2006, 05-01 Permit App: 06001620 Residence-RefundedProject Number: 06001620 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/1/2006 Page 1 of 2
Project Information:
Permit Use: SFR, GAS HEAT ON SEWER
Ate.
Contact: LINDSEY CONSTRUCTION, INC
Address: PO BOX 30792
C - S - Z: SPOKANE, WA 99223
Setbacks: Front Left: Right: Rear: Phone: (509) 568-1013
Group Name:
Site Information: Project Name:
ARVle
Plat Key: Name: WOODLAND TERRACE ADD
ZWIPNIONSWINONSEINKAMISINFIAMMININ
District: Sout
Parcel Number: 35233.1616
Block:
SiteAddress: 1416 S CHRONICLE RD
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 8,875 Sq Ft
Urban Residential 3.5
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: „„
Review
Building Plan Review
Lot:
Owner: Name: LINDSEY CONSTRUCTION, INC
Address: PO BOX 30792
SPOKANE, WA 99223
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Driveway/Approach
Released By
Originally Released:
Landuse/Zoning/HE Conditions
5/1/2006 By: amblake
Released By:
Sewer Review
Originally Released: 4/27/2006 By: HMStinson
Released By:
Permits:
Operator: AMB Printed By: AMB Print Date: 5/1/2006
Project Number: 06001620 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/1/2006 Page 2 of 2
Approach
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509) 879-3420
SPOKANE, WA 99223
Building Permit
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509) 879-3420
SPOKANE, WA 99223
Mechanical Permit
Contractor: ROCK CREEK HTG AIR & Firm: ROCK CREEK HTG AIR & REFRI
Address: PO BOX 1032 Phone: (509) 230-7389
RATHDRUM ID 83858
Plumbing Permit
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509) 879-3420
SPOKANE, WA 99223
Notes: yaiv4N<Sr44G'dd?iStditi4H1111C It% 12Z4S#YC'A1Rid A .ae r nine G me, ati i :� rs a inw ie .d a v
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata (see plat file) requires: (1) footings = min. 24 inches wide (2) foundations
no closer than 12 ft from north edge of fill
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata (see plat file) requires: (1) footings = min. 24 inches wide (2) foundations
no closer than 12 ft from north edge of fill
CONTROL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
**DO NOT ISSUE BUILDING PERMITS FOR LTS 11 & 12 BLK 16, LTS 9-16 BLK 15, LTS 1 & 2
BLK 27 & LTS 1-8 BLK 28 UNTIL CC&R'S ARE ACCEPTED, SURETY IN PLACE FOR ALL
IMPROVEMENTS OR FINAL CONST ACCEPT CERT& ANY DEDICATIONS OR EASEMENTS
ARE RECORDED PER S RASKELL
Payment Summary:-:',;,R.nxm x:sru+wxWnroKPau:-xATY-N1xswte.tfawn.crr•4 . cscx- sNEM0'..S,2er nys:.IV. ..4:,sura w
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: AMB Printed By: AMB
Print Date: 5/1/2006
Project Number: 06001620 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/04/2006 Page 1 of 3
Project Information:
, • •
Permit Use: SFR, GAS HEAT ON SEWER Contact: LINDSEY CONSTRUCTION, INC
Address: PO BOX 30792
C - S - Z: SPOKANE, WA 99223
Setbacks: Front Left: Right: Rear: Phone: (509) 568-1013
Group Name:
Project Name:
Site Information:
ONXIMYPOOVIDOIN.M100,413,.' 4.33e4riiigt91.3;ta.k4 1,M:9 - 4.00.1$6,4,14141*4d*.oti,Wirittli... 44E1,1416,41WI',4,4S 5105.0Pki,W.';.VVIWeiti
Plat Key: Name: WOODLAND TERRACE ADD District: Sout
Parcel Number: 35233.1616
Block: Lot:
SiteAddress: 1416 S CHRONICLE RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 8,875 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Owner: Name: LINDSEY CONSTRUCTION, INC
Address: PO BOX 30792
SPOKANE, WA 99223
Hold: Lil
Depth: 0 Right Of Way (ft): 0
Review Information: ,,,,-.4,-,,,,,.','wt.FYIPailMIMIIWO9TeKV/71,V4IIPt FSiSZVS7P.KSIAP,W911151110S11.11
Review
Building Plan Review
Released 13y:
Originally Released: 05/03/2006 By: TMELBOU
Driveway/Approach
Released By:
Originally Released: 05/01/2006 By: amblake
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 04/27/2006 By: HMStinso
4110b
Released By:
0(0103
Operator: AMB Printed By: AMB Print Date: 05/04/2006
Project Number: 06001620 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/04/2006 Page 2 of 3
Contractor: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792
SPOKANE, WA 99223
Item Description
APPROACH -CONST IN ROW
Contractor:
Address:
Approach
Firm: LINDSEY CONSTRUCTION INC
Phone: (509) 879-3420
Units Unit Desc
LINDSEY CONSTRUCTION INC
PO BOX 30792
SPOKANE, WA 99223
Description Grp Type
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
DECK OPEN R-3 VB
GAR WOOD U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Notes
Contractor: ROCK CREEK HTG AIR &
Address: PO BOX 1032
RATHDRUM ID 83858
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
GAS LOG OR GAS INSERT
HOOD -TYPE II
Fee Amount
1 NUMBER OF $50.00
Permit Total Fees:
Building Permit
$50.00
Firm: LINDSEY CONSTRUCTION INC
Phone: (509) 879-3420
This Application: Total Project:
Su Ft Valuation Su Ft Valuation
1,444 $124,718.28 1,444 $124,718.28
264 $19,715.52 264 $19,715.52
80 $1,200.00 80 $1,200.00
748 $14,212.00 748 $14,212.00
Totals: 2,536 $159,845.80 2,536 $159,845.80
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,329.75
$4.50
$531.90
Permit Total Fees: $1,866.15
Mechanical Permit
Firm: ROCK CREEK HTG AIR & REFRI
Phone: (509) 230-7389
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: AMB Printed By: AMB
Permit Total Fees:
Fee Amount
$10.00
$10.00
$12.00
$3.00
$12.00
$30.00
$10.00
$10.00
$97.00
Print Date: 05/04/2006
Project Number: 06001620 Inv: 1 Application Date: 05/04/2006
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792
SPOKANE, WA 99223
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER PIPING - DWV
Plumbing Permit
Firm: LINDSEY CONSTRUCTION INC
Units
2
4
1
2
1
1
1
4
Phone:
(509) 879-3420
Unit Desc Fee Amount
NUMBER OF $12.00
NUMBER OF $24.00
NUMBER OF $6.00
NUMBER OF $12.00
NUMBER OF $6.00
NUMBER OF $6.00
NUMBER OF $6.00
NUMBER OF $24.00
Permit Total Fees:
$96.00
Notes: 7 .111.,ISZIAVMVIL• �La. :.15
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata (see plat file) requires: (1) footings = min. 24 inches wide (2) foundations
no closer than 12 ft from north edge of fill
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata (see plat file) requires: (1) footings = min. 24 inches wide (2) foundations
no closer than 12 ft from north edge of fill
CONTROL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
**DO NOT ISSUE BUILDING PERMITS FOR LTS 11 & 12 BLK 16, LTS 9-16 BLK 15, LTS 1 & 2
BLK 27 & LTS 1-8 BLK 28 UNTIL CC&R'S ARE ACCEPTED, SURETY IN PLACE FOR ALL
IMPROVEMENTS OR FINAL CONST ACCEPT CERT& ANY DEDICATIONS OR EASEMENTS
ARE RECORDED PER S RASKELL
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,866.15
$97.00
$96.00
Page 3 of 3
u,��uaskaas:��ae^;rxa. remix.�;�rra��r-,:aram�.vxr-e�.�a�r
Invoice Amount
$50.00
$1,866.15
$97.00
$96.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,866.15
$97.00
$96.00
$2,109.15 $2,109.15 $0.00 $2,109.15
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: AMB Printed By: AMB
Print Date: 05/04/2006
Project Number: 06001620
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/25/2006 Page 1 of 3
Project Information:
Permit Use: SFR, GAS HEAT ON SEWER Contact: LINDSEY CONSTRUCTION, INC
Address: PO BOX 30792
C - S - Z: SPOKANE, WA 99223
Setbacks: Front Left: Right: Rear: Phone: (509) 568-1013
Group Name:
Site Information: Project Name:
Plat Key:
Name: WOODLAND TERRACE ADD
District: Sout
Parcel Number: 35233.1616 Block:
SiteAddress: 1416 S CHRONICLE RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 8,875 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: LINDSEY CONSTRUCTION, INC
Address: PO BOX 30792
SPOKANE, WA 99223
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By: TiK 4. / O
Originally Released:
Driveway/Approach
5/3/2006 By: TMELBOU
Released By:
Originally Released: 5/1/2006 By: amblake
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Originally Released: 4/27/2006 By: HMStinson
Released By:
PER SEWER PERMIT P0603728
Originally Released: 5/8/2006 By: mturbak
Operator: AMB Printed By: AMB Print Date: 5/25/2006
Project Number: 06001620 Inv: 1
Permits:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/25/2006 Page 2 of 3
Contractor: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792
SPOKANE, WA 99223
Item Description
APPROACH -CONST IN ROW
Approach
Firm: LINDSEY CONSTRUCTION INC
Phone: (509) 879-3420
Units Unit Desc
Contractor: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792
SPOKANE, WA 99223
Description Grp Type Notes
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
DECK OPEN R-3 VB
GAR WOOD U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: ROCK CREEK HTG AIR &
Address: PO BOX 1032
RATHDRUM ID 83858
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
GAS LOG OR GAS INSERT
HOOD -TYPE II
Fee Amount
1 NUMBER OF $50.00
Permit Total Fees:
Building Permit
$50.00
Firm: LINDSEY CONSTRUCTION INC
Phone: (509) 879-3420
This Application: Total Project:
Su Ft Valuation SQ Ft Valuation
1,444 $124,718.28 1,444 $124,718.28
264 $19,715.52 264 $19,715.52
80 $1,200.00 80 $1,200.00
748 $14,212.00 748 $14,212.00
Totals: 2,536 $159,845.80 2,536 $159,845.80
Units Unit Desc Fee Amount
1 SELECT $1,329.75
1 SELECT $4.50
1 SELECT $531.90
Permit Total Fees:
Mechanical Permit
$1,866.15
Firm: ROCK CREEK HTG AIR & REFRI
Phone: (509) 230-7389
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: AMB Printed By: AMB
Permit Total Fees:
Fee Amount
$10.00
$10.00
$12.00
$3.00
$12.00
$30.00
$10.00
$10.00
$97.00
Print Date: 5/25/2006
Project Number: 06001620
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/25/2006
Contractor: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792
SPOKANE, WA 99223
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER PIPING - DWV
Plumbing Permit
Firm: LINDSEY CONSTRUCTION INC
Phone: (509) 879-3420
EIll b 330 A -A
Units
2
4
1
2
1
1
1
4
Unit Desc Fee Amount
NUMBER OF $12.00
NUMBER OF $24.00
NUMBER OF $6.00
NUMBER OF $12.00
NUMBER OF $6.00
NUMBER OF $6.00
NUMBER OF $6.00
NUMBER OF $24.00
Permit Total Fees:
$96.00
Notes:
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata (see plat file) requires: (1) footings = min. 24 inches wide (2) foundations
no closer than 12 ft from north edge of fill
CONTROL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata (see plat file) requires: (1) footings = min. 24 inches wide (2) foundations
no closer than 12 ft from north edge of fill
**DO NOT ISSUE BUILDING PERMITS FOR LTS 11 & 12 BLK 16, LTS 9-16 BLK 15, LTS 1 & 2
BLK 27 & LTS 1-8 BLK 28 UNTIL CC&R'S ARE ACCEPTED, SURETY IN PLACE FOR ALL
IMPROVEMENTS OR FINAL CONST ACCEPT CERT& ANY DEDICATIONS OR EASEMENTS
ARE RECORDED PER S RASKELL
Payment Summary:,,.
Permit Type Fee Amount Invoice Amount
Approach $50.00 $50.00
Building Permit $1,866.15 $1,866.15
Mechanical Permit $97.00 $97.00
Plumbing Permit $96.00 $96.00
Amount Paid
$50.00
$1,866.15
$97.00
$96.00
Page 3 of 3
Amount Owing
$0.00
$0.00
$0.00
$0.00
$2,109.15 $2,109.15
$2,109.15 $0.00
AJ,Lo /4,?(
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: AMB Printed By: AMB
Print Date: 5/25/2006
Q Permit Center
S okane 11707 E Sprague Ave, Suite 106
. \Talle Spokane Valley, WA 99206
Y (509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.ore
PERMIT NUMBER: /4.2 -AD
PERMIT FEE:
Residential Construction ® New Construction 1 1 Accessory Bldg
Permit Application
❑ Addition/Remodel Deck
❑ Other:
SITE ADDRESS /11l6 ar'niaC�
ASSESSORS PARCEL NO:3Sz�3 • 1 CA'
512- (vts h-?
eledL. ((o 4-vasa-Itd
LEGAL DESCRIPTION: /-1(P,9 0,40la n d 7 fraC
Building Owner:
Name: idnisey Zo/ f//l' Ml7 Mc.
—
Address: PO /1D x . 292...-
City: 57/%/1 k4ne
///��
State:Wtk Zip: 1ggz'
'
Phone: %
.24,1,13�
Fax:
Y-�d 0
Contact Person
Name: (Ortq 51— n
Phone:
5-12k—I0 /3 DT X79'?sZD
Describe the scope of work in detail:
Contractor:
Name:41fi SP!'c sr in c
Address: Pd 6, 50792
City: 5.Ne-d r%C State:0)A Zip.9G%2
Phone:
9,e—id 13 Fax: c f Y? __/4),3
Contractor
n SG -t e 6 44 zdxp Date: 0 ^D6
City Business Lic. No:
Cost of Project: $ / q
**************The followinc MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
lb
DIMENSIONS:
l�•`I'7
# OF STORIES:
/ lz
TOTAL HABITABLE SPACE:
�T%�/ %off
MAIN FLOOR TO
FTG: / t [
SQ.
imilZ
2Nu FLOOR SQ. FTG:
613199
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA: Z7 7O
FINISHED BAS
SQ. FTG:
MENT
GARAGE SQ. FTG:(l(/
�'`C770-
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
3
CONSTRUCTION TYPE:
-1-mmitz
HEAT SOURCE:
q4A
SEWER OR SEPTIC?
,e e6r--
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction 05 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- roperty 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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 825/2005
0 Check
❑ Mastercard
Expires:
Date 41 --2../ -1
0 VISA
VIN#:
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
.0jUalley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.ore.com
Mechanical Permit Application
ER3VIT ITu1VIB}
PET
o Commercial o Residential
SITE ADDRESS /e7/0
Building owner:
Name: /li if?1. I60---%p� Phone: ��vt,--1D 1.- j 3 Fax 7 4/ 3 ^f d /
Address: )-7 73 d7' Z City Adiestiat State _ Zip
Contractor=.''-' - .., _ = - _. -- _ --- � - = _ --_-
Name: r /_, &W� 1/ 14...1 Phone: Fax:
Address: City State Zip
License No: j 1 K CG( ' SdCity Business License No:
contact- _ =-- - - = _ `= %-:%;;:,,-. ,-- - ' _ .. -
Name: Phone:
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
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
1
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
3
X
$1.00
=
18
DUCT SYSTEMS
1
X
$10.00
=
19
VENTILATING FANS
3
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
j
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:
❑CASH 0 CHECK 0 VISA 0 MC
CARD #:
SUBTOTAL
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Spokane ems'
. Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.ore.com
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ® Residential
SITE ADDRESS /N
Building owner 1,144.414% ei'yyJ�� 4.4.41,,____,Name:
DESCRIPTION OF WORK
# OF UNITS
X
Phone:
v - mi, 3 Fax
q Y 3 -16 %�
Address:
tin ?1 7 / Z
2
City State
/y
Zip 7 40
Contractor
2
URINALS
Name:
C'n D p z a4Ajt
Phone:
Fax:
3
TUBS
Address:
J
X
City State
Zip
License No:
Q
e.. -4D P1 -P 1 iti0 g 3
BATH, STALL, ON-SITE BUILT
City Business License No:
X
$6.00
Contact
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
4
Name:
$6.00
Phone:
6
DISHWASHER
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
2
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
2>
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
1
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
4
X
$6.00
=
6
DISHWASHER
/
X
$6.00
=
7
CLOTHES WASHER
/
X
$6.00
=
8
GARBAGE DISPOSAL
I
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, 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
$6.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
41
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:
❑ CASH 0 CHECK 0 VISA 0 MASTERCARD
Card# EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05