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_