2005, 10-19 Permit App: 05003844 AdditionProject Number: 05003844 Inv: /
Application
THIS 1S NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/19/2005 Page 1 of 2
Project Information:
leL
Permit Use: BATHROOM ADDITION Contact: BUSSE, TIMOTHY W
Address: 711 N LOCUST RD
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 926-5526
Group Name:
Site Information: Project Name:
Plat Key: Name: unknown District: F
Parcel Number: 45173.0402 Block:
SiteAddress: 711 N LOCUST RD
Location:: CSV
Zoning: UNKN Unknown
Water District:
Area: 6,726 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Lot:
Owner: Name: BUSSE, TIMOTHY W
Address: 711 N LOCUST RD
SPOKANE VALLEY, WA 99206
Hold: ❑
Review Information:
Review
Plan Review
Released 13y:
Sewer Review
Permits-
Operator:
ermits
Originally Released: 10/19/2005 By: TMELBOU
Released By:
Originally Released: 10/19/2005 By: CJJANSSE
Operator: CJJ Printed By: CJJ Pnnt Date: 10/19/2005
l
Project Number: 05003844 Inv: .1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/19/2005 Page 2 of 2
Building Permit
Contractor: VINEYARD UNLIMITED Firm: GREG PAULNINEYARD UNLIMIT
Address: 13404 N PITTSBURG ST Phone: (509) 468-4121
SPOKANE, WA 99208
This Application: Total Project:
DescriptionGrp flj Notes Sq Ft Valuation Sci Ft Valuation
RES ADD R-3 VB BATHROO 0 $3,500.00 0 $3,500.00
M
ADDITION
Item Description
RESIDENTIAL PERMIT FEE
RESIDENTIAL PLAN REVIEW
Totals: 0 $3,500.00 0 $3,500.00
Units Unit Desc Fee Amount
1 SELECT $97.25
1 SELECT $38.90
Permit Total Fees:
Plumbing Permit
$136.15
Contractor: VINEYARD UNLIMITED Firm: GREG PAUL/VINEYARD UNLIMIT
Address: 13404 N PITTSBURG ST Phone: (509) 468-4121
SPOKANE, WA 99208
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
SHOWERS 1 NUMBER OF $6.00
WATER PIPING - DWV 1 NUMBER OF $6.00
Permit Total Fees: $24.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $136.15 $136.15 $0.00 $136.15
Plumbing Permit . $24.00 $24.00 $0.00 $24.00
$160.15 $160.15
$0.00 $160.15
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: 10/19/2005
kane Permit Center
Spo
11707 E Sprague Ave, Suite
-- ' Spokane Valley, WA 99206
(509)688-0036 FAX: (509)(
Community Development
Residential Construction
Permit Application
SITE ADDRESS 1 ( (
rJ
D
OCT 9 3 2005
37
MDLI I
-/PERMIT NUMBER: 1
-
❑ New Construction o Accessory Bldg
e4ddition/Remodel o Deck
o Other:
Locust S lw kap— tA- A--- 99 Zo (a
ASSESSORS PARCEL NO: q5113. D40Z
Birk e”...1Mtve
9 i
Name: 1 I tv Jµ e
Address: 1 (1 13 (-° eudt'
City: Sraka--'—
Phone: qz4/-CS2(o
CM %itLC{ Pe'l
Name: 77,...t Brise
Phone: GO 9L4 9383
Celf 22..° 1332— 0-52
/ �ax�hect ,`N,✓aowt a 'L a /ewe-thy/it Rev usaf PG+—y w.tfcL y st.-044I,
-fp;ltt soak poi< AwA, . Vetettack acca-dtyb.
**************The following MUST be complete: (write eJN/A if not applicable **********************
# OF STORIES: (+ bay
Fax:
Zip:
99To(o
LEGAL DESCRIPTION: ote Sub e Pl Pi- c LI S(:.(
LiS' ft q e /14 ft -
Name: 6� QO" Q
Address: y 707 n7
City: SeokaW.
?lel ' oent
Edo--
Fax:
S+-
Zip: 9yz°8
Lic No: Vu-Eyt.* 03° e Exp. Date: /%-f
City Business Lic No:
Describe the scope of work in detail: Cost of Project:
HEIGHT TO PEAK:
'1 ice cult
MAIN FLOOR TO SQ.
FTG: i1/4-1110 975— N 2 FLO SQ. FTG: UNFIN BASEME T SQ. FTG: IMPERVIOUS SURF .�jn / Jj
�,� IJ in AREA: lar Al
DIMENSIONS: „M
R— io9••x77
TOTAL HABITABLE SPACE:
t9S'O
FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON 13 Pt
SQ. FTG: "age q1C ". 2`10 'J /A PROPERTY:
# OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: of I SE`N OR SEPTIC?
t)+ 1 fr.)avESgess S4icic fr..—e
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 bussed
Signature
Date /o7 /or
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
Cash Check Mastercard VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
Other
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
Va��ey Spokane Valley- WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallcy or corn PERMIT FEE:
Plumbing Permit Application ❑ Commercial jeResidential
PERMIT NUMBER:
SITE ADDRESS:
'711 rJ Lou -s -C
Building owner
DESCRIPTION OF WORK
# OF UNITS
X
COST
Name. TlM '31.ASSe
TOTAL AMOUNT
Phone 924 SSZ-(o
Fax.
WATER CLOSET, BIDETS
/
Address:
111 14 Loc..M t"
=
City: wKw"'L State
�I
W 4-
Zip:
9? tOC•
Contractor
61�j 2. . PGIK,C
56.00
=
3
TUBS
Name:
�_
X
Phone:
Fax:
4
Address
17°7 N Ed., $r,
/
City. Siwkd^^-1 State.
WA—
Zip.
91 10g
License No-
VIN € V 0. 1 03 D R t)
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO.
X-RAY, FOOD, PREP/CULINARY MEAT
City Business License No:
X
$6 00
=
Contact
f
-
-
X
- - -,
Name
&tzs P0-4 919
7
CLOTHES WASHER
X
ocgg
j Phone:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
t
TOILETS
WATER CLOSET, BIDETS
/
X
56 00
=
:P
2
URINALS
X
56.00
=
3
TUBS
X
5600
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
/
X
$6.00
=
P • r.
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
$600
=
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
56.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
56 00
=
13
FOUNTAINS, DRINKING
X
56 00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
a 1
X
$6 00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6 00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
$6 a0
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B-P D FOR VATS, TANKS, BOILERS
X
56 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
56 00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20 00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$1500
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MASTERCARD
Card# EXPIRES
SUBTOTAL
25[
I
PROCESSING FEE
TOTAL PERMIT FEE DUE:
ISL$35.00
/J 59• '
AUTHORIZED SIGNATURE:
REVISED 8/26/05
'.01
t3 _j
a"
-P EXHAUST FANS
100 CFM kitchen
50 CFM bathrooms
& laundry v.ktdroc,
WHEN INTERIOR ALTERATIONS, REPAIRS OR ADDITIONS
REQUIRING A PERMIT OCCUR. OR WHEN ONE OR MORE
SLEEPING ROOMS ARE ADDED OR CREATED IN EXISTING
DWELLINGS. THE DWELLING UNIT SHALL BE PROVIDED
WITH SMOKE ALARMS LOCATED AS REQUIRED FOR NEW
DWELLINGS.
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801rLIX311103TA3RJ RO 0300A 3RA 2}1OOR aYt933.12
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W 3M ROl 03411103R 2A 031A3Ol 261RAJA 3MeM2
.28MIIJ3w0
PROVIDE DIAGRAMS AND
ENGINEERING LAYOUTS FOR
ROOF TRUSSES, BEAMS AND
FLOOR SYSTEMS PRIOR TO FRAMING
INSPECTIONS
CITY COPY
:r.
THIS BUILDING SUBJECT
TO FIELD INSPECTION CORRECTIONS
Slialcane
®aVaLtey
REVIEWED FOR CODE COMPLIANCE
SPOKANE VALLEY BOIL ING [(VISION
T� I0 10)
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