2005, 03-09 Permit App: 05000691 ResidenceProject Number: 05000691 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/09/2005 Page 1 of 3
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Contact:
Address:
C - S - Z:
Setbacks: Front 30 Left: 15 Right: 22 Rear: 20 Phone:
Group Name:
Site Information: Project Name:
CORRENA MILLER
6629 W RIVERVIEW DR
COEUR D'ALENE, ID 83814
(208) 755-5288
Plat Key: Name: WEST VALLEY ADD
District: Nort
Parcel Number: 45182.0335
Block: Lot:
SiteAddress: 1508 U N CENTER RD Owner: Name: WALKER, ELBERTA
Address: 7924 E SPRAGUE AVE
SPOKANE VALLEY, WA 99212
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 8,532 Sq Ft
Nbr of Bldgs: 1
Urban Residential 3.5
Width: 0
Nbr of Dwellings: 1
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review Information: ,
Review
Site Plan Review
Plan Review
gS53C
Released By:.
Sewer Review
Permits•
Release
, a'L�i7I/�t,�sa
Operator: K_C Printed By: K_C
Print Date: 03/09/2005
Project Number: 05000691 Inv: 1
Application
Date: 03/09/2005 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Group: R-3 Type: VB
Total Area 1344
Building Height 20
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
CARPORT U-1 VB 120 $1,800.00 120 $1,800.00
GARAGE U-1 VB 550 $10,450.00 550 $10,450.00
RESIDENCE R-3 VB 1,344 $100,369.92 1,344 $100,369.92
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 2,014 $112,619.92 2,014 $112,619.92
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,066.55
$4.50
$426.62
$1,497.67
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
.$10.00
$12.00
$3.00
$30.00
$10.00
$10.00
$10.00
Permit Total Fees: 585.00
Operator: K_C Printed By: K_C Print Date: 03/09/2005
Project Number: 05000691
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/09/2005
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Plumbing Permit
Firm: OWNER
Units
2
3
1
1
1
1
2
Phone:
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Page 3 of 3
(000) 000-0000
Fee Amount
$12.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
$72.00
Notes:
Payment Stmunary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,497.67
$85.00
$72.00
Invoice Amount
$1,497.67
$85.00
$72.00
$1,654.67 $1,654.67
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,497.67
$85.00
$72.00
$0.00
$1,654.67
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: K_C Printed By: K_C
Print Date: 03/09/2005
S`''pokane
Valle
ECLSY II6
MAR 0 2 2005
UOLMN
ILDING PERMIT APPLICATION WORKSHEET
ne,Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Va/ley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
/Som iv c e,i/P- Yol/
Assessor's Tax Parcel Number(s): i/S 7,07. o 775 --
Legal Description: /Vest UG//y/ U/ te/ 7y 72, of L>f 27
ff, of Z/ tore /s"v oj. oz if. of Lrr.
PERMIT DESCRIPTION: 4/PG✓ C'o nJ/ c'_/i.,
H'Building Permit I1 Change in Use
fl Tenant Improvement
❑ Relocation
II
Grading
Fire Safety
n Manufactured Home
II
Other
OWNER/APPLICANT INFORMATION
Owner:
Phone:
F/6et/G l/&//e.
Address:
�o/fo.+ e
City'
Fax:
722+' f frc y e
Zic "Pa's
State Zip Code
Contractor:
Phone:
Address:
Fax:
City
State
WA State Contractor License #:
Zip Code
n
Applicant:
Phone,
Address`.
e%rie//G /1 ,
a aps- —'; �c Fax: irii�
£✓ / xve,-Ln°tll7r
2d7 P.77/r
c0'/-1 /e-, e
City
Architect:
Phone:
Address:
State Zip Code
Fax:
City
Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
• al0
DIMENSIONS: `/�/ /� ,/
4E5 7 oe -702
# OF STORIES:
On e
MAIN FLOOR TO'SQ. FTG:
� , �. t� ,L::t1.S
2 c- FLOOR SQ. FTG: ,•
s;._ , ,'L /� -‘::5\ •'
.UNFIN BASE ENT SQ. FTG:
v� t-"-17- . ;` -- /1/49
FINISHED BASEMENT SQ. FTG:
/WA
GARAGE SQ. FTG:
S50
DECK/SQ. FTG:
) 0 X (2 i/
OCCUPANCY GROUP
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
�o?Tr000. --
30% SLOPES ON PROPERTY:
4/ 0
SEWER OR ON-SITE SEPTIC
SYSTEM? Sec. e,r
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler:
Tent:
Valuation:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
n BOLTING ❑ CONCRETE
Firm Name:
Inspector(s):
❑ REINFORCEMENT
❑ WELDING
Phone: Fax:
DISCLAIMER
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. 44) • All construction is to be done in full compliance with the City of Spokane Valley Developrhent 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:.
Ownership of resulting development rights granted;by, anytisssued permit inureito the property o` ner,
Print Name &Off , /11///e- Signature' ,v-Z't_,sfa i✓jfr tat.
Method of ISWinei t: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: .VIN#:
C: ..•3.
4."
Authorized Signature:
•
PLUMBING PERMIT APPLICATION
ne YA� Phone: (509) 688-0036; FAX: (509) 688-0037
Vrlcl For Inspections, CaII (509) 688-0054
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Project Address: Permit Use:
Owner:
Mailing Address:
7 902Y E ,?.-act—
-5:74,e0r2 fre
City
Phone (Daytime Contact):
State Zip Code
Contractor: • License #:
-24p
Phone #:
Mailing Address:
Zip Code
City
State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
1 OF UNITS
X
. COST •
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS'
dg
X
'56.00-
=
/9
2
URINALS
X
56.00
=
3
TUBS -'
-'
/
X
56.00
=
4
4
SHOWERS (PER TRAP)
BATH, STALL ON-SITE BUILT
/
X
56.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD„PREP/CULINARY MEAT
?
_J
X
56.00
=
42
6
DISHWASHER
/
X
56.00
=
/
7
CLOTHES WASHER
/
X
$6.00
=
G
0
GARBAGE DISPOSAL
/
X
56.00
=
G,
9
WATER'SOFTENER
X
56.00
=
10
-
ELECTRIC, HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
56.00
=
11
FLOOR. DRAINS
AREA, CASE. COIL, TRENCH, CONDENSATE
X
$6.00
=
-
12
'ROOF DRAINS/OVERFLOW
DRAINS
(__
X
56.00
13
FOUNTAINS, DRINKING
X
56.00
=
14
- WATER+PIPING/DRAIN-IN WASTE.
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
. REVERSALS
X
56.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
•
56.00
=
17-.
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P:B.P.D. FOR: VATS, TANKS, BOILERS
X
56.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP.
CHEMICAL HOLDING TANK
X
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56.00 '
_
20
MISCELLANEOUS PLUMBING •
FIXTURE
X
56.00
=
-
21
PRIVATE SEWAGE DISPOSAUSYS
X
520.00
22
INDUSTRIAL WASTE
INTERCEPTOR
X
515.00
=
METHOD OF PAYMENT:
0 CASH arECECK 0 VISA 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
. 535.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address:
Owner: E/berfc
Mailing Address: 7 9e?Y f ` in ye
Contractor:
Mailing Address:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use: /%/�G✓ COrssfioc
Phone (Daytime Contact):aof 7 5-;Y2/t
S17p4ine Ui'/%r (/c;. 927/.? COr c-„cz
Y City State Zip Code
License #: Phone #:
0-,
Stat&
Z OA.
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100.000
X
552.00
=
2
FUEL BURNING APPLIANCE
More than 100.000
X
515.00
=
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 (WSEC min. AFUE rating)
Equal to or less than 400 000
X
550.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
5100.00
=
• 7
BOILER/REFRIGERATION
1 - 100M BTU
X
512.00
=
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
535.00
=
'
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
. .
/
X
• 510.00
=
/p
RANGE
/
• %
510.00
=
7/713
14
DRYER
.y-
X
510.00
-
.V
15
FUEL BURNING WATER HEATER
/
X
510.00
=
/Oe
16
MISC. FUEL BURNING APPLIANCE
X
510.00
17
GAS PIPING (each outlet) -
_3
X
51.00
=
-7
J, "-
18
DUCT SYSTEMS
/
X
510.00
=
./O --
19
VENTILATING FANS
3
X
510.00
=
74 r
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
$10.00
=
23
TYPE I HOOD
X
550.00
24
TYPE II HOOD
/
X '
510.00
=
/d
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512.00
=
26
. AIR CONDITIONER
3-15 TON
X
520.00 -
_
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
560.00
=
30
LPG STORAGE TANK
X
510.00
=
31
WOOD OR PELLET STOVE/INSERT •
X
510.00
=
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
519.00
=
37
INCINERATOR - COMMERCIAL
X
522.00
=
METHOD OF PAYMENT:
0 CASH G.d'HECK ❑ VISA 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Mar US US US:SUa ESH lumwater IV/U3'd
1SbU7S4bUe5 p.
c--)E\VEI2 tz)Ei2MIT 1221 F42 TOAKIMI-1-17z
LOCATION 150 N. CtAti-,
0 1 fult1 patmats
)(Issue
candritims
0 Investigation red
.o Re -Inspection Cee
o OIlier •
co,‘,:,,,ist,t-rsOILXQ55Lie. Se.--)EIL_TEZin 11.• C it• tAPS tEE:AS ?Ai D AS VEIL Our!
ugptivson
1
MAR 09 2005 09:51
Oat
0& -
13607546025 PAGE. 02
ADDRESS
ZONE
ROAD WAN
FRONT
COMMENTS -
REVIEWED SY
FLANKING
,s/40 C.P_,-Tf.°
P41rATT
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands.
bodies of water, steep slopes or other critical areas.
Signed• /fie-- :Q,J
Date' .3 —O, -
•
/5
k
h
79'
'9$0p,
,e0A0
°No
- 2#2}
1
AA 15S /D /s/ ST
Ple,PERTy __V t
Lliy.e
2 i 55 /Z,v'ess Li t, 4./7-1
Sewet e 5e"e4f'
PANNING DEPT. APPROVED
I
BY.
DATE; 5
(no tblo
-LLX21,