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2004, 06-30 Permit App: BLD-04-04789 Residence
' THIS IS NOT A PERMIT Q1 of, Penalties will be assessed for ,t,.� >�,. �. �. Valley commencing work without a permit NEW SINGLE FAMILY RESIDENTIAL 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Application #: BLD -04-04789 Job Address: 17116 E DAYBREAK LN Applied: 06/30/2004 GREENACRES WA 99016 Issued: Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Expires: 12/27/2004 Subdivision: Lot: Blk: Parcel No: Zoning: Owner: MCDONALD, GARY D & SANDRA J Applicant: MCDONALD, GARY D & SANDRA J Phone: (509) 926-2175 Address: 2412 S SUNNYBROOK LN VERADALE, WA 99037 Contractor: Phone: Address: Lic No: General Information: Fees: TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 764.86 VALUATION 263394 TYPE II HOOD 10.00 BUILDING HEIGHT TO PEAK 27 BASIC PERMIT FEE 1,912.15 DIMENSIONS 47'6" X 74 WSBCC SURCHARGE 4.50 # OF STORIES 2 TOILETS 24.00 # OF BEDROOMS 3 TUBS 12.00 FRONT SETBACK 30 SHOWERS 6.00 REAR SETBACK 101 SINKS 54.00 LEFT SETBACK 14+ DISHWASHER 6.00 RIGHT SETBACK 12 CLOTHES WASHER 6.00 OCCUPANCY GROUP r-3 GARBAGE DISPOSAL 6.00 CONSTRUCTION TYPE 5-n FLOOR DRAINS 6.00 STRUCTURES ON PROPERTY 1 WATER USING DEVICE 12.00 CURRENT PROPERTY SIZE 18919 FUEL BURNING APPL <= 100,000 15.00 SERVED BY SEPTIC SYSTEM no GAS LOG, INSERT, FIREPLACE 10.00 WELLS LOCATED ON PROPERTY no DRYER 10.00FUEL TOILETS 4 BURNING WATER HEATER 10.00 TUBS 2 GAS PIPING 3.00 SHOWERS (PER TRAP) 1 VENTILATING FANS 40.00 HEAT PUMP/AIR COND 0 - 3 TON 12.00 SINKS 9 DISHWASHER 1 Total Calculated: 2,923.51 CLOTHES WASHER 1 Deposits/Receipts: 0.00 GARBAGE DISPOSAL 1 FLOOR DRAINS 1 al Due: CITY OF SPOKANE VALLEI� 2,923.51 WATER USING DEVICE 2 APPROVED FOR SUBMITTAL -apoeo� FUEL BURNING APPL <- 100,000 1 XV'dky GAS LOG, INSERT, FIREPLACE 1 '.,,,, Initials D VIE IED FOR CODE COMPLIANCE DRYER 1 SPO LLEY BUIL I G Building D SIO FUEL BURNING WATER HEATER 1 / © /� GAS PIPING (ea. OUTLET) 3 v� VENTILATING FANS 4 Planning TYPE II HOOD 1 ^ HEAT PUMP/AIR COND 0 - 3 TON 1 Public Works 4 I THIS IS NOT A RECEIPT PillsE C E I a Ni 2 9 2004 BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department Building Division i 707 c. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Pr__1 Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: Assessor's Tax Parcel Number(s): Legal Description: Loi j�3 bik q 41 11071)z PERMIT DESCRIPTION: 0 Building Permit ❑ Change in Use ❑ Grading 9 El Manufactured Home ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION �] Owner: / Phone: Fax: Address: ozzll���,�,� MAIN FLOOR TO SQ jTG: t_)c9 / City State Zip Code ❑ Contractor: /Z ; DECK/COV.. FTG Phone: ax: Address: OCCUPANCY GROUP: City State Zip Code WA State Contractor License #: Li Applicant. Phone: Address: City ❑ Architect: Phone: Address: City Contact: PERMIT/BUILDING INFORMATION Fax: State Zip Code Fax: State Zip Code HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: MAIN FLOOR TO SQ jTG: 2 FLOOR SQ. FTG: UNFIN BASEFTG: �1D FINISHED BASEM T SQ. FTG: GARAGE SQ. FTG: /Z ; DECK/COV.. FTG OCCUPANCY GROUP: HEAT SOURCE: CONSTRUCTION TYPE: C-jex�l2 • s # OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC .rL Lr L-0 1— SYSTEM? S_ ;,�� r' %li PLUMBING PERMIT APPLICATION S"pokane City of Spokane Valley Community Development Department BuildingDivision ;00%fley 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Project Address:/ %//lp G Permit Use: Owner: Phone (Daytime Contact): ` Z17 Mailing Address: /Z c �-'�r�r �1►'�!'G �A) &_e t [ K9.3, 127 City State Zip Code Contractor: a License #: Mailing Address: City Phone #: State Zip Code BANKCARD AUTHORIZED SIC # OF TOTAL DESCRIPTION OF WORK UNITS X COST = AMOUNT 1 TOILETS WATER CLOSET, BIDETS Z- X $6.00 = 2 URINALS X $6.00 - 3 TUBS X $6.00 = 4 SHOWERS PER TRAP BATH, STALL, ON-SITE BUILT X $6.00 = 5 SINKS LAVS/BASINS, BAR, FLOOR, 3 KITCHEN, LAUNDRY, UTILITY, X $6.00 = JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY/MEAT 6 DISHWASHER 1 X $6.00 - 7 CLOTHES WASHER X $6.00 = 8 GARBAGE DISPOSAL l 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, X $6.00 = CONDENSATE 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION, ALTERATION, X $6.00 = VENT, PLUMBING, REVERSAL REPAIR, REVERSALS 15 SEWAGE EJECTOR GRINDER SUMP PUMP X $6.00 - 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, X $6.00 = CARBONATOR, SWAMP COOLER 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: X $6.00 = VATS, TANKS, BOILERS 18 INTERCEPTORS GREASE TRAP, SAND TRAP, X $6.00 = CHEMICAL HOLDING TANK 19 MEDICAL GAS r outlet NITROUS, OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = METHOD OF PAYMENT: I SUBTOTAL PROCESSING FEE $35.00 ❑ CASH CH_E/CK ❑ VISA ❑ MASTERCARD DATE: t fj �Z / �U w EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD AUTHORIZED SIC Valley Project Address: Owner: Mailing Address: Contractor: Mailing Address: License #: MECHANICAL PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Permit Use: Phone (Daytime Contact): City State Zip Code Phone #: City State Zip Code AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X TOTAL COST = AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $15.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $19.00 = 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 $15.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $28.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $39.00 = 10 1 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $57.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $95.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 = 13 RANGE Yj C ( X $10.00 = 14 DRYER 6 lo L l X $10.00 = 15 FUEL BURNING WATER HEATER �^ X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING each outlet) �1 X 1 $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 $19.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE II HOOD X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 1 $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 1 $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 - METHOD OF PAYMENT: ❑ CASH ❑ CHECK ❑ VISA ❑ MC CARD #: DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: