2011, 12-07 Permit App: 11003813 Finish BasementProject Number: 11003813 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH BASEMENT Contact: HUMPHRIES, GORDON R & PENNY K
Address: 424 S SHORELINE
C - S - Z: LIBERTY LAKE, WA 99019
Setbacks: Front Left: Right: Rear: Phone: (509) 924-5697
Group Name:
Site Information: Project Name:
Plat Key: 000668 Name: EARLY DAWN 01ST ADD District: East
Parcel Number: 45262.1517 Block: Lot:
SiteAddress: 14004 E 23RD AVE Owner: Name: HUMPHRIES, GORDON R & PENN
Address: 424 S SHORELINE
Location:: CSV LIBERTY LAKE, WA 99019
Date: 12/7/2011 Page 1 of 2
Zoning: R-2 SF Res Suburban District
Water District: 010 VERA Hold: []
Area: 10,830 Sq Ft
Nbr of Bldgs: 1
Review Information:
Width: 0
Nbr of Dwellings: 1
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Permits:
Released By:
Originally Released: 12/7/2011 By: tmelbourn
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT F R-3 VB FINISH 567 $11,340.00 567 $11,340.00
BASEMENT
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 567 $11,340.00 567 $11,340.00
Units Unit Desc Fee Amount
1 SELECT $209.25
1 SELECT $4.50
1 SELECT $83.70
Operator: MBB Printed By: MBB
Permit Total Fees: $297.45
Print Date: 12/7/2011
Project Number: 11003813 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/7/2011 Page 2 of 2
Mechanical Permit
Contractor: SCOTT & SONS HEATING & A/C Firm: SCOTT & SONS HEATING & A/C
Address: 5723 N LINCOLN Phone: (509) 324-2893
SPOKANE, WA 99205
Item Description
DUCT WORK SYSTEM
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
Notes:
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
Permit Total Fees:
Fee Amount
$11.00
$11.00
$13.00
$2.00
$37.00
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $297.45 $297.45 $83.70 $213.75
Mechanical Permit $37.00 $37.00 $0.00 $37.00
$334.45 $334.45 $83.70 $250.75
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: MBB Printed By: MBB
Print Date: 12/7/2011
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@ spokanevallev orq
(Staff Use Only)
PERMIT NUMBER: \ 1 -3113
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
)2kADDITION/RED L
O HT ER
NEW CONSTRUCTION
DECK
SITE ADDRESS: 1 ��
ASSESSORS PARCEL NO.:
4.
ACCESSORY BUILDING
BUILDING OWNER NAME:
Z (.0 Z , 15 )LEGAL DESCRIPTION: t
NAME: C��1�^ � CQeJAV1L-% k Tb pr�llJCJ
tl-itti \ ^ - \\I
CITY: L . l3 L C \ STATE:
PHONE: 5 03- 55 - (sLZS 7
ADDRESS:
FAX:
rI'Dc kA -16D
1_17 11,5
CONTACT NAME: r (JY -N
CELL: ,So? -M-72)
PHONE:
FAX: CELL:
CONTRACTOR NAME: 2%w/ Pte"
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE NO.:
EXPIRES:
CITY BUSINESS LICENSE NO.:
RIBE THE SC PE OF WORK IN.pETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak: .o
Dimensions:
No. of Stories:
Total Habitable
Space: Z 5 9-2_,
MainFLpo� FT:
�j
Upper Floor SQ FT:
Unfinished Basement SQ
Finished Basement SQ
FT:
Garage SQ
Deck/Covered P io SQ
FT:
Impervious Surface
Area:
3O% Slopes on
Property:
m
No. of Bedrooms:
Construction Type:
Heat Source: Pi- 67
t . r Septic:
Ttt'AL COST OF PROJECT: $ �5 CO , r]O O I""
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.
Effective October 28, 2007
Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
Spokane
Permit Center
11703 E Sprague Ave, Suite B-3
7,'7 Spokane Valley, WA 99206
'* VAAley'+ (509)688-0036 FAX: (509)688-0037
Community Development permitcenter .,spokanevallev.org
Mechanical Permit Application
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: ! L/W Y i Z3 l - i 3 9c
1 cal -) Uoi i W -
Building Owner C 6t CACI c� 9.en n, I a—
Name: yf P
Address: 4-2,q Jv-v-Ne(,`A
Contractor u ¥\ e5—
Name: 0
99'037
Phon : "7 S 7 Fax:
City: tLi^,, ,—�� State:
Zip:E99 /4
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact/Project Manager: / 0-1t'1 Cry \ p J LLQ A
Name: " Phone: _ C ,
OCASH
CARD #:
CHECK D VISA DMC
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
1
GAS PIPING SYSTEM (each outlet)
0#1
GAS LOG, FIREPLACE, & GAS INSERT
ir,'
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
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
OCASH
CARD #:
CHECK D VISA DMC
EXPIRES:
SIGNATURE
VIN:
http://www.spokanevalley.org/uploads/Community—Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc