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2005, 08-29 Permit App: 05003089 Addition
Project Number: 05003089 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/29/2005 Page 1 of 3 Project Information: Permit Use: ADDITION TO RESIDENCE Setbacks: Front 45 Left: 17 Right: Rear: 225 Site Information: Plat Key: 000767 Name: FAIRACRES Contact: BEYDLER, BO Address: 10916 E GRACE AVE C - S - Z: SPOKANE VALLEY, WA 99206 Phone: (509) 891-5410 Group Name: Project Name: District: Parcel Number: 45092.0730 Block: SiteAddress: 10916 E GRACE AVE Location:: CSV Zoning: UR 3.5 Water District: Area: .00 Acres Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Lot: Owner: Name: BEYDLER, BO Address: 10916 E GRACE AVE SPOKANE VALLEY, WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Site Plan Review Released By: Plan Review Sewer Review Originally Released: 08/24/2005 By: cjjanssen Released By: " a Originally Released: 08/26/2005 By: cjjanssen Released By: SEWER PERMIT #98001367 Originally Released: 08/24/2005 By: cjjanssen Permits: mow. Operator: CJJ Printed By: CJJ Print Date: 08/29/2005 Project Number: 05003089 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/29/2005 Page 2 of 3 Contractor: OWNER Building Permit Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Description Grp Tyne Notes Sq Ft Valuation Si Ft Valuation RES ADD R-3 VB 960 $71,692.80 960 $71,692.80 RES ADD 2F R-3 VB 552 $41,223.36 552 $41,223.36 Totals: 1,512 $112,916.16 1,512 $112,916.16 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,066.55 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $426.62 Permit Total Fees: Mechanical Permit $1,497.67 Contractor: OWNER Finn: OWNER Phone: (000) 000-0000 Item Description DUCT SYSTEMS VENTILATING FANS Units Unit Desc 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Plumbing Permit Fee Amount $10.00 $10.00 $20.00 Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 1 NUMBER OF $6.00 SINKS 1 NUMBER OF $6.00 SHOWERS 1 NUMBER OF $6.00 Permit Total Fees: $18.00 Operator: CJJ Printed By: CJJ Print Date: 08/29/2005 Project Number: 05003089 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/29/2005 Page 3 of 3 Payment Summate: Permit Type Building Permit Mechanical Permit Plumbing Permit zomacemomesm Fee Amount $1,497.67 $20.00 $18.00 Invoice Amount $1,497.67 $20.00 $18.00 Amount Paid $0.00 $0.00 $0.00 Amount Owing $1,497.67 $20.00 $18.00 $1,535.67 $1,535.67 $0.00 $1,535.67 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: 08/29/2005 p�kane do, a UJ JUU I BUILDING PERMIT APPLICATION WORKSHEET Critpokane Valley Community Development Department %' i \t; j Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 g6UIRED SITE INFORMATION Street Address: /09/1D Assessor's Tax Parcel Number(s): /'i S0_ . D7 Legal Description: PERMIT DESCRIPTION: c ern ✓'iy ex 54- Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Relocation ❑ Tenant Improvement ❑ Fire Safety El Other OWNER/APPLICANT INFORMATION M III Owner:y2I{ ❑ Applicant: Phone: 81/-5.10 Fax: Phone: Fax: L' Address: /ni/(o j_ (,c4,c�- Address: 9 f3epVc4 je, tad. G11 o ` U City f State Zip Code City State Zip Code 5- ❑ Contractor: -_C�YYZF j . ❑ Architect: (Y) Phone: Fax: Phone: Fax: Address: -6 WA State Contractor License #: City State Zip Code Address: City Contact: aSpokane Valley Bus. Liscense #: Contact State Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: gi . -4;1 DIMENSIONS: g`11X t©. �1 # OF STORIES: 02 MAIN FLOOR TO SQ. FTG: �,t _ 2"a FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: g FINISHED BASEMENT SCUT l GARAGE SQ. FTG: - DECK/COV. PATIO SQ. FTG: 0 OCCUPANCY C.Q JR: CONSTRUCTION TYPE: ccr(m5J MArFin►n HEAT SOURCE: d 4,,r # OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: /S1 zLo ^g, c+. COST OF PROJECT•�� t� 30% SLOPES ON DROPERTY: f LU SEWER OR ON-SITE SEPTIC SYSTEM? _.'../..4Y..-1- �-c f MANUFACTURED HOME Width: Manufacturer: Length: Year: Pit Set: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Tent: Valuation: Above/Underground Storage Tank Size: Paint Booth: Fireworks Display: Blasting: Date/Time: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Address: Phone: Fax: City Inspector: Phone: Address: State Fax: Zip City State Zip SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE Firm Name: ❑ REINFORCEMENT Phone: I nspector(s): Fax: ❑ WELDING DISCLAIMER 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. Ownership of resulting development rights granted by any issued permit inure to the property owner. Print Name 13-D Tyr(kr- Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard 0 VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: t- rn tr, - , - too' n. • P, tie 1-n go' 2,5'ra P. *" _) e, ". ; • ‘,7 -170' REQ. E- • P' nocklo 4e O 11.E. V _ r Liatin enct-z- PLUMBING PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Call (509) 688-0054 Project Address: "4/6 •�at cc Permit Use: Owner: er>>�fJ '- Mailing Address: 0116 6catP 04/1 C4) qq,0 City State Zip Code Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone (Daytime Contact): 3z-42 2 -CZ& Contractor. Mailing Address: License #: Phone #: City State Zip Code BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK I # OF UNITS X COST = TOTALAMOUNT 1 TOILETS WATER CLOSET, BIDETS 1 X $6.00 = , (Da lP 2 URINALS X $6.00 = 3 TUBS X 56.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT / X 56.00 = 6. cci- 5 SINKS LAVS/BASINS, BAR, FLOOR, KJTCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT / X 56.00 = / C C9 6 DISHWASHER & X 56.00 = 7 CLOTHES WASHER 0 X 56.00 = 8 GARBAGE DISPOSAL Cer X $6.0D = 9 WATER SOFTENER Cr- X 56.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.0D = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS e- X $6.00 = 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLAT)ON, ALTERATION, REPAIR,/ REVERSALS / X $6.00-W = caa (p 15 SEWAGE EJECTOR GRINDER, SUMP PUMP 0 X 56.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER �{ �J X 56.00 = 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS " X 56.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK /� . V X 56.00 = 19 MEDICAL GAS (per outlet) NITROUS OXYGEN e- X 56.00 = 20 MISCELLANEOUS PLUMBING FIXTURE Af, X $6.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X 515.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK DATE: SUBTOTAL P2oa �`/. '� 0 VISA 0 MASTERCARD PROCESSING FEE EXPIRES: TOTAL PERMIT FEE DUE: _p8:11) BANKCARD NUMBER: AUTHORIZED SIGNATURE: MECHANICAL PERMIT APPLIcAl wN Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Call (509) 688-0054 Project Address: Owner. Mailing Address: l.ommunity L V1Up1I)I IL veNat u i im Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: Phone (Daytime Contact): City Contractor. License #: Mailing Address: State Phone #: Zip Code State Zip Code AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or Tess 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 5100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X 512.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X 520.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X 535.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X 560.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 = 13 RANGE X $10.00 = 14 DRYER X 510.00 = 15 FUEL BURNING WATER HEATER X 510.00 = 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 1 X 510.00 = 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 510.00 = 23 TYPE 1 HOOD X 550.00 = 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 520.00 = 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 560.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X 510.00 = 32 WOOD STOVE - FREE STANDING X 525.00 = 33 REPAIR & ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS • X 512.00 = 35 VENTILATION MECHANICAL EXHAUST X 512.00 = 36 INCINERATOR - RESIDENCE X 519.00 = 37 INCINERATOR - COMMERCIAL X 522.00 = METHOD OF PAYMENT: ElCASH 0 CHECK 0 VISA 0 MC CARD #. SUBTOTAL DATE: PROCESSING FEE S 0 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: