2004, 02-17 Permit App: BLD-04-03565 Remodel*Wane
�►
4/.1/alley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
RESIDENTIAL ADDITION/REMODEL
222 S FLORA RD
GREENACRES WA 99016
18 X 18 KITCHEN & DINING ROOM ADDITION W/14 X 18 UNFINISHED
BASEMENT AND 5 X 24 BEDROOM CLOSED ADDITION ON CRAWL SPACE
(THIS PERMIT INCLUDES NEW KITCHEN PLUMBING)
Lot: Blk:
ROYER, RICHARD B & ALISSIA A
Application #: BLD -04-03565
Applied:
Issued:
Expires:
Parcel No: 45241.9102
ROYER, RICHARD B & ALISSIA A Phone: (509) 326-4195
222 S FLORA RD
GREENACRES, WA 99016
Phone:
Lic No:
Zoning:
02/17/2004
02/17/2004
08/15/2004
General Information:
VALUATION
REROOF
BUILDING HEIGHT TO PEAK
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
SINKS
DISHWASHER
GARBAGE DISPOSAL
36938
N
<15
1
EXISTING
100+
15
5
r-3
5-w
1
75 X 300
yes
no
1
1
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
SINKS
DISHWASHER
GARBAGE DISPOSAL
204.98
512.45
4.50
6.00
6.00
6.00
Total Calculated: 739.93
Deposits/Receipts: 0.00
Total Due:
739.93
CITY
APPROVED FOR SUBMITTAL
Building
Planning
Public Works
11 i
Initials /Date
•
THIS IS NOT A RECEIPT
ciimoua(U Cu lik-i-&_.)
!Wk U` <IAJ/ 040
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (509)688-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS: ZZ Z. S. ck') t!a- �
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION: LU/tC.yyvh\
,� tltloo ci (
PERMIT DESCRIPTION: &Icemen/ c ea. CO/ / f !� 4, Aco (,��rl� �A C€- to (QA ;
igtRUILDING PERMIT D CHANGE IN USE •10 GRADING
RELOCATION D SIGN DTENANT
D MANUFACTURED HOME
MOTHER-
OWNER
O HER
OWNER / APPLICANT INFORMATION
D OWNER:
'ecl u.'b/ .8 2fte
PHONE: c32-(0- L/I -I S FAX: 34/516 A(VA�
ADDRESS: 2 S rtx.
® C✓rty d�' . ekane (%tIley q CI ,STATE, ZIP
CONTRACTOR: 5/0/t'
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE #
APPLICANT:
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
ARCHITECT:
PHONE:
ADDRESS:
FAX:
CITY, STATE, ZIP
CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT: 30% SLOPES ON PROPERTY:
BUILDING HEIGHT TO PEAK: /5 "11 OCCUPANCY GROUP:
BUILDING DIMENSIONS: CONSTRUCTION TYPE:
NUMBER OF STORIES: STRUCTURES ON PROPERTY:
NUMBER of BEDROOMS: CRITICAL AREAS:
FLANKING SETBACK: CURRENT PROPERTY SIZE:
FRONT SETBACK: CURRENT PROPERTY USE:
REAR SETBACK: CURRENT SEPTIC USE: /< r5CLiL
LEFT SETBACK: CURRENT WELL USE:
RIGHT SETBACK: IMPERVIOUS SURFACE AREA:
MAIN FLOOR SQ FT:
2N0 FLOOR SQ FT:
UNFIN BASEMENT:
FINISHED BASEMENT:
GARAGE:
COVERED DECK:
DECK:
w„t cch tvN 6)0.41-ahy L7k/
A 5 erne/I
K Kik fii)19.
C -(2(Z14( /aW( la(e
116,'
t
METHOD 0
❑ CASH
fiTt OE
Spokane
,,,Valley
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
PROJECT
ADDRESS: Z Z Z- s c)o e4 Ru
DESCRIPTION
PERMIT
USE:
# OF UNITS
OWNER: etchct✓�l eo v�,k
COST
PHONE (Daytime Contact):
AMOUNT
MAILING ADDRESS:
S4mE- 4s ii-bvve
G- ir ,iSpo „e t/4//ey in/A-_
q`1 U / 10
(street)
(city/state) (ZIP)
$6
CONTRACTOR`_ p
! r
LICENSE #:
URINALS
MAILING ADDRESS:
PHONE #:
$6
-
(street)
(city/state) (ZIP)
PLUMBING FIXTURES
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6
-
2
URINALS
X
$6
-
3
TUBS
X
$6
-
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6
-
5
SINKS
LAVS/BASINS, BAR, FLOORaggiD
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
1
X
$6
-
6
DISHWASHER
/
X
$6
-
7
CLOTHES WASHER
X
$6
-
8
GARBAGE DISPOSAL
/
X
$6
-
9
WATER SOFTENER
X
$6
-
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
-
12
FOUNTAINS, DRINKING
X
$6
-
13
WATER PIPING/DRAIN-IN
WASTE, VENT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6
-
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6
-
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER, HOSE BIB,
STEAMER, PROOFER, CARBONATOR,
SWAMP COOLER
X
$6
-
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
-
17
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
_
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC. PLUMBING FIXTURE
X
$6
-
PAYMENT
CHECK
V!SA
,Fast
t_.__.- =.
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
IN ■
TOTAL PERMIT FEE DUE:
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
0,010A, pilA'Pn
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