2005, 05-19 Permit App: 05001693 ResidenceProject Number: 05001693 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/19/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 40 Left: 26 Right: 25 Rear: 100
Site Information:
Plat Key:
Name: HOERLES ACRE TRACTS
Contact: COUGAR CONSTRUCTION
Address: 9293 RAMSGATE LN
C - S - Z: HAYDEN, ID 83835
Phone: (208) 640-6636
Group Name:
Project Name: ROW
District: Nort
Parcel Number: 35121.6323 Block:
SiteAddress: 7202 E MARIETTA AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 30,864 Sq Ft
Urban Residential 3.5
Width: 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: NORRIS, GEORGE P & CAROL M
Address: 1511 LAS BRISAS DR
HOLLISTER, CA 95023
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Review
Released By:.12
it i/V 4 t -
`J Platt:\
9 Revi�
Released By:
Approach / 1 ramage
Released By: •� - !
Sewer Review
Released By: 0- Urk &U,
14,Nut
:(\0.1i,41 is 12
sxwA, tit, 5Lu,v;, o LA_
Permits:
iv,v�A- � ,� '� A - COPv01nc,`�% ((�� :. ? ` oL -)
Ci
1/j
Operator: K_C Printed By: K_C Print Date: 05/19/2005
Project Number: 05001693
Inv: 1
Application
Date: 05/19/2005 Page 2 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: COUGAR CONSTRUCTION
Address: 38207 N PONDS RD
ELK WA 99009
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Contractor: COUGAR CONSTRUCTION
Address: 38207 N PONDS RD
ELK WA 99009
Group: R-3
Total Area
Building Height
Stories
Dwelling Units 1
Type: VB
2518
25
1
Description Grp
BASEMENT F R-3
COV DECK R-3
GARAGE U-1
RESIDENCE R-3
Approach
Firm: COUGAR CONSTRUCTION
Phone: (509) 292-9504
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Fee Amount
$25.00
$25.00
Permit Total Fees: $50.00
Building Permit
Firm: COUGAR CONSTRUCTION
Phone: (509) 292-9504
Building Characteristics
Ty a Notes
VB
VB
VB
VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Operator: K_C
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
868 $17,360.00 868 $17,360.00
400 $6,000.00 400 $6,000.00
675 $12,825.00 675 $12,825.00
1,650 $123,222.00 1,650 $123,222.00
Totals: 3,593 $159,407.00 3,593 $159,407.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Printed By: K_C
Permit Total Fees:
Fee Amount
$1,329.75
$4.50
$531.90
$1,866.15
Print Date: 05/19/2005
Project Number: 05001693 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/19/2005 Page 3 of 4
Contractor: COUGAR CONSTRUCTION
Address: 38207 N PONDS RD
ELK WA 99009
Item Description
WOOD/PELLET STOVE/INSERT
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Contractor: COUGAR CONSTRUCTION
Address: 38207 N PONDS RD
ELK WA 99009
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Mechanical Permit
Units
1
1
1
5
1
4
1
1
1
1
Firm: COUGAR CONSTRUCTION
Phone: (509) 292-9504
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Fee Amount
$10.00
$10.00
$12.00
$5.00
$20.00
$40.00
$10.00
$10.00
$10.00
$10.00
Permit Total Fees: $137.00
Plumbing Permit
Firm: COUGAR CONSTRUCTION
Phone: (509) 292-9504
Units Unit Desc
3 NUMBER OF
7 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Operator: K_C Printed By: K_C
Fee Amount
$18.00
$42.00
$6.00
$12.00
$6.00
$12.00
$6.00
$6.00
$12.00
Permit Total Fees: $120.00
Print Date: 05/19/2005
Project Number: 05001693 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/19/2005 Page 4 of 4
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,866.15
$137.00
$120.00
Invoice Amount
$50.00
$1,866.15
$137.00
$120.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,866.15
$137.00
$120.00
$2,173.15 $2,173.15 $0.00 $2,173.15
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: K_C Printed By: K_C Print Date: 05/19/2005
Spokane
4000Ualle
-.�
LE-
BUILloING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
rim BuildingDivision
n 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
r-sfhone: (509) 688-0036; Fax: (509) 688-0037
1-12F2E�2GIRED 6rti-tsItEORMATION
Street Address: 7202 E. G -i 4iA 55001(041_ \/aJk( tJ4 q(12.12
Assessor's Tax Parcel Number(s): 55 ('-1 • 4°5 2
Legal Description: ' it tc-k j 5 Aer 'irak4 Addy 14Cn r - i14 -e. V'oJ1Q (
PERMIT DESCRIPTION:
btj Building Permit
❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
El owner: r (orri,5
Phone: (PA (,?i -1115Fax:
Address: 1511 Las cle,, s Dr.
Ffo1i54-�er 15.023
City
State Zip Code
0 Contractor: etAstAX.4eDA(ter) 0
Phone: 208 ‘10N. Fax: 201 712-t3 ,73
Address: 92.61-3 toms ofr Lit.
ciai 1.b. B3 S
City State Zip Code
CCOI
WA State Contractor License #: CouV\Cticl 55 No
❑ Applicant: A tis
Phone:20B ( 0--(do3(o Fax: 2037n-S$1S
Ad ress: a Za3 (taaknLi&
da TO. 833,35
City
State Zip Code
Architect: Qai 115't
Phone: 2oB log-- 2516 Fax:
Address:
City
Contact:telk L5
State Zip Code
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK 25'
DIMENSIONS: S . i
# OF STORIES: 1
MAIN F LE
OSR TO SQ. FTG:
2"" FLOOR SQ. FTG: istokt
UNFIN BASEMIT SQ. FTG:
FINISHEDRBAASEMENT SQ. FTG:
GARAGE SQ. FTG: ��
DECK/COV. PATIO SQ5 1-�. F G :
OCCUPANCYP:
5in�?, I 11
CO STRUCTI N PE:
J1ew 5,i v J l
(
HEAT SOURCE
6'15 nice
# OFBEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
41.040 01.30 ce.
30% SLOPES ION PROPERTY:
liD
SEWER OR ON-SITE SEPTIC
SYSTEM? 62u
MANUFACTURED HOME
Width:
Manufacturer:
Length: 1 '>'ear: 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 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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
1
Print Name
Q.214 5 Signature
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) 683-0037
For Inspections, Call (509) 688-0054
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Project Address: 0 2 V �; . Permit Use:
Owner. Georoje, (Lorrt S Phone (Daytime Contact):
Mailing Address: 1$11 SJR `J r i 645 Dr gt i 5i-te CA gSOZ3
Contractor.
Mailing Address:
City
License #:
State Zip Code
Phone #:
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
3
X
$6.00
=
I9.0°
2
URINALS
X
$6.00
=
3
TUBS
Z'
X
$6.00
=
1 100
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
1
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
7
X
$6.00
=
42m
6
DISHWASHER
1
X
$6.00
=
//__
lf�`°°
7
CLOTHES WASHER
1
X
$6.00
=
#/.CX)
8
GARBAGE DISPOSAL
2.
X
$6.00
=
12.07
9
WATER SOFTENER
.6
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
I
X
$6.00
=
(p.00
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
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
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
DATE:
SUBTOTAL
0 VISA 0 MASTERCARD
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Spokanrr
ne
1147
MECHANICAL PERMIT APPLICATION ,
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Add,,ess: 7202. E May- a *kcivtdi.1
Owner: Co i ori 5
Mailing Address: 1511 1ilaS 't tS i)r
Contractor:
Mailing Address:
ilo11 CA- 41,5023
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
•
License #:
City
Phone #:
State
Zip Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
$12.00
=
12,0C,
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
=
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
$50.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
=
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
$60.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
1
X
$10.00
=
10.00
13
RANGE
1
X
$10.00
=
10,00
14
DRYER
1
X
$10.00
=
1.0.00
15
FUEL BURNING WATER HEATER
1
X
$10.00
=
10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
5
X
$1.00
=
5.00
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
4
X
$10.00
=
140.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
t
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 I HOOD
X
$50.00
=
24
TYPE II HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
26
AIR CONDITIONER
3-15 TON
1
X
$20.00
=
20.CO
27
AIR CONDITIONER
15-30 TON
X
$25.00
=
28
AIR CONDITIONER
30-50 TON
X
$35.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
1
X
$10.00
=
10,C0
32
WOOD STOVE - FREE STANDING
X
$25.00
=
33
REPAIR & ADDITIONS
X
$15.00
=
34
VENTILATION SYSTEMS
X
$12.00
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
❑ CASH 4CHECK ❑ VISA ❑ MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
50'00
AUTHORIZED SIGNATURE:
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