2007, 06-07 Permit App: 07002175 ResidenceProject Number: 07002175 Inv: I AFPlication Date: 6/7/2007 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
SiteAddress: 0 S ADDRESS UNKNOWN ST Owner: Name: GLUBRECHT, DAVID
Address: 5535 N DRUMHELLER ST
Location:: CSV SPOKANE, WA 99205
Zoning: UR -3.5 Urban Residential 3.5
Water District: 107 SPOKANE, CITY OF Hold: ❑
Area: 6,765 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review Released By:
Originally Released: 6/7/2007 By: TMELBOU
Driveway/Approach Released By:
Landuse/Zoning/HE Conditions Released By: % b
Sewer Review
Released' By:
Permits: qmmwn
Operator: JD Printed By: JD Print Date: 6/7/2007
Permit Center
Spokane 11707 E Sprague Ave, Suite' 1106
,,;0000`� Spokane Valley, WA 991b6�',
VA11eya (509)688-0036 FAX: (50.9)6$8-003'}'N ^
www.spokanevalley.org '
Community Development _
PERMIT NUMBER: �I
PERMIT FEE:
Residential Construction DQ New Construction ❑ Accessory Bldg
Permit Application ❑ Addition/Remodel ❑ Deck
❑ Other:
SITE ADDRESS
ASSESSORS PARCEL NO: Z I D% LEGAL DESCRIPTION:
Building Owner:
Name:paulA 1W bi-ec
Address:
City: { State: WA Zip: ql Z l Z
er
Phone • 70q Ligq — / $ g Fax:
Contact Person
Name: y,
Phone: 7L/ — lvg
De,5c*bg the, scope of work in
Contractor:
Name: N/A
Address:
City: State: Zip.
Phone: Fax:
Contractor Lic No: Exp Date:
F777;7; ss Lic. No:
Cost of Project: $0l
0 r5
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT T P,EM:
DIMENSIONS: —
# OF STORIES:
TOTAL HABITABLE SPACE:
X
MAIN FLOOR TO SQ.
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
�-
FTG: 1-v'TJ t 2,4
��
�
_ �
AREA:
FINISHED BASE ENT
GARAGE SQ. FT
DECK/CO .: PATIO SQ. FTG:
30% SLOPES ON
SQ. FTG:
7j .'�__
""
PROPERTY: Po
# OF BEDROOMS:CONSTR
CTION TYPE:
HEAT SOURCE:
GAS F�-
SEWER OR SEPTIC?
Woodrrq'h1t?
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
this application be processed. /2
Signature �, // Date 6
V
Method of Payment:
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
'i
,,;oowalleyk
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
w ww. Tokan ev al l cy.orU
PERMIT NUMBER:
PERMIT FEE:
Mechanical Permit Application ❑ Commercial 0 Residential
SITE ADDRESS:
Building Owner
DESCRIPTION OF WORK
# OF UNITS X
Name: Avid 6h4fiyZ+
Phone:9-
187g
Fax:
Address:
City: d
$12.00
State: WA Zip: T7 17-
ZContractor
Contractor
FUEL BURNING APPLIANCE
More than 100,000
X
Name:
Phone:
3
Fax:
Address:
City:
$50.00
State: Zip:
License No:
City Business Lic:
More than 400,000
X
Contact
=
5
USED APPLIANCE SEC min. AFUE rating)
Name: onvid
Phone: 7
9 - $ -e
=
DESCRIPTION OF WORK
# OF UNITS X
COST
= TOTAL AMOUNT
1
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 SEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
=
6
USED APPLIANCE SEC 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
= I�
13
RANGE
X
$10.00
14
DRYER
X
$10.00
6
= JO
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
= Q�
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 I 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
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
-
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
EXPIRES:
VIN'
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
,,/\ Permit Center
cnwoe �/'� �� 11707 E Sprague Ave, Suite 106 y , PERMIT N
SUMBER:
pokane Spokane Valley, WA 99206
VAlley - (509)688-0036 FAX: (509)688-0037 PERMIT FEE:
www.spokanevalley.org
Community Development
Plumbing Permit Application ❑ Commercial r'71 Residential
SITE ADDRESS:
Building Owner
DESCRIPTION OF WORK
# OF UNITS
X
Name:UAM J tAf
Phone: so9
, , S
g
Fax:
Address:
City. Nt
Uq'
$6.00
State: WA Zip: IgUz
Contractor
2
URINALS
Name:
Phone:
=
Fax:
Address:
City:
State: Zip:
License No:
City Business Lic:
3
TUBS
Contact
X
$6.00
=
Name: 9avid
Phone: qj�_
g
8
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
Z
X
$6.00
2
URINALS
X
$6.00
=
0
3
TUBS
X
$6.00
=
I
00
4
SHOWERS PER TRAP
BATH, STALL, ON-SITE BUILT
X
$6.00
=
LAVS/BASINS, BAR, FLOOR, KITCHEN,
5
SINKS
LAUNDRY, UTILITY, JANITOR, PHOTO,
X
$6.00
X-RAY, FOOD, PREP/CULINARY MEAT
6
DISHWASHER
X
1 $6.00
=
/
IDS
6=
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
X
$6.00
=
AREA, CASE, COIL, TRENCH,
11
FLOOR DRAINS
CONDENSATE
X
$6.00
=
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
-
13
FOUNTAINS, DRINKING
X
$6.00
-
WATER PIPING/DRAIN-IN WASTE,
NSTALLATION, ALTERATION, REPAIR,
14
VENT, PLUMBING, REVERSAL
REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
-
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
X
$6.00
=
7�
PROOFER, CARBONATOR, SWAMP
COOLER
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
17
CROSS CONNECTION DEVICE
BOILERS
X
$6.00
-
GREASE TRAP, SAND TRAP,
18
INTERCEPTORS
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 DISPOSAL/SYS
X
$20.00
=
22 1
INDUSTRIAL WASTE INTERCEPTOR
X 1
$15.00
=
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
[]CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
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352332117 Wa3321 16 ARJ r r Imagery 2005 High -Res
Ot r R Imagery 2006 High -Res
n505 n311 a719
35233 1±7 r r Intersections
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0+ P r major Roads
Pt RO W municipal endry (Valley)
M F r r Parcel Streetnumbers
1332104 ]423321+35 5233 112
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PLANNING DEPT, PROVED
BY -
DATE:
35233��107
Applicant:
DAVID GLUBRECHT
4314 E 14TH AVE
SPOKANE WA 99212
Phone:
PERMIT NO:
Project No:
509-499-1878
P0704050
*0705661
� ry DI:PAR'I'MENT OP
t3PC�1 f..NE ENGINEERING SERVICES
808 W. SPOKANE FALLS BLVD.
SPOKANE, WASIIINCTON 99201-334c
(509) 625-6700
\ FAX (509) 625-6349 / (509) 625-6'
titi "okancengincering.org
TAP PERMI ***
Phone:
Issued: 06/14/07
Validated by: CRB
In applying for City water service, I agree:
I. I am bound by City requirements, including those of
Spokane Municipal Code Chapter 13.04 and all terms and
conditions of the Water Rates Resolution, as last
adopted by the Spokane City Council.
2. To arrange for City inspection of the water connection
prior to covering.
3. To pay all charges, including the DEPOSIT. PRICE WILL
BE SUBJECT TO CHANGE, if not installed within one year
from the date this permit was issued.
Signed By:
Connection: DOM
Tap On: 15TH AVE
Between: HAVANNA & LLOYD
STREET: 1411 S HAVANA ST
St. Width: 60 Acct #
Parcel No: No. of Units: 1
Legal Desc: Inside City? O Acct Type: RE
Main Size and Type:
61,
Tap Size:
1"
Sewer Sys; Water Sys%Zip
Fee description
1
E 99212
------------------------------ _-
-------------------------------------------
Units Fee/Unit
Ext fee
Data
Application Fee? (YIN)
.
Outside City Connection? (YIN)
N
. .>
Was Annexation Covenant Signed?
NA
litTap? (YIN) . . .
NA
. .
TOTAL DEPOSIT . .
, >
470.00
Y
TOTAL AMOUNT DUE
470.00
Method Check #
Receipt
No. Date
4e
CC 0001
P7#03233
06/14/07
Paymnt
ent
TOTAL THIS DATE
470.00
470.00
Applicant:
DAVID GLUBRECHT
4314 E 14TH AVE
SPOKANE WA 99212
Phone:
PERMIT NO:
Project No:
509-499-1878
P0704049
*0705661
METER PE
Phone:
DEPARTMENTOF
ENGINEERING SERVICES
808 W. SPOKANI: FALLS BINF).
SPOKANE, WAST UNCTON 99201-334
(509) 625-6700
FAX (509) 625-6349/(509) 625-6:
www.sPokancenginccring,org
Issued: 06/14/07
Validated by: CRB
In applying for City water service, I agree:
I. I am bound by City requirements, including those of
Spokane Municipal Code Chapter 13.04 and all terms and
conditions of the Water Rates Resolution, as last
adopted by the Spokane City Council,
2. To arrange for City inspection of the water connection
prior to covering.
3. To pay all charges, including the DEPOSIT. PRICE WILL
BE SUBJECT TO CHANGE, if not installed within one year
from the date this permit was issued.
Signed By:
Connection: DOM
Tap On: 15TH AVE
Between: HAVANNA & LLOYD
STREET: 1411. S HAVANA ST
St. Width: 60 Acct #
Parcel Not No- of Units: 1
Legal Desc: Inside City? O Acct Type: RE
Tap Size:
61,
Sewer Sys;Water Sys; Zip
1
E
Meter Size - Meter Code:
1,,
99212
03
Installed In (bsmt,box):
BASEMENT
Fee description
-----------------------------------
------------------- ----------
Units Fee/Unit
Ext fee
Data
1" Domestic? (YIN)
----------------------------------------
T O T A L D E P O S I T
470.00
Y
Application Fee? (YIN)
470.00
,
Outside City Connection? (YIN)
40.00
Y
, ,>
MUST Customer provide pressure reg-
N
lator (pressure over 80 lbs.)?
YIN
Was Annexation Covenant Signed?
NA
TOTAL COSTS
NA
Method Check #
Receipt No. Date
510.00
CC 0001
P7#03232
06/14/07
Payment
TOTAL THIS DATE
510.00
*
510.00
SEWER PERMIT
Applicant:
DAVID GLUBRECHT
4314 E 14TH AVE
SPOKANE WA 99212
Phone: 509-499-1878
PERMIT NO: P0704048
Connection: FC
Approval:
Phone:
JNU� of
JlJANE
ENGINEERING SERVICES
Al` -%' 808 W. SPOKANE FALIS BLVD.
SPOKANE, WASfIINGfON 99201-334
(509) 625-6700
FAX (509) 625-6349/(509) 625-6'
�� `� ��� � � wwwspc�l<ancenginccri��g,org
Issued: 06/14/07
Completed:
Project No: *0705661
Applicant hereby consents and agrees:
1. To adhere to all rules and regulations in accordance
with Title 13.03 Spokane Municipal Code, City of Spokane
REMARKS:
Inspection area: 4
Proj#/Prof#: -
Sewer Name: 15TH AVE
STREET: 1411 S HAVANA ST
Parcel No: Right of Way:
Legal Desc:
--Y-Tap": '
ENTERS PROPERTY:
Inspector
Validated by: CRB
0 Easement: 1
Depth/Pipe Size & Type: /
ENTERS BUILDING:
Connection to Cess Pipe:
Depth/Pipe Size & Type: /
Fee description Units Fee/Unit Ext fee Data
Application Fee? .• ............----------Y> --------------------------------------
Inspection Fee? ..............Y> 40.00 Y
Tap Fee? ..............
Y> 60.00 Y
Subtotal Inspection: N
TOTAL Fees ........................> 60.00
Method Check # Receipt No. Date l.00
CC 0001 P7#03231 Paymeentnt
TOTAL THIS DATE 06/14/07 100.00
**'"****** 100.00
0
*** GENERAL FACILITY CRA
Applicant: DAVID GLUBRECHT
4314 E 14TH AVE
SPOKANE WA 99212
INVOICE NO: P0704046
Sewer Name: 15TH AVE
STREET: 1411 S HAVANA ST
Parcel No:
Legal Desc:
C 7
NE
DEPARTMENT OF-
PNE ENGINEERING SERVICES
' " d 1
SOS W. S]'UKANI FAl,1.S BLVD.
SPOKANF, WASI I[NGTON 99201-334:
-
(509) 625-6700
1
FAX (509) 625-6349/(509) 625-6:
Processing Fee?
www.spokancengificerilig.org
GES' ����
Input Amount
***
Phone: 509-499-1878
Issued: 06/14/07
Validated by: CRB
Fee description
-
Units Fee/Unit
---------Y/N
Ext fee
Data
Processing Fee?
----->---------------------------
------------
Input Amount
N
Release Letter
-----> 2400.00
Needed? YIN ----- >
2400.00
Sewer Name
NA
TOTAL FEES
----->
NA
Method Check # Receipt No. Date
24.00
Cc
0001 P7#03229 06/14/07
Pent
TOTAL
THIS DATE
2,400.00
********
2,400.00
Applicant:
•
SP
T DEPARTMEN'r OF
I'C)I NE ENGINEERING SERVICES
' 00 %/ 8O8 W, SPOKANE FALLS BLVD,
SPOKANE, WASHINGTON 99201-3343
(509) 625-6700
\ FAX (509) 625-6349 / (509) 625-61
1 wwwspokanccilgincering.org
*** GENERAL FACILITY CHARGE -WATER
DAVID GLUBRECHT
4314 E 14TH AVE
SPOKANE WA 99212
INVOICE NO: P0704047
Water Name: 15TH AVE
STREET: 1411 S HAVANA ST
Parcel No:
Legal Desc:
Phone: 509-499-1878
Issued: 06/14/07
Validated by: CRB
Fee description
------------------------------- Units Fee/Unit Ext fee Data
Processing Fee? YIN ----- > -------------------------------------
Input Amount N
Release Letter Needed? Y/N--__-> I232.00 1232.00
TOTAL FEES NA
1232.00
Method Check # Receipt No. Date
CC 0001 P7#03230 Payment
TOTAL THIS DATE 06/14/07 1,232.00
1,232.00