2005, 10-10 Permit App: 05003582 ResidenceProject Number: 05003582 Inv: 1
Application
THIS IS NOT A PERMIT '
Penalties will be assessed for commencing work without a permit
Project Information:
Penult Use: NEW RESIDENCE W/ATTACHED GARAGE Contact: COOK, BRIAN A & GRACE H
Address: PO BOX 69
C - S - Z: GREENACRES, WA 99016 -
Setbacks: Front 14 Left: 5 Right: 10 Rear: 22 Phone: (509) 922-8788
Group Name:
Site Information: Project Name:
Plat Key: Name: RANGE District: Sout
Date: 10/10/2005 Page 1 of 3
Parcel Number: 45161.0903 Block: Lot:
SiteAddress: 11823 E BOONE AVE
Location:: CSV
Zoning: UNKN Unknown
Water District:
Owner: Name: COOK, BRIAN A & GRACE H
Address: PO BOX 69
SPOKANE VALLEY, WA 99016
Hold: Li
Area: 10,503 Sq Ft Width: 111 Depth: 52 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Sewer Review
Permits:
Released By:
Originally Released: 09/29/2005 By: CBATES
Released By:
Originally Released: 10/07/2005 By: TMELBOU
Released By:
Operator: CJJ Printed By: CJJ Print Date: 10/10/2005
Project Number: 05003582 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/10/2005 Page 2 of 3
Contractor: OWNER
Total Area 1456
Building Height 16
Stories 1
Dwelling Units 1
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application: Total Project:
Description Type Notes Sq Ft Valuation Sq Ft Valuation
DECK R-3 VB 10 $150.00 10 $150.00
GARAGE U-1 VB 624 $11,856.00 624 $11,856.00
RESIDENCE R-3 VB 1,456 $108,734.08 1,456 $108,734.08
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Contractor: OWNER
Totals: 2,090 $120,740.08 2,090 $120,740.08
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,111.35
$4.50
$444.54
Permit Total Fees: $1,560.39
Mechanical Permit
Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 2 # OF UNITS $2.00
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
HOOD -TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $84.00
Operator: CJJ Printed By: CJJ Print Date: 10/10/2005
Project Number: 05003582
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/10/2005
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
WATER USING DEVICES
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: OWNER
Phone: (000)
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$1,560.39
$84.00
$66.00
$1,710.39
Permit Total Fees:
Invoice Amount
$1,560.39
$ 84.00
$66.00
$1,710.39
000-0000
Fee Amount
$12.00
$24.00
$12.00
$6.00
$ 6.00
$6.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$66.00
Amount Owing
$1,560.39
$84.00
$66.00
$1,710.39
Page 3 of 3
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CJJ Printed By: CJJ
Print Date: 10/10/2005
Permit Center
Spokane
11707 E Sprague Ave, Suite 106
41000 Valle Spokane Valley, WA 99206
Y (509)688-0036 FAX: (509)6880037
Community Development «ww•spokanevallev.org.com
Residential Construction
Permit Application
PERMI'F-NUM'BE•1
.R1VIT"�=7
. New Construction o Accessory Bldg
❑ Addition/Remodel o Deck
❑ Other:
SITE ADDRESS
l I fsz 3 if. goou —
ASSESSORS PARCEL NO: AS 1G( ,oi,11 LEGAL DESCRIPTION: SP --1316 - 0 1- (Vet( ( * 3
Building c#vwner`
- . ... .
Name:
c - F
Name: &WA/ Vt
ER.¢cl
UNFIN BASEMENT SQ. FTG:
p4
Cac(<
Address: &cyc (,R
GARAGE SQ. FTG:
61 `g.
Zip:
Phone:
City:. 6RtseYA/>}Gt.aS
Zip:
7
7 016,
r
Phone: 911 -3.1
Fax:
Contact Person
Name: 13R rkN Coot.
Phone:
�3v 74,4 -
Describe
i4
Describe the scope of work in detail:
&gild s t4.. - ra�n2 >e,,i t - 4,4oin)
lie At
Contractor`;; :..:-:.ry
Name:
c - F
MAIN FLOOR TO SQ.
FTG:
i45 -f, ..lrtz t�
Address:
UNFIN BASEMENT SQ. FTG:
p4
IMPERVIOUS SURFACE
AREA:
2c, -c7
City:
GARAGE SQ. FTG:
61 `g.
Zip:
Phone:
# OF BEDROOMS: 3
Fax:
Lic No:
SEWER OR SEPTIC?
s5,4/6 -,t_
Exp. Date:
City Business Lic No:
Cost of Project:
(a6 I. 1'ac(e
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: 16 •
DIMENSIONS:
76e$ )g -e
# OF STORIES: 1
/
TOTAL HABITABLE SPACE:
1' 1456 -ct`
MAIN FLOOR TO SQ.
FTG:
i45 -f, ..lrtz t�
2Nu FLOOR SQ. FTG:
Nq
UNFIN BASEMENT SQ. FTG:
p4
IMPERVIOUS SURFACE
AREA:
2c, -c7
FINISHED BASEMENT
FTG: 14'
GARAGE SQ. FTG:
61 `g.
DECK/COV. PATIO SQ. FTG:
lo 1�
30% SLOPES ON
NSQ.
# OF BEDROOMS: 3
CONSTRUCTION TYPE:
S' -(c,C Fowl
HEAT SOURCE:
k I-1) 1 h►.1 F W e,2
SEWER OR SEPTIC?
s5,4/6 -,t_
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature -' .._- Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash 1EL Check 0 Mastercard 0 VISA
Bankcard #: Expires: VIN#:
2A --cc-
0
cc
❑ Other
Authorized Signature:
REVISED 8/25/2005
STiorkane
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org.com
Residential Plan Submittal Minimums
El Completed Building, Plumbing & Mechanical application with: Accurate address,
Parcel Number and/or Legal Description, description of work, owner and
contractor information, signature, and date.
O Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
O Show the height of any proposed buildings or accessory structures.
Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
O All braced wall panel types: show locations and details of installation, including
engineered design.
El Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
al Smoke detector locations
Er 22" X 30" attic access location
o 18" X 24" crawl space access:
o One-hour separation detail: between house and garage
0- Floor framing details: Joist type, size, spacing and installation details
Roof framing plan and details
0 Fumace and hot water heater location.
O All header locations: type, size, and connections
O Foundation plan
E:i Insulation information
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
_ .. Valley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.orr.com •
Plumbing Permit Application o Commercial X Residential
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS
1 i 1-.13 (.7. BAcM el" t )ct
Building owner 13R./ha 6A/HE CCc'-
DESCRIPTION OF WORK
# OF UNITS
X
Name:
=
Phone:
91-2 -t-18- ft--
Fax
WATER CLOSET, BIDETS
Address: ACK
61
$6.00
City &Rai:v.4(40's
State i1/4-
Zip 11 „
Contractor
X
$6.00
=
Name: S 41-(-F
3
Phone:
Fax:
X
Address:
=
i 2.
City
State
Zip
License No:
X
$6.00
City Business License No:
5
Contact
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
y
X
$6.00
=
Name: ITR (Ala
Ct)dlL
Phone:
Z3 0 -3 241.1
i
X
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
2.
X
$6.00
=
(2. • elf
2
URINALS
X
$6.00
=
3
TUBS
Z
X
$6.00
=
i 2.
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
y
X
$6.00
=
14 .
6
DISHWASHER
i
X
$6.00
=
6
7
CLOTHES WASHER
1
X
$6.00
=
6
8
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6.00
=
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
i
X
$6.00
=
6
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
$15.00
=
METHOD OF PAYMENT:
0 CASH A. CHECK 0 VISA 0 MASTERCARD
Card# EXPIRES:
SUBTOTAL
_
•
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
r9. ``)
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Spokan'� e�,
.0„00Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.orE.com . •
Mechanical Permit Application o Commercial
ERIVITTNUMB
N Residential
SITE ADDRESS
1185.4 S. is s.110 / '. 't' L ! Zt^t
Building owner
Name: R g t gr j
r- GRAca
(32r‹..,
Phone:
qz -:7i- --
Fax
Address: ge:A
bet Ni
City 6AcrSI.t/acRtrS
State
Zip
7?0(1.
Contractor.
Name: y,}{11 a
Phone:
Fax:
Address:
City
State
Zip
License No:
City Business License No:
Contact
Name: i3R,p 0
ceeiC�
Phone:
-2-3d -T 2.'
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or Tess 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
$50.00
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
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
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
J
X
$10.00
14
DRYER
X
$10.00
/0.
15
FUEL BURNING WATER HEATER
X
$10.00
/O.
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
2.
X
$1.00
2..
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
3
X
$10.00
70
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 I 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
3-15 TON
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
$25.00
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
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
x
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH CHECK 0 VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
74 -
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
10
REVISED 8126/05