Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2005, 04-08 Permit App: 05001123 Addition
Project Number: 05001123 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/08/2005 Page 1 of 3 Project Information: Permit Use: TWO STORY RESIDENCE ADD - GREAT RM, Contact: RANDY BEMIS KITCHEN & EXERCISE RM Address: PO BOX 11733 C - S - Z: SPOKANE, WA 99211 Setbacks: Front N/A Left: EX Right: N/ Rear: 45 Phone: (509) 922-9984 Group Name: Project Name: Site Information: Plat Key: 001170 Name: HEATHER PARK 01ST ADD District: Sout Parcel Number: 35261.1402 Block: Lot: SiteAddress: 1616 S KOREN ST Owner: Name: JACKSON, PETE & MARY Address: 1616 S KOREN ST SPOKANE VALLEY, WA 99206 Location:: CSV Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: .00 Acres Hold: ❑ Width: 90 Depth: 140 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By:(/zhcl' )/i' Plan Review Permits: Operator: K_C Printed By: K_C Print Date: 04/08/2005 Project Number: 05001123 Inv: 1 , Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/08/2005 Page 2 of 3 Contractor: OWNER Group: R-3 Total Area Building Height Stories Description 2ND FLOOR RES ADD Type: VB 342 27 2 Gra R-3 R-3 Building Permit Firm: OWNER Phone: (000) 000-0000 Building Characteristics Type Notes VB VB Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Contractor: OWNER Item Description SINKS DISH WASHERS GARBAGE DISPOSAL Operator: K_C This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 180 $13,442.40 180 $13,442.40 162 $12,098.16 162 $12,098.16 Totals: 342 $25,540.56 Units Unit Desc 1 1 1 SELECT SELECT SELECT Permit Total Fees: Plumbing Permit 342 $25,540.56 Fee Amount $401.35 $4.50 $160.54 $566.39 Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Printed By: K_C Permit Total Fees: Fee Amount $6.00 86.00 $6.00 $18.00 Print Date: 04/08/2005 Project Number: 05001123 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/08/2005 Page 3 of 3 CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS Payment Summary Permit Type Building Permit Plumbing Permit Fee Amount Invoice Amount $566.39 $566.39 $18.00 $18.00 Amount Paid $0.00 $0.00 Amount Owing $566.39 $18.00 $584.39 $584.39 $0.00 $584.39 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: K_C Printed By: K_C Print Date: 04/08/2005 BUILDING PERMIT APPLICATION WORKSHEET U�1 y f p Valley Community Development Department !1 I�k Building Division I 11707 E. Sprague Avenue, Suite 106 ev1{at Spokane Valley, WA 99206 4l D � one: (509) 688-0036; Fax: (509) 688-0037 1D)- REQUIRED SITE INFORMATION Street Address: ICS(( k -(5€H p Assessor's Tax Parcel Number(s): 35 2G I . 11'02 - Legal, Description: PERMIT DESCRIPTION: A1?DI Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION ❑ Owner: Phone: Address: F ❑ Applicant: 12740T)-( ( .1ME9" Phone: ' ZZ " . ' Fax: Address:r , State Zip Code City' Contractor: eVk\t-- Phone: Address: Fax: City ❑ Architect: Phone: Address: State Fax: Zip Code State Zip Code ity C,q.Ai . WA State Contractor License #: Contact: TE -- Aa.50k) D- 1 PY 13aM1 State Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: 12:1 i DIMENSIONS: l41Pii, # OF STORIES: MAIN FLOOR.TO SQ FTG :. • . •.2"`' F OOR SQ_ FTG: ..; -UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT STK: # OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: 30% SLOPES ON PROPERTY: 1 (f SEWER OR ON-SITE SEPTIC. SYSTEM? MANUFACTURED HOME Width: Manufacturer: Length: Year: Pit Set: 1 RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: Tent: # ofHeads: Fire Alarm: Paint Booth: Fireworks Display: Blasting: Date/Time: Valuation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Phone: Fax: Address: City State Inspector: Phone: Fax: Address: Zip City State Zip SPECIAL INSPECTIONS ❑ BOLTING El CONCRETE El REINFORCEMENT ❑ WELDING Firm Name: Oai.Oc Phone: °rwitbep Fax: _.c:1 --• Inspector(s): 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 lo - .ws, codes or ordi : nces. Ownership of resulting development rights granted by any issued per Print Name " `✓ \me1(/t ' bL, Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ' 0 Check 0 Mastercard Bankcard #: Authorized Signature: 0 VISA Expires: VIN#: 0 Other • PLUMBING PERMIT APPLICATION n Phone: (509) 688-0036; FAX: (509) 688-0037 Valley For Inspections, Call (509) 688-0054 Project Address: Owner: Mailing Address: Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: 54..1(d...6 Phone (Daytime Contact): `in-1gm- al7,12, Contractor: ___scN20t12-- Mailing Address: ity License* Phone #: r✓ 31. 9 2., L 3 State Zip Code City State Zip Code BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST • = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS ' X 86.00 = 2 URINALS X 86.00 = 3 TUBS ' " X 86.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ONSITE BUILT X 86.00 = 5 • SINKS LAVSIBASINS, BAR, FLOOR, KITCHEN, 'LAUNDRY, UTILITY, JANITOR, PHOTO,Is X-RAY, FOOD, PREP/CULINARY MEAT X 86.00 = �. ©O /�'�` ea c'c) 6 DISHWASHER 1 X 86.00 = 7 CLOTHES WASHER X 86.00 = 8 GARBAGE DISPOSAL 1 X 86.00 = 6. DO 9 WATER SOFTENER X 86.00 = 10 ELECTRIC HOT WATER TANK • NOTE: IF GAS, SEE MECHANICAL X 86.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X* 86.00 =• 12 ROOF DRAWS/OVERFLOW DRAINS - X 86.00 13 FOUNTAINS, DRINKING X 86.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, • REVERSALS X 86.00 = 15 SEWAGE EJECTOR GRINDER, SUMP PUMP ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER X X 86.00 $6.00 = = 16 WATER USING DEVICE 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X 86.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 86.00 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X 86.00 ' = 20 MISCELLANEOUS PLUMBING FIXTURE X 86.00• 21 PRIVATE SEWAGE DISPOSAUSYS X 820.00 = 22 INDUSTRIAL WASTE INTERCEPTOR_ X 815.00 = • METHOD OF PAYMENT: ❑ CASH 0 CHECK 0 VISA 0 MASTERCARD DATE: EXPIRES: SUBTOTAL _ PROCESSING FEE . 835.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, CaII (509) 688-0054 Project Address: Owner: Mailing Address: Permit Use: Community Development Departmer Building Divisio 11707 E. Sprague Avenue, Suite 10, Spokane Valley, WA 9920, Phone (Daytime Confect): State City Zip Code Contractor: License #: Phone #: Mail'ng Address: 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 $t2.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X 515.00 = 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 toor 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 $12.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X 525.00 = 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 1 X $10.00 = /0. Oa 13 RANGE 1 •X 510.00 = PeD.tZt1 14 DRYER X 510.00 = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X$10.00 17 GAS PIPING (each outlet) a X 31.00 = a. Vv 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS X $10.00 = 20 AIR HANDLER (DOES NOT include ducting) Equal to or Tess 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 . 512.00 = 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 $60.00 = 30 LPG STORAGE TANK X 510.00 = 31 WOOD 0R PELLET STOVE/INSERT X 510.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = 33 REPAIR & ADDITIONS X 515.00 = 34 VENTILATION SYSTEMS X • $12.00 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR - RESIDENCE ? X $19.00 = 37 INCINERATOR - COMMERCIAL X 322.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA ❑ MC CARD X. DATE: SUBTOTAL PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: ADDRESS ZONE L _ ROAD �V►N�' FRONT I r cOMMENTS --7 REVIEWED 8`I _2. 171242P051;D KA TION ?LOT F TH("Z) LE bL HEATHE.42- P 42 1 , p, L2 ti PARG� W 3 5 Vol 34.02- 11A._ 14c i This site plan is being submitted for obtaining a bufido:•; .'.‘fmN .11,1, representation lines/dimension have been i bodies of w the purpose -of' ;.0. and corr prope 'Kernel) .otic ,! a .1241 a I(olio 5, K Signed- 14-04 igned• il-04 Date' •