2005, 06-28 Permit App: 05002200 ResidenceProject Number: 05002200 Inv: 1
Application,
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/28/2005 Page 1 of 3
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 35 Left: 23 Right: 15 Rear: 20+
Site Information:
Plat Key: Name: SHP-13-04 District: Nort
Contact: COOK, KEVIN
Address: 6110 N RYLEY LN
C - S - Z: OTIS 1 : HARDS, WA 99027
Pho
Group N
Project Name:
(509) 217-1054
Parcel Number: 45151.1026 Block: Lot: 6
SiteAddress: 13508 E BOONE LN Owner: Name: COOK, KEVIN
Address: 6110 N RYLEY LN
Location:: CSV OTIS ORCHARDS, WA 99027
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 10,463 Sq Ft
Hold: ❑
Width: 90 Depth: 116 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
(kik
Plan Review
GLLJ -6
Released By:
�G�� 141 f ,,
Landuse/Zoning
Sewer Review
:git
Permits:
&aoi/e2, -
ri 4-cJc.en QQ Q2)
CEJ Oc
Released By:
-,_=.41r' 13-61(
Released By. /)t ?t7
--r-of-A4to
Operator: K_C Printed By: K_C Print Date: 06/28/2005
Project Number: 05002200 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: OWNER
Group: R-3
Total Area
Building Height
Stories
Dwelling Units 1
Type: VB
1456
16
1
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Description Grp Type Notes
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Contractor: OWNER
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
Operator: K_C
This Application: Total Project:
Sq Ft Valuation Sq 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 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,094.55
$4.50
$437.82
$1,536.87
Firm: OWNER
Phone:
Units Unit Desc
1 NUMBER OF
2 # OF UNITS
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Printed By: K_C
Permit Total Fees:
(000) 000-0000
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: 05002200
Inv: 1
Application ,
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/28/2005
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
2
4
2
1
1
1
2
Page 3 of 3
Firm: OWNER
Phone: (000)
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount Invoice Amount
$1,536.87 $1,536.87
$88.00 $88.00
$78.00 $78.00
$1,702.87 $1,702.87
000-0000
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$6.00
$12.00
Amount Paid
$0.00
$0.00
$0.00
$78.00
Amount Owing
$1,536.87
$88.00
$78.00
$0.00
$1,702.87
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
*lane
40,00Valley
BUILDINC PERMIT APPLICATION WORKSHEET
pk ne Val ay Community Development Department
U Build?ng Division
11707 E. Sprague Avenue, Suite 106
r v Spokane Valley, WA 99206
Pim : (509) 688-0036; Fax: (509) C88-0037
11
REQUIRED SITE IN
1
Street Address: l 3 So S E ,
IATION
1
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
❑ Building Permit 0 Change In Use ❑ Gr ;d1ng 0 Manufactured Home
O Relocation 0 Tenant Improvement 0 Fii a Safety 0 Other
OWNER/APPLICANT 1NFC RMATION
❑ Owner JCS v i Cod 0 Stpplicant: k.4,1 :w Co, k
Phone: 217 t a sic Fax: 'hone: Fax
Address: 1.). tot io R., l `r Gm 4ddress:
04,5 0 fe lea aec✓5 W ci_ 950 2 ?
City slate Zip Cod. ; ty State
O Contractor. 0 krchttect:
Phone: Fax: phone: Fax:__
Address: s►ddress:
City
Zip Cod.
Slate Zip Cods ;ity State
WA State Contractor License #: Conta► t
Spokane Valley Bus. Liscense #: Conte t
1
HEIGHT TO PEAK: 1(/,
DIMENSITI
X
MAIN FLOOR TO SQ. FTG:
1 `K-1 e
2M(FLOOR SO. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGES FTG:
OCCUPANCY GROUP:
CONSTRU TION TYPE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
COST OF PROJECT n)
�L
30% SLOPES ON PROPERTY
PERMIT/BUILDING INFO; NATION
rip Code
rs IIIMIIMMIMIIIMMeIIIt
MEM
# OF STORIES:
UNFIN BASEMENT SQ. FTt3:
DECK/COV. PATIO SO. FIG:
HEAT SOU - E:
Lou iA J ' ,.. A
IMPERVIOUS SU - ACE. AREA:
SEWER OR ONSrrE SEPTIC
SYSTEM? .
1
1
1
MANUFACTURED HO 4E
Width: Length: Year Pit Set:
Manufacturer.
RELOCATION
Previous Address:
Proposed Use:
Fig SAFETY'
Fire Sprinkler. # of Heads: Fire Alarm:
Tent
Valuation: Above/Underground Storage Tank : ize:
Fireworks Display: Blasting: _
Paint Booth:
Date/Time:
1
Plans Examiner
Address:
inspector.
Phone:
City
Phone:
Address:
❑ BOLTING
Firm Name:
WASHINGTON STATE NON-RESIDENT AL ENERGY CODE
Fax:
OMAR
state
Fax:
State
SPECIAL INSPECTIOt S
0 CONCRETE
0 REINFORC :MENT 0 WELDING
Phone:
In spector(s):
DISCLAIMER
The perrnitee verifies, acknowledges and agrees by their signature that: 1)
dwelling, the dwelling is/will be served by potable water. 2) Ownership of th
property owner. 3) The signatory is the property owner or has permission tc
transaction. 4) Alt construction Is to be done In full compliance with the City
Referenced codes are available for review at the City of Spokane Valley Per
Permit is not a permit or approval for any violation of federal, state or local is
Ownership of resulting development rights granted by any issued permit inur
Print Name Signature
Fax:
this permit is for construction of or or a
City of Spokane Valley Permit inure ':o the
represent the property owner in this
4 Spokane Valley Development Code.
lit Center. 5) This City of Spokane Valley
►s, codes or ordinances.
to the property owner.
Method of Payment: (Faxed permit applications will only be accepte r with major bankcard)
❑ Cash
Bankcard #:
0 Check 0 Mastercard
Authorized Signature:
.111111.1,
❑ VISA ❑ Other
Expires: _ VIN#:
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address: t (3 SO &X)AJe
Owner.
Coe
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
La,), Permit Use:
Phone (Daytime Contact):
Mailing Address:
State Zip Code
Phone #:
Contractor.
City
License #:
Mailing Address:
Zip Code
City
State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
D-
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
oZ
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
X
$6.0D
=
6
DISHWASHER
/
X
$6.00
=
7
CLOTHES WASHER
(
X
$6.00
=
8
GARBAGE DISPOSAL
(
X
56.00
=
9
WATER SOFTENER
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
56.00
=
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
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
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
=
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 0 CHECK 0 VISA 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509)'688-0037
For Inspections, Call (509) 688-0054
Project Address: E (3 50 S 130611
Owner: A✓i Q)..7 k
Mailing Address: N . (01(0 Ry ley L x�
Contractor: bl es -s a,'�'� .- l License #:
Mailing Address:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
a lc 5 L1 r` itae.r ei 5 IA/ e.
City
, gists+. 0 32o , Phone #:
State
19(1'7
Zip Code
Ci
State
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 less 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)
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
(
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:
0 CASH 0 CHECK 0 VISA ElMC
CARD #:
SUBTOTAL
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
0
60'
30'
89* 57' 1 L" W
ZONE
ROAD
FRONT
COMMENTS
REVIEWED BY
390.89'
This site plan is being submitted foil the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All tnown property
lines/dimensions, curb lines, structure and easements
have been identified. Also indicatec4 are wetlands,
bodies.ot water, seep h r critical areas.
Signed.
Date'
v)
*.r-)
c\I
V obUt _,
1 (7)
b
al
10,461 SF
#13511
2cs)
10,461 SF
_,
_
#13515
3
10,461 SF
r —
I
— —
10,4
70.16'
t, it
77.61'
,
•.4 •
-C,)--)
#13502
#13512
1
#1
5A:\;'
7
10,462 SF ---
Ma -
10,464 SF
..,
.
...
cc)
90.14'
90,1
90.14'
90.4
89* 57' 1 L" W
ZONE
ROAD
FRONT
COMMENTS
REVIEWED BY
390.89'
This site plan is being submitted foil the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All tnown property
lines/dimensions, curb lines, structure and easements
have been identified. Also indicatec4 are wetlands,
bodies.ot water, seep h r critical areas.
Signed.
Date'