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2011, 08-11 Permit App: 11002410 Basement BathroomProject Number: 11002410 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW BATHROOM IN BASEMENT Contact: KORFF, TYLER L & APRIL J Address: 2811 N ELLA RD C - S - Z: SPOKANE, WA 99212 Setbacks: Front Left: Right: Rear: Phone: (509) 893-3612 Group Name: Site Information: Project Name: Plat Key: Name: Range District: Nort Date: 8/11/2011 Page 1 of 2 Parcel Number: 45072.0910 SiteAddress: 2811 N ELLA RD Location:: CSV Block: Lot: Zoning: R-4 SF Res Urban District Water District: 002 ORCHARD AVENUE Area: 7,623 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Permits: Contractor: OWNER Owner: Name: KORFF, TYLER L & APRIL J Address: 2811 N ELLA RD SPOKANE, WA 99212 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Released By: Originally Released: 8/11/2011 By: tmelbourn Building Permit Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Description Grp Tvae Notes Sq Ft Valuation So Ft Valuation BASEMENT R R-3 VB BATHROO 0 $500.00 0 $500.00 M Item Description RESIDENTIAL PERMIT FEE WSBCC SURCHARGE SF PLNS RVW < 7999 SQ FT Totals: 0 $500.00 0 $500.00 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Operator: JD Printed By: JD Permit Total Fees: Fee Amount $69.25 $4.50 $27.70 $101.45 Print Date: 8/11/2011 Project Number: 11002410 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/11/2011 Page 2 of 2 Mechanical Permit Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Item Description VENTILATING FANS 1 DUCT Contractor: OWNER Units Unit Desc Fee Amount 1 NUMBER OF $11.00 Permit Total Fees: $11.00 Plumbing Permit ----- Firm: OWNER Phone: (000) 000-0000 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 1 NUMBER OF $6.00 SINKS 1 NUMBER OF $6.00 SHOWERS 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 BUILDING DRAIN CONNECTION 1 NUMBER OF $6.00 Notes: Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount $101.45 $11.00 $36.00 $148.45 Permit Total Fees: $36.00 Invoice Amount $101.45 $11.00 $36.00 $148.45 Amount Paid $27.70 $0.00 $0.00 Amount Owing $73.75 $11.00 $36.00 $27.70 $120.75 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: JD Printed By: JD Print Date: 8/11/2011 Spokane Valleyw Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 Dermitcenter@spokanevalley.orq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: RESIDENTIAL CONSTRUCTION PERMIT APPLICA 0 NEW CONSTRUCTION ,g] ADDITION/REMODEL 0 DECK 0 OTHER SITE ADDRESS: Q'U11 N . L\\CA. ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME:: \ N( NAME: (pc. \ ` `O'�_ . ADDRESS: C/(6 \ ` \�1 G \CA CITY: fes\ to\�l),(NI , PHONE: SO1-������ STATE: \,/%---(:\ zxP: C G8 l FAX: CELL: CONTACT NAME: \h y - FAX: CONTRACTOR NAME: \-krjk.NQ_, j( CELL: 1 `—S3CAS MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: ook-,C � \o Se..v� f ; Ur�-,t� Cksd. "C\ 00n ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: Dimensions: No. of Stories: Total Habitable Space: Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ FT: Finished Basement SQ FT: Garage SQ FT: Deck/Covered Patio SQ FT: Impervious Surface Area: 30% Slopes on Property: No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic: eO DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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. Updated 1-11-11 Page 1 of 1 http://www.spoka neva l ley.org/filestorage/ 124/938/210/948/ 1496/Building_Permit_-_Residentia l_11-11-11.doc Permit Center *Wane e • 11703 E Sprague Ave, Suite B-3 p 11Qc y�'•Spokane Valley, WA 99206 jValley(509)688-0036 FAX: (509)688-0037 Community Development permitcenter@spokanevallev.org Mechanical Permit Application PERMIT NUMBER: PERMIT FEE: n Commercial F-1 Residential SITE ADDRESS: O a\ Q, el t \ >? O F -J1 �-, w(N "r -'(,a Building Owner-T_Li Px)f\\cor R Address: A‘, k- 11, Contractor 1 A r. \ b Phone:Fax: �— o�}-6q3 3c>71 State: k ZipGad City: C..)0V-4.7•-- Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact/Project Manager: Name: Phone: ['CASH ❑ CHECK ❑ VISA ❑ MC CARD #: EXPIRES: SIGNATURE VIN: http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309. doc #UNITS FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION Up to & including 100,000 BTU FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION Over 100,000 BTU DUCT WORK SYSTEM HEAT PUMP/AIR CONDITIONER 0-3 TON AIR CONDITIONER Over 3-15 TON AIR CONDITIONER Over 15-30 TON AIR CONDITIONER Over 30-50 TON AIR CONDITIONER Over 50 TON GAS WATER HEATER GAS PIPING SYSTEM (each outlet) GAS LOG, FIREPLACE, & GAS INSERT APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT REPAIRS OR ADDITIONS BOILER, COMPRESSORS, ABSORPTIONS SYSTEM 0 to 3 hp -100,000 BTU or less BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 3 -15 hp -100,001 to 500,000 BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 15 - 30 hp - 500,001 to 1,000,000 BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 30 hp -1,000,001 to 1,750,000 BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 50 hp - over 1,750,000 BTU AIR HANDLER (DOES NOT include ducting) Each unit up to 10,000 cfm, including ducts AIR HANDLER (DOES NOT include ducting) Each unit over 10,000 cfm EVAPORATIVE COOLERS(other than portables) VENTILATION AND EXHAUST Each fan connected to a singe duct 1 VENTILATION AND EXHAUST Each ventilation system VENTILATION AND EXHAUST Each hood served by mechanical exhaust INCINERATORS Installation or relocation of residential INCINERATORS Installation or relocation of commercial APPLIANCES Range, Clothes Washer UNLISTED APPLIANCES Under 400,000 BTU UNLISTED APPLIANCES Over 400,000 BTU HOOD Type I HOOD Type II L P STORAGE TANK WOOD OR PELLET STOVE INSERT WOOD STOVE SYSTEM - FREE STANDING ['CASH ❑ CHECK ❑ VISA ❑ MC CARD #: EXPIRES: SIGNATURE VIN: http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309. doc Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter@spokanevalley.org spokanevalley.org Community Development Plumbing Permit Application PERMIT NUMBER: PERMIT FEE: n Commercial M Residential SITE ADDRESS: q% (` ` `v . C, \G Building Owner— \ 1"), •\ \ \hr) 14 `I(`\ Names Phone: Fax: — Address: Rk\ N, ettG City: C oi,..t>.(1P.�vGaQ,�State:W Zip: (t`1a 0 Contractor t'c,MQ__ c\\0 {- Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact/Project Manager: Name: Phone: F UNITS PLUMBING FIXTURE ON A TRAP ...72$ TOILETS 1 URINALS 0 TUBS 0 SHOWERS (per trap) I SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat DISHWASHER 0 CLOTHES WASHER r GARBAGE DISPOSAL WATER SOFTNER 8 FLOOR DRAIN Area, Case, Coil, Trench, Condensate ' ROOF DRAIN/OVERFLOW DRAINS p FOUNTAIN, DRINKING o WATER PIPING/DRAIN-IN WASTE Installation, Alterations, Repair, Reversals iliac1 WATER USING DEVICE Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas, See Mechanical INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including traps, vents except kitchen type grease interceptors functioning as fixture traps REPAIR OR ALTERATION Water piping, drainage or vent piping O ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmos• heric t •e vacuum breakers MEDICAL GAS INCEPTORS ❑CASH 0 CHECK 0 VISA 0 MC Card# SIGNATURE: EXPIRES: VIN: P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc