2009, 05-19 Permit App: 09001328 ResidenceS iokane
1Ualley•
Community Development
Permit Center
11703 E Sprague A re,.SuitE Br A`�.(
Spokane Va1ley�WA 9�iEV`
(509)688-p.q q C.ftAW' `09)6%437
www.spok nevalle�y.a( 1 `3 LN�OO
Residential Construction .rrtMtc cd
Permit Application gy
PERMIT NUMBEA ?3z
PERMIT FEE:
Construction
n Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS
Ad /3/A/c
/to/
S S fr /7- oti
ASSESSORS PARCEL NO: 1 c T - ? sow, ,A -t-r LEGAL DESCRIPTION:. , �. /0 / 7 - O 6
/7- 0 d
Building Owner:
Contractor:
Name:
S- 4.ti e -
Address:
Name:
2—'es 7 /1/% •--1/a
Address:[
ed -
/ SS
State:
City:
State: Zip:
Phone:
Fax:
Contact Person
61a
Name: .‘
Phone: 9 9
Describe the scope of work in detail:
City: Cao Gc C
Phone: cit _ -
Fax:
Contractorlic'No: Exp Date:
City Business Lic. No: .
e)9
Cost of Project: $ =�
/(9m o0o
/,!'cu /,/o rh c
Proposed Use:
**********The followin MUST be complete: (write N/A if not applicable)****** * *********
HEIGHT TO PEAK:
9"
DIMENSIONS:
_.?-D x a'
# OF STORIES:
TOTA(AITABLE SPACE:
So SQ ,--'54-
MAIN FLOOR TO Q.
MAIN
ND FLOOR SQ. FTG:
-----
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FTG: /23
/ \
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ.�.FFTG:
`1—e
tYPE:
DEC K/jCO . TI SQ. FTG:
\ d®
30% SLOPES ON
PROPERTY: /-� Gi
# OF'BEDROOMS:
?
CONSTRUCTION
.ST -?-r 4- "-Tan C
HEAT 9QUR
SEWER OR SEPTIC?
S t bt-) € 2
2- / icDO.& l'd JS,' —
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
atheck
❑ Mastercard
Expires:
DATE:
❑ VISA
VIN#:
Permit Center
SfiOlcane 11703 E Sprague Ave. Suite B-3
'alley Spokane Valley, WA 99206
40000 (509)688-0036 FAX: (509)688-0037
Community Development www_spokanev;dlev.on_
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ❑ Residential
SITE ADDRESS: /c -'0 �I / • /2/A /Ce fed. L D 7
Building Owner
Name
Phone:
Fax:
Address:
City
Stale:
Zip
Contractor
NamctAl li F'S
IA 1J 6-f—
Phone: c c,; -yrs
si
Pas.
- �,.
-i7
=—
Address. Jr ?top
/00,-
L.JoS 4. ('Sa`
City .
State.
• c1
Zip: 99a 0..L.
License No:
V
Lidti
City Business Lie:
�..
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
•
X
$6.00
g/� G----
2
URINALS
X
$6 00
3
TUBS
X
56 00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
n
X
$6 00
o✓
5
SINKS
LAVS/BASINS. BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
c
X
$6 00
6
DISHWASHER
X
56 00
6e=
7
CLOTHES WASHER
x
56.00
b00
8
GARBAGE DISPOSAL
x
$6 00
60
9
WATER SOFTENER
X
56 00
10
ELECTRIC WATER HEATER
NOTE: IF GAS, SEE MECHANICAL
X
$6 00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
x
56 00
/J m/
12
ROOF DRAINS/OVERFLOW DRAINS
X
S6 00
13
FOUNTAINS, DRINKING
X
56 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
6p6
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R P B P D. FOR: VATS, TANKS.
BOILERS
X
56.00
18
INTERCEPTORS
GREASE TRAP. SAND TRAP.
CHEMICAL HOLDING TANK
X
$6 00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56 00
20
MISCELLANEOUS PLUMBING FIXTURE
X
56 00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20 00
22
INDUSTRIAL WASTE INTERCEPTOR
X
51500
METHOD OF PAYMENT:
DCASH 0 CHECK 0 VISA 0 MC EXPIRES
Card# VIN.
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 826/05
Spokan�
�Uailey
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.spokaneva 1 le v are
PERMIT NUMBER:
PERMIT FEE:
n Commercial n Residential
srre ADDRESS: AD/0 ,C5 • (?/A /ce- / o 7-
S P /7-0 .
Building Owner
Name:
Phone: Fax:
Address
City: State
Zip.
Contractor
Name: Y++'t
o es7a. die
Phone: %%I' J f? s e% Fax. ::.::1.1:54,
- / /
�-
cry" .+jGC
Address: r cso9 49.E cd
City: �r /co 4e State: M1
Zip:
9�Fi1
-1c.,
License No: � vise(' / 93`3 /V . is t
City Buafiess Lic: G 06 ,,,,,e la
Contact
Name: 9w Ao 1(/.S
Phone: ?t -SS6C/
DESCRIPTION OF WORK
# OF UNITS
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15 00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
4
5
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
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
5100 00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
8
BOILER/REFRIGERATION
101 -500M BTU
X
$20 00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25 00
10
11
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35 00
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60 00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
51000
13
14
RANGE
X
510,00
DRYER
X
$10.00
/
15
FUEL BURNING WATER HEATER
X
510 00
16
MISC. FUEL BURNING APPLIANCE
X
510 00
17
18
19
20
21
22
23
GAS PIPING (oath outlet)
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
Equal to or less than 10,000 CFM
X
X
X
X
$1.00
51000
$10.00
$12.00
Greater than 10,000 CFM
X
$15.00
X
510 00
TYPE I HOOD
X
550.00
24
25
26
TYPE II HOOD
x
$10.00
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$1200
AIR CONDITIONER
4-15 TON
X
$20 00
27
AIR CONDITIONER
15-30 TON
X
$25 00
28
AIR CONDITIONER
30-50 TON
X
$35 00
29
30
AIR CONDITIONER
More than 50 TON
X
560.00
LPG STORAGE TANK
X
$1000
31
WOOD OR PELLET STOVE/INSERT
x
51000
32
WOOD STOVE - FREE STANDING
X
525.00
33
REPAIR & ADDITIONS
X
$15.00
VENTILATION SYSTEMS
X
512.00
35
36
VENTILATION MECHANICAL EXHAUST
X
$12.00
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR -COMMERCIAL
X
522.00
METHOD OF PAYMENT:
[CASH 0 CHECK 0 VISA 0 MC
CARD #
AUTHORIZED SIGNATURE:
REVISED x/26/05
EXPIRES -
VIN:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$3�
Project Number: 09001328 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/19/2009 Page 1 of 3
Project Information:
Permit Use: NEW SFR -SEWER
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Contact: INVEST NORTHWEST
Address: 3508 E WESLEY CT
C - S - Z: SPOKANE WA 99202
Phone: (509) 999-5864
Group Name:
Project Name:
Name: Range
District: Nort
Parcel Number: 45151.1032 Block:
SiteAddress: 1210 N BLAKE RD
Location:: CSV
Zoning: R-3 SF Res District
Water District: 010 VERA
Area: 10,792 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: INVEST NORTHWEST INC
Address: 3508 E WESLEY CT
SPOKANE, WA 99202
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released: 5/19/2009 By: TMELBOU
Landuse/Zoning/HE Conditions
Released By:,
Sewer Review
Permits:
Originally Released: 5/15/2009 By: mpalaniuk
Released By:
Originally Released: 5/13/2009 By: JLMain
Operator: jmm Printed By: jmm
Print Date: • 5/19/2009
Project Number: 09007328
Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/19/2009 Page 2 of 3
Contractor: INVEST NORTHWEST INC
Address: 13519 E BOONE
SPOKANE, WA 99202
Description Grp Type
1&2 FAMILY R-3 VB
COV DECK R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Notes
Contractor: INVEST NORTHWEST INC
Address: 13519 E BOONE
SPOKANE, WA 99202
Item Description
GAS WATER HEATER
GAS PIPING
VENTILATING FANS 1 DUCT
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
Building Permit
Firm: INVEST NORTHWEST INC
Phone: (509) 999-5864
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,235 $119,585.05 1,235 $119,585.05
85 $1,275.00 85 $1,275.00
437 $8,303.00 437 $8,303.00
Totals: 1,757 $129,163.05 1,757 $129,163.05
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,161.75
$4.50
$464.70
Permit Total Fees: $1,630.95
Mechanical Permit
Units
2
2
Operator: jmm Printed By: jmm
Firm: INVEST NORTHWEST INC
Phone: (509) 999-5864
Unit Desc
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees;
Print Date:
Fee Amount
$22.00
$1.00
$22.00
$10.00
$10.00
$11.00
$76.00
5/19/2009
Project Number: 09007328 Inv: I
Application
Date: 5/19/2009
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: INVEST NORTHWEST INC
Address: 13519 E BOONE
SPOKANE, WA 99202
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Plumbing Permit
Page 3 of 3
Firm: INVEST NORTHWEST INC
Phone: (509) 999-5864
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$12.00
$6.00
$78.00
Notes: ,..
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,630.95
$76.00
$78.00
Invoice Amount
$1,630.95
$76.00
$78.00
$1,784.95 $1,784.95
Amount Paid
$464.70
$0.00
$0.00
Amount Owing
$1,166.25
$76.00
$78.00
$464.70 $1,320.25
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: jmm Printed By: jmm Print Date: 5/19/2009
fti02T/-7,
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014P 0-06
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PLANNING DEPT. APPROVED��p
;BY. s �/% ,„..
DATE
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