2005, 06-28 Permit App: 05002199 ResidenceProject Number: 05002199 Inv: 1
t y.
Application
Date: 06/28/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 35 Left: 25+ Right: 10+ Rear: 20+
Site Information:
Plat Key:
Contact: COOK, STAN
Address: 6110 N RYLEY LN
C - S - Z: OTIS ORCHARDS, WA 99027
Phone: (509) 230-7999
Group Name:
Project Name:
Name: SHP-13-04 District: Nort
Parcel Number: 45151.1026
SiteAddress: 13505 E BOONE LN
Location:: CSV
Zoning: UR -3.5
Water District:
Block: Lot: 1
Urban Residential 3.5
Owner: Name: COOK, STAN
Address: 6110 N RYLEY LN
OTIS ORCHARDS, WA 99027
Hold: ❑
Area: 10,461 Sq Ft Width: 90 Depth: 116 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Released By:
41O,Ll C z(
Released By: LI c WI A/i)0A.1`L''
Landuse/Zoning
Released By:
6
Sewer Review
Permits:
Released By:
Operator: K_C
Printed By: K_C ' Print Date:
(>L12QA &orkdrrt-
r c►/. t tfr S
06/ 8 200 - &fil/k;//
Project Number: 05002199
Inv: 1
Application
Date: 06/28/2005 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: DESIGN TEC
Address: P.O. BOX 313
LIBERTY LAKE, WA 99019
Building Characteristics
Group: R-3
Total Area
Building Height
Stories
Dwelling Units
Type: VB
1456
16
1
1
Building Permit
Firm: KEVIN COOK/DESIGN TEC
Phone: (509) 255-1459
Description Grp Type Notes
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Contractor: DESIGN TEC
Address: P.O. BOX 313
LIBERTY LAKE, WA 99019
Item Description
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
AIR HANDLER <=10,000 CFM
HOOD -TYPE II
This Application: Total Project:
Su Ft Valuation Su Ft Valuation
484 $9,196.00 484 $9,196.00
1,456 $108,734.08 1,456 $108,734.08
Totals: 1,940 $117,930.08 1,940 $117,930.08
Units Unit Desc
1
1
1
SELECT
SELECT
SELECT
Fee Amount
$1,094.55
$4.50
$437.82
Permit Total Fees: $1,536.87
Mechanical Permit
Firm: KEVIN COOK/DESIGN TEC
Phone: (509) 255-1459
Units Unit Desc
1 NUMBER OF
2 # OF UNITS
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: K_C Printed By: K_C
Permit Total Fees:
Fee Amount
$12.00
$2.00
$12.00
$30.00
$10.00
$12.00
$10.00
$88.00
Print Date: 06/28/2005
Project Number: 05002199
Inv: 1
Application
Date: 06/28/2005
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: DESIGN TEC
Address: P.O. BOX 313
LIBERTY LAKE, WA 99019
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units
2
4
2
1
1
1
1
2
Fee Amount
$1,536.87
$88.00
$84.00
Plumbing Permit
Page 3 of 3
Firm: KEVIN COOK/DESIGN TEC
Phone: (509) 255-1459
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$1,536.87
$88.00
$84.00
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$6.00
$6.00
$12.00
Amount Paid
$0.00
$0.00
$0.00
$84.00
Amount Owing
$1,536.87
$88.00
$84.00
$1,708.87 $1,708.87 $0.00 $1,708.87
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: 06/28/2005
Si�I&ne
Ulley
v, BUILDING PERMIT APPLICATION WORKSHEET
ittot'1• ken lley Community Development Department
Building Division
(° I i s e ,- U 11707 E. Sprague Avenue, Suite 106
"� -- Spokane Valley, WA 99206
ne: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
I3Sa S IS00 e_ ti.
Assessor's Tax Parcel Number(s): Apiu& ,✓' 4 51 00)
Legal Description:
PERMIT DESCRIPTION:
[]Building Permit
❑ Relocation
Luc
❑ Change in Use ❑ Grading ❑ Manufactured Home
O Tenant Improvement 0 Fire Safety ❑ Other
1
OWNER/APPLICANT INFORMATION
O Owner: 54,144 rein k 0 Applicant: S 4-4Co; ( •
Phone: Fax: Phone: ?-3o • 795 9 Fax:
Address: Address: it). m ti o R7, ler le
04-15 orci.t.de4 %JA. 79047
City State Zip Code City State Zip Code
O Contractor: ' s�r`�Q_C 0 Architect:
Phone: �Wi05
-�-t Fax: 5N3-gIUo Phone: Fax:
Address: �‘_ Q,%. c szc.4._ Address:
City State Zip Code City State
• WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
Zip Code
1
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:DIMENSIONS:
f
a8)( 2-
# OF STORIES: ,
(
MAIN FLOOR TO SQ. FTG:
/4s
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
as xaa
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEATr SOURCE:
/v ct,'� 64 5 /12acjir « it/ i-
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
r4-",
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:30%
/00 k
SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
Width:
Manufacturer:
MANUFACTURED HOME
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler. # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector. Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
0 BOLTING 0 CONCRETE
Firm Name:
0 REINFORCEMENT
Phone:
Inspector(s):
Fax:
0 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 owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash ❑ Check 0 Mastercard 0 VISA 0 Other
Bankcard #: Expires: VIN#:
Authorized Signature:
PLUMBING PERMIT APP!..!CA'ION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address: f /3S05 &ICM; t L-A% Permit Use:
Owner.
Mailing Address:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone (Daytime Contact):
Contractor.
City
License #:
State Zip Code
Phone #:
Mailing Address:
Zip Code
City
State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
P-
X
56.00
=
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
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
It
X
$6.00
=
6
DISHWASHER
(
X
56.00
=
7
CLOTHES WASHER
(
X
$6.00
=
8
GARBAGE DISPOSAL
I
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
56.00
=
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
56.00
=
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
$6.0D
=
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
$6.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X_
$15.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
DATE:
SUBTOTAL
0 VISA 0 MASTERCARD
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
MECHANICAL PERMIT APPLICATION Community Development Department
Building Division
Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106
For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206
Project Address: E t 3 S 0 5 Soo n3 G N l Permit Use:
Phone (Daytime Contact):
Mailing Address: Al . 6110 1I %L N' • 0 As o r cLAr) 5
City State t�V 4 4‘Z0'>7
Zip Code
License #: Des,S 4- -11' 03.)o (o Phone #: 0 17- / OS¢
Owner: S'•} a ("Aho k
Contractor: De s.< W Ott.
Mailing Address: JJ
Ci
State
Zip Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
f
X
$12.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
3
UNLISTED APPLIANCESAdditional 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
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
2-
x
$1.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
4
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
I
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 11 HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
f
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:
0 CASH 0 CHECK 0 VISA 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
10' Existing Utility --i.
Easement
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water, s slow or other criticslicias.
Signed• _ oG.rUyj 1 .4—
Date j'��`r����
BASIS OF BEARING
N89* 57' 39"W