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Home My WebLink About2005, 09-21 Permit App: 05003387 AdditionProject Number: 05003387 Inv: 1 Application Date: 09/21/2005 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Parcel Number: 55173.1108 Block: Lot: SiteAddress: 208 N HODGES RD Owner: Name: JERNBERG, DON G & FAITH E Address: 208 N HODGES RD Location:: CSV SPOKANE VALLEY, WA 99016 Zoning: UR -3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 9,600 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Plan Review Released By: Permits: Building Permit Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Description Grp Type Notes RES ADD R-3 VB BATHROO M& EGRESS WINDO Totals: This Application: Sq Ft Valuation 0 $3,500.00 0 $3,500.00 Item Description Units Unit Desc RESIDENTIAL PERMIT FEE 1 SELECT STATE SURCHARGE I SELECT RESIDENTIAL PLAN REVIEW 1 SELECT Permit Total Fees: Operator: CJJ Printed By: CJJ Print Date Total Project: Sq Ft Valuation 0 $3,500.00 0 $3,500.00 Fee Amount $97.25 $4.50 $38.90 $140.65 09/21/2005 Project Number: 05003387 Inv: I Application Date: 09/21/2005 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit 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 FLOOR DRAINS 1 NUMBER OF $6.00 SEWAGE EJECTOR 1 NUMBER OF $6.00 Permit Total Fees: $30.00 Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owine Building Permit $140.65 $140.65 $0.00 $140.65 Plumbing Permit $30.00 $30.00 $0.00 $30.00 $170.65 $170.65 $0.00 $170.65 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: 09/21/2005 Permit Center 4 11707 E Sprague Ave, Valle Spokane Valley, WA „�Oy (509)688-0036 FAX: (1=88-0037 x Community Development Avww.spokanevalley.org Residential Conctrurtinn ❑ N C t Permit Application %, TV ons ruction �ddition/Remodel ❑ Accessory Bldg ❑ Deck ❑ Other: SITE ADDRESS ASSESSORS PARCEL NO: Building owner Name: Address: ji4y7i r� S v City: Zip: Phone: -o 9, 91,2 LEGAL DESCRIPTION: Contact Person Name: Phone: 0D Describe the scope of work in detail: Contractor =- Name: Address: City: Zip: Phone: Fax: Lic No: Exp. Date: City Business Lic No: AMD / l'R�� i.r✓l,� S/�cET�° C rN,S� �.9 Tiati L Z E >&I [.&.LL Cost of Project: $ 3 OC) A LL **************The following MUST be cot HEIGHT TO PEAK: DIMENSIONS:` /V/4- MAIN FLOOR TO SQ. 2 Nu FLOOR SQ. FTG FTG: /OOCl) FINISHED BASEMENT SQ. FTG: ''? So # OF BEDROOMS: GARAGE S.Q. FTG CONSTkUCTION TYPE vZ X L-1 (write N/A if not applical # OF STORIES: UNFIN BASEMENT SQ. FTG ?-0 0 DECK/COV. PATIO SQ. FTG HEAT SOURCE: TOTAL HABITABLE SPACE: /9S U IMPERVIOUS SURFACE AREA: /V4 - T30%SLOPESPRON SL' dt/� SEWER OR SEPTIC? 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 can be processed. Signature Date Method of Payment. (Faxe rmit applicati ill only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: REVISED 8/25/2005 Spokan''e~'' wiey Community Development Plumbing Permit Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 , (509)688-0036 FAX: (509)688-0037 ' www.spokanevalley.oi-L.coni pplication ❑ Commercial PERMIT NUMBER: PERMIT FEE: SITE ADDRESS 2 0�; /JQb (7F -S RU 6-7IZtq r' /L& -S it/A Building owner DESCRIPTION OF WORK Name: /'t/ Phone: C)L/, % Fax Address: 1-7 City State Zip Contractor WATER CLOSET, BIDETS Name: Phone: Fax: Address: city State Zi License No: City Business License No: X Contact = Name: Phone: AUTHORIZED SIGNATURE: REVISED 9/26/05 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, ON-SITE BUILT X 1 $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 = 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 $6.00 - 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS, DRINKING X $6.00 - 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X 1 $6.00 = 15 SEWAGE EJECTOR GRINDER, SUMP PUMP r 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(per outlet NITROUS, OXYGEN X $6.00 - 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR I X 1 $15.00 = METHOD OF PAYMENT: ❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD Card# EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 9/26/05 l)ow C, cJG �ivr3i=fzC7 A'./ -/01.5c 7700&, .$_v `I, c/ 7 g 'N CN Srca Basement Closet and Bathroom EXHAUST FANS 100 CFM kitchen 50 CFM bathrooms & laundryJ-xw-r-ru —"a �k t ,Ma a ,L— 11' 2 1/2" 18'4 1/2" T 2„ 11'3 exterior concrete walls10window 2X4 Framingi 2x4 framing ISump pum Fang 0 GFI Toilet Window Shower overhead light Exisiting2x4 walls Vanity lights Closet/Storage Light and fan switchs Sink Bathroom Existing 2x4 wall GFI Heater 220v 11' 2 1/2" 18'4 1/2" T 2„ 11'3 "��AGRAMS AND iYOUTS FOR REAMS AND PRIOR TO FRAMING SNO1103UUOO NOUO3dSNI 01314 Ol 103rens JNIQ11ne SIHl CITY COPY r. 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