2005, 03-01 Permit App: 05000604 ResidenceProject Number: 05000604 Inv: I Application Date: 03/01/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Prosect Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - Contact: CRAMER, KENNETH R & SANDRA J
NATURAL GAS Address: 3021 S GLENN
C - S - Z: SPOKANE, WA 99206
Setbacks: Front 51 Left: 15 Right: 8 Rear: 20+ Phone: (509) 981-1131
Group Name:
Site Information: Project Name:
Plat Key: Name: MORNINGSIDE PHASE I PUD District: East
Parcel Number: 45251.1207 Block: 4 Lot: 7
SiteAddress: 16920 E DAYBREAK LN
Location:: CSV
Zoning: UR -7* Urban Residential -7*
Water District:
Area: 17,116 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Owner: Name: CRAMER, KENNETH R & SANDR
Address: 3021 S GLENN
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 35
Review Information:
Review
Site Plan Review
Released. By:
Plan Review -
Released By: i
Approach / Drainage F-, W
PP g �
eleased By:
r_
Operator: DMD Printed By: DMD Print Date: 03/01/2005
Project Number
05000604 Inv: I Application Date: 03/01/2005
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Group: R-3 Type: VB
Total Area 3230
Building Height 27
Stories 2
Dwelling Units 1
Description
Grp
Type Note
2ND FLOOR
R-3
VB
BASEMENT U
R-3
VB
CARPORT
U-1
VB
GARAGE
U-1
VB
RESIDENCE
R-3
VB
Item Description
RESIDENTIAL PERMIT FEE
STATESURCHARGE
RESIDENTIAL PLAN REVIEW
Contractor: OWNER
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
AIR HANDLER <=10,000 CFM
This Application:
Notes
Total Project:
Sci Ft
Valuation
Sq Ft Valuation
682
$50,931.76
682 $50,931.76
916
$13,740.00
916 $13,740.00
156
$2,340.00
156 $2,340.00
768
$14,592.00
768 $14,592.00
1,632
$121,877.76
1,632 $121,877.76
Totals: 4,154
$203,481.52
4,154 $203,481.52
Units Unit Desc
Fee Amount
1 SELECT
$1,576.15
1 SELECT
$4.50
1 SELECT
$630.46
Permit Total Fees: $2,211.11
Mechanical Permit
Firm: OWNER
Phone: (000) 000-0000
Units
Unit Desc
1
NUMBER OF
1
NUMBER OF
3
# OF UNITS
1
NUMBER OF
3
NUMBER OF
1
NUMBER OF
1
NUMBER OF
1
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$20.00
$30.00
$10.00
$10.00
$12.00
$107.00
Operator: DMD Printed By: DMD Print Date: 03/01/2005
Page 2 of 3
Project Number: 05000604 Inv: l Application Date: 03/01/2005
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: ;; w
WATER APPROVED. FIRE DISTRICT 1 APPROVED FIRE DISTRICT 8 APPROVED OK TO
ISSUE SEWER PERMITS PR BILLY 1/1/9/95 CKF
Page 3 of 3
Payment Summary
Permit Twe Fee Amount Invoice Amount Amount Paid Amount Owine
Building Permit $2,211.11 $2,211.11 $0.00 $2,211.11
Mechanical Permit $107.00 $107.00 $0.00 $107.00
Plumbing Permit $96.00 $96.00 $0.00
$2,414.11 $2,414.11 $0.00 $2,414.11
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: DMD Printed By: DMD Print Date: 03/01/2005
Plumbing Permit
— —
Contractor: OWNER
Firm: OWNER
Phone:
(000) 000-0000
Item Description
Units
Unit Desc
Fee Amount
TOILETSBIDETS
3
NUMBER OF
$18.00
SINKS
4
NUMBER OF
$24.00
SHOWERS
1
NUMBER OF
$6.00
TUBS
2
NUMBER OF
$12.00
DISH WASHERS
1
NUMBER OF
$6.00
GARBAGE DISPOSAL
1
NUMBER OF
$6.00
CLOTHES WASHER
1
NUMBER OF
$6.00
FLOOR DRAINS
1
NUMBER OF
$6.00
WATER USING DEVICES
2
NUMBER OF
$12.00
Permit Total Fees:
$96.00
Notes: ;; w
WATER APPROVED. FIRE DISTRICT 1 APPROVED FIRE DISTRICT 8 APPROVED OK TO
ISSUE SEWER PERMITS PR BILLY 1/1/9/95 CKF
Page 3 of 3
Payment Summary
Permit Twe Fee Amount Invoice Amount Amount Paid Amount Owine
Building Permit $2,211.11 $2,211.11 $0.00 $2,211.11
Mechanical Permit $107.00 $107.00 $0.00 $107.00
Plumbing Permit $96.00 $96.00 $0.00
$2,414.11 $2,414.11 $0.00 $2,414.11
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: DMD Printed By: DMD Print Date: 03/01/2005
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
ne D f- C Building Division
�UJ 11707 E. Sprague Avenue, Suite 106
Vali - Spokane Valley, WA 99206
ey
❑ Phone: (509) 688-0036; Fax: (509) 688-0037
II REQUIRED SITE INFORMATION II
Street Address: �l.' f/�
Assessor's Tax Parcel Number(s): 17 9-5-1, 017
Legal Description
c', . 7 6i 0ce- ,,
PERMIT DESCRIPTION:
Owner'
# OF STORIES:
j❑
Phone- bl 3
Fax: 9L7-3-767
}
Address:- of
s.
Building Permit
❑
Change in Use
❑
Grading ❑
Manufactured Home
17 Relocation
❑
Tenant Improvement
❑
Fire Safety ❑
Other
11 OWNER/APPLICANT INFORMATION
❑ Applicant:
Phone:
Address:
City
❑
Architect-
Phone.-
Address:
rchitect-Phone.-
Address:
City
Fax:
State Zip Code
Fax -
State Zip Code
WA State Contractor License /bIl3 5 Contact- ! -C��-
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK
Owner'
# OF STORIES:
j❑
Phone- bl 3
Fax: 9L7-3-767
}
Address:- of
s.
5 Pc' /940V
FINISHED BASEMENT SQ. FTG: C:j
City
State Zip Code
❑
Contractor:
3o -
OCCUPANCY GROUP:
Phone-
Fax:
Address.
# OF BEDROOMS: Lj
City
State Zip Code
❑ Applicant:
Phone:
Address:
City
❑
Architect-
Phone.-
Address:
rchitect-Phone.-
Address:
City
Fax:
State Zip Code
Fax -
State Zip Code
WA State Contractor License /bIl3 5 Contact- ! -C��-
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK
DIMENSIONS:
# OF STORIES:
�.
2-
M
MAIN FLOOR TO SQ. FTG: jeZ
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: C:j
GARAGE SQ. FTG:
DECK/C .
76�
3o -
OCCUPANCY GROUP:
CONSTRUCTION TYPE: `
HEAT SOURCE:
N.
# OF BEDROOMS: Lj
TOTAL HABITABLE SPACE:
/
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
/- o
SYSTEM? 5E-w6_1_1.--
Permit Center
20E�
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206 PERMIT NUMBER:
(509)688-0036 FAX: (509)688-0037
Community Development A,ww.sr)ol aneN,alley.or coni PERMIT FEE:
Plumbing Permit Application ❑ Commercial 0 Residential
SITE ADDRESS: >/& -'I
Building owner
t_t„—. y j,
# OF UNITS
Name: a�
r t e -,<-
Phone: j ct, Fax:
Address: j c 1,21
S� , ..
City: State: Zip:
Contractor
i c4 -
X
Name:
=
Phone: Fax:
Address:
URINALS
City: State: Zip:
License No:
X
City Business License No:
Contact
3
Name:
Phone:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
I
X
$6.00
=
G
2
URINALS
X
$6.00
=
3
TUBS
9
J
X
$6.00
=
G
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
=
I a
X-RAY, FOOD, PREP/CULINARY MEAT
6
DISHWASHER
X
$6.00
=
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
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
-
ROOF DRAINS/OVERFLOW
-OD
12
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
=
ICE AN/OR COFFEE MAKER, HOSE BIB,
16
WATER USING DEVICE
STEAMER
X
$6.00
=
PROOFER, CARBONATOR, SWAMP COOLER
VACUUM BREAKER, CHECK VALVE,
17
CROSS CONNECTION DEVICE
AND R.P.B.P.D. FOR: VATS, TANKS, 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
=
MISCELLANEOUS PLUMBING
20
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
INDUSTRIAL WASTE
X
$20.00
-
22
INTERCEPTOR
X
$15.00
=
% °
METHOD OF PAYMENT:
SUBTOTAL
ElCASH � CHECK El VISA E3 MASTERCARD
MASTERCARD
FEE
$35.00
TOTAL PERMIT FEE DUE:
Card# EXPIRES:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address: 165-Z_&
Owner: QS./'
Permit Use:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone (Daytime Contact): - to /
Mailing Address: 775y:)/ S. �,� �.cJ,c,° 5--tt'X471_1 C- w A , C 5 u C_
City State Zip Code
Contractor: _ License #: (2AAt_1 )K1 G, 5� Phone #: (4 f l - [1 I 1
Mailing Address:
City
State Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
4
SHOWERS PER TRAP
BATH, STALL ONSITE BUILT
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
=
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
(
X
$6.00
=
B
GARBAGE DISPOSAL
I
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, CONDENSATE
X
$6.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$600
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
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
PROOFER, CARBONATOR, SWAMP COOLER
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS r outlet
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
-
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASHPROCESSING
Ea CHECK ❑ VISA ❑ MASTERCARD
DATE: EXPIRES:
SUBTOTAL
FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Project Address: l &q Z.O �' �4; d3,2� t,� Lh ��c Permit Use:
Owner: r.i cx_+ -x-- Phone (Daytime Contact): `l Bl -i/3!
Mailing Address: 3ei,zl 5'. 4 0 .U'A ,-1-1uc,-
City StateZip Code
Contractor: License* 0AA i-eE-4 icyt 463 Phone #: `i"_ff 31
Mailing Address:
City State Zip Code
AUTHORIZED SIGNATURE.
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 1
$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 ratio
More than 400,000
X
$100.00 =
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00 =
8
BOILERIREFRIGERATION
101 - 500M BTU
X 1
$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 =
13
RANGE
X
$10.00 =
14
DRYER
X
$10.00 =
15
FUEL BURNING WATER HEATER
X
$10.00 =
16
1 MISC. FUEL BURNING APPLIANCE
X
$10.00 -
17
GAS PIPING each outlet
X
$1.00 =
18
DUCT SYSTEMS
X
$10.00 =
19
VENTILATING FANS
3 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
$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 CONDrrIONER
0-3 TON
X
$12.00 =
26
AIR CONDFrIONER
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 3 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 p:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE.
ADDR
ZONEV�"RO-NFR'—
LOT fvCOMMENTS,�� TPpN SF?O
REVIEWED BY
v,.AAI„Ny
gfPOSCD A". P,00.4si
41
LOT 7 :' LCCAC
MokAJIAf(,SBDE PAASf / \ // � t 7--,7
Lai rs i7 /16 sa. Fr, mom l t
m N
S
3 ckrL Fak�P.�E.
This site plan Is being subminetl for the: purpose of
oblalning a bu Wing permit Intl s a true Intl correct
mpresmtellan of the proposal All known properly
lines(tl menslons curb llnas. structures Intl easements
t,
b a toe also,,,���IIIIII tlicatea are wanantls. .. y0, — 4GN�
botll f t rn steep s�oiythar crltical areae ��
Dat.:
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