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2003, 04-09 Permit App: BD-03-73 Residenceny POICAM 11707 E. SPRAGUE, STE 106 \?JIT SPOKANE VALLEY, WA 99206 (509)688-0036 FAX (509)688-0037 PROJECT TRANSMITTAL: TRANSMITTAL DATE: L l et JD z Site Information Site Address: 619 S LONG RD SPOKANE, WA 00®00 Parcel Number: 55191.0650 Subdivision: LONG VIEW PLACE PUD Block: 1 Lot: 4 Zoning: UR -3 Urban Residential 3.5 Owner: CRAPO, DENNIS Address: 15321 E MISSION AVE VERADALE, WA 99037 Building Inspector: Water Dist: U i V\ I\4L1 CC 13003--7 Project Information Project Number: Inv: 1 Issue Date: ,1 1 ( 3 Permit Use: RESIDENCE W/GAAGE - NATURAL GAS Applicant: CRAPO, DENNIS 15321 E1SIC I AVE VERADALE, WA 99037 Contact: CRAPO, DENNIS 15321 E MISSION AVE VERADALE, WA 99037 Phone: (509) 924-8964 Phone: (509) 924-8964 Setbacks - Front: 20 Left: 5 Right: 5 Rear: 30 Group Name: Project Name: Permits BUILDINGS: APPROVALS ENGINEERS: Ey oup SEWER:) 12-011144--:A— — 1 CJ (1.2_5( J,21:4,uuR. < (Z > FIRE DIST;/ l ura" k r'L 2 L) p . 9' nr ` 9sZ C�It Dc� �Cce e Q Printed By Page 1 of 2 (-33° G 7.3v 13`-5° @ j g. Cao LI,c(y is•DcD t 2`6 p r( .off qc1g'3-5 oc� 91 i0 sO -� 26-d.oa (40?se6 EOL9`Ic3D )00(1.95" 20% City of SPOKANE VALLEY PERMIT # (30 CR BUILDING PERMIT APPLICATION Box 1 OWNER r lc vtilazq fi c6,454, JOB LOCATION OWNER'S ADDRESS IS�.;7r C,/g- ONE 9.?Y-J6 y DESCRIBE JOB 5 t ✓t v le -Fa-44411,f Oe S c e THIS PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORP. BOX 2 CONTRACTOR'S NAME �i $4,ns•t /en r_ 7i9=-7 c PHONE CONTRACTOR'S ADDRESS /5- 3'/ 6. /1 ,SS, 0 CITY tk-a.d /e CONTRACTOR'S REG.# Di Mc CrO3.2® C~il EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT . i, s C Ca_PHONE /S- j'S /O 981 - W.zyp ADDRESS Sc2,ati, CITY ZIP BOX 4 SEWER AVAILABILITY WATER AVAILABILITY BOX 5 ESTIMATED PROJECT COST $ (a° � ;, oeXISTING BLDG. VALUATION $ BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOT NUMBER BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR Or / /.35 -02ND FLOOR 3RD FLOOR /f_ OTHER / BASEMENT FINISHED BASEMENT UNFINISHED / /35-0 DECK / /2r GARAGE / CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING) FT. BOX 8 (\/11NGLE FAMILY ( ) MULTIFAMILY (NO. OF UNITS ( ) COMMERCIAL / INDUSTRIAL ( ) TENANT IMPROVEMENT (EW CONSTRUCTION ( ) EXISTING STRUCTURE TOTAL AREA OF PROPERTY IMPERVIOUS SURFACE SQ. FT. SQ. FT. BOX 9 PLUMBING FIXTURES (Including rough -ins) MECHANICAL APPLIANCES PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES, SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS, LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL. BOX 10 Water Service meter size (if known) 1,62„ f. Also see BOX 4 BOX 11 Septic Tank - Not generally allowed in the City of Spokane Valley. For special circumstances contact Your sewer purveyor and the Health District (See BOX 4) BOX 12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public Works Department. I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE. OWNER / AGENT v'2? 7 DATE 4:-/ (OVER) (OVER) This document originally contained confidential credit card information which was redacted pursuant to RCW 19.255.010 and the original document destroyed I hereby authorize the Cityof Spokane Valley arge the fee for this permit to m ci ePxgt ucattrtdt.o Visa Mastercarn .90111 ate .,� ..1 _ Print the name of the Holder Signature r DO NOT PLACE ANY BUILDING UNDER POWER LINES OR OVER INCOMING GAS LINES. OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL DISAPPROVAL REMARKS DATE SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DISAPPROVAL DATE REMARKS PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY TYPE OF CONSTRUCTION STORIES BUILDING SQ. FT. BUILDING SQ. FT. BUILDING SQ. FT. BUILDING SQ. FT. TOTAL SQ. FT. @ _ TOTAL VALUATION BUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NUMBER PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE OTHER CHARGES AMOUNT DUE BUILDING DEPARTMENT APPROVAL BY ASSIGNED ADDRESS Received DATE Sp Gane ,,r, .. Valley Mechanical Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA ,99206 509-688-0037 - Fax PROJECT ADDRESS: 1 i L- PIU PERMIT USE: OWNER: t> in.mood V Ci4 (7rn 5,4_ i PHONE (Daytime Contact): q2f _ gybe/ MAILING ADDRESS: /s 321 E, i17' 5i.ofrt 17,././ -ala /r 60 cc ./1437 (street) (city/state) (ZIP) CONTRACTOR: l a.,14/v .? Cl 4, t',k ee„." .LICENSE f! #: MAILING ADDRESS: PHONE #: - OR < 100,000 (street) (city/state) (ZIP) METHOD OF PA 0 CASH 0 CHECK 0 ❑ . DATE: EXPIRES: BANKCARD NUMBER: AUTI-IORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE - OR < 100,000 ' X $15 - 15 2 FUEL BURNING APPLIANCE > 100,000 X $19 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) = OR < 400,000 X $50 = 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X $100 = 5 USED APPLIANCE (WSEC min. AFUE rating) = or < 400,000 X $50 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X $100 - 7 BOILER/REFRIGERATION 1 - 100M BTU X $15 - 8 BOILER/REFRIGERATION 101- 500M BTU X $28 - 9 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 GAS LOG, GAS INSERT, GAS FIREPLACE - X $10 - 13 RANGE -- X 810 = 14 DRYER - 1 X $10 - i 15 FUEL BURNING WATER HEATER - 1 X $10 - 7 0 16 MISC FUEL BURNING APPL. - X $10 - 17 GAS PIPING (ea. Outlet) - r X $1 - 2 18 DUCT SYSTEMS - X $10 - 19 VENTILATING FANS -- 3 X $10 0 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 TYPE II HOOD - ' X $10 = 10 25 HEAT PUMP/AIR CONDITIONER 0.3 TON X $12 26 AIR CONDITIONER 3-15 TON X $20 - 27 AIR CONDITIONER 15-30 TON X $25 = 28 AIR CONDITIONER 30-50 TON X $35 - 29 AIR CONDITIONER +50 TON X $60 - 30 LPG STORAGE TANK - X $10 = 31 WOOD OR PELLET STOVE/INSERT - X $10 - 32 WOOD STOVE - FREE STANDING - X $25 - WENT VISA' SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE 0 CASH 0 CHECK 0 ❑ . DATE: EXPIRES: BANKCARD NUMBER: AUTI-IORIZED SIGNATURE: EETHOD OF ] CASH ATE: *Rime 00.0"*, OMi.11ey Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax PROJECT ADDRESS: 5 . �--fii�c PERMIT USE: 1 /� '5 iA,/ 7 ►cif /7c; 11' A:ac, l OWNER: c ,/1 K // _ .5 ! i Gl ✓H nil,' �`c%l� C..�yYJ 7` PHONE (Daytime Contact):q i _ ✓ j 9, ( Y • 7 !v 7 MAILING ADDRESS: /3'521 6. 07,56,00 14CO.d4z te 44Ja 9*-) 37 (street) (city/state) (ZIP) 1 CONTRACTOR: b •umr�n�. / 4.k (,,,,,,,z5.,/, � LICENSE #: pZ X MAILING ADDRESS: PHONE #: ( z 2 URINALS (street) (city/state) (ZIP) = PLUMBING FIXTURES NNKCARD NUMBER: JTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS pZ X $6 = ( z 2 URINALS X $6 = 3 TUBS X $6 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6 - 5 SINKS LAVSBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT 3 - X $6 = i G 6 DISHWASHER a ' X $6 7 CLOTHES WASHER '1 X $6 - `ic CO 8 GARBAGE DISPOSAL 1 X $6 = C. 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 - 4, 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, S 1 E,AMER, PROOFER, CARBONATOR, SWAMP COOLER 3 X $6 - 10 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 = 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 = 20 MISC. PLUMBING FIXTURE X $6 - PAYMENTt Vila,- SUBTOTAL: (-) PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: NNKCARD NUMBER: JTHORIZED SIGNATURE: 615 50. Lofrij ko( Lo+ eioc..k Lot/It ret.4.) 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