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2007, 05-15 Permit App: 07001767 Addition
Project Number: 07001767 Inv: '1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/15/2007 Page 1 of 2 Project Information: Permit Use: RES ADD Contact: POOL, MIKE Address: 11723 E EMPIRE AVE C - S - Z: SPOKANE, WA 99206 Setbacks: Front ' Left: Right: Rear: Phone: (509) 280-1197 Group Name: Site Information: Project Name: Plat Key: 000000 Name: Range District: Nort Parcel Number: 45044.0819 Block: Lot: SiteAddress: 11723 E EMPIRE AVE Location:: CSV Zoning: UR -3.5 Urban Residential 3.5 Water District: 026 IRVIN Area: 1,760.00 Acres Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Owner: Name: POOL, MIKE Address: 11723 E EMPIRE AVE SPOKANE, WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Septic Sys Review sw ww nRele�as 1 Landuse/Zoning/HE Conditions Permits: ;Release( Operator: JD Printed By: JD Print Date: 5/15/2007 05/15/2007 11: 02 5093241567 SHHD EHS 111)`r 15 2007 11 : 30 FR COSU PERMIT CENTER 5096880037 TO 3241567 Project N ter 1.1 r: 07001767 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Prowl. 416 •nnation: PAGE 01 P.03/04 Date: 5/15/2007 Page 1 of 2 Permit Ilse: RES ADD Setbacks: I root Left: Right: Rear: Site Jgfon n ation: Contact: POOL, MIKE Address: 11723 E EMPIRE AVE C - Z: SPOKANE, WA 99206 Phone: (509) 280-1197 Group Name: Project Name: Plat K.(:): 000000 Name: Range District: Nort Parcli Number: 45044.0819 Block: S teAddress: 11723 E EMPIRE AVE Location:: CSV Zoning UR -3.5 Urban Residential 3.5 Water District: 026 IRVIN : Area: 1,760.00 Acres Width0 NbrofBldgs., 0 Nbr ofDviellings: 0 Review Lgt•mation • — - -- Revie v BiiilJiag Plao Review Lot Owner: Name: POOL, MIKE •• Address: 11723 E EMPIRE AVE ' SPOKANE, WA 49206 Hold: 0 Depth: 0 Right Of Way (ft): 0 Sept ie Sy Aeview , r , „› I' • •-• • • • SEVE SM% • e4C,5 ()KY, • L911(11: se/Zoning/11 L Conditions Permits- • I!ily4; 1(396:.2, tr-, 0,.+ 14. • '> • • • 41.•'! OpentN: JD Printed By. JD Print Date: 5/15/2007 MAY 15 2007 12:00 5093241567 PAGE.01 Project Number: 07001767 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/15/2007 Page 2 of 2 Building Permit Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VB 960 $87,705.60 960 $87,705.60 c oV rP4-rw R-3 1/4/g e ` Totals: 960 $87,705.60 960 $87,705.60 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $909.75 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW < 7999 SQ FT 1 SELECT $363.90 Contractor: OWNER Item Description TOILETS/BIDETS SINKS SHOWERS TUBS Notes: Permit Total Fees: Plumbing Permit Firm: OWNER Phone: (000) 000-0000 $1,278.15 Units Unit Desc 1 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Fee Amount $6.00 $12.00 $6.00 $6.00 $30.00 STOP WORK ORDER PLACED IN THE 12200 BLOCK OF EAST PORTLAND. PLACEMENT OF MANUFACTURED HOME Payment Summary: z ,.,: ,: ;, ,., a,s. ,.. Permit Type Building Permit Plumbing Permit Fee Amount $1,278.15 $30.00 Invoice Amount $1,278.15 $30.00 Amount Paid $0.00 $0.00 Amount Owing $1,278.15 $30.00 $1,308.15 $1,308.15 $0.00 $1,308.15 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: JD Printed By: JD Print Date: 5/15/2007 Project Number: 07001767 Inv: 1 Application THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Date: 5/15/2007 Page 1 of 2 Project Information: Permit Use: RES ADD Setbacks: Front Contact: POOL, MIKE Address: 11723 E EMPIRE AVE C - S - Z: SPOKANE, WA 99206 Left: Right: Rear: Phone: (50) 280-1197 Group Name: Project Name: Site Information: Plat Key: 000000 Name: Range District: Nort Parcel Number: 45044.0819 Block: SiteAddress: 11723 E EMPIRE AVE Location:: CSV Zoning: UR -3.5 Urban Residential 3.5 Water District: 026 IRVIN Area: 1,760.00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Lot: Owner: Name: POOL, MIKE Address: 11723 E EMPIRE AVE SPOKANE, WA 99206 Hold: ❑ Review Building Plan Review Release Septic Sys Review Released B Landuse/Zoning/HE Conditions Permits: Operator: JD Printed By: JD Print Date: 5/15/2007 Spokane • Valley- Community Development Residential Construction Permit Application Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WAA99206r cr Vi (509)688-0036 FAX: (509)688-0037 www. spokanevalley org D MA ew Construction Accessory Bldg DA�dd tion/Remodel n Deck 0 Other: PERMIT NUMBER: r76,01 PERMIT FEE: SITE ADDRESS: // '7 a 3 ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building • Qwner,_ Name: %%G{:G ( D / Address)/ 9 'State:Vn Zip: 99;zQb PhTo? , .2(g o . 11 9 Fa �09) 922• ifrg City✓.,. :9(arx ' Contact Person;;; Name: Phone: Contractor: Name: Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: Describe the scope of work in detail: Cost of Project: $ 74) 08 DD/770A/ 7a b-VisTiNn l-1-dvSE pLu5 OAJe r,4 -77o 4-/t9 ve--- jo2i / Proposed Use: /► lit JCS 40411 &Gri A/l t gA- N- q1 C6'575 **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: /3'l �� DIMENSIIIO�NS: # OF STORIES:� TOTAL HABITABLE �� ABLE SPACE: MAIN FLOOR TO SQ. FTG: 2"D FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE AREA: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON PROPERTY: # OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? 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 information may be required to be submitted, and subsequently approved before this application can be processed. SIGNATURE: Method of Payment: ❑ Cash Bankcard #: Authorized Signature: REVISED 2/15/07 ❑ Check ❑ Mastercard Expires: DATE: / o ' 07 ❑ VISA VIN#: Permit Center Spokane 11707 E Sprague Ave, Suite 106 Valley Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development www,spokanevallev.ora Plumbing Permit Application ❑ -Commercial PERMIT NUMBER: PERMIT FEE: Residential SITE ADDRESS: j 9 3 Ac- Building Owner • Fax:. > / Name: m i Gha e / P7 Phon s5,q) o? so�%' /1 97 o - 9.22_ ma9,:;, g' J, City Sp® h., // /� State: Zip:59.g©G Address A.—�t/,� a Contractor Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS . WATER CLOSET, BIDETS / . X $6.00 = Le 2 URINALS X $6.00 = 3 TUBS / X $6.00 = (Le 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT / X $6.00 = et 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X $6.00 = 12, / 6 DISHWASHER X $6.00 = 7 CLOTHES WASHER 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 NSTALLATION, 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 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 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR .. X $15.00 = METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES: Card# VIN: SUBTOTAL 3fl PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: G S O AUTHORIZED SIGNATURE: REVISED 8/26/05 329' .4- AOSTA 1E1' oveRt-lEA9 gneVITOP.WAY •-••• ro' -- s T vlikE At( ci-laR. PoLE o FT. 14' - *Pogo: LwN6 M&A 76c; CoVERIO /3417Lc // • , • x I • to. 4Xtsrie riouSE- / r/, /e)I 7 Set Fr 31' • 381 egssPistoi. /7' nwkRED Pedacol /70 SP 6891' /Ge SToRAGF 203, SFr E. &-iviPixEs WAY I0' rr GARACx 1,13 Sag; /k -2I&1- ,14 GKAYEZ. lel NoRrit SIT Pl..M1 NUKE' 'Poo 1/723 E. EMPIFT WAY P91(ANE. YAW? W'4.. LOT 31,ZE 10 320t a• Pt. = ,53,170 PLANNINGDM. APPROIRD Mehl\ thfi A (4 in A la U1/0