Loading...
2004, 04-19 Permit App: BLD-04-04115 ResidenceSpokane~ 4,000Ualley BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: /3e 3 54.6,,barm Assessor's Tax Parcel Number(s): Legal Description: P —yeYi 4sj-6 PERMIT DESCRIPTION: j+Building Permit ❑ Relocation 111 Change in Use ❑ Grading ❑ Manufactured Home ❑ Tenant Improvement [f Fire Safety ❑ Other OWNER/APPLICANT INFORMATION El Owner: Phone: Add ress: City .lttFax�hi (1Y3 iol3 C Contractor: Phone: Address: 'e -)q 2- 942-2-3 State Zip Code Fax: City State Zip Code ❑ Applicant: Phone: Address: Fax: City State Zip Code ❑ Architect: Phone: Fax: Address: City WA State Contractor License #: L -I /1 OS Co 1100 Contact: (ore% State Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS:ZgX 6 # OF STORIES: MAIN FLOOR TO SQ. FTG: 00 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG:DECK/COV. PATIO SQFTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: aS # OF BEDROOMS: 5 TOTAL HABITABLE SPACE: lV1/ IMPERVIOUS SURFACE AREA: ;/6-6 COST OF PROJECT: 30% SLOPES ON PROPERTY: EW ON-SITE SEPTIC SYSTEM? MECHANICAL PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Project Address: (3D-3 .�J �(Q� Permit Use: Owner: fi2.1,e,,,f_eitart Mailing Address: / /"' City State Zip Code Contractor: %^�,� a f�License #: Phone #: Mailing Address: Phone (Daytime Contact): Ci State AUTHORIZED SIGNATURE: Zip Code DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 1 X $15.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $19.00 = 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 $15.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $28.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $39.00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $57.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $95.00 = 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 / X $10.00 = 16 MISC. FUEL BURNING APPLIANCEnn X $10.00 = 17 GAS PIPING (each outlet) 2 - X $1.00 = 18 DUCT SYSTEMS / X $10.00 = 19 VENTILATING FANS /71 X $10.00 = 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 = 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $19.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE II HOOD X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON r 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 535.00 = 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 = METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA 0 MC CARD #: DATE: SUBTOTAL PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: Zip Code S�kC' 4,Valley Project Addr ss: '&0.3 S ("(z,r v Owner: -1-4411y Z,vL- PLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Mailing Address: Contractor: /AJI0 /11/ 4 License #: Mailing Address: Permit Use: Phone (Daytime Contact): City State Phone #: Zip Code City State BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 1 X $6.00 = 2 URINALS X $6.00 = 3 TUBS / X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT 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 1 X $6.00 = 7 CLOTHES WASHER I X $6.00 = 8 GARBAGE DISPOSAL / 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 INSTALLATION, 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 3 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 = METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA 0 MASTERCARD DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code