2005, 05-27 Permit App: 05001836 AdditionProject Number: 05001836 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/27/2005 Page 1 of 3
Project Information:
Permit Use: 26 X 16 KITCHEN & DINING ROOM ADDITION
Setbacks: Front EXI Left: 12 Right: N/ Rear: EX
Site Information:
Plat Key: 000188 Name: BETTMAN'S ADD District: Sout
Contact: LINDERMANN, LUKE & RASHEL
Address: 1414 S EASTERN RD
C - S - Z: SPOKANE VALLEY, WA 99212
Phone: (509) 536-5464
Group Name:
Project Name:
Parcel Number: 35243.1051 Block:
SiteAddress: 1414 S EASTERN RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: LINDERMANN, LUKE & RASHEL
Address: 1414 S EASTERN RD
SPOKANE VALLEY, WA 99212
Hold: ❑
Area: .00 Acres Width: 135 Depth: 160 Right Of Way (ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
3
Plan Review
Released By: A
. t1
Septic System Review
Permits:
Released By:
(1'9 6)eoate
Operator: K_C Printed By: K_C Print Date: 05/27/2005
05/27/2005 14:21 5093241567
MAY 27 2005 11:35 FR
Project Number: 03601836 Inv: 1
SRHD EHS
TO 3241567
Application Date: 05/27/2005
THIS LS NOT A PERMIT
Penalties will be assessed for commencingiwork without a permit
PAGE 01/01
P.02/03
Page 1 of 3
Permit Use: 26 X 16 KITCHEN & DINING ROOM ADDITION Confect: LINDERM.APIN, LUKE & FLILSIIEL
Address: 1414 S EASTERN RD
C • S Z: SPOKANE VALLEY, WA 992.12
Setbacks: Front lEXI Left 12 Right N/ Rear: EX PbOne: (509) 536-5464
Group Naine:
Project Name:
Sift information:,
C.7::::7.s.,-7,,-....,:z:.:440.4nciaz,rni:-.3.7nott=rx,uilviiroir, ,•.ixtz.14::::`,1::::,27$!Cigr•-••••,:,17=!,3
Nat Key: 000100 Name: RETTMAN'S ADD District: Soui
Parcel Numba: 35243.1051 BIocIc Lot
SiteAddress: 1414 S EASTERN RD Owner: Name: L1NDERMANN, LUKE & RASHE L
Address: 1414 S EASTERN RD
SPOKANE VALLEY, WA 99212
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District
Hold: 0
Area: .00 Acres Width: 135 I)epth 160 Right Of Way (ft): 60
Nbr of Bld : 2 Nbr of -Dwellings: 1
Review Information: 4;1%
Inlet
Site Plan Review
ReleasedB
14,0411.4a
Plan Revlaw
Permits':
micamaz,"q!,..4;.: ATP; IN w,k.t.cgiwiwapc „Azu
Operator. IC,C Printed By: KS
Print Date: 1 05/27/2005
MAY 27 2005 15:30 5093241567 PAGE.01
Project Number: 05001836 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/27/2005 Page 2 of 3
Contractor: OWNER
Group: R-3 Type: VB
Total Area 416
Building Height 13
Stories 1
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Su Ft Valuation
RES ADD R-3 VB 416 $31,066.88 416 $31,066.88
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Contractor: OWNER
Item Description
GAS PIPING
RANGE
HOOD -TYPE II
Contractor: OWNER
Totals: 416 $31,066.88 416 $31,066.88
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$461.95
$4.50
$184.78
$651.23
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 # OF UNITS
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$1.00
$10.00
$10.00
$21.00
Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
SINKS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
WATER PIPING - DWV 1 NUMBER OF $6.00
Permit Total Fees: $18.00
Operator: K_C Printed By: K_C Print Date: 05/27/2005
Project Number: 05001836 Inv: 1 Application Date: 05/27/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
BETTMAN'S ADDITION - LOTS 7 THROUGH 18 OF BLOCK 8; AND LOTS 9, 10, 15 AND 16 OF
BLOCK 5 HAVE BEEN PULLED OUT OF THE FLOOD PLAIN. SEE PLAT FILE.
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$651.23 $651.23
$21.00 $21.00
$18.00 $18.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$651.23
$21.00
$18.00
$690.23 $690.23 $0.00 $690.23
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: 05/27/2005
Spokane
.000Ualley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
C IEQ W D 11707 E. Sprague Avenue, Suite 106
Spokane Valle WA 99206
2005 Pie: (509) 688-0036; Fax: (509) 688-0037
REiill'izi 6 gii'
IFftMATION
Street Address: ilk /1/ . Frrn
Assessor's Tax Parcel Number(s): 3 2 ZJ 3. /
Legal Description: /3c: l4mon'S :-11,'6,i S l /I1 f ( , /3f k
PERMIT DESCRIPTION: Acct.,' 4 i?''J 'f0 Annie- L//e
Building Permit
Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: Guk - L''h c\r yr -k4 h
Phone:,s-36-si46y Fax:
Address: iinu S,
'1.1crIkatie C31/4 9e7 h
City State Zip Code
❑ Contractor:
Phone: Fax:
Address:
City
State
WA State Contractor License #:
❑ Applicant:
Phone:
Address:
Fax:
City
State Zip Code
❑ Architect:
Phone: Fax:
Address:
Zip Code City
Contact:
State Zip Code
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
iC i x26
# OF STORIES: 1
MAIN FLOOR TO SQ. FT4:I ,
2"" FLOOR SQ. FTG:04
UNFIN BASEMENT SQ. FTG: lL 0.
FINISHED BASEMENT SQ. �G;
(-t
GARAGE SQ. FTG: it)��
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
AC macel
HEAT SOURCE:
6//=)-6
# OF BEDROOMS:
0
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
1r),
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? i,• c
Width:
Manufacturer:
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
Inspector: Phone:
Address:
State
Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
❑ 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 Z._ (,,Lk f L i'n Cie rY) o. r1n Signatur
%91ff'
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA El Other
Bankcard #:
Authorized Signature:
Expires:
VIN#:
PLUMBING PERMIT APPLICATION Community Development Department
„� Building Division
ne Phone: (509) 688-0036; FAX: (509) 6118-0037 11707 E. Sprague Avenue, Suite 106
siValkY For Inspections, Cali (509) 688-0054 Spokane Valley, WA 99206
Project Address: / 1"/_ I Li 5 F c`f" T l RJ Permit Use:
Owner. Luk e ,'vt ct:` rn G n n Phone (Daytime Contact): <CC"- 2 L/J--7305-
Mailing Address: I L/ I LI S, E051-cr n ge1 , &(CCL C co fil 9q 71 a
State Zip Code
Phone*
Contractor. <r
City
License #:
Mailing Address:
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
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
'
X
$6.00
=
,
(, , 0
6
DISHWASHER
1
X
$6.00
=
C• CI 6
7
CLOTHES WASHER
X
$6.00
=
8
GARBAGE DISPOSAL
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
$6.00
=
13
FOUNTAINS, DRINKINGX
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
i
X
$6.00
=
�y
G • CC)
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
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
$6.00
=
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
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Sian
\J
MECHANICAL PERMIT APPLICATION .
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Cali (509) 688-0054
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Project Address: Permit Use:
Owner: Phone (Daytime Contact):
Mailing Address:
Zip Code
Contractor: License #:
Mailing Address:
City
State
Phone #:
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
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
1
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
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or Tess 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
1
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 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
1
ADDRESS
ZONE
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