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2005, 05-12 Permit App: 05001566 AdditionProject Number: 05001566 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/12/2005 Page 1 of 3 Project Information: Permit Use: 28 X 20 DINING & BEDROOM ADDITION Setbacks: Front NA Left: 16 Right: NA Rear: 49 Site Information: Contact: JIM RON CONSTRUCTION Address: 15908 E COOPER C - S - Z: MEAD, WA 99021 Phone: (509) 238-9129 Group Name: Project Name: Plat Key: 001852 Name: OPPORTUNITY TR # 01-354 District: Nort Parcel Number: 45163.0421 Block: SiteAddress: 10909 E MAIN AVE Location:: CSV Zoning: UR -3.5 Water District. Urban Residential 3.5 Lot: Owner: Name: ALEXANDER, JAMES & ROBIN Address: 10909 E MAIN AVE SPOKANE VALLEY, WA 99206 Hold: ❑ Area: .00 Acres Width: 105 Depth: 146 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information • Review Site Plan Review Released By:-- Plan y:- Plan Review Originally Released: 5/12/2005 By: ddompier Released BY:" Originally Released: 5/12/2005 By: TMELBOU Permits• Operator: DMD Printed By: DMD Print Date: 5/12/2005 Project Number: 05001566 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/12/2005 Page 2 of 3 Building Permit Contractor: JIMRON CONSTRUCTION LLC Firm: JIMRON CONSTRUCTION LLC Address: 15908 E COOPER Phone: (509) 879-0156 MEAD WA 99021 Building Characteristics Group: R-3 Type: VB Total Area 520 Building Height 15 Stories 1 This Application: Total Project: Description Grp Type Notes Su Ft Valuation So Ft Valuation RES ADD R-3 VB 520 $38,833.60 520 $38,833.60 Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Totals: 520 $38,833.60 520 $38,833.60 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Fee Amount $532.65 $4.50 $213.06 Permit Total Fees: $750.21 Mechanical Permit Contractor: JIMRON CONSTRUCTION LLC Firm: JIMRON CONSTRUCTION LLC Address: 15908 E COOPER MEAD WA 99021 Item Description DUCT SYSTEMS VENTILATING FANS Phone: (509) 879-0156 Units Unit Desc 1 NUMBER OF - 1 NUMBER OF Fee Amount $10.00 $10.00 Permit Total Fees: $20 00 Plumbing Permit Contractor: JIMRON CONSTRUCTION LLC Firm: JIMRON CONSTRUCTION LLC Address: 15908 E COOPER Phone: (509) 879-0156 MEAD WA 99021 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 1 NUMBER OF $6.00 SINKS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 Operator: DMD Printed By: DMD Permit Total Fees: $18.00 Print Date: 5/12/2005 Project Number: 05001566 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/12/2005 Page 3 of 3 Notes: Payment Sununary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount $750.21 $20.00 $18.00 Invoice Amount $750.21 $20.00 $18.00 Amount Paid $0.00 $0.00 $0.00 Amount Owing $750.21 $20.00 $18.00 $788.21 $788.21 $0.00 $788.21 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: DMD Printed By: DMD Print Date: 5/12/2005 Si�kine 40,00Valley. BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 03EcEoMr MAY 10 2005 `Phone: (509) 688-0036; Fax: (509) 688-0037 fl.=. 1FORMATION Street Address: /,0 'lo q L= /41 e(, i• Assessor's Tax Parcel Number(s): Legal Description: PERMIT DESCRIPTION: 5-2 " 5i- 46-f/ /, 4 r/iL ,q /7 /Q),, Building Permit ❑Change in Use ❑Grading ❑Manufactured Home n Relocation El Tenant Improvement ❑ Fire Safety ❑ Other t ‹g_e OWNER/APPLICANT INFORMATION ❑ Owner. AD A4,- Azz,t 41v 95/A. Phone: 92,/- 2578 Fax: Address: /o qoq 1- Ai/fa v#kt E'r w19 City State Trp Code • [ Applicant: CD,v7/2#et` ❑ Contractor: J'i, i .4A/ CD,v 57, c7/•,, EJ Phone: ,25R -gag Fax: Address: /' 7o B hc. /'1E4 -fl tv4 . 4110 A l City State Zip Code WA State Contractor License #:T/rAOCL. 972o3 Spokane Valley Bus. Liscense #: Phone: Fax: Address: City Architect: Phone: State Zip Code Address: Fax: City Contact: rT/M Contact: State Zip Code Ot 50,' PERMIT/BUILDING INFORMATION HEIGHT TO PEAK:!y /, m DIMENSIONS: Z X D # OF S !RIES: MAIN FLOOR TO SQ. FTG: C 20 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG:,.,GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: 6-45 FMMLi /41/, # OF BEDROOMS: TOTAL HABITABLE SPACE: 52o IMPERVIOUS SURFACE AREA: COST OF PROJECT: ite? D op 30% SLOPES ON PROPERTY: No SEWER OR ON-SITE SEPTIC SYSTEM? • se,(. --ex MANUFACTURED'HOME Width: Manufacturer: Length: Year - Pit Set: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Tent: Valuation: Above/Underground Storage Tank Size: Paint Booth: Fireworks Display: Blasting: Date/Time: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Address: Phone: Fax: City State Inspector: Phone: Fax: Address: Zip City State Zip SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE Firm Name: ❑ REINFORCEMENT • ❑ WELDING Phone: • Fax: Inspector(s): DISCLAIMER The permitee verifies, acknowledges and agrees by their signature ghat: 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. Ownership of resulting development rights granted by any issued permit inure to the property owner. Print Name c79,r+(f OZ. gSignature 44t - Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Authorized Signature: Expires: VIN#: PLUMBING PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Call (509) 688-0054 Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Project Address: <. /0 904 E •,41 9 .4- : Permit Use: - ' Owner. '-.A/oh/A- Atfk A-ne,( Phone (Daytirrie•Coritact): C 925471/0 Mailing Address: /0 90 f F AvtfA f/AC.f t f Vi/GG" w./ City State Zip Code Contractor. frbsTA0A/ GU. --fPA!/oha,4, License #: J?MAoc_ C r lolPhone #: Sist Zit' 9/2. y Mailing Address: /SQo 9 4,. CO O/ee mien wit 9902. / City State Zip Code BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK - # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET BIDETS / X 36.00 = 2 URINALS - X 56.00 = 3 TUBS / X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X 36.00 = 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD. PREP/CULINARY MEAT / X $6.00 = 6 DISHWASHER X 36.00 = 7 CLOTHES WASHER X 36.00 = 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X 56.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X 36.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X 56.00 = 13 FOUNTAINS, DRINKING X 36.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X 36.00 = 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X 36.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER X $6.00 = 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X 36 00 ' _ 18 INTERCEPTORS GREASE TRAP, D CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X 36.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS X $2000 = 22 INDUSTRIAL WASTE INTERCEPTOR X 515.00 = METHOD OF PAYMENT: 0 CASH ❑ CHECK DATE: - SUBTOTAL is VISA 0 MASTERCARD PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (505) 688-0037 For Inspections, Call (509) 688-0054 Project Address: / 0 %o q E. Al/L/• - Owner: An/ti 44 Ark A.v/l �d Mailing Address: 54 M2 Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: Phone (Daytime Contact): . State Zip Code Contractor: r7 /M/4UN CZ A itfULM) A License #: f/.r/QQCL 402i3 Phone #(C6112.18-1/29 Mailing Address:-./Sgag E coeP6. etree - WA. 44021 State ' Zi o Code AUTHORIZED SIGNATURE: DESCRIPTION OF WORK- - - - # OF UNITS X • COST. '... = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12 00 = 2 - FUEL BURNING APPLIANCE , - More than 100,000 ": `X - $15.00 • ' 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X • 550 00 -. 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100.00 = 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X 550.00 = 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X 5100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501 - 1.000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1,001- 1,750M BTU X $35 00 = 11 BOILER/REFRIGERATION . More than 1,750M BTU X 560 00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 = 13 RANGE X $10.00 = 14 DRYER - X 51000 15 FUEL BURNING WATER HEATER X 510 00 = 16 MISC. FUEL BURNING APPLIANCE X 510.00 = 17 GAS PIPING (each outlet) X $1.00 = 18 DUCT SYSTEMS / X $10.00 = 19 VENTILATING FANS / X 510.00 = 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X $12 00 = 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE 1 HOOD X 550.00 = - 24 TYPE 11 HOOD X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $1200 = 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 AIR CONDITIONER 15-30 TON X 525.00 = 28 AIR CONDITIONER 30-50 TON X 535.00 = 29 AIR CONDITIONER More than 50 TON X 560.00 = -30 LPG STORAGE TANK X $10.00 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE - FREE STANDING X 525.00 33 REPAIR & ADDITIONS X 515.00 = 34 VENTILATION SYSTEMS X $12.00 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR - RESIDENCE X 519.00 = 37 INCINERATOR - COMMERCIAL X 522.00 = METHOD OF PAYMENT: 0 CASH ❑ CHECK 51 VISA 0 MC CARD #: DATE: SUBTOTAL PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: PERMIT REQUIREMENT (To be completed at time of sale) Use this checklist to make sure we can begin to work on your client's sign in the timeliest manner. Wherever possible, this information should be included on a Grey Sheet Workorder, or on separate paperwork attached to your sales package when it is turned in for order processing 1. Signed Proposal 2. Signed Urawirr 3. Deposi /P.©. # ontract 4. Due date _/ / (must be agreed to by production manager) / 5. Survey required? V /6. Permit Required?, if yes, permitting will need the following - NO EXCEPTIONS: a. Address of site. b. Plot plan to include following details: _1. Property lines and measurements, _6. Building w/ measurements, _2. Lineal footage of street frontage, _7. Obstructions (power line, trees), _3. Locations & distances of all existing signs, _8. Street & alley locations, _4 Sidewallcs, ingress & egress, _9. Grassy scale, pkg & driveways _5. New sign location w/ distance between sign & property lines. c. Elevation drawings for wall signs (digital photo overlayed with new sign works well, but need vertical and horizontal dimensions also.) d. Copy of sign faces for each sign e. Free standing/pole signs — base calculations or f Engineering (details to include all connections.) g. Call -outs for installation (mounting details, size, quantity, spacing/spread, and / type of fastener.) h. Property owner's name, address and telephone number. �K. i. Legal description (if possible) (including parcel number). j. Height above wades (if applicable). k. Copy of permit if obtained by others. 7. Installation for others: a. Copy of drawing b. Specifications /8. Landlord's consent forrml (if applicable). t9Valuation of sign. $ C ,i0 10. Remove old sign and/or 17' 28' DOINGP10,01 1111•01P ax >J. MI3a PNIN,.sv0[nE vx1Er T 'art 18' 10' 100' s11{24 u112162• '.m IV. LIVING Yllfl. 1@ if. ®! + (U UTZ MAGNI 1®aRR EXISTING HOUSE 42' 10909 E. MAIN 29'-10' 10' 24' EXISTING GARAGE ADORES; ZONE 1ff ROAD WIDTH' FRONT n:'/A. COMMENTS REVIEWED BY 22' 10' 150'