2003, 08-19 Permit App: BLD-03-02270 Residenceremt I ADDRESS:
TO 48th4S66
P.01/03
071/)e.72.
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste WS
Spokane Valley, WA 99206'
Phone: (509)6813-0036 Fax: 150596884037
REQUIRED SITE INFORMATIO
c
ASSESSOR'S TAX PARCEL NUISSER(S): 1i. o
LEGAL DISCRIPTION:th
PERMIT DESCRIPTION:
G PERMITC CHANGZ IN USE • OJGRADDIG-
TION El SIGN. D TENANT
mANuFArrrnED Row
Ct OTHER
CI OWNER, LaA,' z.:7-7--,- C Or: L_C--,_ 1S:S ...I_/.., APPUCANT:
: 4:--)S. 77 -- L-7 513 a_ FAX: C-4 :',-- -{-c7 (-3
PHONE ' PHONE: FAX:
ADDRESS: 43 -- $37 7 'C Cre-s-77_,:—i.A..-e.._. ADDREM
4 5rC1G4(1-6- l.",va c .FT3r,STATE. ZIP • ci
CI
CONTRACTOR : /-..an...--",__C&-- !"- _ 0r_,.L.:C.-(14-S'7 1.7. A...r. ARCHITECT::
CITY, STATE. ZIP
PHONE 4:4 Z._ FAX: -"-G7(
ADDRESS: SC crs77j,L•cpe";-e..4,4
- Ci'7 7 CITY,.STATE, ZIP
WA ST CONTRACTOR LICENSE it 7_C G-5) o
COST OF PROJECT'
BUILDING HEIGHTTO PEAK: \ Cl OCCUPANCY GROUP:
BUILDING DIMENSIONS: 4--1C CONSTRUCTION TYPE:
NUMBER OF STORIES: STRUCTURES ON PROPERTY:
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
CONTACT:
PERMIT/BUILDING INFORMATION
30% SLOPES ON PROPERTY:
NUMBER of BEDROOMS:
CRM CAL ARE,AS:
MAIN FLOOR SQ i
2No FLOOR SQ FT:
UNPIN BASEMENT:
FINISHED BASEMENT:
GARAGE:
METHOD OF PAYMENT:
CASH CHECK
cr ommui
VA
ammo
BANKCARD EXPIRES; VINO
AUTHORIZED SIGNATURE:
HULK 03 067S 14.4d rm
I U 417.547
b
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
509-688-0036 - Phone
509-688-0037 - Fax
Plumbing Permit Application
PROJECT _
Annum: (� /i 1 e---\ S-2_7 CYbt-vim
PERMIT T
OWNER:
1OFUNITS
PHONE (Daytime Contact):
COST
MAILING ADORES&
AMOUNT
(street)
(city/state) (P)
CONTRALIvx•I,zu 6 -
Dc c-&-(_.4ss :37k
!..LICENSE 0:44/v Z .0 -D o•.7 Z'P.S
MAILING ADDRESS:
/V. <3S7C) Cr-esz"^.--
s.,C,Sinu.E
PHONE t;
Ul A- c -r21
(street)
(city/state) (ZIP) '
PLUMBING FIXTURES
4ETHOD 0
] CLASH
,ATE:
ANKCARD NUMBER
UTHORIZED SIGNATURE:
** TOTAL PAGE.03 **
DESCRIPTION
DETAILS
1OFUNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, METE
.:S
X
$6
2
URINTUBS LS
3
X
56
SHOWERS (PER TRAP)
BATH, STALL, 014.511E BUILT
X
56
-
SINKS
LAVSIBAS1NS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY. FOOD, PREP/CULINARY/MEAT
X
$6
D
\ D
DISHWASHER
1
56
-
G>
CLOTHES WASHER
1
56
-
G�
=
GARBAGE DISPOSAL
1
X
56
( ,
9
WATER
X
56
��
10
ECT.ROT ATENER
ELECT. HOT'wATKRTANJC
NOTE: IF GAS. SEE MECHANICAL
X
56
11
FLOOR DRAINS
AREA, CASE. COII, TRENCH, CONDENSATE
1
X
56
-
12
FOUNTAINS, DRINKING
X
56
•
13
WATER PIPING/DRAN•N
WASTE, VENT, PLUMBING
REVERciAL.
INSTALLATION, ALTERATION. REPAIR.
REVERSALS
X
56
-
14
SEWAGE EJECTOR
GRINDER. SUMP PUMP
`J
X
X
56
S6
•
•111
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER, HOSE BIB.
=AMER. PROOFEL CARBONATOR.
SWAMP COOLER
16
CROSS CONNECTION DEVICE
VACUUM BREAKER CHECK VALVE, AND
R.P.B.PD. POR: VATS, TANKS, BOILERS
X
56
-
17
X
$25
'
SPRINKLER SYSTEM
18
INTERCEPTORS '
GREASE TRAP, SANDTRAP, CHEMICAL
HOLDNG TANK
X
56
-
19
MEDICAL GAS • - cadet
NITROUS, OXYGEN
X
66
-
20
MLC PLUMBING FIXTURE
X
56
PAYMENT
] CHECK 0 MEM❑ • •
SUBTOTAL:
PLUS PROCESSING FEE:
535.00
TOTAL PERMIT FEE DUE
3
,ATE:
ANKCARD NUMBER
UTHORIZED SIGNATURE:
** TOTAL PAGE.03 **
AUG 03 2003 1448 FR
*Wane
Mechanical Permit Application
TO 4834966
P.02iO3
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, TNA 99206
509-688-0037 - Fax
PROJECT
ADDRESS: C = _ I L\ s Z croc- .-/U
PST -
USE:
OWNER: L.4A. Zc: G 6-- Do t i t,C.
PHONE (Daytime Contact):
MAILING ADDRESS:
A
A. Ss- 10 Cres Li :A,e s pc 4...4.4.— LA -AA - 5� Z ! -7
(street) (city/state) PP)
CONTRACTOR:LA 1 3cc G. c ` L-{ SS � AJc:.
LICENSE ' z, ' - c &-
MAII,WG ADDRESS:. ••
PHONE r.
USS 3--(.s-"32
ct c/Z 1-)
4) 510 c ( S ; - I A -z s„-� l_t.v4.
(street) (city/state) (ZIP)
METHOD OF PA
❑ CASH 0
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCIUPTIONOFWORK
•OFUNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
.OR a 100.000
i
X
515
•
, ,--
2
FUII. BURNING APPLIANLB
> 100.000
X
519
•
3
UNLIRTED APPLIANCE (ADDTr[ONAL FEE)
- OR 4 400.
X
550
-
4
UNLISTED APPIIANC6 (ADD(TSONAL FEE)
> 100. 00
X
5100
-
5
USED APPIIANCS (MEC MA AFUE ming)
•are 100.000
X
550
-
6
USED APPLIANCE (WSEC m1n. ARM rasing)
> 100.000
X
S]00
-
7
9C1U /RFiR! ATION
1- mat BTU
X
515
•
8
BOILER/REP AIION
101- SOOIM 82U
X
522
-
9
aormenurnmErcAnoN
501.1,000MErni
X
539
-
10
TION
1,75
^_1001- 84 BTU
X
537
•
11
BOILER/WUEFRICFAATTON
.1750M BTU
X
595
-
12
CAS LOC. CAS INSERT OASFIREILAcs
-
/
X
510
•
i[i
13
RANGE
-
X
510
-
11
DRYER
-
X
510
•
15
PURL BURNING WATER HEATER
-
t
x
no
-
Ifi
I6
mRIC FUEL BURNING ADPL.
-
X
510
-
17
GASPWPIIVG(ea.OuWO
-
3
X
51
-
3
18
DUCT SYMMS
-
/
X
310
•
f O
19
VENTILATING FANS
-
t./.
X
SIO
•
L/0
20
AIR HANDLER (OM NOT hxhrd. down)
• OR 410J1000FM
X
512
•
ZI
MR HANDLER (DOSIS NOT 8Idud.dvdu%)
> 10,000 CFM
X
519
•
22
EVAPORAIIVECOOLERS
-
X
510
•
23
TYPE I HOOD
-
X
550
-
. 24
TYPE II HOOD
-
X
510
•
25
HEAT P11MP/AORCOMMONER
03 TON
X
912
-
26
AIR CONDITIONER
3.13 TON
X
520
•
27
A1x COMMONER
15-30 TON
X
S23
•
-
23
_
AIR CONDITIONER
30.50 TON
X
S35
•
29
AIR CONDITIONER
+50 TON
X
560
•
30
LPC STORAGE TANK
-
X
510
-
91
WOOD OR PELLET STOVERNSERT
'WOOD
-X
510
•
32
STOVE - FREE STANDING
-
X
525
-
IttErsiT
- MEM
WM _ella
SUBTOTAL:
5g —”
PLUS PROCESSING FEE
$35.00
TOTAL ?EMIT FEE DUE 1 7,3 ` -
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
RIGHT OF WAY
2 9 0
CROWN
ROAD
30+00
TYPE B CURB
RIGHT OF WAY
14' WIDE
BORDER
EASEMENT
10' WIDE EASEMENT
FOR UTILITIES
APPROVED B
50.20'
SCALE: 1"=30'
LOT 8, BLOCK 17
SUMMERFIELD EAST 4th ADD.
r
or rays./ gm ars maw ANS Tit 1• 11-11.0 to.._.sa • yr
-
ENGINEERS SURVEYORS
1220 N. 140V/ARO T.
SPOKANE. WA 99201
is..FAX (509) 325-0423
(509) 325-5139
101 TNAIN KO.
LEWSSTON, 7 93501
FAX 0 22088 7482591