2008, 03-06 Permit App: 08000593 Duplex*Wanes ne
#Valleys
Community Development
Residential Construction
Permit Application
Pernut Center
11703 E Sp e Ave, Suite B-3 PERMIT NUMBER:
Spokane Va , WA 99206 pERMIT FEE:
(509)688-0036 FAX: (509)688-0037n C Ply AD BA L 1
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on
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Adds IFITentrifi
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Accessory Bldg
Deck
SITE ADDRESS:
ASSESSORS PARCEL NO
} 522 1 . 01 ( Z 5 LEGAL DESCRIPTION:
Pam k
.Buildhig'Owner> Tr . '.� A -- '
' `gyp ''. .:�. � ' �. ,R .d:i"--�
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Confracior•,{; • ` °�;r',
_ -;�'',.4/.. �•:r.�'�' �� .,; „ x..,
m
nn
pp�.�7t La/t.' ic JMnt
me:Name:Na �
Address:4 I 1 �O C S t
City: �w�`�
`-�-�'�'�lt-r�-f o+ti .ZtiC
�•�„�.� Aver{ .� 5 az.
State: \/ij Or Zlp 4ci z06
Address: 3 i) 5 [n
25Q
n e� _ n.a ., 04
1,, /
City: rt fa I(Q State: t'V 4_Zip: 97
l 21,(
Phone: / Fax:
219.—`IceZ Zlizq —Z3y�
Phone: Fax: LiLq —Z
21 $-_I562 3i/$
•
Contrac c�ro: Exp Date:
E�li,1AQc�33a� 4 (y/zo,o7,
C011taCtPCrSon ':i;. ., •:;"-:.-"1""��t,��'r`
HEAT SOURCE:
City Business Lic.No:
Name: Nom^
Phone: "ZI `Di>— —1'-:, 6 Z
Describe the scope of work in detail:
Cost of Project: $ 1 GOA 000
-e. Y 2 cA%r (dr-?
Proposed Use:
8-e— ate-we1Z
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT
1-(22 2" x 5,01 _
# OF STORIES: ,Z
TOTAL HABITABLE1SPACE:
MAIN FLOOR TO SQ.
FTG: Oc'
1 ��� s 7
2ND FLOOR SQ. FTG:
j �-1 Zos-/
UNFIN BASEMENT SQ. FTG:
t� o
IMPERVIOUS SURFA� It
AREA:
FINISHED BASEMENT
SQ. FTG: I/j / O
GARAGE SQ. FTG:' /
1 6- 6' L
DECK/CO .PATIO SQ. FTG:
J
30% SLOPES ON
PROPERTY:
# OF BEDROOM $$:
CO STRCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
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
K Check
DATE: 2 —2(o --OL
❑ Mastercard ❑ VISA
Expires: VIN#:
Sp6kan
.00.0Ualley
Community Development
Mechanical Permit Application
Permit Center •
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spokancvallev. ore
n Commercial
•
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS:
Building Owner pa l „NCw71 `�''e..42�,`,^I,,-
r�-,IV,,
Name: `1, IA Phone: � i & _ --I S1- 2. Fax:
L, i L� — 2 3 tiz
'6
Address: 3 ((_ S. ✓ VVC. t1 �. _ n �,../„ k.d City: _. �y t� Vq IlQ/tate:
<���+^-^��� -
, W
Zip: 932 at
a'_'_ ,
Contractor -
Name Rct6 (2 wscf2A1 d,, cSD - Phone: Fax:
/r O 9 —
2 .3 yg
Address: 9 (l 6/+E S�.v„cuo a.4, a 5z£ty: S co State:
\u 4
Zip: 9 4 z Q
License No. PG Q Li A Q 9 3 O it City Busi _ss Lic:
.
..Contact _
-
�.... ..
11(('- ////_-p /.
Name' R_A.d. _ 1 o, . r, , Phone: 24 B — 1 s--4 'Z
DESCRIPTION OF WORK
# OF UNITS X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$1200
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
550.00
6
USED APPLIANCE (WSEC min AFUE rating)
More than 400,000
X
$100 00
7
BOILER/REFRIGERATION
1 - 100M BTU
L
X
$12 00
24.Q0
8
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
535 00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60 00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510 00
13
RANGE
2
X
510 00
2Q00
14
DRYER
2
x
$10 00
20. Ob
15
FUEL BURNING WATER HEATER
X
$1000
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 dulling)
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 1 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
520.00
27
AIR CONDITIONER
15-30 TON
L
X
$25 00
5 0. 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
512.00
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 812005
1l
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
Permit Center •
ok
Spane 11703 E Sprague Ave, Suite B-3
j Valley Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037
Community Development w•w•w.spokanevallev ore
Plumbing Permit Application n Commercial
lirPERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS:
S. ,LAX12___
Building Owncr
Name: / Phone:Fax
u z r Y� - is -b2._
�.,,,,Q, �;�L�Cc�Q1�, G^^
�`1,.8�9n
- 2 3 y8
__ nnS�,�^,M-ea-;
`r1��. ggg
City: ., n.tlb.>,ta .6 fk y tate:
G
Address: 311 1
A___ Zip: 99.214
W
Contractor - l /
((�� ��� //�� � ,,__
Name: pts U(.t.t-bi.Y)t L ci,,,, dQ c.,,,, jtr GPhone: 9,.2-7s-6 2 Fax:
f../L9
_ Z-3 Liz
Address: 1. (6 `?�n-c-8, Ate_ A. C12ZCity: S' j_ „ c a , _t State:
-""`-'�
Vi
Zip: 99 2 0,4
License No: pc Q U n Q g 7�3 op.., City Busine�Lie:
/T r�
Contact -
-
1
Name: 1>I '.-'--k Phone: a I r� _ 41S62
DESCRIPTION OF WORK
Q
#OF UNITS X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
X
$6 00
2
URINALS
X
$6.00
3
TUBS
4
X
$6.00
211.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
2-
X
$6.00
IZ.620
5
SINKS .
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
U
X
$6.00 .
6
DISHWASHER
L
x
$6 00
1 2 . Co
7
CLOTHES WASHER
22
X
$6 00
i.z049
'8
GARBAGE DISPOSAL
L
I'$600
1.2. cm2-
9
rt,-
9
WATER SOFTENER
X
• $6.00 .
0
ELECTRIC WATER HEATER
NOTE- IF GAS, SEE MECHANICAL
Z
X
$6.00
12: Co
11
FLOOR DRAINS
AREA, CASE. COIL, TRENCH,
• CONDENSATE' .• " '
X
5600
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6 00
13
FOUNTAINS, DRINKING
X
$6 00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6 00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6 00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R P B.P D. FOR: VATS, TANKS,
BOILERS
X
$6 00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6 00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$1500
METHOD OF PAYMENT:
❑CASH y] CHECK El VISA ❑ MC EXPIRES
Card# , \ VIN'
AUTHORIZED SIGNATURE:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Effective October 28, 2007
P.\Community Development\Forms\Building forms\Plumbing Permit Application.doc
1 Project Number: 08000593 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information':
Date: 3/6/2008 Page 1 of 3
Permit Use: DUPLEX W/ ATT GAR ON SEWER Contact: PAUL LONSKY
Address: 311 S MCDONALD RD
C - S - Z: SPOKANE VALLEY WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509) 218-7562
Group Name:
Site Information: Project Name: SHP-32-06 PARCEL B (312 / 314)
Plat Key: Name: Range
District: Sout
Parcel Number: 45221.9125 Block:
SiteAddress: 312 S BLAKE RD
Location:: CSV
Zoning: MF -1 MF MDR District
Water District: 010 VERA
Lot:
Owner: Name: PAUL LONSKY
Address: 311 S MCDONALD RD
SPOKANE VALLEY WA 99216
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: ,
Review
Building Plan Review
Released By:
Originally Released:
Driveway/Approach
3/4/2008 By: tmelbourn
Released By:
Originally Released: 3/6/2008 By: jdavis
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Originally Released: 2/28/2008 By: mpalaniuk
Released By:
PER BILLY URHAUSEN
Originally Released: 2/26/2008 By: jdavis
Operator: JD Printed By: JD
Print Date: 3/6/2008
Project Number: 08000593
Permits:
Inv: 1
Application
THIS 1S NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/6/2008 Page 2 of 3
Contractor: P & G QUALITY CONSTRUCTION
Address: 9116 E SPRAGUE #522
SPOKANE WA 99206
Building Characteristics
Building Height 29
Description
1&2 FAMILY
2ND FLOOR
GARAGE
Building Permit
Firrn: P & G QUALITY CONSTRUCTION
Phone: (509) 218-7562
Grp TVpe Notes
R-3 VB
R-3 VB
U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,509 $143,339.91 1,509 $143,339.91
2,051 $153,168.68 2,051 $153,168.68
542 $10,298.00 542 $10,298.00
Totals: 4,102 $306,806.59 4,102 $306,806.59
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Contractor: P & G QUALITY CONSTRUCTION
Address: 9116 E SPRAGUE #522
SPOKANE WA 99206
Item Description
BOILER/REFER 1-IOOM BTU
AIR CONDITIONER:16-30 TON
CLOTHES DRYER
RANGE
Units
2
2
2
Operator: JD Printed By: JD
Fee Amount
$2,152.95
$4.50
$861.18
$3,018.63
Firm: P & G QUALITY CONSTRUCTION
Phone: (509) 218-7562
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$24.00
$50.00
$20.00
$20.00
$I14.00
3/6/2008
Project Number: 08000593
Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/6/2008
Contractor: P & G QUALITY CONSTRUCTION
Address: 9116 E SPRAGUE #522
SPOKANE WA 99206
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS •
GARBAGE DISPOSAL
CLOTHES WASHER
WATER HEATER - ELECTRIC
Units
6
8
2
4
2
2
2
2
Plumbing Permit
Page 3 of 3
Firm: P & G QUALITY CONSTRUCTION
Phone: (509) 218-7562
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$36.00
$48.00
$12.00
$24.00
$12.00
$12.00
$12.00
$12.00
$168.00
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$3,018.63
$114.00
$168.00
Invoice Amount
$3,018.63
$114.00
$168.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$3,018.63
$114.00
$168.00
$3,300.63 $3,300.63 $0.00 $3,300.63
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: JD Print Date: 3/6/2008
o "
at 2'r
(�-wive\APIK1.4..A7
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i
1
5`
PLANNING DEPT. APPROVED
BY:
DATE: 7./ZZ7/2
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