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2005, 09-13 Permit App: 05003347 Remodel, Addition-Project Number: 05003347 Inv: / Application THIS 1S NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 09/13/2005 Page 1 of 2 Project Information: Permit Use: REMODEL & ADDITION TO RESIDENCE Contact: THEW, MIKE & JUDY/THEW, BRYAN Address: 2405 N CENTER RD C - S - Z: SPOKANE, WA 99212 Setbacks: Front Left: Right: Rear: Phone: (509) 990-5093 Group Name: Project Name: Site Information: Plat Key: Name: HUTCHINSONS ADD District: Nort Parcel Number: 45181.1504 Block: Lot: SiteAddress: 8516 E CATALDO AVE Owner: Name: THEW, MIKE & JUDY/THEW, BR Address: 2405 N CENTER RD Location:: CSV SPOKANE, WA 99212 Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: 1.11 Acres Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Infornmtion: Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review She Plan Review Released By: N/A Plan Review Originally Released: 09/13/2005 By: cjjanssen Released By:. Sewer Review Originally Released: 09/13/2005 By: TMELBOU Released By: .. SEWER PERMIT #05-5860 Originally Released: 09/13/2005 By: cjjanssen Permits: Operator: CJJ Printed By: CJJ Print Date: 09/13/2005 Project Number: 05003347 Inv: / Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 09/13/2005 Page 2 of 2 Building Permit Contractor: OWNER Finn: OWNER Phone: (000) 000-0000 This Application: Total Project: Description Grp La Notes Sq FI Valuation Sq Ft Valuation RES ADD R-3 VB REMODEL 0 $15,000.00 0 $15,000.00 Totals: 0 $15,000.00 0 $15,000.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $251.25 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $100:50 Contractor: OWNER Contractor: OWNER Notes: Permit Total Fees: Mechanical Permit $356.25 Firm: OWNER Phone: (000) 000-0000 Plumbing Permit Firm: OWNER Phone: (000) 000-0000 Payment Summary: , Permit Type Fee Amount Invoice Amount Amount Paid Amount Owine Building Permit $356.25 $356.25 $0.00 $356.25 $356.25 $356.25 $0.00 $356.25 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: CJJ Printed By: CJJ Print Date: 09/13/2005 *Wane ,Valley Community Development Permit Center 11707 E Sprague Ave, Suite' 106 • Spokane Valley, WA 99206 (509)688-0036 FAX: (509 688 wwnv.spokanevallev.oro . Residential Construction Permit Application ,is;U) ca • %* Nekven truction Q'Qltion/Remodel ther: PERMITtNIB MBER PERMITTEE ❑ Accessory Bldg ❑ Deck SITE ADDRESS ? -/4, d147,4L0v ASSESSORS PARCEL NO: LEGAL DESCRIPTION: "�"T%t�'n till't f`5a✓„-,�`t ` - ili inownerl�� . s IIti Name: )11 I ( /.f i--< Li i,.J Address: 9 or fJ , r eC r' n x- Ret ria City: SY0)SA.riet_ \/ Zip: 9 rfZ1l_ Phone: ti-bq ! 90 svg3Fax: ;,Contact _Person Name: ('• Phone: —Describe the scope of work in detail: x "i- rContractor"�-��`r4_ ��_,,.�� '�'ia:.��+�,,• ¢,�,,,; Name: TOTAL HABITABLE SPACE: Address: 2N FLOOR SQ. FTG: City: Zip: Phone: Fax:. Lic No: .Exp. Date: City Business Lic No: CONSTRUCTION TYPE: C3Rtgr ¢woos Cost of Project: /Y ddb .. ; -- zerrawsanar sr to Nb **************The following MUST be complete: (write N/A if not applicablel********************** HEIGHT TO PEAK: DIMENSIONS: r# OF STyOORRIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. 2N FLOOR SQ. FTG: UNFIN'BASEMENT SQ. FTG: IMPERVIOUS SURFACE „FINISHED I FT BASE ii SENT GARAGE SQ. FTG:DECK/COV. 0 VPATIO SQ. FTG: 30% SLPROPEOPES ON TY: # OF 27ROOMS: IC— `fi CONSTRUCTION TYPE: C3Rtgr ¢woos HEAT SOURCE: P2ai£ SEWER OR SEPTIC? S iwlie- The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional iy.rmation may be required to be submitted, and subsequently approved before this application can be processed. Signature Q Date 01101155 -- Method 9JOy/65-- Method of Payment: (Faxed permit applications will only be accepted with major kcard) ❑ Cash ❑ Check 0 Mastercards%lit (VISA Bankcard #: - Expires: VIN#: Authorized Signature: REVISED 8/252005 ❑, Other PLUMBING PERMIT APPLICATION PROJECT ADDRESS: U SI t' V AL -DQ PERMIT USE: OWNM 'l ISL PHONE�ALDaytimeonj'0): c q3 `/�-' /� ,�/�'12 MAIL NG ADDRESS: 1r/r(�\ _4 Si/r1(JCom'`- . 95 311a - l•er%V (S eet) (City/Stated • (Zip) CONTRACTOR: LICENSE: MAILING ADDRESS: • PHONE: (Street (City/State (Zip) i PLUMBING FIXTURES DESCRIPTION DETAIL # OF UNIT S MILD. PLIED BY COST/ UNIT EQUALS AMOUNT TOILETS ` WATER CLOSETS, BIDETS 3 x $6 = URINALS - O x $6 = TUBS - x $6 SHOWERS (per trap) BATH. STALL, ON-SITE BUILD ✓ / FiY x $6 = SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY. UTILITY, JANITOR, PHOTO, X- RAY, FOOD (PREP/CULINARY/MEAT r a x $6 = DISHWASHER - x $6 = CLOTHES WASHER - ' x $6 = GARBAGE DISPOSAL/GRINDER - / x 56 = WATER SOFTENER - - 0 x $6 = ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see mechanical) / x $6 = FLOOR DRAINS AREA CASE, COIL, TRENCH, CONDENSATE / x 56 = ROOF DRAINS/OVERFLOW DRAINS (ea.) - x 56 = FOUNTAINS, DRINKING -x $6 = WATER PIPING/DRAIN-IN WASTE- VENT/PLUMBING REVERSALS INSTALLATION, ALTERATION, REPAIR, REVERSALS x $6 = SEWAGE EJECTORS GRINDER, SUMP PUMP x $6 = WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER. CARBONATOR, SWAMP COOLERS x - $6 = CROSS CONNECTION DEVICES VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR : VATS, SUMPS, TANKS, BOILERS, 8 SPRINKLER SYSTEMS . X 56 = INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK x $6 = MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN x $6 MISCELLANEOUS FIXTURES - - X $6 = METHOD OF PAYMENT ❑ CASH 0 CHECK VISA 0 MASTERCARD FAXED PERMITS WILL ONLY BE ACCEPTED WITH DATE: OG — 0 I -- 6 S EXPIRES: SUBTOTAL PLUS: NON-REFUNDABLE PROCESSING FEE $ 25.00 ■ DISCOVER PAYMENT OF A MAJOR CREDIT CARD SUBTOTAL: MINIMUM PERMIT FEE IS $35.00 PLUS: 16% REGIONAL PLANNING SURCHARGE BANKCARD NUMBER: AUTHORIZED SIGNATURE: TOTAL PERMIT FEE DUE Spokane County Department of Building and Planning 1026 West Broadway Avenue' Spokane, WA 99260-0050 Telephone No. (509) 477-3675' Fax No. 477-7198' TDD No. (509) 477-7133 Spokane County Division of Utilities SEWER CONNECTION PERMIT APPLICATION FORM PLEASE NOTE: This application form must be filled out accurately and in its entirety, and signed, or a permit will not be issued. Sewer permits are valid for 12 months form the date of issuance. A separate right-of-way permit is required for any work performed in or from the public right-of-way. All interior plumbing and electrical work requires separate permits. PROJECT INFORMATION Job Address: U S\L5?l. ��Qi\C \6\Z Parcel Number. 5 \ \t\- EC /, Lot ( Block: 1 Project Name: ULID Name: CHECK APPLICABLE BOXES Cl Regular ❑ Dry Sewer ❑ Repair ❑ Addition ❑ Abandonment S", Residential O Commercial O Temporary O New O New Owner's name: M \ Q &€�n\ ` \5•-) \ \ 11/4\..*.\)). nk&h a \ Address: (‘iC\f- \ a-\-c's Q, Ec R© City/State:c�`7CTh\--e."C\i; \.molt �'l'\� Zip: \}�yl. (� Phone: Lq\� 1 l 51S\ 1� 1A� * FIRST TIME CONTRACTORS OR HOME OWNERS PERFORMING THE INSTALLATION MUST FIRST CONTACT THE UTILITIES DIVISION BEFORE PERMIT(S) CAN BE ISSUED. -SIGNATURE OF UTILITIES DIVISION PERSON CONTAC 1 hD L t. Contractor (company name): j Sate contractor license number: Business address: City/State: Zip: Contact Name: Phone Number. INTERIOR PLUMBING ALTERATIONS? (yes/no) circle one Fill out the information in the table below jappk'eabk** 0 County 0 City of Spokane Valley Contractor (if different from above): Business Address: Phone: City/State/Zip (Cif' luniliia renerrnl're'.T'¢irnbhon n`r Ir etiri IO,Igki?of/A nil a I �` y l l:. Number of Buildings connecting to sewer FEE INFORMATION X (times) $100 (per bldg) = $ + 510.00 = SPOKANE COUNTY RIGHT OF WAY PERMIT • For a single-family residential unit, one permit is required; • For a condominium, townhouse, duplex, triplex or Cousplex with separate ownership (as determined by lot lines) separate address and separate stub, one permit iz required per address per stub; • For a single building duplex, triplex or fourples with single ownership, one permit is required • Multiple buildings (apartnena, industrial complexes) with single ownership, one permit required per building connecting to the sewer. (FOR SITUATIONS NOT COVERED HERE, CALL THE COUNTY DIVISION OF UTILITIES AT 477-3604) Is any of the work to be performed in or from the public right-of-way? O Yes O No O County 0 City of Spokane Valley APPLICANT SIGNATURE: DATE: Owner or Contractor (circle one) Method of Payment: ❑ Cash 0 Check 0 Visa 0 MasterCard 0 Discover Card Date: Expires: Bankcard Number: Authorized Signature: Spokane County Department of Building and Planning 1026 West Broadway Avenue * Spokane WA 99260 TeL No. (509) 477-3675 * Fax No. (509) 477-7198 * TDD No. (509) 477-7133 Permit Center Spokane 11707E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development www.spokmlevallev.or°.com Mechanical Permit Application o Commercial ��Ualley &PERMITNUMBER P,ERVIIT FEI D Residential SITE ADDRESS g-.> 4, C #t TPi-t- P r -.. ,..,-tir fd��� ... ,�.:' d� Y ..v i'RnrldiiVgWnerg %kil:ii -..!-r �igY � . 4L. .tY iF 3,�ivi t1.�^ � y-.1 Yy aY w' 2(t:- +rv'. -11Lv�-Tc+..n 's_�-+f]ti-.'�Ax... _ .%ki 34•v..brv_<.: yMf .t}2. ':`li`.�.z..{i.. M1 Name: Phone: 9 f O ST) 9 3�'! Fax Address: o{ V o S Al i C (f , i flit_ Rd City SFO it /d7 E pState iN 4- Zip ?Conactor037 .z "x�t 2,a x- r, r r,4,-�.£;. .7C` T ` Name: Phone: Fax: Address: - City State Zip License No: City Business License No: rai""�5 Rn��i�t ^, t= --' - .:Jr r*t-•-` -'ii's,.tx ttrr ..+ }tl-,,.* U`9L': F 7 'r"S_'e a atren...T'.-S. 'a -+. c Sm'.:;5?ijFX'i'. c '. ..-`z :x, '.lus-•:w'^',`,I'2,y'.'�e "'. -s,•e :.sak. Name: Phone: 2 ef 0' DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT FUEL BURNING APPLIANCE Equal to or less than 100,000 1 X $12.00 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400.000 • X $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 $12.00 8 BOILER/REFRIGERATION 101 -500M BTU X $20.00 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 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 $10.00' 13 RANGE X $10.00 14 DRYER X $10.00 15 FUEL BURNING WATER HEATER X $10.00 16 MISC. FUEL BURNING APPLIANCE X $10.00 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 $12.00 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15.00 22 EVAPORATIVE COOLERS X $10.00 23 TYPE I HOOD X 550.00 24 TYPE II HOOD X $10.00 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 26 AIR CONDITIONER 3-15 TON f X 520.00 27 AIR CONDITIONER 15-30 TON X $25.00 28 AIR CONDITIONER 30-50 TON X $35.00 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 525.00 33 REPAIR & ADDITIONS X $15.00 34 VENTILATION SYSTEMS X 512.00 35 VENTILATION MECHANICAL EXHAUST X $12.00 36 INCINERATOR - RESIDENCE X $19.00 37 INCINERATOR - COMMERCIAL x $22.00 METHOD OF PAYMENT: DCASH D CHECK VISA D MC CARD #: AUTHORIZED SIGNATURE: DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: REVISED B26/05