P.03/05 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT ADDRESS: _I I.a- S [ �' lj� RMIT „ USE: 5t (C j OWNER. \ ((l (C�( CIDn �j PHONE (Daytime Contact): j4,,; _gfQ(o MAILING ADDRESS: ,0-kibc UJ ,.pkn Ac Ufn ro o IRA k ' 3S (street) (dty/state) fes) CONTRACIOR'�QY �(n1 W VY 1)�i+ LICENSEIT? t. k _ (- llt�( o MPSLING ADDRESS: / agkq cA , PAPulL(RCL Valf6 OA 3 PHONE 0: --tpt I Act 13 la qqQ (li (street) (city/state) (ZIP) PLUMBING FIXTURES DATE: IDIi'IR£S: BANKCARD NUMBEIR AUTHORIZED SIGNATURE: 4 DESCRIPITON DETAILS t OF UNITS X COST EQUALS AMOUNT 1 TOILETS wATERCLOSET,BIDETS 3 x s6 - /Y-. Oti 2 URINALS X S6 • 3 TUBS `22 X 56 • /S. IUD 4 SHOWERS (PER TRAP) BATH, STALL, ONSITE BUILT 2> X 56 - 1 • CO 5 SINKS LAYS/BASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILITY, JANUOIL PHOTO, X -r RAY, FOOD, PREP/CULINARY/MEAT ✓J X E6 1 D. 00 J 6 DISHWASHER 1 X $6 - 6" -0-6 7 CLOTHS WASHER X 56 - B GARBAGE DISPOSAL 1 X 56 - 6 ,0D 9 WATER SOFTENER X 56 • 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X S6 - 11 FLOOR DRAINS AREA, CASE. COIL, TRENCH, CONDENSATE X 56 - 12 FOUNTAINS. DRINKING X 56 - 13 WATER PIPNG/DRAN•IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR. REVERSALS X S6 - 14 SEWAGE EJECTOR GRINDER SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER. HOSE BM, STEAMER, PROOFERCARBONATOR, SWAMP COOLER X 56 • `�.� /%' 16 CROSS CONNECTION DEVICE VACUUM BREAKER CHECK VALVE, AND R.P9.PA, FOR: VATS, TANKS, BOILERS x - 17 SPRINKLER SYSTEM X S25 - 1B INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X se - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X 56 • 20 MISC. PLUMBING FIXTURE X 56 - PAYMENT 3 CHECK 1254 •• L - . SUBTOTAL/ 6 0 LO 0 PLUS PROCESSING FEE ■ Ifinlaiii ❑ TOTAL PERMIT FEE DUE f DATE: IDIi'IR£S: BANKCARD NUMBEIR AUTHORIZED SIGNATURE: 4 17;1 RPR 29 2003 16:40 FR- P em " 'TS 12087024507 SligianOl‘titT "alley Mechanical Permit Application P.O2/O5 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 dr� ADDRESS: I I - 5 . '5\-- FERP USE: OWNER:v'1 an �� t `�C ` 1 PHONE (Daytime Contact): '1Q L-91ol MAILING ADD- RE59:• t4ofTta. as c D J I tctLr-1R33?) (street) (city/state) • (Zip) CONTRACTOR -atilt Dili i nL U ENSE s: 1 O,�)^^ FUc- MAILING ADDRESS: 1Ii1 Otuorninn ani- � PHONE A: �-A_lC>`i ^—SI- --b0-6-‘7,G--b0-6-‘7,G1l(}� Y Ast 6 (street) (city/state) (Z,1P) METHOD OF PA CASH ❑ DATE: IDCPIR&S: BANKCARD NUMBER AUTHORIZED SIGNATURE DESCRIPTION OF WORK a OFLWITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE . (312< 103400 X 515 - 2 FUEL BURNING APPLIANCE > 200.00 i X 519 - / q co 3 UNLISTED APPLIANCE (ADDITIONAL FEE) • OR<40pp00 X 550 - 4 UNLISTED APPLIANCE (AOtMIONAL FEE) > 400A00 X 5100 - 5 USED APPLIANCE (WSEC min. AFUE rating) • ar c 400401 X MO • 6 USED APPLIANCE (WSEC min. AWE nting) > 400.000 X 5100 • 7 B01LER/REFRICERATION 1.100M ETU X 51s S BOILER/REFRIGERATION 101.500M BTU X Sm - 9 BonSR/RRFWCERATION 5R• i.OWM REN X s9 • 10 EOTLER/REFRIGERATION 1001- 1.751M BTU X 557 • 11 9OILER(REPRIGBRATION •1750M BTU X 595 - 11 GAS LOC -GAS INSERT. CAS FIREPLACE - 1 X 510 • /a•OQ 13 RANGE - X 510 - 14 DRYGR - X 510 - 15 FUEL BURNING WATER HEATER - X 510 • 16 )ASC FUEL BURNING APDL - X 510 • 17 GAS PIPING (n Outlee) - 24 X 61 - 174- c10 is DUCTETSIEMS - X S10 - 19 VENTILATING FANS - i4 x sio z/zio ery 20 AIR HANDLER (DOES NOT Include ducting) •ORc10.000CFM X 512 • 21 AIR HANDLER (DOES NOT Include ducting) >10L(OCFM X 519 • U EVAPORATIVE COOLERS - X 510 - 73 TYPE IMOD - X 550 - 24 TYPE II HOOD - 1 X S10 • / 0 ,.a 25 HEAT PUMP/AIR COMMONER 03TON X 512 • 26 AIR CONDEMNER 3.15 TON 1 X 570 • (J-/. ere D AIR CONDITIONER 15.30 TON X $2 • 38 AIRCONDIIIONER 30-50 TON X 535 - 25 AIRCONDII1ONER .SO TON X 660 • 30 LPC STORAGE TANX - X 510 - 31 W000 OR PELLETSTTOVWNSERT - X 510 • 32 WOOD STOVE• FREE STANDING - X 515 • KENT t•_s:yti, SUBTOTAL: ,-J 0? -66 PLUS PROCESSING FEE saute TOTAL ?war FEE DUE iae DATE: IDCPIR&S: BANKCARD NUMBER AUTHORIZED SIGNATURE S1 E' PL &N SCALE: 1"= 20'- 0" LOT 10 BLOCK 1 CAELENPLACE SPOKANE VALLEY, WASHINGTON 50.00' APPROVED BY 7301 b4Zf/..%3 PORTER