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2005, 01-20 Permit App: 05000179 Finish BasementProject Number: 05000179 Inv: 1 Application Date: 01/20/2005 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 1220 SQ FT BASEMENT FINISH Contact: LDA & LKA, LLD Address: 17901 N LITTLE C - S - Z: COLBERT, WA 99005 Setbacks: Front Phone: (509) 466-9890 Group Name: Project Name: Site Information: Plat Key: Left: Right: Rear: Name: SUMMERFIELD EAST 04TH ADD District: H Parcel Number: 46354.3805 Block: SiteAddress: 14918 E CROWN RD Location:: SPO Zoning: UNICN Unknown Water District: Area: .00 Acres Lot: Owner: Name: LDA & LKA, LLD Address: 17901 N LITTLE COLBERT, WA 99005 Hold: 0 Width: 72 Depth: 128 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Page 1 of 2 Review Plan Review Permits: Released 13 Contractor: OWNER Description gm, Type Notes BASEMENT R R-3 VB Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Building Permit Firm: OWNER Phone: (000) This Application: Sq Ft Valuation 1,220 $6,100.00 Totals: 1,220 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Operator: DMD Printed By: DMD $6,100.00 Permit Total Fees: Print Date: 000-0000 Total Project: So Ft Valuation 1,220 $6,100.00 1,220 $6,100.00 Fee Amount $139.25 $4.50 $55.70 $199.45 01/20/2005 Project Number: 05000179 Inv: 1 Application Date: 01/20/2005 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Mechanical Permit Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Item Description VENTILATING FANS Payment Summary: Permit Type Building Permit Mechanical Permit Units Unit Desc 1 NUMBER OF Fee Amount $10.00 Permit Total Fees: $10.00 Fee Amount Invoice Amount $199.45 $199.45 $10.00 $10.00 Amount Paid $0.00 $0.00 Amount Owing $199.45 $10.00 $209.45 $209.45 $0.00 $209.45 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: 01/20/2005 Sliokane JAN 1 4 2CL MOC�D��I ING PERMIT APPLICATION WORKSHEET Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 one: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION -79 Street Address: G227 u2/L! ///,�// Q9,2/4 Assessor's Tax Parcel Number(s): 4/4,354.spie.S Legal Description: _5i4/ii/neWf- /ELI-iitS7 T,t/ ,4M f / T - ,eL.e /7 cgAse / Ai r P ro 1 Change in Use (l Grading ❑ Manufactured Home Tenant Improvement Fire Safety Other PERMIT DESCRIPTION: f Building Permit 11 Relocation II OWNER/APPLICANT INFORMATION Owner: 4.) 4 s z44 C 0 Phone: 1144 -Wax: Address: /7942i 4,'r/65- s o, c tad - Lam/ e r w S— City State Zip Code Contractor: Phone: Address: Fax: City State Zip Code WA State Contractor License #: Appli t: Z .1� -�e�� • Pho -9'.g.90 Fax: si ia- Ildts.ix,reovr _ City Architect: Phone: State Zip Code Address: Fax: City Contact: State Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTG: UNFIN BASEMENT)SQ. FTG: / .L ` V FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: /i3essb ,4/ 44s # OF BEDROOMS: / TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: UCyC�P(' 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? ._..567.4.2.&7/2._ PLUMBING PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Call (509) 688-0054 Project Address. /4/944, dez,yz,,A/ 42v? -'L.,e/4 1 -LP /andorsai/ /790/ /44v7/6--shwe- City License #: Owner: Mailing Address: Contractor: Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: Phone (Daytime Contact): 5z95/V-/7/99[30 5-- Zip Code Phone #: Z.11.4 State Mailing Address: Zip Code City State BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 00 2 URINALS 56 00 3 TUBS 111 5600 SHOWERS PER TRAP SINKS BATH, STALL ON-SfTE BUILT LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY. JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT II 56 00 56 00 m • DISHWASHER MEM III 56 00 56 00 1111 IllCLOTHES WASHER GARBAGE DISPOSAL 5600 = 10 WATER SOFTENER ELECTRIC HOT WATER TANK NOTE IF GAS, SEE MECHANICAL AREA, CASE, COIL, TRENCH. CONDENSATE 1111.11111 EMI" Ell s6 00 56 00 5600 56 00 11 FLOOR DRAINS 12 ROOF DRAINS/OVERFLOW DRAINS 13 FOUNTAINS, DRINKING 5600 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS 5600 15 SEWAGE EJECTOR GRINDER, SUMP PUMP 56 00 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER 5600 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R P.B P.D FORVATS, TANKS, BOILERS 56 00 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK 5600 MEDICAL GAS (per outlet) NITROUS. OXYGEN 56 00 56 00 20 MISCELLANEOUS PLUMBING FIXTURE 1/1 PRNATE SEWAGE DISPOSALJSYS III X 52000 51500 22 INDUSTRIAL WASTE INTERCEPTOR METHOD OF PAYMENT: 0 CASH 0 CHECK DATE SUBTOTAL 0 VISA 0 MASTERCARD PROCESSING FEE .00 EXPIRES. TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: "W'wneti Project Address: Owner: Mail ng Address Con rector: MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Call (509) 688-0054 Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: Phone (Daytime Contact): Mailing Address: License #: City State Phone #: Zip Code c Stale DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X 512 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 550 00 = 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X 5100 00 = 5 USED APPLIANCE (VVSEC min AFUE rating) Equal to or less than 400,000 X 550 00 = 6 USED APPLIANCE (VVSEC min AFUE rating) More than 400,000 X 5100 00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $12 00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X 520 00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X 525 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 510 00 = 13 RANGE X 510 00 = 14 DRYER X $10 00 = 15 FUEL BURNING WATER HEATER X $10 00 = 16 MISC FUEL BURNING APPLIANCE X 510 00 = 17 GAS PIPING (each outlet) X $1 00 = 18 DUCT SYSTEMS X $10 00 = 19 VENTILATING FANS ' X $10 00 = 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X 512 00 = 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X 515 00 = 22 EVAPORATIVE COOLERS X 510 00 = 23 TYPE I H00D X 550 00 = 24 TYPE II HOOD X $10 00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512 00 26 AIR CONDITIONER 3-15 TON X $20 00 = 27 AIR CONDITIONER 15-30 TON X 525 00 = 28 AIR CONDITIONER 30-50 TON X 535 00 = 29 AIR CONDITIONER More than 50 TON X $60 00 = 30 LPG STORAGE TANK X 510 00 31 WOOD OR PELLET STOVE/INSERT X $10 00 = 32 WOOD STOVE - FREE STANDING X $25 00 ' = 33 REPAIR & ADDITIONS X 515.00 = 34 VENTILATION SYSTEMS X 512.00 = 35 VENTILATION MECHANICAL EXHAUST X 512.00 = 36 INCINERATOR — RESIDENCE X 519.00 = 37 INCINERATOR — COMMERCIAL X 522.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA 0 MC CARD # SUBTOTAL DATE PROCESSING FEE 535.00 EXPIRES TOTAL PERMIT FEE DUE: