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2003, 06-20 Permit App: 03-663 Addition, RemodelCity of SPOKANE VALLEY PERMIT # BUILDING PERMIT APPLICATION Fix bff- 6 8T-00 - Box 1 OWNER Qq,y1p___ SCILVY1(\..gic si.Zi °°"-' -- `ipGlCCv DESCRIBE JOB k#1 n i JOB LOCATION 81 z_.1 �oz;rJL OWNER'S ADDRESS CITY PHONE 504 q2 J OS 12- W i• . citf 212. .'- THIS PROPERTY IS OWNED BY: SINGLE/MARRIED__MArriejci PARTNERSHIP CORP. BOX 2 CONTRACTOR'S NAME v`,cr PHONE q2 7 OSi P-• CONTRACTOR'S ADDRESS r---AATIiL c^LQ:'21WL. ) CITY CONTRACTOR'S REG.# EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT SCt.ry k (J JCv- ...) PHONE ADDRESS CITY ZIP BOX 4 SEWER AVAILABILITY Sit, +e;.A._ ri-slev ..0th_. WATER AVAILABILITY BOX 5 ESTIMATED PROJECT COST $ 301'000• oc' EXISTING BLDG. VALUATION $ BOX 6 PROPERTY TAX ACCOUNT NUMBER , Coc .Q... U 1 1-.1E, pail(1,32 Z e S l S LEGAL DESCRIPTION Lia ' (IF NECESSARY, PLEASE SUBMIT A SEPARATE PA CENSUS NUMBER LOT NUMBER CRIPTION) r-� BOX 7 BUILDING SQUARE FOOTAGE Existin / proposed) 3RD FLOOR / OTHER / 1ST FLOOR BASEMENT FINISHED 2ND FLOOR / BASEMENT UNFINISHED / DECK / GARAGE 2 4 / F1Ats.L 4.,n4`e.rbr CARP C�.R`T / TOTAL / HEIGHT TO PEAK OF BUILDING FT. BOX 8 (-') SINGLE FAMILY ( ) 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 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 WORK FOR WHICH THE APPLICATION IS MADE. OWNER / AGENT DATE (OVER) 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 DISAPPROVAL REMARKS 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 CONSTRUCTION STORIES n� 4 xy'( hiceLB lArt.actp UILDING S�.Q0.FT. 5{ 12. lc 62.4 IVR, „7 BUILDING SQ. FT. @ = BUILDING SQ. FT. @ = BUILDING SQ. FT. @ = TOTAL SQ. FT. TOTAL VALUATION BUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NUMBER PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE OTHER CHARGES AMOUNT DUE BUILDING DEPARTMENT APPROVAL BY ASSIGNED ADDRESS Received DATE 1T\ OF 111.7- pdkane 11707 E. SPRAGUE, STE 106 alley SPOKANE VALLEY, WA 99206 (509)688-0036 FAX (509)688-0037 PROJECT TRANSMITTAL: TRANSMITTAL DA 1'E: SITE INFORMATION PERMIT INFORMATION Site Address:r21 E., jpp E. Parcel Number: Subdivision: Block: Lot: Zoning: Water Dist: Owner: R.s)€E„ 5c-14 MALT5 Address: .9)2.-1 , 1 J E Building Inspector: Permit Number: C3-4:43 Issue Date: Permit Use: CA 14 CT G P R6E., -1"o L -I Us 5t. AoP ZSstd i , .. j5D. f3A. , Applicant: Contact: geN)E-. NN• L-73 Contractor: Phone:9,2,2_0 s.12. Phone: Setbacks — Front: Left: Right: Rear: APPROVALS BUILDINGS: f:1-14% 1 fc-vet . i3LH 2-o a3. PLANNING: `�� 60/2o� ,�.0J,-V- , -0 APPROVALS City of SPOKANE VALLEY Build] g, Fire and Public Works Fees Receipt Applicant/Business / e .5c,/.5c,/ .»c7/ Permit No. A /3 ' D ` e 3 Project Name Date -c20-z, Site Address V le2 / E.. / "7 wiz/ 2— Please Receipt the Following: Check Number �2 Payer's Name Address Receipt Number BUILDING DEPARTMENT 001.059.322.10.01 001.059.322.10.02 001.059.322.10.03 001.059.322.10.04 001.059.322.10.06 001.059.322.90.01 001.059.345.83.01 001.059.345.83.03 001.059.342.40.02 001.059.237.10.98 001.059.237.10.02 FIRE DEPARTMENT # 001.059.322.10.07 001.059.322.10.08 001.059.322.10.09 001.059.322.10.10 001.059.322.10.11 001.059.322.10.12 001.059.322.10.13 001.059.321.30.00 001.059.342.40.01 001.059.237.10.99 OTHER: City Building Permit Plumbing Permit Grading Permit Mechanical Permit Demolition Permit Misc. Permits and Fees Plans Check Fee Energy plans check fee SPECIAL Inspections Bonds / Deposits WSBCC Surcharge * Plans check fee Sprinkler plans check F. A. Plans check Misc. plans check Fire Alarm inspections Sprinkler inspections Misc. Inspections Fireworks Permit UFC permit fees Bonds / Deposit * * Zip $ e/V. $ r o $ S S S S RAJ PUBLIC WORKS 001.059.322.40.00 Right of Way 001.059.342.40.03 Special lnspections 001.059.237.10.99 Bonds/Deposits (cash)** TOTAL AMOUNT DUE * To be sent to Wash. State Building Code Council quarterly. # 65% of figure to be sent to the Fire Department Quarterly, except bonds etc. * * Liability Insurance verification may also be required. s-vrecpt artc 0 Spo'Ekane ,,.Valley Mechanical Permit Application 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 ADDRESS: DESCRIPTION OF WORK PERMIT USE: OWNER X PHONE (Daytime Contact): MAILING ADDRESS: AMOUNT (street) (city/state) (ZIP) CONTRACTOR: LICENSE it: MAILING ADDRESS: - PHONE #: 2 (street) (city/state) (ZIP) METHOD OF PA ❑ CASH ❑ C DATE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: EXPIRES: DESCRIPTION OF WORK 8 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE • OR < 100,000 X 515 - 2 FUEL BURNING APPLIANCE > 100,000 X 519 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) = OR<400,000 X $50 - 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X $100 = .5 USED APPLIANCE (WSEC min. AFUE rating) - or <400,000 X $50 = 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X 5100 - • 7 BOILER/REFRIGERATION 1-100M BTU X 515 - 8 BOILER/REFRIGERATION 101- 500M BTU X 528 - 9 BOILER/REFRIGERATION 501 - 1,000M BTU X 839 - 10 BOILER/REFRIGERATION 1001 - 1,750M BTU X $57 - 11 BOILER/REFRIGERATION +1750M BTU X 595 - 12 GAS LOG, GAS INSERT, GAS FIREPLACE - 1 X 510 - l6 13 RANGE - X 510 - 14 DRYER - X 510 - 15 FUEL BURNING WATER HEATER - X 510 = 16 MISC. FUEL BURNING APPL. - X 510 - 17 GAS PIPING (ea. Outlet) - / X 51 - 7 18 DUCT SYSTEMS - X $10 - 19 VENTILATING FANS - X 510 - /© 20 AIR HANDLER (DOES NOT include ducting) = OR < 10,000CFM X 512 - 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X 519 = 22 EVAPORATIVE COOLERS - X 510 = 23 TYPE I HOOD - X $50 - 24 TYPE 11 HOOD - X 510 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512 - 26 AIR CONDITIONER 3-15 TON X 520 - 27 AIR CONDITIONER 15.30 TON X $25 - 28 AIRCONDmONER 30-50 TON X $35 - 29 AIR CONDITIONER +50 TON X $60 = 30 LPG STORAGE TANK - X 510 - 31 WOOD OR PELLETSCOVE/INSERT - X 510 - 32 WOOD STOVE - FREE STANDING - X $25 - 1ENT SUBTOTAL: - �� 0 > --$38 _ PLUS PROCESSING FEE: TOTAL PERMIT FEE DUE: �`� EXPIRES: (ETHOD OF ] CASH ATE: Spolan� do/.Valley Plumbing Permit Application 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 ADDRESS: /� / / /_ ( ","7 e.--- PERMIT USE: OWNER: X PHONE (Daytime Contact): MAILING ADDRESS: AMOUNT (street) (city/state) (ZIP) CONTRACTOR: / LICENSE #: MAILING ADDRESS: ••2 PHONE #: (street) (city/state) (ZIP) PLUMBING FIXTURES .NKCARD NUMBER: UTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS / X $6 ••2 URINALS E X $6 - 3 TUBS X $6 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT / X $6 - 5 SINKS LAVSBASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X $6 - % 6 DISHWASHER X $6 - l . 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 - 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 - 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND RP.B.P.D. FOR: VATS, TANKS, BOILERS X' 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X' ` 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT CHECK !l st : L_ . - SUBTOTAL: .2r G� PLUS PROCESSING FEE: $3140=> ■ ■ TOTAL PERMIT FEE DUE: ,2 Ll 6'�� .NKCARD NUMBER: UTHORIZED SIGNATURE: SL r r p, Ele,(E1-, 63Y r sf(A)er 1 g Boo r APPROVED B • 3' A6` iItn0 <u et.(" 1(\ 1 CITY BU G D PERM%iNUMBER CRESS N DA OR UBMITTED APPROVED BY Egress windows operable 5.7 sq. ft. - 44" sill iU 21 DA THIS BUILDING SUBJECT TO FIELD INSPECTION CORRECTIONS THESE PLANS MUST BE KEPT ON THE JOB SITE Attic Accetlibil to!?xz3A" CITY OF SPOKANE VALLEY APPROVED FOR SUBMITTAL initials / Date Building Planning I Public Works_____ APPROVED BY 7 THESE PLANS MUST BE KEPT ON THE JOB SITE UBC 2326.8.3 HOLES SHALL NOT BE WITHI OR BOTTOM OF JOTS SUCH HOLT SHALL OF THE JOIST. 3" WA (PLUMBING) MAY NO OR 2"X10" FLOOR J A MANUFACTURED THESE PLANS MUST BE KEPT ON THE JOB SITE BORER N JOIST ),OFTHE TOP ETER OF ANY D 1/3 TH OUGH A 2"X8" JOIST IS SUCH AS TJI, BCI, ETC. ZI( THIS BUILDING SUBJECT TO FIELD INSPECTION CORRECTIONS THESE PLANS MUST BE KEPT ON THE JOB SITE roxL- ��� 01MAItL bio L r $r Gi4-s V -t -f‘ Zov,ge. c„,e)or. VI L pc-UsL4-; r R" r A-atr"Q - 2 THESE PLANS MUST BE KEPT ON THE JOB SITE 5 vtAeL. 0e4 J -c"- fo'' 1,04-- a ;�I p_13 ;,� s`%1 G ",(4-1 M ro 3 h G\,k Vet,. 2'3O THESE PLANS PLANS MUST BE KEPT ON THE JOB SITE Acier-t syc e r6i.ck,e. ;Ay