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2013, 02-26 Permit App: BLD-2013-0294 Addition, RemodelSpokane e jvalley• • Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: 7Lb 57 - Fax: (509) 688-0037 permitcenterlfsookanevalley. orq RESIDENTIAL CONSTRUCTION PERMIT APPLICATION o NEW CONSTRUCTION El ADDITION/REMODEL ❑ DECK 0 OTHER SITE ADDRESS: /(305 (ztarP At )e ASSESSORS PARCEL NO.: lig 0ga, fa/e, LEGAL DESCRIPTION: 0 ACCESSORY BUILDING BUILDING OWNER NAME: NAME: ADDRESS: CITY: e 133.r &P 11305 Aran a A „„e„, (foxy-, �� f -19p IL rl PHONE: CONTACT NAME: (/� r. p Fax: re STATE: >6t.._ CELL: zip: (--(, C.L(j 522q-Z7o 3”7 PHONE: c _ C/q ?, - 7 Z3 FAX: /� p CONTRACTOR NAME: 1 ) Ftn e e I �e-ikvjre CELL: Zo& — /be, - ©c>7 ZZ MAILING ADDRESS: �'Z(?) c E r f>a_C L- GT CITY: PHONE: 5-'047 ( -T- %' -3 (�? FAX: STATE: CELL: ZIp: L`LL CY LI p Zoll-- 7o & — CONTRACTOR LICENSE No.: Y NP P DI I O3NLEXPIREs: a _3, - I y CITY BUSINESS LICENSE NO.: %j 7L DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: �j�-uf O✓5 D.- +1.,F i3Ar C IS k'39 . C-7 rs �1 N e Kt' -�clt (,.k lj erg r -e .oN.. 3r .act A ro n 0.-J\0.-J\L. l i "f"t~ i u /j p u �G ) L_ rJ ****YOU MUST COMPLETE THE FOLLOWING**** S758oSUS MARK N/A IF NOT APPLICABLR Height to Peak: to FT Dimensions: / 5 X 3 et No of Stories: dc3.i Ix Fir_ On. 1'r Total Habitable Space: / $Z Main Floor SQ c sf. /240 New 58s� Upper Floor Unfinished Basement SQ FT: MA Finished Basement SQ FT: MA Garage SQ : NA Deck/Covered Patio SQ FT: 360 Impervious urface Area: 30% Slopes on P H No. of Bedrooms: 3 Construction Type: (?pr..�l Heat Source: („, cs') kr. (-Self/el or ic: TOTAL COST OF PROJECT: $ Wren AMMM_o The permitted verifies, acknowledges and agrees by their signature that: 1) H this permit is for construction or on a dwelling, the dwelli g 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 constructlan Is to be done in hill compliance with t - City of Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) Th- City of S$pokane Valley permit Is not a permlt or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or .. ditional hforrrmDon may be required to_bmitted•apd sypsequently approved before this application can be processed AAa , -Z6-i Effective October 28, 2 Page P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction I App 10.28.07.doc 1 oft ermit a • SpBkan�~ jVaucy. 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 permitcemerralmokmnrvallev orn 0 PERMIT NUMBER: PERMIT FEE: ❑ Commercial n Residential SITE ADDRESS: I1 lO S I- &r& e Building Owner 1-7 17 ET it.i r lel- u. P `7' Name: P : rt I P [6cP L\P A� Address: I (cr. S 6,rn&cr A c, e Contractor Name: Address: vi �C P Phone: Fax: City Q 1�be �( State: Zip: OP / c Phone: ?c,6_,/be m k.n Fax: (�7 r'A c -T - License No: City: (:b(C City Business be, Stale:t..),_9� Zip: 9 Contact/Project Manager: Name: Phone: QCASH 0 CHECK 0 VISA 0 MC CARD# EXPIRE SIGN TURE P.\Community Development\02 Admmistration103 Forms - Official Versions\Permit FEB 2 6 2VIN 013 CSV PERMIT CENTER ntsketlartiCa en�Ji rilicatjplgr3u09rdgdec--, #UNITS FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION Up to 8 including 100,000 BTU FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION Over 100,000 BTU WORK SYSTEM - 1DUCT HEAT PUMP/AIR CONDITIONER 0-3 TON AIR CONDITIONER Over 3-15 TON AIR CONDITIONER Over 15-3OTON AIR CONDITIONER Over 30-50 TON AIR CONDITIONER Over 50 TON GAS WATER HEATER GAS PIPING SYSTEM (each outlet) 1 GAS LOG, FIREPLACE, 8 GAS INSERT APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT REPAIRS OR ADDMTIONS 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 -1000,001 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 dm, mauling duds AIR HANDLER (DOES NOT Indude eluding) Each unit over 10,000 clrn EVAPORATIVE COOLERS(other than portables) VENTILATION AND EXHAUST Each fan connected to a sage dud 'I VENTILATION AND EXHAUST Each ventilation system VENTILATION AND EXHAUST Each hood served by mecharical 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 T, 1 I LPSOOTORAGE TANK 1'ro�ecr#la -13 RTL WOOD OR PELLET STOVE INSERT RECEIVED WOOD STOVE SYSTEM — FREE STANDING QCASH 0 CHECK 0 VISA 0 MC CARD# EXPIRE SIGN TURE P.\Community Development\02 Admmistration103 Forms - Official Versions\Permit FEB 2 6 2VIN 013 CSV PERMIT CENTER ntsketlartiCa en�Ji rilicatjplgr3u09rdgdec--, • • CIIIICT ^^" 11703 E Sprague Ave, Suite 13-3 �kae' 11703 Spry WA PERMIT NUMBER: /`` ,�• Spokane Valley, 99206 Y ' (509)688-0036 FAX: (509)688-0037 PERMIT FEE. permitcenter(dspokanevalley am Community Development Plumbing Permit Application[� ❑ Commercial esidential SITE ADDRESS: 1 l3 OS (-1- rat_ / rae -vt Building Owner I'3ern; C Ro•rrtt S Phone: Fax: Name:// Address: 11 30 S e CT rri L e City: State: Zip: -- Contractor ✓ r f Da/Inc/re 14 e -- _ �/r/p Name: Phone: 509– S% /O ^ 3 7�3Fax: Name: /F�V•L. / 3State: p 1 Address: b Z) f 5 fa -(e_( G 1 City: ,� W!') rip YcZr'3 License No: City Bus" ccs Lie: Contact/Project Manager: r [/� Name: 1/t`'\/T P l�e! / y A:5) re Phone: (7t'�� —�t5-a- #OF UN TS PLUMBING FIXTURE ON A TRAP TOILETS 1 URINALS TUBS SHOWERS (per trap) SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Jawtor, Photo, X-ray, Food, Prep/Culinary Meat — DISI-ONASHER 7 CLOTHES WASHER I GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area, Case, Cal, Trench, Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE Installation, Alteraaone, Repair, Reversals WATER USING DEVICE Ie andbr Coffee maker, hose bib, steamer proofer, carbonator, swamp coder PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas, See Mechanical INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including traps, vends 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 vacuum breakers MEDICAL GAS INCEPTORS .f0 REt;EIVED LEASH ❑ CHECK ❑ VISA ❑ MC EXPIRES Cards VIN" SIGNATURE: _ FEB 16 2013 CSV PERMIT CENTER SUB# REV. #I P:\Cammunity Development102 Administration103 Forms - Official Versions\Permit Center Plumbing Permit Application 04-03-09 dg.doc