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2004, 12-29 Permit App: 04009548 AdditionProject Number: 04009548 Inv: / Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 12/29/2004 Page 1 of 2 Project Information: Permit Use: 18 X 14.6 RESIDENTIAL ADDITION FOR HOME Contact: REINKING, JIM OFFICE - ELE Setbacks: Front 43 Left: NA Right: 22 Rear: 25 Site Information: Plat Key: CONV Name: MIDILOME 03RD ADD District: Sout Address: 11917 E DIANA CT C - S - Z: SPOKANE, WA 99206 Phone: (509) 928-4624 Group Name: Project Name: Parcel Number: 45331.2203 Block: SiteAddress: 11917 E DIANA CT Location:: SPO Zoning: UR -3.5 Water District: Urban Residential 3.5 Lot: Owner: Name: REINKING, JIM Address: 11917 E DIANA CT SPOKANE, WA 99206 Hold: El Area: .00 Acres Width: 61 Depth: 83 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Site Plan Review Released -13y:.. Plan Review Released By:77 Landuse/Zoning tie -f Released By: /2- itVg -0:5V Operator: DMD Printed By: DMD Print Date: 12/29/2004 Project Number: 04009548 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 12/29/2004 Page 2 of 2 Contractor: OWNER Group: R-3 Type: VB Total Area 262 Building Height 12 Stories 1 Building Permit Firm: OWNER Phone: (000) 000-0000 Building Characteristics This Application: Total Project: Description Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VB 262 $19,566.16 262 $19,566.16 Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Payment Summary:::.;:.;.::.. Permit Type Building Permit Totals: 262 $19,566.16 262 $19,566.16 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Permit Total Fees: Fee Amount $321.25 $4.50 $128.50 $454.25 Fee Amount Invoice Amount Amount Paid Amount Owing $454.25 $454.25 $0.00 $454.25 $454.25 $454.25 $0.00 $454.25 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: 12/29/2004 sI�"~ ."Valley j� (� (� n I NG PERMIT APPLICATION WORKSHEET D { (_ -4 , of`iplja to 11 alley Community Development Department Building Division ' L 7 20W4 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 U [1 LDON 1 ne: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATIONOCk— (;5 LW Street Address: L , 1 / 9 / �l Assessor's Tax Parcel Number(s): S 3 3 ), �0 3 Legal Description: /0% j p�; 10i71 e J r,r-? p 1l) k, Aloe PERMIT DESCRIPTION: Aol dixi tXBuilding Permit Relocation ❑ Change i jse ❑ Tenant Imp Grading ❑ Manufactured Home ment ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION Owner: JiM Re /6 Phone: ` ...Z --y �: Fax: 1- - Y Address: F_//c il-j Ir./L' 4 (> .�'' i� ' V d Mate `/) A. 7 Zip Codeh Clfy - Applicant: Phone: Address: Fax: City State Zip Code Li Contractor: ®�,v [� Fax: Phone: Fax: Phone: Address: City WA State Contractor License #: r LCI II m Contact: State Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: f'= (g t ( DIMENSIONS: j 4 )( / y '6« 4 I # OF STORIES: MAIN FLOOR TO SQ. FTG: / I 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: h _ 3 f \ CONSTRUCTION TYPE: U J� r1 HEAT SOU: e # OF BEDROOMS: 1 TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: fvv t 1 O O 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPT C SYSTEM? 5 Jf Project Address: Owner: Mailing Address: MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, CaII (509) 688-0054 Contractor: Mail'ng Address: Permit Use: Phone (Da ))t' fls'/ 10:4 Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 U DESCRIPTION OF WORK NOF 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 315 00 UNLISTED APPLIANCE (Adddionat Fee} Equal 10 or less than 400,000 S50 00 UNLISTED APPLIANCE (Additional Fee) More than 400,000 5100 00 USED APP NCE (WSEC in AFUE rating) Equal 10 or less than 400,000 $50 00 1111 USED APPLIANCE (WSEC min AFUE rating) More than 400,000 $100 00 BOILER/REFRIGERATION 1 - 100M BTU 111 $12 00 $20 00 6 BOILER/REFRIGERATION 101 - 500M BTU 9 BOILER/REFRIGERATION 501 - 1,000M BTU _© 1111 $25 00 © $35 00 $60 00 $10 00 11. 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU More than 1,750M BTU 11 BOILER/REFRIGERATION GAS LOG, GAS INSERT, GAS FIREPLACE RANGE MI $10 00 IMII DRYER -© $10 00 $10 00 00 FUEL BURNING WATER HEATER MISC FUEL APPLIANCE Bach GAS PIPING outlet DUCT SYSTEMS MIIIIIIIII-g IIIIMMAIEM11111.11.11 $110 00 $10 DO $10 00 I O 19 VENTILATING FANS 20 AIR HANDLER (DOES NOT include ducting) Equal to or less Than 10,000 CFM S12 00 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM $15 00 22 EVAPORATIVE COOLERS $10 00 TYPE I HOOD TYPE 11 HOOD 111111111 © © $50 00 $10 00 III 111 M MI HEAT PUMP/AIR CONDITIONER 0-3 TON $12 00 $20 00 AIR CONDITIONER 3-15 TON AIR CONDITIONER 15.30 TON $25 00 AIR CONDITIONER 30-50 TON $35 00 29 AIR CONDITIONER More than 50 TON $60 00 30 LPG STORAGE TANK 310 00 31 WOOD OR PELLET STOVE/INSERT $10 00 WOOD STOVE - FREE STANDING 325 00 = REPAIR & ADDITIONS 315.00 = VENTILAT1ON SYSTEMS $12.00 = VENTIIAT1ON MECHANICAL EXHAUST S12.IH1 = 36 INCINERATOR - RESIDENCE X $19.00 $22.00 El a 37 INCINERATOR - COMMERCIAL X METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA 0 MC CARD # SUBTOTAL DATE PROCESSING FEE 335.00 EXPIRES TOTAL PERMIT FEE DUE: U PLANNING DEPT. APPROVE BY. DATE 7d - ill 13'101/1AA eY,