2005, 04-18 Permit App: 05001214 ResidenceProject Number: 05001214 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/18/2005 Page 1 of 3
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
GAS/RADIANT FLOOR
Setbacks: Front 21 Left: 84 Right: 16 Rear: 20
Site Information:
Plat Key:
Contact: BYE, JOHN
Address: PO BOX 1274
C - S - Z: SPOKANE VALLEY, WA 99037
Phone: (509) 995-8232
Group Name:
Project Name:
Name: unknown
District: Nort
Parcel Number: 45181.0651 Block:
SiteAddress: 1417 N BESSIE RD
Location:: CSV
Zoning: UNKN Unknown
Water District:
Area: 10,033 Sq Ft
Nbr of Bldgs: 0
Review Information •
Width: 0
Nbr of Dwellings: 0
Lot:
Owner: Name: BYE, JOHN
Address: PO BOX 1274
SPOKANE VALLEY, WA 99037
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Review
Released By:
a
Plan Review
Released By:
c_. cosi/
Sewer Review
Released By:
S
Permits•
Operator: K_C Printed By: K_C Print Date: 04/18/2005
Project Number: 05001214 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/18/2005 Page 2 of 3
Building Permit
Contractor: J & S CONSTRUCTION Firm: J & S CONSTRUCTION
Address: 12426 E BIGELOW GULCH RD Phone: (509) 924-3388
SPOKANE, WA 99217
Building Characteristics
Group: R-3 Type: VB
Total Area 1477
Building Height 13
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 640 $12,160.00 640 $12,160.00
RESIDENCE R-3 VB 1.477 $110,302.36 1,477 $110,302.36
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 2,117 $122,462.36 2,117 $122,462.36
Units Unit Desc Fee Amount
I SELECT 51,122.55
I SELECT 34.50
I SELECT 3449.02
Permit Total Fees:
Mechanical Permit
$1,576.07
Contractor: SMITH HEATING & COOLING Firm: SMITH HEATING & COOLING
Address: 102 E NORA AVE Phone: (509) 328-4431
SPOKANE, WA 99207
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 2 NUMBER OF $20.00
GAS PIPING 3 # OF UNITS $3.00
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF 310.00
RANGE 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF 310.00
Operator: K_C Printed By: K_C
Permit Total Fees: $83.00
Print Date: 04/18/2005
Project Number: 05001214 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/18/2005 Page 3 of 3
Contractor: CAREY ROEMER
Address: 16508 E LONGFELLOW
SPOKANE WA 99216
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
CROSS CONNECTION DEVICES
WATER PIPING - DWV
WATER USING DEVICES
Notes:
Plumbing Permit
Firm: CAREY ROEMER
Phone: (509) 928-3137
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$90.00
Payment Summary -
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,576.07
$83.00
$90.00
Invoice Amount
$1,576.07
$83.00
$90.00
$1,749.07 $1,749.07
Amount Paid
$0.00
$0.00
$0.00
Amount Owinu
$1,576.07
$83.00
$90.00
$0.00
$1,749.07
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of. any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: K_C
Printed By: K_C Print Date:
04/18/2005
03-0/271
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
1 C 10 d E D 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
APR O 7 2005 Phone: (509) 688-0036; Fax: (509) 688-0037
a.
NFORMATION
Street Address: ' No N• Zess(t
Assessor's Tax Parcel Number(s): 95—tic It 0 657
Legal Description: —frit e ----r L`c2 1- 1303 —a
PERMIT DESCRIPTION: ilJE-c3 Dcit)0 c
® Building Permit
❑ Relocation
❑ Change in Use ❑ Grading
O Tenant Improvement 0 Fire Safety ❑ Other
❑ Manufactured Home
OWNER/APPLICANT INFORMATION
Owner: 7ccr-Mn1 C u&
Phone: ,ca9-995'-103)Fax:
Address: f o , 3 o,c
Z, 2 &.433 VAi-Ey t- 4
City / State
❑ Contractor:
Phone:
Address: /�+-t
Spolcmc--
city-
990.347
Zip Code
D Applicant:
Phone:
Address:
Fax:
City
State Zip Code
O Architect:
Phone: Fax:
eke -Low GvicetH Address:
VSa a (at 9921
Zip Code
City
WA State Contractor License #: JSCebl402$CY Contact: 2.-1740v
State Zip Code
Kacit
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:' `; , ,,
4MAIN
DIMENSIONS: /X �g /
# OF STORIES:
FLOOR TO SQ. FTG:
/N7,'
2"" FLOOR SQ. FTG:
—
UNFIN BASEMENT SQ. FTG:
n
FINISHED BASEMENT SQ. G:
/
GARAGE SQ. FTG: 696
DECK/COV. PATIO SQ. G:
OCCUPANCY GROU
3
CONSTRUCTION TIC E: n
s.-,b"..tc
HEAT SOURCE:
&n lh�t.cti...1�tolc9vait„rPG..a.
# OF BEDROOMS:
3
TOTAL HABITABLE SPACE:
E:
14ICOST
IMPERVIOUS SURFACE AREA:
OF PROJECT"
47c,00a
30% SLOPES ON PROPERTY:
0
SEWER OR ON-SITE SEPTIC
SYSTEM?Scc3lpZ
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: --Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent:
Valuation: Above/Underground Storage Tank Size:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Phone:
Fax:
Address:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
❑ WELDING
DISCLAIMER
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.
Ownership of resulting development rights granted by any issued permit inure to the property ev,ner.
Print Name oPin) 't . "46 Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard
Bankcard #:
Authorized Signature:
❑ VISA
Expires:
VIN#:
LI Other
PLUMBING PERMIT APPLICATION
ne Phone: (509) 688-0036; FAX: (509) 688-0037
Walley For Inspections, CaII (509) 688-0054
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Project Address: / II/ 7 iJ. -36 55"/E Permit Use:
Owner: —37,,/,a re Phone (Daytime Contact):
Mailing Address: ?, C. 0, ?o�ja7i(1. `%of- ,,q Ls AAA- 77037
City /1 �aState Zip Code
/�
License #: 0p yvtF CF(Pkhone#:
Contractor:
Mailing Address:
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
. COST •
n
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS -
,P--
X
- $6.00
=
/
2
URINALS
X
56 OD
=
3
TUBS -
X
56.00
=
4
SHOWERS (PER TRAP)
BATH, STALL ONSITE BUILT -
X
56.00
=
/r)-te
5
SINKS
LAVS/BASINS, BAR. FLOOR, KITCHEN,
LAUNDRY. UTILITY, JANITOR, PHOTO,
X-RAY, FOOD. PREP/CULINARY MEAT
X
56.00
-
=
...-
11
6
6
DISHWASHER
/
X
56.00
=
7
CLOTHES WASHER
/
X
$6 00
=
G -.
8
GARBAGE DISPOSAL
/
X
56.00
=
6-
9
WATER SOFTENER
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS SEE MECHANICAL
X
56.00
=
11
FLOOR DRAINS
AREA CASE, COIL, TRENCH, CONDENSATE
X
56.00
=
12
'ROOF DRAINS/OVERFLOW
DRAINS
..
X
56.00
=
13
FOUNTAINS, DRINKING
X
5600
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
- REVERSALS
/
X
56.00
=
/
G --
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP -
X
5600
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
3
X
58.00
=
I _
/1-
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR VATS, TANKS, BOILERS
/
X
56.00
=
G et O
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56.00 -
_
20
MISCELLANEOUS PLUMBING
FLXTURE
X
56.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
520.00
22
INDUSTRIAL WASTE
INTERCEPTOR
X
515.00
=
•
METHOD OF PAYMENT:
❑ CASH 0 CHECK 0 VISA 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
o
'1:
. Project Address:
Owner.
Mailing Address:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, CaII (509) 688-0054
'7 r.'€S$2
n. 3enc 44.34
Cuy Stam
Contractor: in r (, License #: Phone #: 3if — 4431
Mailing Address
Community Development Departmen
Building Divisiol
11707 E. Sprague Avenue, Suite 10(
Spokane Valley, WA 9920(
Permit Use:
Phone (Dr e Contact):
Zip Code
c
sone
Zio Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
#O�FyU�NIT_S
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
.iQ.
X
512 00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
515 00
=
3
UNLISTED APPLIANCE (Additional Fee) -
Equal to or less than 400,000
X
55000
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
510000
=
5
USED APPLIANCE (WSEC min AFUE rating)
Equal to or less than 400 000
X
550 00
=
6
USED APPLIANCE (W SEC min. AFUE rating)
More than 400,000
X '
5100.00
=
7
BOILERh2EFRIGERATION
1: 100M BTU
X
512.00
=
6
BOILER/REFRIGERATION
101 - 500M BTU
X
520.00
=
9
BOILER/REFRIGERATION
501 - 1 000M BTU
X
525.00
=
10
BOILER/REFRIGERATION
1,001 . 1,750M BTU
X
53500
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560.00
=
12
GAS LOG, GAS INSERT. GAS FIREPLACE
'.
/
X
- 510.00
=
/0
13
RANGE
1
X
51000
=
/O!
14
DRYER
/
X
510.00
=
/0
15
FUEL BURNING WATER HEATER
X
$10 OD
=
Gdicr
16
MISC. FUEL BURNING APPLIANCE
4:21-
X
510.00
=
17
GAS PIPING (each outlet)
3
X
51.00
=
16
DUCT SYSTEMS
X
510.00
=
.
19
VENTILATING FANS
X
510.00
=
Oa 43
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM •
X
512.00
=
21
AIR HANDLER (DOES NOT Include ducting)
Greater than 10,000 CFM
X
515.00
=
22
EVAPORATIVE COOLERS
X
510.00
=
23
TYPE I HOOD
X
550.00
=
_-- , 2
24
24
TYPE II HOOD
X
-c-
510.00
=
/0 —
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
. 512.00
=
26
.AIRCONDITJONER
3-15 TON
X
520.00
._
27
AIR CONDITIONER
15-30 TON
X
$2500
=
28
AIR CONDITIONER
30-50 TON
X
535.00
=
29
AIR CONDITIONER
More than 50 TON
X
560.00
=
30
LPG STORAGE TANK
X
510.00
=
31
WOOD OR PELLET STOVE/INSERT •
X
51000
=
32
WOOD STOVE - FREE STANDING
X
525.00
=
33
REPAIR & ADDITIONS
-
X
515.00
=
34
VENTILATION SYSTEMS
X
512.00
=
35
VENTILATION MECHANICAL EXHAUST
X
512.00
36
INCINERATOR - RESIDENCE ?
X
519.00
=
37
INCINERATOR - COMMERCIAL
X
522.00
METHOD OF PAYMENT:
0 CASH 0 CHECK ❑ VISA ❑ MC
CARD 5:
DATE
SUBTOTAL
PROCESSING FEE
535.00
EXPIRES.
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
i
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