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2004, 01-26 Permit App: BLD-04-03455 Addition9 Siokane 4W1eY PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMON/TY DEVELOPMENT BU/LD/NG DIVISION 1-1707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: (509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: IZ11S' E t'AAW $poKcwc_ UAU,EA WA clay7.-t ASSESSOR'S TAX PARCEL NUMBER(S): 4SIS3.7_.t., IL. LEGALDISCRIPTION: 9,S75-3• Z(n!t+ PERMIT DESCRIPTION: rJEva 3EA4Zoow‘ -1- ENre.1 AAODt•r,oN UILDING PERMIT ® CHANGE IN USE El GRADING E] SIGN ® TENANT ®RELOCATION ® MANUFACTURED HOME ['OTHER OWNER / APPLICANT INFORMATION 1 ® OWNER: L(4Ie- f S ()ACAA ® APPLICANT4SA..A E PHONE: qL-L--ZZOS FAX: Vra S%3 -1z -en AS OI.J4.JEL& PHONE: - FAX: ADDRESS: t -C -11S- C-. iN\An) SQo1'n, e („JA MUG DDRESS: ®CONTRACTOR: C7-'– CITY,STATE, ZIP CITY, STATE, ZIP ® ARCHITECT.: 4.r.)4/3 UAAJ OACN PHONE: %t-ZZc'B FAX: PHONE: ci 2.2 - I CZ -S- FAX: ADDRESS: ADDRESS: CITY, STATE, ZIP CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # 'CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJEC# 1 a-anCr)' o£ BUILDING HEIGHT TO PEAK: IC 11' 30% SLOPES ON PROPERTY: - OCCUPANCY GROUP: (O ' MAIN FLOOR SQ FT: ID CS€{FT 2ND FLOOR SQ FT: !Ufa BUILDING DIMENSIONS: 0 IS x 18 CONSTRUCTION TYPE: OW P-oc j Foo..jr EllyfruNFIN BASEMENT: ID ZSy,FT STRUCTURES ON PROPERTY: 2 FINISHED BASEMENT: ,(J/ba NUMBER of BEDROOMS: 1 NUMBER OF STORIES: (3GO.SslFT) CRITICAL AREAS: N /a FLANKING SETBACK: 31/ FRONT SETBACK: 32-' REAR SETBACK: /J/A LEFT SETBACK: 3'1' RIGHT SETBACK: 3k' GARAGE: SyO�T CURRENT, PROPERTY SIZE L4 , U11.05- ifr COVERED DECK. CURRENT PROPERTY USE: QESIOANr,NL- CURRENT SEPTIC USE: N/la SEWFe- CURRENT WELL USE: U/A IMPERVIOUS SURFACE AREA: 00N£ DECK: N/A /ZOsIfr 1 MANUFACTURED HOME SIGN WIDTH: LENGTH: YEAR: PIT SET: MANUFACTURER: SQ FT OF SIGN: HEIGHT or SIGN: # OF SIGNS: AREA OF EXIST SIGN: TYPE OF SIGN: RELOCATION FIRE SAFETY PREVIOUS ADDRESS: PROPOSED USE: FIRE SPRINKLER: FIRE ALARM: PAINT BOOTH: TENT: FIREWORKS DISPLAY: BLASTING: DATE/TIME: WA STATE NON-RESIDENTIAL ENERGY CODE PLANS EXAMINER: PHONE: FAX: ADDRESS: CITY, STATE, ZIP INSPECTOR: PHONE: FAX: ADDRESS: CITY, STATE, ZIP SPECIAL INSPECTIONS O BOLTING °CONCRETE ® REINFORCEMENT FIRM NAME: INSPECTOR(S): PHONE: ® WELDING FAX: BUILDING STAFF USE ONLY IS PUBLIC SEWER AVAILABLE: ® YES ® NO IS PUBLIC WATER AVAILABLE: ® YES ® NO IF YES: ® COUNTY ® CITY IF YES, WHICH WATER DIST/IRR: IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO IS THE PROPERTY LOCATED WITHIN ASA: ® YES CI NO PSSA: 0 ,YES 0 NO DATE: METHOD OF PAYMENT: 0 STAFF: CASH CHECK SANKCARD #,• AUTHORIZED SIGNATURE* WSA • EXP/RES: VINA' *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD S°akane cogoValley Mechanical Permit Application 11707 East Spregue Abenue, Suite 106 509-688-0036 - Phone Spokane Valley,, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 PROJECT ADDRESS: X71 5 s- E. Vvkikzu gQz ti4 c, . '�-'-i PERMIT USE: OWNER `, %c QAC 5 OF UNITS PHONE (Daytime Contact): MAILING AD RESS: . I2.-7 I c— 6 . SMArA) 4x,1444.4)E. v rtLE. (44 9G VC, (street) (city/state) I (ZIP) CONTRACTOR D 0.4..) et_ •OR<100,000 LICENSE 1: MAILING ADDRESS: 5AA/ � - 515 PHONE 1: Sec / Cizz-tto (street) (city/state) , (ZIP) METHOD OF PA ❑ CASH D C DATE: EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE- DESCRIPTION OF WORK 5 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE •OR<100,000 X 515 - 2 FUEL BURNING APPLIANCE > 100,000 X 519 - 3 UNLISTED APPLIANCE(ADDITIONAL FEE) • OR<400,000 X 550 • 4 UNLISTED APPLIANCE (ADDmONAL FEE) > 400,000 X 5100 - 5 USED APPLIANCE (WSEC min. AFUE rating) • or < 400,000 X 550 - 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X 5100 • 7 BOILER/REFRIGERATION 1- 100M BTU X 515 • 8 BOILER/REFRIGERATION 101- 500M BTU 'X - 528 - 9 BOILER/REFRIGERATION 501- 1,000M BTU X 539' - 10 BOILER/REFRIGERATION 1001 - 1750M BTU X 557 - 11 BOILER/REFR10ERATION +1750M BTU X 595 • 12 GAS LOC, GAS INSERT, CAS FIREPLACE - 1 X 510 la -et,13 RANGE - X 510 - 14 DRYER - X 510 • 15 FUEL BURNING WATER HEATER - X 510 • 16 MRSC FUEL BURNING APPL - X 510 • 17 GAS PIPING (ea, Outlet) - X 51 - 18 DUCT SYSTEMS - 4 X 510 • f a •CIU 19 VENTILATING FANS - X 510 • 20 AIR HANDLER (DOES NOT include dumng) • OR< 10,000CFM X 512 • 21 AUR HANDLER (DOES NOT include ducting) >10,000CFM X 519 • 22 EVAPORATIVE COOLERS - X 510 • 23 TYPE I HOOD - X 550 • 24 TYPE ll HOOD - X 510 • 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512 • 26 AIRCONDITIONER 3.15 TON X 520 • 27 AIRCONDITIONER 15.30 TON X 525 • 28 AIR CONDITIONER 30-50TON X 535 - 29 AMR CONDITIONER •50 TON X 560 - 30 LPG STORAGE TANK - X 510 - 31 WOOD OR PELLET STOVE/INSERT - X 510 32 WOOD STOVE - FREESTANDING - X 525 • KENT - Ma je, 111541 -- SUBTOTAL: 420.— PLUS PROCESSING FEE: .*BIE TOTAL PERMIT FEE DUE: W Z0, 00 DATE: EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE- N 138.83' S • MS' 40 30 Les w000 SHED 300 son' SITE PLAN — SHEET 1 SCALE I'm 2.01 PROPERTY um SINGLE STORY LYLE 4* SHELLY MACH 12715 EAST MAIN SPOKANE VALLEY 1 WA In -2208 `19216 ¥6133.2616 15' 30' 11 53l 32' 3' 39° 6' 7 1 r 1 I 1,06 SHOP s& FT IWO, DRIWEWAY EXISTING 1• w • !6'x 2 7' PATIO ti /6' CITY SEWER 1' PA?I0� I0i.tti 113E5$i34F �"\r»-.•�/ \If� fr t _'. 1 s%GAAGB .oa:e .. ....... Ii ��DP `.. IT 12 OP w . • M 1 1 1 1 MAIN STREET 1 1 1 1 1 ' 1 MANHOLE 1051 37" PRO ono ADDITION ••••. M w I CITY WATER..». _f.. _ 1 WATER PASTER 137,83'tit" 186 I DRIVEWAY SLAB ,^ •. •. ^ .y w IS w w w •• w w.... • w rw r r w w w r r w .. •. w .. OP GAS 23' 18' PRWFWA E IST/16 w • y LINE 37 PROPERTY CORNERS eS coos cpevo-kosugw���ON 35' CITY COPY 1 1 1 1 1 1 1 1 go' 1 1 1. 1 1