Loading...
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