2003, 07-07 Permit App: 03-787 ResidencePPR 29 2003 15:47 R
City of
SPOKANE VALLEY
Box 1 OWNER k
OWNER'S DDRES
atpc5 13.3•
DESCRIBE JO
TC 12087624507 F.0a05
(9 - 0030
fn)e 0037
PERMIT #
BUILDING PERMIT APPLICATION
OE LOCATION
QTY PHONE
nue_-
2D'? et I Ob
��l�-0 rte ,81Pc
THIS PROPERTY IS OWNED BY: SIN L RIED
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME YTh%)
CONTRACTOR'S ADDRESS �lvQ iS l-.� frd-u fry �--(,-i%3-�
CONTRACTOR'S REG.# V \ Vs.t bp.. a.TYTS EXPIRATION DATE -3 ht
t
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX 3 CONTACT PERSON OF PROJECT PHONE O - T -o
ADDRESS CITY ZIP
BOX 4 SEWER AVAILABILITY WATERAVAILABILITY
BOX 5 ESTIMATED PROJECT COST $ lOt'{ D`'cgXISTING BLDG. VALUATION 5
BOX 6 PROPERTY TAX ACCOUNT NUMBER Si 43 .
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER
LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR 1173 2ND FLOOR /
3RD FLOOR / OTHER / BASEMENT FINISHED /
BASEMENT UNFINISHED / DECK / GARAGES3 / ! Le
CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING FT.
BOX 8 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 / 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 THE
ABOVE PREMISES TO PERFORM THE WORKrF..DR WHICH THE APPLICATION IS MADE.
OWNER / AGENT f if ,l� DATE 111 (03
(OVER)
APR 29 2003 16:48 FR
*Wane
„�
Plumbing Permit Application
TO 12087624507
P.03/05
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA R9206 509.688.0037 - Fax
For Inspections, call S09-688-0054
PROJECT
ADDRESS: I
DESCRIPTION
PERMIT L� y,�� fn(f�
USE J} `—
1 OF UMTS
OWNER /iii(
1' CLX'' -ru - (nr\
PHONE (Daytime Conwa): V' 107 "1 W
MAILING ADDRESS:
ri o t25 t -n
doh a OAA Ci , t84(5')5
(street)
(dry/state) (ZIP)
CONTACTOR)
(A-AuLha jouno,
LICENSE
kim
MAILING ADDRESS:
.a4t0 5'
a0. \C rn.iWo
URINALS
_acta1 5- t 3
�
Ma
qQ.o 1
(street)
(city/state)
(21P) '
PLUMBING FIXTURES
METRO") 0
❑ CASH
DATE
SANKCARD NUMBER
AUTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
1 OF UMTS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
56
•
'/2
2
URINALS
X
56
-
3
TUBS
.
X
$6
•
/ 2
4
SHOWERS (PER TRAP)
BATH. STALL ON-SITE BUILT
D
X
56
-
) 2 -
5
SINI6
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR PHOTO, X -n
RAY, FOOD, PREP/NIINARY/MEAT
2l
X
56
•
(�
/ b
6
DISHWASHER
1
X
56
Le
7
CLOTHES WASHER
t
X
s6
•
Ie.
B
GARBAGE DISPOSAL
1
x
56
-
/ n
9
WATER SOFTENER
X
56
•'[
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
56
-
11
FLOOR DRAINS
AREA, CASE, COIL TRENCFL CONDENSATE
X
56
-
12
FOUNTAINS, DRINKING
X
56
-
13
WATER PIFINGTDRAIN-IN
WASTE VEST, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR
REVERSALS
X
S6
•
14
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
56
•
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER HOSE BIB,
STEAMER, PROOEER, CARBONATOR/�
SWAMP COOLERc7T1
X
56
•r�
/
16
CROSS CONNECTION DEVICE
VACUUM BREAKER CHECK VALVE, AND
R.P.B.P.D. FOR VATS, TANKS, BORERS
X
17
SPRINKLER SYSTEM .
X
$25
•
111
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
19
MEDICAL GAS pa outlet
NITROUS, OXYGEN
X
56
20
MISC, PLUMBING FIXTURE
X
56
-
PAYMENT
3 arscx
L _ ..l
SUBTOTAL:
PLUS PROCESSING FM
$35.00
■ INIEllel ❑
TOTAL PERMIT FEE DUE
DATE
SANKCARD NUMBER
AUTHORIZED SIGNATURE:
RPR 29 2003 16:48 FR
Se•1\1"`
j 11eJ
Mechanical Permit Application
TO 12087624507
P.02/05
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 199206 509-688-0037 - Fax
For Inspections, call 509-688-0054
RCT
te: 1big -
I e
PERMIT
U THC.
OWNER: p - 11 n l
PHONE (Daytime Contact): ?_ Loa-- 10 /o
MAILING ADDRESDORS S: flj.-/', OW
{�
ei�QO S (Z . t -b on Ire__
j ��" n J� 2
1-F-�L-rtio" Tl4 - t3 855
(street) (city/state)i.
1 (
CONTRACTOR: n
Medal Y�l�1j
1: Lo;Li
op 5 S -
i
MAILING ADDRESS:
51L C MM. UJ
X
[ICENin
5-16
LPHONE a: Ot8
-^l 610
L-0;
(I-,»
ftr
.o/ten 2 1�_
(sheet) (city/state)
(7„IA
METHOD OP PA
0 CASH 0
❑
DATE: EXPIRES
BANKCARD NUMBER
AUTHORIZED SIGNATURE
DESCRIPTION OF WORK
$ OF WHITS
X
COST
EQUALS
AMOIAT
1
FUEL BURNING APPLIANCE
• OR< 102000
1
X
515
-
ftr
1
FUEL BURNING APPUANCE
> 100.000
X
519
-
3
UNLISTED APPLIANCE (ADDmONAL FEE)
• OR < 403A03
X
550
4
UNLISTED APPLIANCE (ADOMONAL PEE)
> 400.030
X
5100
-
5
USED APPLIANCE (WSEC mIn. AFUE Mang)
•mc400,000
X
550
6
21520 APPLIANCE (WSEC Rtln AFUE r•tlng)
>400,000
X
5100
•
7
BOILEWREFWCERATION
1 .10054 ETU
X
515
•
8
BOILEFURPFPICEPATION
101.50054 RTU
X
$78
9
BOILER/REFRIGERATION
501. I.000M BTU
X
339
•
10
EOILEB/REFRICERATION
1001-1,750M BTU
X
557
•
11
BOILERREFMGERATION
•1750M BTU
X
595
-
12
GAS LOG. GAS INSERT. GAS FIREPLACE
-
X
510
•
n
RANGE
-
X
310
-
14
DRYER
-
X
510
•
15
FUEL BURNING WATER MEATE R
-
X
510
•
16
MISC FUEL Bl1RNING APDL
-
X
510
•
17
GAS PIPING (a. Outlet)
-
X
51
-
•7
is
DUCT SYSTEMS
-
O'
X
510
-
19
VENTILATING FANS
-
.29
X
510
•
2 (0
20
AIR HANDLER (DOES NOT inducts ducting)
• OR < 10,(00CFM
X
512
•J
21
ARI HANDLER (DOES NOTInclude ducting)
> 10400 CFM
X
519
•
12
EVAPORATIVE COOLERS
-
X
510
-
23
TYPE I HOOD
-
X
550
-
14
TYPE B MOOD
-
1
X
510
•
iC:2
3
HEATPUMP/AIR CONDITIONER
03 TON
X
512
•
as
AIRCONDRIONER
3-15 TON
X
520
•
D
AIR CONDITIONER
35-30 TON
X
575
•
255
AIR COMMONER
330-55 TON
X
S35
-
29
AIR COND111ONER
•50 TON
X
5E0
•
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
X
n0
32
WOOD STOVE- FREE STANDING
-
X
325
•
KENT
Nal
SUBTOTAL:
,57
PLUS PROCESSING PEE:
535.00
TOTAL PERMIT FEE CUE
❑
DATE: EXPIRES
BANKCARD NUMBER
AUTHORIZED SIGNATURE
SITE PLAN.
SCALE: 1" = 20'- 0'f
LOT 11 BLOCK 1
CAELEN PLACE
SPOKANE VALLEY, WASHINGTON
60.00'
5'-0" 40'-0"
/
14'+
�; CONCRETE,?,,
•
1-
UNDERGROUND
POWER
CONCRETE
PORCH &
SIDEWALK
I
I
I
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0c
LI.,
rn
N I
i
srbEwAL
K
COBO
APPROVED