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2003, 10-06 Permit App: BLD-03-02697 DuplexCIT!' �p�ane a 0OValley �� ICY STREET ADDR '), b ! ct C �) /- Xcl? PERMIT APPLICATION WORK SHEET SPOKANE VALLEYCOMMUNITYDEVEL OPMENT BU/LD/NG DI VIS/ON 1170 7 East Sprague A ve Ste 906 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: (509)688-0037 REQUIRED SITE INFORMATION ASSESSOR'S TAX PARCEL NUMBER(S):- 1, -2-od 4 LEGAL DISCRIPTION:L-{'�) 2- W_ `' ` aT PERMIT DESCRIPTION: )MBUILDING PERMIT ® CHANGE IN USE ® GRADING ® MANUFACTURED HOME ® RELOCATION ® SIGN 13TENANT [ OTHER OWNER /APPLICANT INFORMATION ® OWNER: ":rt"H- J '♦ ® APPLICANT: a PHONE: `Z -4-t iV IFAX: 9lq-1164 PHONE: FAX: ADDRESS: I ` I ZC O rl� • 1 C�Ii �.>11 ADDRESS: ®��//ClCjp (� CITY,STATE, ZIP CITY, STATE, ZIP CONTRACTOR: �`s� f�I�K-r.�C�`+� • ® ARCHITECT: �`��© 1^�«� Pp`C{-1 E"41 P. IWI PHONE: S1.1 43SI's FAX:���74 PHONE: 'S�67 4255 FAX: Y ADDRESS: 14005 S• BEST CT, V'aV- At-& ; WA, ADDRESS: 0, to Pdsr -_'U(TS 400 'l' CITY, STATE, ZIP CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # �S F-� OZ�� CONTACT: 8'"l "� {; 17 PERMIT/BUILDING INFORMATION COST OF PROJECT: '2,00,000 BUILDING HEIGHT TO PEAK: I 1 r� I BUILDING DIMENSIONS:_ G_� NUMBER OF STORIES: 1 NUMBER of BEDROOMS: 4 FLANKING SETBACK: 30% SLOPES ON PROPERTY: OCCUPANCY GROUP: CONSTRUCTION TYPE: STRUCTURES ON PROPERTY: CRITICAL AREAS: CURRENT PROPERTY SIZE: CURRENT PROPERTY USE: \/HIj CURRENT SEPTIC USE: CURRENT WELL USE: IMPERVIOUS SURFACE AREA: MAIN FLOOR SQ FT: 2ND FLOOR SQ FT: UNFIN BASEMENT: FINISHED BASEMENT: GARAGE: 11 10� COVERED DECK: DECK: f FRONT SETBACK: 1 1 f REAR SETBACK: 5' LEFT SETBACK: I RIGHT SETBACK: 30% SLOPES ON PROPERTY: OCCUPANCY GROUP: CONSTRUCTION TYPE: STRUCTURES ON PROPERTY: CRITICAL AREAS: CURRENT PROPERTY SIZE: CURRENT PROPERTY USE: \/HIj CURRENT SEPTIC USE: CURRENT WELL USE: IMPERVIOUS SURFACE AREA: MAIN FLOOR SQ FT: 2ND FLOOR SQ FT: UNFIN BASEMENT: FINISHED BASEMENT: GARAGE: 11 10� COVERED DECK: DECK: THIS IS NOT A PERMIT �S,,, �d / \ Penalties will be assessed for pokane commencing work without a permit ,;oOValley NEW SINGLE FAMILY RESIDENTIAL 11707 E. Sprague Ave., Suite 106 659.58 Spokane Valley, WA 99206 Application #: BLD -03-02697 Job Address: 736 S JERSTAD LN Applied: 10/06/2003 VERADALE WA Issued: Description: NEW DUPLEX W/ATTACHED GARAGE Expires: 04/03/2004 Subdivision: Lot: Blk: Parcel No: 45241.2004 Zoning: Owner: GOOD SAMARITAN 24.00 Applicant: J S KIRKLAND CO Phone: (509) 928-6414 Address: 4005 S BEST CT 12.00 VERADALE, WA 99037 4 Contractor: J S KIRKLAND CO Phone: (509) 928-6414 Address: 4005 S BEST CT Lic No: VERADALE WA 99037 General Information: Fees: TYPE OF RESIDENTIAL PERMIT dup PLAN CHECK FEE 659.58 VALUATION 216288 BASIC PERMIT FEE 1,648.95 BUILDING HEIGHT TO PEAK 17 WSBCC SURCHARGE 4.50 DIMENSIONS 77 X 77 TOILETS 24.00 # OF STORIES 1 TUBS 12.00 # OF BEDROOMS 4 SHOWERS 12.00 FRONT SETBACK 45 SINKS 36.00 REAR SETBACK 15 DISHWASHER 12.00 LEFT SETBACK 16 CLOTHES WASHER 12.00 RIGHT SETBACK 6 GARBAGE DISPOSAL 12.00 OCCUPANCY GROUP r-3 WATER PIPING/DRAIN-IN WASTE 12.00 CROSS CONNECTION DEVICE 48.00 CONSTRUCTION TYPE 5-w FUEL BURNING APPL — 100,000 30.00 STRUCTURES ON PROPERTY 1 GAS LOG, INSERT, FIREPLACE 20.00 SERVED BY SEPTIC SYSTEM no RANGE 20.00 WELLS LOCATED ON PROPERTY no DRYER 20.00 TOILETS 4 FUEL BURNING WATER HEATER 20.00 TUBS 2 GAS PIPING 6.00 SHOWERS (PER TRAP) 2 VENTILATING FANS 60.00 SINKS 6 HEAT PUMP/AIR COND 0 - 3 TON 24.00 DISHWASHER 2 CLOTHES WASHER 2 Total Calculated: 2,693.03 GARBAGE DISPOSAL 2 __Deposi ipts: 0.00 WATER PIPING/DRAIN-IN WASTE 2 CITY OF SPOKANE VALMI )ue-. CROSS CONNECTION DEVICE 8 APPROVED FOR SUBMITTAL 2,693.03 FUEL BURNING APPL — 100,000 2 GAS LOG, INSERT, FIREPLACE 2 RANGE 2 R E &VE0 FOR OWE 0DUIPLIWE DRYER 2 h NE VAL E amoiNG mvistoN FUEL BURNING WATER HEATER 2 Building / GAS PIPING (ea. OUTLET) 6 VENTILATING FANS 6 Planning / TYPE II HOOD 2 HEAT PUMP/AIR COND 0 - 3 TON 2 Public Works 61116A ` Spol�ane ,;oOValley 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 Mechanical Permit Application PROJECT V)PL,I✓X ADDRESS: ! /1�r1 J1 � PERMIT USE: I X OWNER Off® S"All Li ,f+J SClC4 a-,.r4Lf PHONE (Daytime Contact): Gi 60 f�o MAILING ADDRESS: 1z 1 E, ��; - av- � N u T -H4 Kk WA, (street) (city/state) 2 FUEL BURNING APPLIANCE (ZIP) CONTRACTOR: ^Ti C �/ I 1-- LICENSE r: 1-7 MAILING ADDRESS: 4665 S. gash- PHONE A: e�,q _ �s (street) (city/state) (ZIP) METHOD OF PAYI ❑ CASH DATE: DESCRIPTION OF WORK 9 OF UNITS I X I COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE - OR < 100,000 ? 1 X $IS 2 FUEL BURNING APPLIANCE > 100,000 X $19 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) - OR 1400,000 X $50 - 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X $100 - 5 USED APPLIANCE (WSEC min. AFUE rating) - or < 400,000 X $50 - USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X $100 - BOILER/REFRIGERATION FI 1 -100M 8TU X $15BOILER/REFRIGERATION 101 - 500M BTU X $28 - BOILER/REFRIGERATION 501-1,000M BTU X $39 - 10 BOILER/REFRIGERATION 1001 - 1,750M BTU X $57 - 11 BOILER/REFRIGERATION -1750M BTU X $95 - 12 IGAS LOG, GAS INSERT, GAS FIREPLACE - X $10 - 2, 13 IRANCE - i X $10 - ?,n 14 DRYER - Z X $10 - 15 FUEL BURNING WATER HEATER - Z X $10 - 16 MISC. FUEL BURNING APPL. - X $10 - 17 GAS PIPING (ea. Outlet) - X $1 - 18 DUCT SYSTEMS _ j X $10 - 19 VENTILATING FANS - X $10 - 20 AIR HANDLER (DOES NOT include ducting) - OR < 10,000CFM X $12 - 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM x $19 22 EVAPORATIVE COOLERS - X $10 - 23 TYPE I HOOD _ X $50 24 ITYPE 11 HOOD _ X $10 I- 25 IHEAT PUMP/AIR CONDITIONER 0-3 TON X $12 26 JAIR CONDITIONER 3.15 TON X $20 - 27 JAIR CONDITIONER 1530 TON X $25 - 28 JAIR CONDITIONER 30-50 TON X $35 - 29 JAIR CONDITIONER +50 TON X $60 - 30 LPG STORAGE TANK - X $10 - 31 WOOD OR PELLET STOVEANSERT - X $10 - 32 WOOD STOVE - FREE STANDING - X $25 - KEN' VISA' SUBTOTAL: PLUS PROCESSING FEE: TOTAL PERMIT FEE DUE: Z4 O $35.00 ❑ CHECK BANKCARD NUMBER: AUTHORIZED SIGNATURE: Li AMMINIQ01 u- EXPIRES: IETHOD OF CASH [ ATE: (7fY<F Spokane ,wISValley 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT Q L ADDRESS: 1 W p E- -7-r4 +-a 4 PERMIT USE: OWNER: C -,MD si wEp(9-4.w So(�t er4 PHONE (Daytime Contact): MAILING ADDRESS: 17 t2-1 S-- S -R$ AVG P-aeo Ac,�S W , ':�'q6 l (street) (city/state) (ZIP) CONTRACTOR: T' S ` 1 ` ` '/ p �QD fit`- LICENSE MAILING ADDRESS: PHONE A: 4065 S, BAST �.'�'. VC�1�-DPrt,E wA-t qef o3 7 (street) (city/state) (ZIP) PLUMBING FIXTURES DESCRIPTION I DETAILSk OF IINTTS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X 6 � 2 URINALS X $ 3 TUBS 2 X $6 - Z 41 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6 - SINKS LAVSBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- (EJ X $6 - 3� RAY, FOOD, PREP/CULINARY/MEAT 6 DISHWASHER X - 7 CLOTHES WASHER Z X $6 - (2 8 GARBAGE DISPOSAL z X $6 - 9 WATER SOFTENER X $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 - 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN-IN INSTALLATION, ALTERATION, REPAIR, WASTE, VENT, PLUMBING REVERSALS 2 X $6 - 1 2 - REVERSAL 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, X $6 SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER CHECK VALVE, AND /� X IRT.B.P.D. FOR: VATS, TANKS, BOILERS ' -340 17 SPRINKLER SYSTEM 2 X $25- 50 J 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 ' 19 1 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT SUBTOTAL: 2 r. ". ] CHECK ❑ ❑ PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: Z53 cvmnr�_ �NKCARD NUMBER: JTHORIZED SIGNATURE: 11LC,J. I&I 135.(o`bt a 5p?,27� 1 +- 45'1 APPROVED q5 l 5 L&O S 5G ,ot ?j- LbT l3 BLz&k- 2 s E-4470�j Z`I -r. Z5 P , 4q- E,, W , M i v A P.6DGE f, 0, �,