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2003, 09-22 Permit App: BLD-03-02552 Relocationnary w, ivo*"F� opmmie 4III;Oovaky PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BU/LD/NG DI VIS/ON If 70 7 East Sprague A ve Ste 906 Spokane Valley, WA 99206 Phone: 509688-0036 Fax 509 688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: )Ay ` N C'1, ASSESSOR'S TAX PARCEL NUMBER(S): `Js c) � •/x)19 1.1 d_ LEGAL DISCRIPTION: h J C Ir i ��j a►'t c l i 1 0 ^ PERMIT DESCRIPTION: D BUILDING PERMIT CHANGE IN USE C GRADING E3 MANUFACTURED HOME RELOCATION Q SIGN 1 TENANT D OTHER OWNER /APPLICANT INFORMATION ® OWNER: b P vx ft?n LLC ® APPLICANT: PHONE: C gG'-1' J V FAX: PHONE: FAX: ADDRESS: kQ�01A_"( 4A_ cN "I ADDRESS: CITY,STATE, ZIP CITY, STATE, ZIP ®CONTRACTOR:��r( G S �1�✓(' � ARCHITECT: PHON PHONE: FAX: ADDRESS: ADDRESS: CITY,.STATE, ZIP CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # D t; h) NJ E N Li 15 N O CONTACT: PERMIT/BUILDING INFORMATION a COST OF PROJEC s u u;; 30% SLOPES ON PROPERTY: N BUILDING HEIGHT TO PEAK: Iy, OCCUPANCY GROUP: S;�GIt �Gr►•�-� BUILDING DIMENSIONS: 90/' L CONSTRUCTION TYPE: Fv-(A^ NUMBER OF STORIES: I NUMBER of BEDROOMS: 3 FLANKING SETBACK: FRONT SETBACK: 3 , REAR SETBACK: o) (o r LEFT SETBACK: 10 l RIGHT SETBACK: lo STRUCTURES ON PROPERTY: Av" t CRITICAL AREAS: CURRENT PROPERTY SIZE: CURRENT PROPERTY USE: CURRENT SEPTIC USE: N CURRENT WELL USE: 61 (_� IMPERVIOUS SURFACE AREA: 2ND FLOOR FLOOR SQ FT: UNFIN BASEMENT: L' G 0 FINISHED BASEMENT: U 0 GARAGE: COVERED DECK: DECK: _ _ I MANUFACTURED HOME II SIGN II WIDTH: YEAR: MANUFACTURER: LENGTH: PIT SET: SQ FT OF SIGN: # OF SIGNS: TYPE OF SIGN: HEIGHT OF SIGN: AREA OF EXIST SIGN: 11 RELOCATION FIRE SAFETY II PREVIOUS ADDRESS: /I Rl FS S fel a� ISorl PROPOSED USE:_) Y �an• i lT_ FIRE SPRINKLER: PAINT BOOTH: FIREWORKS DISPLAY: BLASTING: WA STATE NON-RESIDENTIAL ENERGY CODE FIRE ALARM: TENT: DATE/TIME: PLANS EXAMINER: PHONE: FAX: ADDRESS: CITY, STATE, ZIP INSPECTOR: PHONE: FAX: ADDRESS: CITY, STATE, ZIP SPECIAL INSPECTIONS ® BOLTING OCONCRETE ® REINFORCEMENT 0 WELDING FIRM NAME: INSPECTOR(S): PHONE: BUILDING STAFF USE ONLY IS PUBLIC SEWER AVAILABLE: 0 YES ® NO IF YES: 13COUNTY 13 CITY IS PUBLIC WATER AVAILABLE: a YES O NO IF YES, WHICH WATER DIST/IRR: IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES ® NO IS THE PROPERTY LOCATED WITHIN ASA: 0 YES 0 NO PSSA: Q YES [3 NO DATE: 'I STAFF: METHOD OF PA YMENT•- a a o o YlffmA CASH CHECK ' BANKCARD; EXPIRES.1- AUTHORIZED SIGNATURE. *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD ETHOD OF CASH NTE: Spokane ,,,;00*Va11ey 11707 East Sprague Avenue, Suite 106 509-688-0036 Phone Spokane Valley, WA 99206 509-688-0037 - Fax Plumbing Permit Application PROJECT 1 c ADDRESS: y G' 1 rI J i�� ►nSDu i PERMIT USE: OWNER: h m( L L - L EQUALS PHONE (Daytime Contact): MAILING ADDRESS: v.LC ) 1 LI WATER CLOSET, BIDETS :L (street) $6 (city/state) (ZIP) CONTRACTOR: URINALS LICENSE #: MAILING ADDRESS: $6 _ PHONE #: (street) TUBS (city/state) (ZIP) PLUMBING FIXTURES �NKCARD NUMBER JTHORIZED SIGNATURE: Ia-Ayra01N DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS :L X $6 - 2 URINALS X $6 _ 3 TUBS X $6 _ 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT 1 X $6 - 5 SINKS LAVSBASINS, BAR FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X $6 - 6 DISHWASHER X $6 _ 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL + 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 r X $6 - 12 FOUNTAINS, DRINKING X $6 _ 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER CARBONATOR SWAMP COOLER 1 X $6 - 16 CROSS CONNECTION DEVICE VACUUM BREAKER CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6 - 17 SPRINKLER SYSTEM X $25 _ 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X _ 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 IMISC. PLUMBING FIXTURE X $6 - PAYMENT ] CHECK ❑ ❑ �._..-:.__.. SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: �NKCARD NUMBER JTHORIZED SIGNATURE: Ia-Ayra01N Spokane ,;o*Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 RELOCATION OC��►C)0C�7 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Application #: BLD -03-02552 Job Address: 2809 N JOHNSON CT Applied: 09/22/2003 SPOKANE WA 99212 Issued: Description: RELOCATE RESIDENCE ON FULL BASEMENT - NATURAL GAS Expires: 03/20/2004 PREVIOUS ADDRESS: 11818 S MADISON RD Subdivision: Lot: Bilk: Parcel No: 45092.2402 Zoning: Owner: DEN MEN LLC Applicant: DEN MEN LLC Phone: (509) 280-6420 Address: PO BOX 141994 SPOKANE, WA 99214-1994 Contractor: OWNER Phone: Address: Lic No: General Information: VALUATION 84100 BUILDING HEIGHT TO PEAK 14 DIMENSIONS 40 X 25.5 # OF STORIES 1 # OF BEDROOMS 4 FRONT SETBACK 30 REAR SETBACK 26 LEFT SETBACK 10 RIGHT SETBACK 50+ OCCUPANCY GROUP r-3 CONSTRUCTION TYPE 5-w SERVED BY SEPTIC SYSTEM no WELLS LOCATED ON PROPERTY no TOILETS 1 SHOWERS (PER TRAP) 1 SINKS 3 CLOTHES WASHER 1 FUEL BURNING APPL <= 100,000 1 DRYER 1 FUEL BURNING WATER HEATER 1 GAS PIPING (ea. OUTLET) 2 VENTILATING FANS 1 Fees: PLAN CHECK FEE BASIC PERMIT FEE RELOCATION INSPECTION FEE RELOCATION PERMIT FEE WSBCC SURCHARGE TOILETS SHOWERS SINKS CLOTHES WASHER FUEL BURNING APPL <= 100,000 DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS Total Calculated: Deposits/Receipts: Total Due: G,�'�� 60.00 60.00 4.50 6.00 6.00 18.00 6.00 15.00 10.00 10.00 2.00 10.00 1,391.75 60.00 1,331.75 Conditions of A FEE OF $60.00 IS BEING CHARGED BY THE COMPUTER FOR RELOCATION (MOVING) PERMIT FEE. THIS IN Approval: NOT A CITY OF SPOKANE VALLEY FUNCTION. I HAVE REMOVED THE FE WILL NOT LET ME REMOVE IT ON THE RELOCATION FEE. DD 9/22/2003 CITY OF SPOKANE VALLEY APPROVED FOR SUBMITTAL Ini i I / Date Building / Planning Public Works / THIS IS NOT A RECEIPT Relocation inspection of house located at S 11818 Madison Road on September 24 2003 The following items will need to be corrected when the above house is relocated onto a new foundation. 1. One window in each bedroom must meet current egress requirements. a. 44" max sill height b. 5.7 sq. ft. of openable area c. min. openable width of 20" d. min. openable height of 24" 2. Wired in smoke detectors in each bedroom, one in the hallway, and one in the basement. 3. Insulated attic to R-38 min. All opened walls need to be fully insulated. 4. Install 50 cfin fans in all bathrooms and one in the laundry room. If fan in kitchen is a working 100 cfm, it can be reused. 5. Maintain all existing bearing points on new foundation. If crawl space is built, insulated floor joists to R-30 and install non -closable crawl space vents. If new basement, install radon system under slab and insulate walls to R-21. 6. Test all water, vent, and drain pipes after house is set on new foundation. 7. If using new forced air heating system, provide fresh and combustion air through duct work using the method 3 worksheet. SOmWane ;,oOValley Kevin Severance CONSTRUCTION INSPECTOR RELOCATION 707 E. Sprague Ave. Ph:(509) 921-1000 ite 106 Fax:(509) 921-1008 okane Valley, WA 99206 kseverance@spokanevalley.org 1E,'O THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Application #: BLD -03-02552 Job Address: 2809 N JOHNSON CT Applied: SPOKANE WA 99212 Issued: Description: RELOCATE RESIDENCE ON FULL BASEMENT - NATURAL GAS Expires: PREVIOUS ADDRESS: 11818 S MADISON RD Subdivision: Lot: Blk: Parcel No: 45092.2402 Zoning: Owner: DEN MEN LLC Fees: Applicant: DEN MEN LLC 84100 Address: PO BOX 141994 BUILDING HEIGHT TO PEAK 14 SPOKANE, WA 99214-1994 Contractor: OWNER 40 X 25.5 Address: 60.00 # OF STORIES Phone: (509) 280-6420 Phone: Lic No: 09/22/2003 03/20/2004 General Information: Fees: VALUATION 84100 PLAN CHECK FEE 295.50 BUILDING HEIGHT TO PEAK 14 BASIC PERMIT FEE 888.75 DIMENSIONS 40 X 25.5 RELOCATION INSPECTION FEE 60.00 # OF STORIES 1 RELOCATION PERMIT FEE 60.00 # OF BEDROOMS 4 WSBCC SURCHARGE 4.50 FRONT SETBACK 30 TOILETS 6.00 REAR SETBACK 26 SHOWERS 6.00 LEFT SETBACK 10 SINKS 18.00 RIGHT SETBACK 50+ CLOTHES WASHER 6.00 OCCUPANCY GROUP r-3 FUEL BURNING APPL <= 100,000 15.00 CONSTRUCTION TYPE 5-w DRYER 10.00 FUEL BURNING WATER HEATER 10.00 SERVED BY SEPTIC SYSTEM no GAS PIPING 2.00 WELLS LOCATED ON PROPERTY no VENTILATING FANS 10.00 TOILETS 1 SHOWERS (PER TRAP) 1 Total Calculated: 1,391.75 SINKS 3 Deposits/Receipts: 60.00 CLOTHES WASHER 1 FUEL BURNING APPL <= 100,000 1 Total 1,331.75 DRYER 1 19,01) FUEL BURNING WATER HEATER 1 GAS PIPING (ea. OUTLET) 21 7 3�•.ri5 VENTILATING FANS 1 Conditions of A FEE OF $60.00 IS BEING CHARGED BY THE COMPUTER FOR RELOCATION (MOVING) PERMIT FEE. THIS IN Approval: NOT A CITY OF SPOKANE VALLEY FUNCTION. I HAVE REMOVED THE FE- - - � WILL NOT LET ME REMOVE IT ON THE RELOCATION FEE. DD 9/22/2003 1 CI'�Y "nF SPnKANE VALLEY 7r- �' �---- y -z 3- a 3 THIS IS NOT A RECEIPT APPROVED FOR SUBMITTAL lni.tia'he2c[°a��vtl Building / Planning d 1�iaei .. Public Works-/- L/ orks / L/ ."I(1* v`I rl.. Account name: Applicant: Type: Permit Number BLD -03-02552 Spokane Valley Permit Receipt RECEIPT NUMBER 00000637 000382 DEN MEN LLC charge Fee Description PLAN CHECK FEE Date: 9/24/2003 Total: Amount 60.00 Account name: 000382 Applicant: Type: Permit Number BLD -03-02552 Spokane Vift Permit Re ceW RECEIPT NUMBER d6000630 DEN MEN LLC charge Fee Description PLAN CHECK FEE Date: 9/23/2003 Total: Amount 60.00 137.71 PPROVED BY-2�,PL�49 a � 03v (:sic MR, a m rft f, ai MR, a m CODE COMPLIANCE. ©UILDINGDI w_ION THIS BUILDING,SUBJECT TO FIELD INSPECTION CORRECTIONS E0 ,k'1ieeve iE19/1 f'00f»i 9 frov la 141 ?rf A/9/11ev 9 k) i3/9, 1\ ' 0 �. c Foo (74 c EXHAUST FANS 100 CFM kitchggn 50 CFM bathrooms Sc laundry