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2004, 07-12 Permit App: BLD-04-07166 Residence*Wane .00Valley 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: 2 2- ' V / /]a s C Assessor's Tax Parcel Number(s): 2 S J- Lig N C/ 7 Legal Description: {'/'J d,ei,>,,v f r, s2 -c / Sr Lor b g, J k 3 PERMIT DESCRIPTION: Building Permit Relocation ❑ Change in Use . ❑ Grading ❑ Tenant Improvement ❑ Fire Safet ❑ Manufactured Home Pei W E OWNER/APPLICANT INFORMAT D ❑ zCwner: eip a ,'v k , PA- s. -e ❑ Applicarto / Phone: g G - c/7S3 Fax: Phone: Address: 30 , o S A's tj- 6 Z- Address: 000,C 1/4//ew 4- . 9'06 City State Zip Code City VContractor: w Pi e✓�-- a /c551_ ❑ Architect: Phone: _ Fax: Phone: Address: Address: _LUI 12 7004 State Zip Code Fax: City State Zip Code City - State Zip Code WA State Contractor License #: Contact: r/ / w .S% EBL 4J 9 25- -/6 9$ Zl oJ, S2,o e,2 u is o/L PERMIT/BUILDING INFORMATION HEIGHT TO PEAK3 D r DIMENSIONS: 5,7- / �� # OF STORI9: MAIN FLOOR TO SQ. : //L0 2"" FLOOR SQ. s UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT Q. FTG: -27/4- GARAGE SQ: FT 7d DECKJCOV. PATIO SQ. FTG: N/pt OCCUPANCY GROUP: SG ice--- CONSTRUCTION TYPE:HEAT WoocV G,e6,ne� SOURCE: 9,¢S # OF. BEDROOMS: 1 TOTAL HABITABLE SPACE: 2 2 7 V IMPERVIOUS SURFACE AREA: ---- COST OF PROJECT: i/Coaa 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? -?- MANUFACTURED HOME Width: Manufacturer: Length: Year: Pit Set: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: Tent: # of Heads: Fire Alarm: Paint Booth: Fireworks Display: Blasting: Date/Time: Valuation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: ; ''I ;l `I (.- Phone: Fax: Address: it City State Inspector: Phone: Fax: Address: • City State Zip Zip SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE Firm Name: ❑ REINFORCEMENT ❑ WELDING Phone: Fax: Inspector(s): 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. 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. ". Ownership of resultingsdevelopment�rights'granted by any issued permit inure to the property owner. (J/�//s.✓ � .S "rif -e_ Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) Print Name ❑ Cash ❑ Check El Mastercard El VISA ❑ Other Bankcard #: Authorized Signature: Expires: VIN#: 4,Valley 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 Permit Use: Project Address: ;2'Z /7114 M_Sk Owner: GS 2 / 4^' , 4S I: -a Mailing Address: -3 o / o ,C-' P, N .er dd to S,o G 6,i i+- 9C-2-0 6 . City State Contractor: License #: Phone #: Mai ing Address: 2 - Phone (Daytime Contact): Zip Code State AUTHORIZED SIGNATURE: Zip Code 3 Z b Ny DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100 000 X 515.00 = 2 FUEL BURNING APPLIANCE More than 100,000 / X $19.00 = /' /7 - 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 350.00 = 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400 000 X 5100.00 _- 7 BOILER/REFRIGERATION 1 - 100M BTU X 515.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X 528.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X 539.00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X 357.00 = 11 BOILER/REFRIGERATION Mare than 1,750M BTU X 595.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE / X " 510.00 = /0 13 RANGE X 510.00 = ' 14 DRYER X 510.00 = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X 510.00 = 17 GAS PIPING (each outlet) 3 x $1.00 = .3 - 18 DUCT SYSTEMS / X $10.00 = - ---- 19 19/ VENTILATING FANS 17/ X 510.00 = �/0 12 20 AIR HANDLER (DOES NOT indude 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 $19.00 = / 9 -: 22 EVAPORATIVE COOLERS X 510.00 = 23 TYPE 1 HOOD X 550.00 = 24 TYPE II HOOD . / X 510.00 = /0 25 HEAT PUMP/AIRCONDITIONER 03 TON X 512.00 26 AIR CONDITIONER 3-15 TON / X 320.00 = 02 0 27 AIR CONDITIONER 15-30 TON X 32500 = 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER More than 50 TON X 360.00 = 30 LPG STORAGE TANK X 510.00 = 31 WOOD OR PELLET STOVE/INSERT X 510.00 = 32 WOOD STOVE - FREE STANDING X 325.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA 0 MC raon a DATE: SUBTOTAL PO PROCESSING FEE 535.00 EXPIRES' TOTAL PERMIT FEE DUE: / 7,5 AUTHORIZED SIGNATURE: Zip Code 3 Z b Ny Spokane jMalley 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 Project Address: 09,1 /1-/ 61--5 Permit Use: Owner: go , :-✓ � A-Sk--e- Mailing Address: So / 0 6 Phone (Daytime Contact): City State Contractor: 0/A.),} e -,L &COet2_ License #: 77//9- Phone #: Mailing Address: %o 6390 t3 o ,O -e, Coo& City State Zip Code BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code v DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 3 X 56.00 = fd 2 URINALS X $6.00 = 3 TUBS .2--- X $8.00 = / 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 / f� X $8.00 = 36 " 6 DISHWASHER ( / X 56.00 = /2 7 CLOTHES WASHER / X 56.00 = // b 8 GARBAGE DISPOSAL ( X 58 00 = (J 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 56.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X 58.00 = 13 FOUNTAINS, DRINKING X 58.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL INSTALLATION, 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 = / L, !!!/// 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND RP.B.P.D. FOR VATS, TANKS, BOILERS X $6.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 56.00 = 19 MEDICAL GAS (per oat) NITROUS, OXYGEN X 56.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X 56.00 = METHOD OF PAYMENT: ❑ CASH 0 CHECK 0 VISA 0 MASTERCARD DATE EXPIRES: SUBTOTAL 141 r PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: /.1-5::D 0 BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code Parcel: 45251.1106 Owner: SULLIVAN HOMES, INC CoOwner: Owner Address 3004 N SULLIVAN RD STE A SPOKANE WA 99216 Site Address 2214 S DUSK VERADALE Legal Description MORNINGSIDE PHASE I, P.U.D. LT 6 BLK 3 Notice: This is not a legal document. Data depicted on this map is general 8 subject to constant revision. It is intended for reference use only. Legal documents should be obtained from the appropriate agency. r/ IIS Zig c f~sk PLANT !G DEPT. APPROVED BY; DATE 7 Obtaining a builslte plan ding subtitled tor the purpose of nntation lcon9 permit and is a true and cornet Mies/dimensions. curb lines. strructur ll kande bate been identified. Also red end edea bodies of w:: r. steep a so indketad are wareas. . ,,_._�.__...... criticalcriticall areae. Signed: Day b2_0�K %y 'dor fi/ ,2600 5rtneI N6M�- H ih e Qs� c- Sp rc 1.1202 11404'. 1.1010 Mas Production Date: Asril 21 2003 RAP HI C I NF ORMAT I ON SYSTEMS R44E.W.M. ated Map (CONTROL OFFICE PURPOSES ONLY NOTICE: The information shown on this map is compiled from various sources, and is not warranted as to its accuracy. Users are reminded that Legal Documents must be obtained from the appropriate agency. F SCALE. ,1111 200 100 0 100 200 OP 26 24 y„„ NW sw SE 36 30 y4-/ NEyt