2012, 11-30 Permit App: BLD-2012-2192 RemodelN'
Spokane
, . Valley
•
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter(aspokanevalley.org
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 ACCESSORY BUILDING
❑ NEW CONSTRUCTION 0 ADDITION/REMODEL
❑ DECK 0 OTHER
SITE ADDRESS: 1521 N. Farr Rd. Spokane Valley, WA 99206
ASSESSORS PARCEL NO.: 45172.0201 LEGAL DESCRIPTION:
BUILDING OWNER NAME: Scott Shake
NAME: Steven Scott Shake
ADDRESS: 1521 N. Farr Rd.
Clef: Spokane Valley
STATE: WA
Zip: 99206
PHONE: 406-531-4378
FAx: na
CELL: na
CONTACT NAME: Scott Shake
PHONE: 406-531-4378
FAX: na
CELL: na
CONTRACTOR NAME: Scott Shake
MAILING ADDRESS: 1521 N. Farr Rd. Spokane Valley, WA 99206
CIT„: Spokane Valley
STATE: WA
zip: 99206
PHONE: 406-531-4378
FAX: na
CELL: na
CONTRACTOR LICENSE No.: na EXPIRES: CITY BUSINESS LICENSE NO.: na
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
New 10%5o%A4.a+` Mew 0A-irer t«%4 Q?co#e w.r.re relbc,?.lte. beatk�
FM. v -r d work .
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak: „
I1 6
.
Dimensions: , A r
2e.x 4
No. of Stories:
1
Total Habitable 1516
Space:
Main Floor SQ FT: 758
Upper Floor SQ FT:
na
Unfinished Basement SQ
FT: y(7 S
Finished Basement SQ
FT: 350
Garage SQ FT:
22 . Sc)
Deck/Covered Patio SQ
nFT:
Impervious Surface
Area: (0'4.2
30% Slopes on r1
Property: 1 1 a
No. of Bedrooms: 2
Construction Type:t
Heat Source: forced air/wood
Sewer or Septic: sewer
TOTAL COST OF PROJECT: $—✓
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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 orocesweri
Effe er 28, 2007
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Page 1 of 2
ial Construction Permit
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Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
hcrinitccnier4� .pk:mr� alley ure
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial n Residential
SITE ADDRESS: 1521 N. Farr Rd. Spokane Valley, WA 99206
Building Owner Shake, Jennifer and Steven Scott
Name: Scott Shake
Phone: 406-531-4378
Fax: na
Address: 1521 N. Farr Rd.
City: Spokane Valley
State: WA
zip: 99206
Contractor na
Name: 406-531-4378
Phone: 406-531-4378
Fax: na
Address: City: State: Zip:
License No: City Business Lie:
Contact/Project Manager:
Name: Scott Shake Phone: 406-531-4378
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
1
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type va
MEDICAL GAS
INCEPTORS
❑CASH 0 CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc
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P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc
SPOkane
jVdley
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
perniiteentcr/a ppkancvallc^.org
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial El Residential
SITE ADDRESS: 552 k N• Vika R. SOc,k- w e- VW\2y co A X ci 2010
Building Owner 5 i./A i Scoter
Name: Scott Shake
Phone406-531-4378
Fax:
Address: 1521 N. Farr Rd
City: Spokane Valley
State: WA
zip. -99206
Contractor
Name: na
Phone: 406-531-4378
Fax:
Address: 1521 N. Farr Rd
License No:
City: Spokane Valley
state: WA
Zip: 99206
City Business Lic:
Contact/Project Manager:
•
Phone: d(1R_ . 1 -
['CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit
VIN:
NOV 3 2012
pplication oaA-i�9 PW M I T CENTER
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#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
it -
HEAT PUMP/AIR CONDITIONER
0-3 TON
AIR CONDITIONER
Over 3-15 TON
AIR CONDITIONER
Over 15-30 TON
AIR CONDITIONER
Over 30-50 TON
AIR CONDITIONER
Over 50 TON
GAS WATER HEATER
GAS PIPING SYSTEM (each outlet)
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp -100,000 BTU or less
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 - 15 hp - 100,001 to 500,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 - 30 hp - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 hp - 1,000,001 to 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 50 hp - over 1,750,000 BTU
AIR HANDLER (DOES NOT include ducting)
Each unit up to 10,000 cfm, including ducts
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
ii
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES
Range, Clothes Washer
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type 11
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--______—_-...—
-_-----
LPSTORAGE TANK
L P STORAGE
Project
WOOD OR PELLET STOVE INSERT
#��
-
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WOOD STOVE SYSTEM - FREE STANDING
I
RECEIVED
['CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit
VIN:
NOV 3 2012
pplication oaA-i�9 PW M I T CENTER
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CI A t Ater --
Project # 1.3(ci -12 -z /50
RECEIVED
MY
CSV PERMIT CENTER
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