Loading...
2004, 06-25 Permit App: BLD-04-04790 Residence*lane ,OiUaIley BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 ane Valley, WA 99206 Phone: (509) 688 nTii 611#4:,.1509) 688-0037 (� (p M REQUIRED SITE INFORMATION JL': 7 F 99 Street Address: 12OI SOt t -W LkOyd Assessor's Tax Parcel Number(s): Legal Description: PERMIT DESCRIPTION: Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION Owner: JINnccv roNcraprTION, KC Phone: P.O. BOX 30792 Fax: Addres§poKANE, WA 99223 City Idi Applicant: LINDSEY CONSTRUCTION, INC. Phone: P.O. BOX 30792 fecat ob XO% 3 Address: SPUISANt, WA Y9223 State Zip Code City State Zip Code Contractab . CONSTRICTION, INC. Phone: pn Rox3n792 ax. AddreSSPOKANE. WA 99773 ❑ Architect: Phone: Address: City State Zip Code City Fax: State Zip Code WA State Contractor License #: • Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONSS:x' ^ I V # OF STORIES: I MAIN FLOOR TO SQ.FTG: 12. 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ: FTG: ' I , ^ DECK/CON.,pAATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: . r. C # OF BEDROOMS: V Z TOTAL HABITABLE SPACE: IMPERVIOUS SSU-RFACCE AREA: COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? Se\NIuJI( •1 Sane Walley Project Address: Owner: Mailing Address: Contractor. Mailing Address: LINDgY CONSTRUCTION, INC. P.O. BOX 30792 5 eRRANE WA 09193 PLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Permit Use: Phone (Daytime Contact): "SnT:S 1013 City State License #: Phone #: Zip Code CI Sta BANKCARD NUMBER AUTHORIZED SIGNATURE: Zip Code DESCRIPTION OF WORK 0OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 2 X $6.00 = 2 URINALS X 56.00 = 3 TUBS 2 X 58.00 = 4 SHOWERS (PER TRAP) BATH STALL, ONSITE BUILT X 58.00 = 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, 3 X $8.00 = PREP/CULINARY/MEAT 6 DISHWASHER I X 56.00 = 7 CLOTHES WASHER t X 58.00 = 8 GARBAGE DISPOSAL C X 56.00 = 9 WATER SOFTENER X 56.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $8.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X 56.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X _ 3800 = 13 FOUNTAINS, DRINKING X 28 _ 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING. REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X .00 $8.00 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X 58.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER 3 X 58.00 = 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X 16.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 56.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X 56.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X 38.00 = METHOD OF PAYMENT: ❑ CASH 0 CHECK DATE - 0 VISA • ❑ MASTERCARD EXPIRES: SUBTOTAL PROCESSING FEE 835.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER AUTHORIZED SIGNATURE: Zip Code S ielan' e�`' jValle; LIND CONSTRUCTION, INC. P.O. BOX 30792 Project Address: SPOKANF WA corn Owner: Phone (Daytime Contact):.S(nZ 101? -1 Mailing Address: MECHANICAL PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Permit Use: Contractor. Mailing Address: License #: City State Phone #: Zip Code c State AUTHORIZED SIGNATURE: Zip Code DESCRIPTION OF WORK It OF UNITS X COST = NOTAL AMOUNT 1 FUEL BURNING APPUANCE Equal to or fess than 100 000. 1 X 515.00 = 2 FUEL BURNING APPLIANCE More Man 100,000 X 519.00 = 3 UNLISTED APPLIANCE (Add(8onal Fee) Equal to or less than 400,000 X 550.00 = 4 UNLISTED APPLIANCE (Additional Fee) Mae than 400,000 X 5100.00 = 5 USED APPUANCE (WSEC min, AFUE rang) Equal to or less man 400,000 X 550.00 = 6 USED APPUANCE (WSEC min. AFUE rating) More than 400,000 X 5100.00 = 7 BOILER/REFRIGERATION 1 - t00M BTU X 515.00 = 8 BOILER/REFRIGERATION 101 - 50011 BTU X 528.00 = 9 BOILER/REFRIGERATION 501 -1 000M BTU X 539.00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X 557.00 = 11 BOILER/REFRIGERATION More than 1 750M BTU X 595.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X 510.00 = 13 RANGE X 510.00 = 14 DRYER X 510.00 = 15 FUEL BURNING WATER HEATER 1 X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X 510.00 = 17 GAS PIPING (each outlet) n [ X $1.00 = 18 DUCT SYSTEMS 1 X 510.00 = 19 VENTILATING FANS X 510.00 = 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10 000 CFM X 512.00 = 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X 519.00 = 22 EVAPORATIVE COOLERS X 510.00 = 23 TYPE IHOOD X 550.00 = 24 TYPE II HOOD . X 310.00 ' = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON ' X 512.00 = 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 AIR CONDITIONER 15-30 TON X 525.00 = 28 AIR CONDITIONER 30-50TON X $35.00 = 29 AIR CONDITIONER More than 50 TON X 580.00 = 30 LPG STORAGE TANK X 510.00 = 31 WOOD OR PELLET STOVE/INSERT X 510.00 = 32 WOOD STOVE -FREESTANDING X 525.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA 0 MC CARD $: DATE: SUBTOTAL PROCESSING FEE 535.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: Zip Code Proposed Plot Plan 1201 So. Lloyd St. City of Spokane Valley County of Spokane, State of Washington WOODLAND TERRACE SCALE 1:20 1 SEWER & WATER PROVIDED BY CITY OF SPOKANE "7 2 IZcev vnrn RSN • ADDRESS: ZONE: UR 3.5 ROAD WIDTH: FRONT: COMMENTS: REVIEWED ,s • filWe.!70"7, PLANNING DEPT. APPROVED BY..AL„1f DATE: &" The site plan is being submitted for the purpose of Obtaining a building permit and is a true and correct Representation of the proposal. All known property Lines/dimensions, curb lines, structures and easements have been identified. Also indicted are wetlands, bodies of water, steep slopes or other critical areas. Lindsey Construction, Inc_