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2003, 08-18 Permit App: BLD-03-02250 ResidenceroviA AUG 03 2003 14:48 FR TO 4834966 P.01/03 PERMITAPPLICAT1ON WORK SHEET SPOKANE VALLEY COMMUNITYDEVELOPMEiVT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036Faa7 (509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: E- 1 q9 IR_ Cy0 W/\.' ASSESSOR'S TAX PARCEL. NUUBER(9): 1T3Szi, 3�DL LEGAL DISCRIPTlON: 7 T , 73i PERMITDESORtPTION A[[I�.DING PERMIT pRELOCA.11014 OW. GE I ( USE • raGRADING C Attair4IFACIVRED ZONE sis* pTENANT 120THER OWNER: LA/V 7C6= C OCL-C--Y!ISIS -L/ APPUCANT: RHONE: USS 3-L'513 L FAX: �? C�� PHONE FAX: ADDRESS: ti - 3s -lo Cf ,—�! 1.2 ADDRESS Q f"r� 3 j 1. qc L`I,STATE, ZIP 4 CONTRACTOR: LSA. CCC _ 4.5 ARCHITECT CITY, STATE ZIP PHONE U 3-005 3 Z FAX: PHONE: ADDRESS: A-%. - CiCrZ_t % C1TY,.STATE, ZIP WA ST CONTRACTOR LICENSE A4)ZCG 1)01 ZPS FAX: ADDRESS: CITY, STATE, ZIP CONTACT: 1 PERMIT/BUILDING INFORMATION N. J COST OF PROJECT: BUILDING NEIGI4TTO PEAK: 1c/ _ OCCUPANCY GROUP:. BUILDING DIMENSIONS: 41(2\16-C., NUMBER OF STORIES: STRUCTURES ON PROPERTY: NUMBER of BEDROOMS: Z CRITICAL AREAS: tib' 30% SLOPES ON PROPERTY: /C/G CONSTRUCTION TYPE Dtm STAFF: METHOD OFPAYMENT: CASH Er Q CHECK MAIN FLOOR SQ FT: 2ND FLOOR SQ FT 0 UNF?N BASEMENT: 1132 FINISHED BASEMENT: ( GARAGE && C3Z BANKGARC IXPIRES; VINO AUTHORIZED SIGNATURE i RUG 03 2003 48 FR SMETne .000Valley Mechanical Permit Application TO 4834966 F.82/03 509-688-0036 - Phone 11707 East Sprague Avenue, Suite 106 509-688-0037 - Fax Spokane V7dIey,NA 99206 PROJECT : E,j qCrOLUNi DESCIUFTION OF WORK PERMIT USE: OWNEB z*. A A; 74,- &•—• 6...._ Q,- „_;G_6_vss A....c , PHONE(Dye Contact): MAILING ADDR . Ai , S 5-10 Cr -7-4-t A, — tA-AA - Z/...7 (street) • On 4 1C0h03 (city/state) (ZIP) ACM/LA. Z C- - t.. (----(-A&E; :•;J L1qr4SE 1: 1,Atv-Z-0-5- Oc, 72. P 5 --- MAILING ADDRESS - ' • 4.), `;5-10 c( -57—C--1 A,e_ 5 _,..q,•,.-.7 PHONE t: • c -r• ctZ i -) (street) 519 (city/stste) (ZIP) METHOD OF FA CASH 0 DATE: PiRES BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCIUFTION OF WORK 1 OF UNITS X COST EQUALS AMOW4T 1 FUEL 51/1INING APPLIANCE • On 4 1C0h03 I X 113 • I i 2 F1SEL BURNING APPLIANCE a 1=03 X 519 • UNLMTED GE IADDMONAL FE6) - OR • 400.0:0 X sso - GNItsrEn APPLIANCE (ADOTICNAL FES) >d1.0 X 5103 • 5 USED APPUANC2 (WSW ctn. AFUE rating) .� • 40:1= X 350 - 6 WED AMMO! (MEC nun. ARE rains) > 4=00 X 5160 • 7 �OftEVWRIG2RATION i-uxtrruX 515 . s ioj•oot rru X MI ' 9 �Ofl.KRPJ�ZAT1ON 421.1.WBTU X 10 1001 - 1,733641511/ X 11 SOILEVIIIMICERATION .175014 !ITU X 53 . 12 OAS 1.0C. GAS MOT. GAS FIREPLACE - / - X 510 13 RANGE - X 510 - 14 DRYER - X 510 . 15 A - .. 10 15 SAL IURT4124G AM. - X 510 17 CAS HPING (ei. OUt140 - -) _-> X 51 - 18 SYSTD33 - / X 310 i 0 19 VE TING ANS - 4 X sin • C' 20 ALE HANDLER (DOE3 NOT Nelud4 Guam) • Olt 4 10JXCCFM X 512 - 23 LER (DOSS Nur bachgta dsiduss) > l�CM X 519 - 22EVAPORA1IVE�IOLERS - X 23 TIPS I ROOD - X 24 1TYPE II HOOD - X 510 • 25 NEAT PUMP/A111 CONIX1TONER 03 TON , X 512 - 26 ME CONOrDONER 3•13 TON X 5212 • 17 ., MR CONEMONE1 15-30 TON X 525 . 15 AIR CONDMONEE TON X 5215 • TON X 360 • 30 LPC STORAGE TAN1C - X 510 • 31 WOOD OR PILLED 050vIENSERT - ' ' 510 • 32 WOOD STOVE - FRU STANDING - SUBTOTAL PLUS PROCESSING FM $33.cx3 TOTAL PERMIT FEE DUD i 7,3 - DATE: PiRES BANKCARD NUMBER: AUTHORIZED SIGNATURE: 11UU UJ Guu..., -, - • �cIY ��0,�1�,,,,�� 11707 East Sprague Avenue, Suite 106 t.7r�'ia'l�sillz Spokane Valley, WA 99206 509-688-0036 - Phone 509-688-0037 - Fax Plumbing Permit Application ADD: Z-. % q 12 aro 6. /A.i PERMIT USE: OWNER: PHONE (Daytime Contact): X MAILING ADDRESS: (fit) (city/state) (ZIP) CON'IRACI'OK . ��= L Dc ss i,1 LICENSE A: r • GAN Z C G -D 0l Z P 6— MAILING MAILING ADDRESS: Al, 43S7O c( -57"-C-4 s•r e...Atn E PHONE 1: litA4- C�Li 7 (street) (city/state) (ZIP) . PLUMBING FIXTURES IETHOD OP 3 CASH ATE: ANKCARD NUMB UTHORIZF.ID SIGNATURE: TOTAL PAGE. 03 ** DESC1UPTION DETAE S R OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS .� X 56 - 2 URINALS X 56 3 TUBS 3 X 56 - i S 4 SHOWERS TER TRAP) BATH,5TALL,ON.3rTEBUILT X 56 - 5 SINKS LAVS+BASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY. FOOD. PREPK.TIL.INARY/MEAT X 56 `" 'J 6 DISHWASHER ( X S6 - 7aOTHPS WASHER 1 X 56 - C. 8 GARBAGE DISPOSAL 1 X 66 - &_, 9 WATER SOFTENER X S6 - 10 ELECT. Farr WATER TANK NOTE: IR GAS. SEE MECHANICAL X 56 - 11 FLOOR DRAINS AREA, CASE. COIL, TRENCH, CONDENSATE j X s6 - (� 12 UNTAf iS, DRINKING X 56 - 13 WATER PIPING/DRASWIN WASTE. VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION. REPAIR, REVERSALS X 56 - 14 SEWAGE ELECTOR GRINDER, SUMP PUMP X 56 - 15 WATER USING DEVICE ICE AMOR COFFEE MAR:EL HOSE BIB. SITAMER. PROCTER. CARBONATOR SWAMP COOLER 3 X 56 , lY S I6 CROSS CONNECTION DEVICE VACUUM BREAKER. CHM= VALVE. AND R.P.B.PD. FOR: VATS, TANKS, BOILERS x _ 17 SPRINKLER SYSTEM j X 525 - 1B INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 56 - 19 MEDICAL GAS per outlet NTTROU$ OXYGEN X 56 - `20 MISC. PLUMBING FI XT DRE X S6 - PAYMENT ❑ CHECK Mr • • .1 • SUBTOTAL. PLUS PROCESSING FEE 535.00 0 IMMO • CVme rc_ i. TOTAL PF.RMa.FEE DUE: k 3 ANKCARD NUMB UTHORIZF.ID SIGNATURE: TOTAL PAGE. 03 ** y 6 i 9.5UUlot.d 3, - 14' WIDE BORDER EASEMENT 3j+00 31, ...La- R/cyT Wq CRowN Roxio / 'R, 11/-41)-- <0 1'gY 10' WIDE EASEMENT FOR UTILITIES 10' WIDE EASEMENT FOR WATER MAIN UD --ftiro-cSe Stew._ LLJ A, 68.48' IMO NINO 1•11111 PLAT BOUNDARY SCALE: 1"=30' APPROVED LOT 6, BLOCK 17 SUMMERFIELD EAST 4th ADD. 1 _- _! Y !! --! !3 ENGINEERS © SURVEYORS 1220 N. HOWARD ST. SPOKANE. WA 99201 FAX (509) 323-0423 (509) 323-5139 101 THA91 RD. LEYASTON. 10 93501 FAX (206) 746-6623 (208) 746-2661