2004, 04-30 Permit App: BLD-04-04230 Duplex*Wane�,
.00, 0Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
Job Address: 715 S FLORA LN
VERADALE WA
Description: NEW DUPLEX W/ATTACHED GARAGE - GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
GOOD SAMARITAN
J S KIRKLAND CO
4005 S BEST CT
VERADALE, WA 99037
J S KIRKLAND CO
4005 S BEST CT
VERADALE WA 99037
Lot:
Application #:
Applied:
Issued:
Expires:
BLD -04-04230
04/30/2004
10/27/2004
Parcel No: � ; ' &.J Zoning:
Phone: (509) 928-6414
Phone:
Lic No:
(509) 928-6414
JSKIRC*029J7
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
COST OF PROJECT
# OF STORIES
# OF BEDROOMS
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
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER PIPING/DRAIN-IN WASTE
CROSS CONNECTION DEVICE
SPRINKLER SYSTEM
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
HEAT PUMP/AIR COND 0 - 3 TON
dup
228958
17
77 X 77
200000.00
1
4
20
15
5
5
r-3
5-n
1
100 X 129
no
no
4
2
2
6
2
2
2
2
6
2
2
2
2
2
2
6
6
2
2
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER PIPING/DRAIN-IN WASTE
CROSS CONNECTION DEVICE
SPRINKLER SYSTEM
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
Valley
Total Calculated:
Deposits/Receipts:
Total Due:
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
REVIEWED FOR CODE COMPLIANCE initials,_ /Date
OKAJE VALLEY �UILDjNG DIVISION
686.46
1,716.15
4.50
24.00
12.00
12.00
36.00
12.00
12.00
12.00
12.00
36.00
50.00
30.00
20.00
20.00
20.00
20.00
6.00
60.00
24.00
2,825.11
0.00
THIS IS NOTA RECEIPT
40•0VaHey
Li130
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: '1/5 ' • 1r' LO Wit' L+`+
ASSESSOR'S TAX PARCEL NUMBER(S): '1v+11 WO i4
LEGAL DISCRIPTION:
L r 1. � c I, sEcnaim 24 I Tt z N t R 44Esi t�� M
Vr\ - P?- b6e Kul De
PERMIT DESCRIPTION:
2DUI[LDING PERMIT C] -CHANGE IN USE 0 GRADING a MANUFACTURED HOME
CI -RELOCATION
D -SIGN E TENANT
MOTHER
OWNER / APPLICANT INFORMATION
13 OWNER: 6oSob 411,44 SOCA CA f 0 APPLICANT:
Q
PHONE: _I 24-10
14 ! FAX: 9 14-10 1 404 PHONE: FAX:
ADDRESS: 1 i 1 21 C, 8T14 /WE- • 1‘pag wl: 1,0A-/
oleo jL CITY,STATE, ZIP
°CONTRACTOR: -.'i ra*-- J(I4b 0
PHONE: 91 -4350 FAX: 891-g71
ADDRESS: 5 S . BEST (4`4 ' VEtAOAt.G 1 GOA
eiA 031 CITY,. STATE, ZIP
WA ST CONTRACTOR LICENSE # J5 le -0z X 6241
ADDRESS:
CITY, STATE, ZIP
ARCHITECT: RIAJLICcitiir PAI -TN t41Pii
PHONE: €' 36'r 427 FAX:
r
ADDRESS: 1 lO Pa$r SUM DO(
CITY, STATE, ZIP
CONTACT: P I**t" 1144 20a
PERMIT/BUILDING INFORMATION
COST OF PROJECT: 2chb 1060
BUILDING HEIGHT TO PEAK: 11
BUILDING DIMENSIONS: I I 11
NUMBER OF STORIES: 1
NUMBER of BEDROOMS:
FLANKING SETBACK:
FRONT SETBACK: 2.0
REAR SETBACK:
LEFT SETBACK:
.5�
�!
RIGHT SETBACK:
151
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
CONSTRUCTION TYPE: UNFIN BASEMENT:
1
MAIN FLOOR SQ FT: 24794°
2ND FLOOR SQ FT:—
-
STRUCTURES ON PROPERTY:
CRITICAL AREAS: GARAGE: 1, 1 60 'Sf•
FINISHED BASEMENT:
CURRENT PROPERTY SIZE: COVERED DECK:
CURRENT PROPERTY USE: DECK:
CURRENT SEPTIC USE:
CURRENT WELL USE: JIM*
IMPERVIOUS SURFACE AREA:
*tam
*tam
Mechanical 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 DUPLE x
ADDRESS: 6 t5 Ss Ro 1 , Lto i
PERMIT
USE:
OWNER Goof) Skil AtIT soci Er/
PHONE (Daytime Contact): Ci 24 —telt, 1
MAILING ADDRESS: T ( 60 oza 1J
111 it E• sill- ?WE 6K5E-N Ae-tes 1 WA. /16i4
(street) (city/state) (ZIP)
CONTRACTOR: ^'C^ S ` I/ t�
lit tI �Cr`�D 64 .
LICENSE #: i bZi�.1
35�Nx
MAILING ADDRESS:
14665 S, BEST GT, Veit40A-t,S
PHONE #:
OM -43 -s(0
1 WA-, 9'9431
(street) (city/state) (ZIP)
METHOD OF PA
❑ CASH ❑ C
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
it OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
• OR < 100,000
2-
X
515
•
30
2
FUEL BURNING APPLIANCE
> 100,000
X
519
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
• OR < 400,000
X
$50
-
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
5100
•
5
USED APPLIANCE (WSEC min. AFUE rating)
• or <400,000
X
550
•
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
5100
•
7
BOILER/REFRIGERATION
1-100M BTU
X
515
•
8
BOILER/REFRIGERATION
101- 500M BTU
X
528
•
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
539
•
10
BOILER/REFRIGERATION
1001.1,750M BTU
X
557
•
11
BOILER/REFRIGERATION
+1750M BTU
X
595
•
12
GAS LOC, GAS INSERT, GAS FIREPLACE
-
Z
X
510
-
13
RANGE
-
L,
x
510
•
14
DRYER
-
2
X
510
•
IQ
0
15
FUEL BURNING WATER HEATER
-
2.
X
510
=
20
16
MISC. FUEL BURNING APPL.
-
X
510
•
17
GAS PIPING (ea. Outlet)
-
1.0
X
51
•
P
18
DUCT SYSTEMS
-
X
510
-
2.0
19
VENTILATING FANS
-
X
510
•
40
20
AIR HANDLER (DOES NOT indude ducting)
• OR < 10,000CFM
X
512
•
21
MR HANDLER (DOES NOT indude ducting)
> 10,000 CFM
X
519
•
22
EVAPORATIVE COOLERS
-
X
510
•
23
TYPE I HOOD
-
X
550
•
24
TYPE II HOOD
-
X
510
•
.
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512
26
AIR CONDITIONER
3-15 TON
X
520
•
27
AIR CONDITIONER
15-30 TON
X
525
•
28
AIR CONDITIONER
30-50 TON
X
535
•
29
AIR CONDITIONER
+50 TON
X
560
•
30
LPG STORAGE TANK
-
X
510
•
31
WOOD OR PELLET STOVE/INSERT
-
X
510
-
32
WOOD STOVE - FREE STANDING
-
X
525
•
4ENT
.�5
SUBTOTAL
JI !0
Z14-0
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE: 2.'15
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
ETHOD 0
CASH
LTE:
S#61ia
.00 -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 �/L l) P LE 1L
ADDRESS: L 15 5. FL.0 . Lm,
PERMIT
USE:
OWNER: LC, t)SMAAVTAO Socter4
PHONE (Daytime Contact):
MAILING ADDRESS:
17121 t-. $T4 Irv6, QLc-S-14 W. -11C --S I WA-, gq'a
(street) (city/state) (ZIP)
CONTRACTOR , 7 ` Mme-
` 1 ` (p t��D d
F�1-
LICENSE t: as K i pC t o z .
MAILING ADDRESS:
14°65 S • St -ST C.T• V
PHONE #: $-71..... 14,3 sip
1 LO -t o31
(street) (city/state) (ZIP) '
PLUMBING FIXTURES
NKCARD NUMBER
THORIZED SIGNATURE:
DESCRIPTION
DETAILS
It OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
T
X
$6
-
Vi -i-
2
URINALS
X
$6
-
3
TUBS
2
X
$6
-
12
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
2
X
$6
-
1 2.
5
SINKS
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
42
X
$6
-
3(o
6
DISHWASHER
2.
X
$6
-
11
7
CLOTHES WASHER
2
X
-
12.
8
GARBAGE DISPOSAL
2.
X
=
, Z
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
-
12.
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
RP.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6
-
` _
343
W
17
SPRINKLER SYSTEM
2.
X
$2s
-
5c)
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
$6
-
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC. PLUMBING FDCI'URE
X
$6
-
PAYMENT
j CHECK
I
, 5c_PLUS
SUBTOTAL:
2-1 5
PROCESSING FEE:
$35.00
❑ NM= III__
TOTAL PERMIT FEE DUE:
25 3
NKCARD NUMBER
THORIZED SIGNATURE:
ADDRESS 746 s F/c rc L
ZONE (�(
ROAD WIDTH 22t)
FRONTO FLANKING
COMMENTS c'
REVIEWED BY
t IP'
LIT I B Lb6 (
6 T1,a,N 24,Ti 25' 4ij
R1 E.` W, M,
(14-5
P+5{
tae
This sfls pan is being submitted for the purpose of
obtaining a building permit and is a true and correct
rspresentaf on of the proposal. An known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of a sr,, steep sfo r critical areas.