2005, 01-31 Permit App: 05000280 AdditionProject Number: 05000280 Inv: 1
Applicatiow
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 01/31/2005 Page 1 of 2
Project Information:
Permit Use: 140 SQ FT DINING ROOM ADDITION TO
INTERIOR OF EXISTING GARAGE
Setbacks: Front
Site Information:
Plat Key: 001641 Name: MIRABEAU RANCH ADD District: Nort
Contact: PFEIFFER, CHARLIE
Address: 12019 E BUCKEYE AVE
C - S - Z: SPOKANE, WA 99206-4643
Left: Right: Rear: Phone: (509) 924-8791
Group Name:
Project Name:
Parcel Number: 45091.1068 Block: 10
SiteAddress: 12019 E BUCKEYE AVE
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 999 UNKNOWN
Area: ;,040.00 Acres Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot: 7
Owner: Name: PFEIFFER, CHARLIE
Address: 12019 E BUCKEYE AVE
SPOKANE, WA 99206-4643
Hold: ❑
Depth: 0 Right Of Way (ft): 60
Review
Plan Review
Released By: 0 Dp
Permits: ,„;,
Originally Released: 01/31/2005 By: ddompier
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Operator: DMD Printed By: DMD Print Date: 01/31/2005
Project Number: 05000280 Inv: /
ApplicatioD
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 01/31/2005 Page 2 of 2
Contractor: OWNER
Group: R-3 Type: VB
Total Area 140
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application: Total Project:
Description gip Type Notes Sq Ft Valuation Su Ft Valuation
RES ADD R-3 VB INTERIOR 0 $1,500.00 0 $1,500.00
REMODEL
Totals: 0 $1,500.00 0 $1,500.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Contractor: OWNER
Item Description
DUCT SYSTEMS
GAS PIPING
GAS LOG OR GAS INSERT
Notes: m4w6.4...wJeNNAgicunt,„..
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Firm: OWNER
Phone:
Units Unit Desc
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
Permit Total Fees:
Payment Summary: ,,,,,,vvr,-,..7.-4,6=movmr.Amizzetimmatlatzak.,,,,w,,,t,07:;,,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $101.45 $101.45 $0.00 $101.45
Mechanical Permit $23.00 $23.00 $0.00 $23.00
Fee Amount
$69.25
$4.50
$27.70
$101.45
(000) 000-0000
Fee Amount
$10.00
$3.00
$10.00
$23.00
irikilittroVok.r.TOVIUN$11MODICAPir,
$124.45 $124.45 $0.00 $124.45
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: DMD Printed By: DMD Print Date: 01/31/2005
Spo'liane
.00,17aBey
a�a
BUILDING PERMIT APPLICATION WORKSHEET
' City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: ) 2 01 °! a cx G7E.
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
" Po 4 -4 -,AJ E
CJ Building Permit ❑ Change in Use ❑ Grading
D Relocation
•
•
❑ Manufa
Q Tenant Improvement ❑ Fire Safety . D Other
ryetca5i,c2_
red Home
OWNER/APPLICANT INFORMATION
Owner: I
Phone: •
Address: Izc to e_
Pe tGrY) C ey % r» ??0),C;<-0
City State Zip Code
Fax: •
❑ Applicant: ..Ay E J. •
Phone: Fax:
Address: ! Lc>> e
SGA1��9 V�' (134Ic( Llf}T_ •-%biro
City , State Zip Code
0 Contractor: S / C=. • • ❑ Architect:
Phone: • Fax: Phone: Fax:
Address:
City
State
Zip Code
Address:
City -
State
WA State Contractor License #: Contact:
Zip Code
PERMIT/BUILDENG INFORMATION
HEIGHT TO PEAK
DIMENSIONS:
iq•5-)6%
# OF STORIES:- . ..
I
MAIN FLOOR TO SQ. FTG:
4.1`10
2Nu FLOOR SQ. FTG:
UNFfN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SO: FTG: •
. DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE: •
HEAT SOURCE:
. # OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
Project Address: /2 1 9
Owner P-gr-.1-re_W-ta 05-r C'hxi,?Les .
Mailing Address: Cji6LL Es 0 ?4 e ;
Contractor:
Mai ing Address: 12-019
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuikfingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
aft,.1 R 0V,IAPJ.Pre ; 004) hone (Daytime Contact): 92 4 -c-Pct
SPrfJErL6fI.Py Le.//4- cr72,0 6- Y 4 v3
City State Zip Code
Phone #:
7,e
License #:
, SA leivr `--30 ( foco (ofi c q2tjL
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$15.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$19.00
=
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 fess 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
$15.00
=
8
BOILER/REFRIGERAT1ON
101 - 500M BTU
X
$28,00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$39.00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$57.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$95.00
=
V
GAS LOG, GAS INSERT, GAS FIREPLACE
1
X
510.00
=
13
RANGE
X
510.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
X
it 0.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
, •
X
$1.00
=
18
DUCT SYSTEMS
6
X
$10.00
=
19
VENTILATING FANS
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
S19.00
=
22
EVAPORATIVE COOLERS
X
510.00
=
23
TYPE 1 HOOD
X
$50.00
=
24
TYPE 11 HOOD
X
$10.00
=
25
HEAT PUMINAIR CONDITIONER
b-3 TON
X
512.00
=
26
AIR CONDITIONER
3-15 TON
X
$20.00
=
27
AIR CONDITIONER
15-30 TON
X
$25.00
=
28
AR 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
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MC
CARD #:
SUBTOTAL
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code
—1---
1r
47"
44
PROVIDE DIAGRAMS AND
ENGINEERING LAYOUTS -FOR
ROOF TRUSSES, BEAMS AND
FLOOR SYSTEMS PRIOR TO FRAMING
INSPECTIONS
Fri
_ CMZ
r— -o k O V `'C 19`'
PDS'
daX�,C1�
3
app 'o, X g,
Plus 2
OPENINGS SETWEE
PROTECTION AND
DWELLING AND PRIVATE SHS HAVE:
ONE HOUR �E RESISTIVE
•RUCIOAPPROVED
ON THE GNAGE SIDE: ABOVE) OR
d 51$' TYPE 1C GYP BOARD (HABITABLE SPACE
0 1/2" GYP BOARD (RESIDENCE/ATTIC. FLOOR/CEILING)
OPERA GS BETWEEN GARAGE AND SCORE
• . RS SOLE LWOODESS
NOOK. NR 20 moon FIRE RATED
DOORS NOT LESS THAN 1•
DOORS.
—
RX‘ E ->'t- a.4(
SMOKE ALARMS SHALL RE INTERCON-
NECTED AND HARD WIRED IN SUCH A
OF ONE
AMANNER THELARM WILL ACTIATE AILLLNALARMS.
(BEDROOMS. AREAS APPROACHING
WITH RISE OF 24" & ON VAULTED EACH FLOOR) CEILING
O3
WHEN
RE
SLEE
DWELLINGS. THE
WITH SMOKE
DWEUINGS.
, REPMRS OR ADDITIONS
OR WEN ONE OR MORE
ORCREATED WOWING
OWELUNG UNIT SNAIL BE PROVMED
MS LOCATED AS ROMEO FOR NEW
S
(out
c:›
20-0-0 4.
EXISTING
-
EXISTING or,
26-0-0
C,
•
G1
T1(4)
13)
N.
VALLEY BEST WAY
KINGSWAY INDUSTRIES
PFIEFFER JOB
12019 E BUCKEYE
Roof Loading:
TC Live: 30.00 psf
TC Dead: 7.00 psf
BC Live: 0.00 psf
BC Dead: 10.00 psf
TC Stress Inc: 15.00
BC Stress Inc: 15.00
rv3 rim • 1. Cl.. fl n r
Account:
Job Name: 040102
Designer:
Checker:
Date: 04-30-02
VALLEY BEST WAY
KINGSWAY INDUSTRIES
7RE4E-FEER JOB Pre! F6
12019 E BUCKEYE
Roof Loading:
TC Live: 30.00 psf
TC Dead: 7.00 psf
BC Live; 0.00 psf
BC Dead: 10.00 psf
TC Stress Inc: 15.00
BC Stress Inc: 15.00
Account:
Job Name: Q40102
Designer:
Checker:
Date: 04-30-02
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