2005, 11-07 Permit App: 05004208 AdditionProject Number: 05004208 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/07/2005 Page 1 of 2
Project Information:
Permit Use: ADDITION OF BATHROOM TO DETACHED Contact: HAMMA, DONALD R & LAURA A
SHOP Address: 1506 N FELTS RD
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 927-0257
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: RANGE
District: Nort
Parcel Number: 45171.0405 Block:
SiteAddress: 1506 N FELTS RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: HAMMA, DONALD R & LAURA A
Address: 1506 N FELTS RD
SPOKANE VALLEY, WA 99206
Hold: ❑
Area: .00 Acres Width: 180 Depth: 350 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Plan Review
Released By:
Sewer Review
Released By: --
Permits:
Operator: CJJ Printed By: CJJ
Print Date: 11/07/2005
Project Number: 05004208 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/07/2005 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
GARAGE S-2 VB BATHROO 0 $3,000.00 0 $3,000.00
M ADDN
Item Description
RESIDENTIAL PERMIT FEE
CHANGE OF USE/SAFETY INSP
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 0 $3,000.00 0 $3,000.00
Units Unit Desc Fee Amount
1 SELECT $83.25
1 SELECT $47.00
1 SELECT $4.50
1 SELECT $52.10
Permit Total Fees:
Mechanical Permit
$186.85
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Plumbing Permit
Contractor: MILTON J GAILEY Firm: MILTON J GAILEY
Address: PO BOX 456 Phone: (000) 000-0000
FAIRFIELD, WA 99012
Mites-
Payment
otes
Payment Srrnm:arP•
Permit Type
Building Permit
Fee Amount Invoice Amount
$186.85 $186.85
Amount Paid
$0.00
Amount Owine
$186.85
$186.85 $186.85
$0.00 $186.85
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information -
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CJJ Printed By: CJJ
Print Date: 11/07/2005
nn, �r Permit Center
Spokane
11707 E Sprague Ave, SuitI0
coot* `[ Tal1e Spokane ley, FAX:WA (509)
V 11 y (509)688-0036 (509)
Community Development www.spokanevalley.om.co
Residential Construction
Permit Application
E C ISS u V/ E
r
037 OCTa ;f 1,.3
o New Construction
Addition/Remodel
o Other:
EERMiTSRM
TER:kii"I? EE -N
o Accessory Bldg
o Deck
SITE ADDRESS /5-O b / " - Fat) ^pi ) a !Q,/4 I to
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: /
Butldm g _owner-_
Co-ntraciort..--
�Y�i SRta-' S =ls:'
= A
'.-
_ _-_-_ . ,-
W tet- `—
l
Name -a-Pia%
14-06.---"'"'"--
Address:
Address: 1 Sot (
it o-n.nuz
/1/,''1itat C- 34r
City:. �wJll WL Zip: 79 ale -•a. SSs
(f�
Phone: 9q0-$'/ o 'Fax: 9Z8– 8671
EGontact:rl . r i
Name.
Phone: 990 -S (60
Describe the scope of work in detail
n � Cost of Project: $ 3,Q`op. orl
Oe -4")-24 .' 1
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAj/4
/7
Co-ntraciort..--
�Y�i SRta-' S =ls:'
—.
-.3 � � 3 �� Y.:ars
Name: 0A4r74.21l
2" FLOOR SQ. FTG:V
Address:
IMPERVIOUS RFACE
AREA: /
��j%
City:
Zip:
Phone:
Fax
Lie No:
Exp. Date:
City Business Lic No:
SEWER OR SEPTIC?
- Sairto
n � Cost of Project: $ 3,Q`op. orl
Oe -4")-24 .' 1
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAj/4
/7
DIMENSIONS: „ %
# OF STORIES: n // n
TOTAL HABITABLETSBACE:
MAIN FLOOR TO SQ.
FTG:
2" FLOOR SQ. FTG:V
UNFIN BASEMENT SQ. FTG:/
IMPERVIOUS RFACE
AREA: /
��j%
FINISHED BASEM.��
GARAGE Q. FTGA
DECK/COV. PATIO :
/ a
30% SLOPES ON
PROPERTY: / �/�
# OF BEDROOMS/I / 4
�/
mm�, wuwvri
CQNSTRU�CTS?N
o u Ir– _
HEAT SOURCE: t J
C
SEWER OR SEPTIC?
- Sairto
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
—t#tis applieat'
an -be -processed.
Signature
Date l0 – a 8 - os
Method of Payment (Faxed permit applications will only be accepted with major bankcad)
❑ Cash 'F,d Check ❑ Mastercard ❑ VISA
Bankcard #: 1� Expires: VIN#:
Authorized Signature:
REVISED 8252005
0 Other
r.
Permit Center
Sp61(n Lem 11707 E Sprague Ave, Suite 106
alley Spokane Valley, WA 99206
®s V (509)688-0036 FAX: (509)688-0037
Community Development www spokaneval lev.oi e.com
Plumbing Permit Application rl Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: KO 4 N, (QX 1 %Tek, l
ketenk
Building owner .1.
6, 0 QJ 4{Q/rn.__vr -_ _ .
. : .,. .. - ' .. .. _ • _ . .. _
Name:
X
COST
Address: 15"2436S
SPhone:
n jQ WO—
City' State: Wj/ Zip' eli zit- ass -sr
-Contractor
'-- I
.`
_-
Name:
\%�f�1�
d;"�:.
Phone: a,g3 - i �j 0 O Fax:
Address:
2
City: State: Zip:
License No:
City Business License No:
.Contach
.�-._. -'4�_atJ:�':•-.: .__-.
_-.. _Ei: .: �_ l.� �x •t..
_.g_
Name:
TUBSX
Phone -
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
%
X
$6 00
=
(p, et
2
URINALS
X
$6 00
=
3
TUBSX
$600
=
4
SHOWERS (PER TRAP)
BATH, 0, ON-SITE BUILT
/
X
$6 00
=
6.ac
5
SINKS
LAVS/BASI A -, FLOOR, KITCHEN,
[ -
X
$6 00
=
//
(O-�
LAUNDR UTILI , JANITOR, PHOTO,%
X-RAY, FOOD, PREP/CULINARY MEAT
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
1
X
$6.00
=
,O -d
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
NSTALLATIO • LTERATION, REPAIR,
' EVERSALS
/
X
$6 00
=
w
t0
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
$600
=
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 DISPOSAUSVS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
y�
0 CASH -pp CHECK 0 VISA 0 MASTERCARD
Card# /, EXPIRES.
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Spokane
1 1 Valley
Community Development
Mechanical Permit Application ❑ Commercial
Permit Center
11707E Sprague Ave, Suite 106
Spokane Valley, WA 99206 ,
(509)688-0036 FAX: (509)688-0037
www.spokanevalley or cora
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: 50 6 Ali /-z& Roe
Building opw�ner
V
I' 6-
Name: ZJ.eic.rtild
4_r-tL..
Phone: 990 —j,TT Wv Fax: 9t- - 36
'p
%7
Address. /5-21
A/. GGQM.G-'X..t.L go .01�,C-36�
��e///,,
City) Liss( j/a 2L7 State: ("it
Zip: �j2/Z-a
-Contractor
J
/
Name:
Phone
Fax:
Address:
City-
State:
Zip:
License No:
City Business License No.
Contact
'.,
_�.- .. ,..,
.. .:r-'.-., : ...:+".;.',•d.,
•- --
. .. �S;�:r. _. �- .- -- -. -.,
.._. :.
Name:
Phone:
DESCRIPTION OF WORK
11 OF UNITS
x
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
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
$50.00
6
USED APPLIANCE (WSEC min AFUE rating)
More than 400,000
X
$100 00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12 00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20 00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25 00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35 00
11
BOILER/REFRIGERATION
More than 1.750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
$1000
14
DRYER
X
$10 00
15
FUEL BURNING WATER HEATER
X
$10 00
16
MISC FUEL BURNING APPLIANCE
X
$10 00
17
GAS PIPING (each outlet)
X
$1 00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater Than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10 00
23
TYPE HOOD
X
$50 00
24
TYPE II HOOD
X
$10 00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12 00
26
AIR CONDITIONER
3-15 TON
X
$20 00
27
AIR CONDITIONER
15-30 TON
X
$25,00
28
AIR CONDITIONER
30-50 TON
X
$35 00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
819,00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
DCASH IB CHECK ❑ VISA 0 MC
CARD it
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
835.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
3-s
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& laundry
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Pitt:NIDE DIAGRAMS AND
c_NC;INEERING LAYOUTS FOR
Ri)oF TRUSSES, BEAMS AND
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INSPECTIONS
CITY COPY
THIS BUILD NG SUBJECT
TO FIELD INSPECTION CORRECTIONS
REViEWEd FOR CQOE GOMPUANCE
SPdKANE %/Atte( c G DWISION
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