2004, 09-30 Permit App: BLD-04-07807 Remodel, AdditionSpoaMane
Valley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 6884036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION •
Street Address: O Z Z �_, 1.14:( ci �J
Assessor's Tax Parcel Number(s): 14S i83-09 45
Legal Description: (�-) .35.'0- Lo{ -S E-2-S'OC LDfcj BlockiS 14acc, AdL10
PERMIT DESCRIPTION: 'PloiA- IG'x.Z-i G dh
� i D iti tt�?iCh.A.�-Sar
I c\ rjmetelce-,CPL....dcw-�aei
R( ❑ Otherl
Building Permit ❑ Change in Use ❑ Grading - 0 Manufacturgd
Relocation ❑ Tenant Improvement ❑ Fire Safety .
pp��
-42wk (L4 £4 ,'
OWNER/APPLICANT INFORMATION
❑ Owner LJ cl lIck,1ci, Po r v i 5. El `5 a+ Cu 5 oi-3
Phone: yd`I'ZW31 Fax: • Phone: Fax:
Address: x.31 CR E% 6 bb'> Address:
fri icki 1,,_)4, gy0Z3
City • State Zip Code City .State Zip Code
0 Contractor: l $ ❑ Architect: 1-)4“-te cis oma:
Phone: • Fax: Phone: Fax:
Address: Address:
City State Zip Code City • - State Zip Code
WA State Contractor License #: Contact:
PERMIT/BUILDING'INFORMATION
HEIGHT TO PEAK t i
DIMENSIONS: .
# OF STORIES: • , (
MAIN FLOOR TO SQ: FTG:
2"" FLOOR SQ: FIGO -
-UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ: FTG: O
DECK/COV. PATO Q. FTG:
17 O !]
OCCUPANCY GROUP: P:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDR MS: —
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COSTS �aap00 S) 000 �
J 9� ��.
30% SLOPES ON PROPERTY:
0
SEWER OR ON-SITE SEPTIC
-SYSTEM? Seu3e.- ttbe ktto
0?
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
Project Address* Permit Use:
Owner:
Mailing Address:
City State Zip Code
License #: Phone #:
Phone (Daytime Contact):
Contractor:
Mai ing Address:
State
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
SOF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100000
X
215.00
=
2
FUEL BURNINGAPPL91NCe
Mare than 100,000
X
219.00
=
3
UNLISTEDAPPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400 000
X
5100,00
=
5
USED APPLIANCE (WSEC min. AFUE
rating) -
Equal to or fess than 400,000
X
550.00
=
6
USED APPLIANCE (WSEC min, AFUE
rating)
More than 400 000
X
5100.00
=
7
BOILER/REFRIGERATION
1 • 100M BTU ,
X
515.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
528.00
=
9
BOLLER/REFRIGERATON
501 - 1,000M BTU
X
239,00
=
10
BOILERIREFRIGERATION
1,001 -1 750M BTU
-
X
557.00
=
11
BOILER/REFRIGERATION
' More than 1,750M BTU
X
295.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510.00
=
13
RANGE
X
510.00
=
14
DRYER
1
X
$t0.00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
18
MISC. FUEL BURNING APPLIANCE
X
510,00
=
17
GAS PIPING (each outlet)
X
51.00
=
18
DUCT SYSTEMS
X
210.00
=
19
VENTILATING FANS
2
X
510.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10 000 CFM
X
212.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
219.00
22
EVAPORATNE COOLERS
X
510.00
23
TYPE I HOOD
X
25000
=
24
TYPE 11 H000
l
X
510.00
=
25
HEATPUMP/AIR CONDITIONER
03 TON
X
512.00
=
28
AIR CONDmONER
3-15 TON
X
520.00
=
27
AIR CONDITIONER
15-30TON
X
525.00
=
26
AIR CONDITIONER
30-56 TON
X
235.00
=
29
AIR CONDITIONER
More than 56 TON
X
560.00
=
30
LPG STORAGE TANK
X
510.00
=
31
W000 OR PELLET STOVEJINSERT
X
510.00
=
32
WOOD STOVE- FREE STANDING
X
525.00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK 0 VISA ❑ MC,
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
235.00
EXPIRES:
TOTAL PERMIT FEE DUE
AUTHORIZED SIGNATURE:
Zip Code
S�
4 0%hltey
PLUMBING 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
Project Address: Permit Use:
Owner. Phone (Daytime Contact):
Mailing Address:
City
State
Contractor. License #: Phone #:
Mailing Address:
Zip Code
City
State
BANKCARDNUMBER:
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
0 O r
UNITS
X
COST
-
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET BIDETS
1
X
56.00
=
2
URINALS
I
x
$8.00
=
3
TUBS
1
X
18.00
=
4
SHOWERS (PER TRAP)
BATH STALL, ONSITE BUILT
X
$8.00
=
5
SINKS
LAVSBASINS, BAR, FLOOR
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
y
1
X
56.00
=
6
DISHWASHER
1
X
$6.00
=
7
CLOTHES WASHER
1
X
58.00
=
8
GARBAGE DISPOSAL
X
56.00
=
9
WATER SOFTENER
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE W GAS, SEE MECHANICAL
1 T
X
56.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
56.00
=
12
ROOF DRAINS/OVERFLOW DRAMS
X
58.00
=
13
FOUNTAINS, DRINKING
X
56.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
INSTALLATION, ALTERATION,
REPAIR, REVERSALS
1
X
58.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
58.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLER
X
16.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK
VALVE, ANDRP.B.P.D. FOR:
VATS, TANKS, BOILERS
X
_ 16.00
=
18
INTERCtWiURS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
16.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
56.00
=
METHOD OF PAYMENT: -
❑ CASH 0 CHECK 0 VISA 0 MASTERCARD
DATE EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARDNUMBER:
AUTHORIZED SIGNATURE:
Zip Code
0..0AI 00
tor 45‘
3�« W rC S3"T o vet
771- a
ci Le"
Cale.3ic V
•
EMERGENCY EGRESS RE UIREMENTS
FROM SLEEPING ROOMS
1) NET CLEAR OPENING: 5.7 SQUARE FEET
GRADE FLOOR OPENING (MAX 441 5.0 SQUARE FEET
2) NET CLEAR OPENING HEIGHT 24 INCHES
3) NET CLEAR OPENING ;MOTH 20 INCHES
4) MAX FINISHED SILL HEIGHT 44* ABOVE FLOOR
5) EMERGENCY ESCAPE 8 RESCUE OPENING SHALL BE
OPERATIONAL FROM THE INSIDE OF THE ROOM WITHOUT
THE USE OF KEYS OR TOOLS z• IO
I �=
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11
WHEN INTERIOR ALTERATIONS, REPAIRS QR ADDITIONS
ry 1 REQUIRING A PERMIT OCCUR, OR MEN ONE OR MORE
SLEEPING ROOMS ARE ADDED OR CREATEpjN EXISTING
DWELUNGS,'THE'DWELZIAIG IN IT MILL RE PROVIDED
WITH SMOKE ALARMS LOCATED AS REOIIIRED FOR NEW
DWELLINGS.
/�� SMOKE ALARM,
NECTED AND
MANNER -THAT-
ALARM WILL 1
(BEDROOMS,
BEDROOMS.
WITH RISE OF 24'
2.4
SHALL BE INTERCON-
IARD WIRED IN SUCH A
FHE ACTIVATION OF ONE
ACTIVATE ALL ALARMS.
AREAS APPROACHING
VAULTED CEILING
& ON EACH FLOOR)
1
N
4
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dA- t$ tS & attic. slet)a,
1
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PROVIDE DIAGRAMS AND
�14wv T�c�rGa 1Y�5525 ENGINEERING LAYOUTS fOR
`I o c . �� ROOF TRUSSES, SEAMS AND
2.4 L1 ' 2- FLOOR SYSTEMS PRIOR TO FRAMING
INSPECTIONS
Attic Ventilation
Ft per every 30o sq Ft of space
-Vehteaftld with at least b0% in the upper r% _ 1
perlio&0 aa. i W 0. 4i o00 -
i (o
71/.§122' t\k 1 sk acorse
x30"
el I
�tlts
VG4 1(8" GAP
BETWEEN SHEATHING
2:" 101'19 z9"' o.c:. Trcaied.
°
L 1 �o iy -tek, eAW-
raVoly -=off
)1`,1-11(1(:) I �-1
Ft per ry
' -1s `$gfttoivter--
floor space area. 1 ventilating opening shall
be within 3 feet of each -corner. Openings
shall be covered with approved material.
FOUNDATION WALLS' 30'
&PORCHES 3500 #PSI
is 4,0 ODA -
2411 p G,
tc;cel's. Cr--
SLABS, GARAGES,
SLAB CARPORTS
Under floor accessible
by 1$"x24"
i) X IZ ' -c 00441
Avrox, rrarc, e
ti )0„40,0 ,rc,er
- 60'
;s 5,d400 it, reet4
i
)(i7
VY
k,v 35
("2 ill
ADMEN
ZONE
ROAD WIDTH_
FRONT : 1)1
COMMENTS / /t
REVIEWED BY K - 1. I�i'►,<�t Z+ �—+
5
fr
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411.
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$1417
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SW.sti,
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tog the wpm* of
This sita plot Is beingIsa true end Wad
obtaining a building penult/rl down y
representation
o1 the pr' ' ' e _
lines/dimensions, curb linos, sttvc 111 an wsM�ds,
have been identified. Also indicatedrforpr mem.
bodi4s of water, steep slolha.
Sign
Date
ot
Wit6r
1 -69`"°"c -
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