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2003, 08-13 Permit App: BD03-870 Change of Use001\ *lane • Walley • PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: (509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: ISo(O N' I In%Qs okalm( LAit C1g02-7 ASSESSOR'S TAX PARCEL NUMBER(S): qS 152- .01IO LEGAL DISCRIPTION: "I' :S51" \I; Q„ J L. I Q 61 PERMIT DESCRIPTION: c lkla,ubc- Use, nto.v, Gpickbcc To or -Pit, stofrcc> °BUILDING PERMIT ° RELOCATION ® CHANGE IN USE 0 GRADING 0 MANUFACTURED HOME }SIGN 0TENANT 0 OTHER OWNER / APPLICANT INFORMATION 1:1 OWNER: DOWN 1Rk151--- ° APPLICANT: )0FIW OL PHONE: 5ThG�150-61 CI q FAX: ADDRESS: 2-44, I6 e CONTRACTOR: PHONE: • 61)%-22,‘ . O -hs Orc{t&vth LU' CITY,STATE, ZIPS 1021 CI FAX: ADDRESS: CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # PHONE: SD1-Z30-519cI FAX: 9XI-2 2 -to -037/ 1 ADDRESS: 24 LI 13 &, $- )-tf 'Lb . 0-11,j O/LMYd! U ' CITY, STATE, ZIP -HCI): ARCHITECT: PHONE: ADDRESS: FAX: CITY, STATE, ZIP CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT 13 (0) O'D. (D BUILDING HEIGHT TO PEAK:vI - • BUILDING DIMENSIONS: 2.3 X 310 NUMBER OF STORIES: NUMBER of BEDROOMS: 0 FLANKING SETBACK: FRONT SETBACK: 9o/ I U REAR SETBACK: 5'' LEFT SETBACK: 61 I 30% SLOPES ON PROPERTY: OCCUPANCY GROUP: 0�k-i Ce' CONSTRUCTION TYPE: -I"fk(Am-e-, STRUCTURES ON PROPERTY: 2 -- CRITICAL CRITICAL AREAS: CURRENT PROPERTY SIZE: 7 L K 1 10' CURRENT PROPERTY USE: CAC''c2 CURRENT SEPTIC USE: 3 2-Qf CURRENT WELL USE: VI O nLi RIGHT SETBACK: 5' a" IMPERVIOUS SURFACE AREA: 1 MAIN FLOOR SQ FT: 1008 SI -C-4 2N0 FLOOR SQ FT: UNFIN BASEMENT: FINISHED BASEMENT: GARAGE: COVERED DECK: -- DECK: IS PUBLIC SEWER AVAILABLE: ® YES ® NO IS PUBLIC WATER AVAILABLE: 0 YES0 NO IF YES: COUNTY 0 -CITY IF YES, WHICH WATER DIST/IRR: IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO IS THE PROPERTY LOCATED WITHIN ASA: ® YES CI NO PSSA: 0 YES O NO MANUFACTURED H N WIDTH: h)I4 YEAR: MANUFACTURER: LENGTH: PIT SET: SQ FT OF SIGN: HEIGHT OF SIGN: # OF SIGNS: I AREA OF EXIST SIGN: TYPE OF SIGN: Lji14Lc0 rvJYl-i42 O^ cal crck bolt, RELOCATION FIRE SAFETY 1 PREVIOUS ADDRESS: PROPOSED USE: FIRE SPRINKLER: ' FIRE ALARM: PAINT BOOTH: — TENT: FIREWORKS DISPLAY: BLASTING: DATE/TIME: WA STATE NON-RESIDENTIAL ENERGY CODE PLANS EXAMINER: Paull W1c(44+.tLJS ADDRESS: l.escl Al ,O; ALS Q. INSPECTOR: SQmE as okbaJx-- PHONE: 599' Rte' ($ FAX: 70(Ca-f" Lask( . UI ef Zo(e CITY, STATE, ZIP PHONE: FAX: ADDRESS: CITY, STATE, ZIP SPECIAL INSPECTIONS CI BOLTING ®CONCRETE FIRM NAME: INSPECTOR(S): CI REINFORCEMENT PHONE: ® WELDING FAX: 1 BUILDING STAFF USE ONLY 1 DATE: r STAFF: 1 METHOD OF PAYMENT: 0 0 CASH CHECK BANKCARD #; EXP/RES; V/NAI AUTHOR/ZED SIGNATURE' *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD • amt\` 11707 East ague Ave Ste 106 er Spoken ley, WA 99206 Phone: (509 688-0036 Fax: (509)688-0037 %' 30l jf307 REQUIRED SITE INFORMATION (21� 03- '7o STREET ADDRESS: I5-0(0 tJ 1 iro 5 bid )"15 ASSESSOR'S TAX PARCEL NUMBER(S): 45- I 52- • 011 0 LEGALDISCRIPTION: VIA iS1ON\Iie 3 L_ ID 61 kQ,v14Wti Q''LO27 PERMIT DESCRIPTION: ckAnube lase. Fee-o,vGpizA-sE -t) 0I i t- sept•e.2 ° BUILDING PERMIT °RELOCATION ® CHANGE IN USE 0 GRADING 0 MANUFACTURED HOME °SIGN °-TENANT °-O (RIR OWNER / APPLICANT INFORMATION o OWNER: JOI,NI Rea PHONE: 5ThG-2306191 ADDRESS: 24-a2IS L,141-424 Rd.O OScka,vis ' 2/ • TATE, o CONTRACTOR: FAX: St Ir22 —001/ ® APPLICANT: O 0 NW "QM PHONE: Sal-- 2-30-5199 FAX: S2A1 In -Z 2(a ADDRESS: 24413 E. flirt P-1) • Qj� 0141444), CITY, STATE, ZIP °JCR) PHONE: FAX: ADDRESS: CITY, STATE, ZIP 1 1 ARCHITECT: PHONE: ADDRESS: FAX: CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # CONTACT: BUILDINGS: APPROVALS S// /©S. . PLANNING: ( ENGINEERS: (tA/ _CLirc- `Q , 2-(-9-°3 -IOD OF tSH S°pokan Walley t1707 East Sprague A'ienue,kSuite 106 • 509-688-0036 - Phone pokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT � II.1Pn ADDRESS: S00 4'x. .11PS I R -c0. 61.65 .t PERMIT USE: Wan Gil C0t7 bcciln no W1 OWNER: 10kA R d 1 X PHONE (Daytime Contact): ct): 5 k Z 30 - sI CI' i MAILING ADDRESS: Vo - Ow. HSx p-{hsdrel^a.'dsi Masi. gq027 (street) (dty/state) - (ZIP) CONTRACTOR: (,Jw, ^�✓ 56 LICENSE f: (p - 00 MAILING ADDRESS: URINALS PHONE if: X 55 (street) (city/state) (Lll') PLUMBING FIXTURES CARD NUMBER: ORIZED SIGNATURE: DESCRIPTION DETAILS f OF LIMITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS ( X 56 - (p - 00 2 URINALS X 55 - 3 TUBS X 56 - 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 - X 56 -- 00 6 DISHWASHER - X 56 - 7 CLOTHES WASHER X $6 - 8 GARBAGEDISPOSAL X §6 - 9 WATER SOFTENER X $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL 1 X 56 - G.00 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE 1 X $6 - ( no 12 FOUNTAINS, DRINKING - X E6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS - 1 X 56 - / -LO 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 - 16 CROSS CONNECTION DEVICE VACUUM BREAKER CHECK VALVE, AND RP.B.P.D. FOR: VATS, TANKS, BOILERS x 56 - 17 SPRINKLER SYSTEM X 525 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL x 56 - . HOLDING TANK 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X §6 - PAYMENT CHECK YlSA' Ilf SUBTOTAL: 30-00 PLUS PROCESSING FEE: $355..00 • . NW=. TOTAL PERMIT FEE DUE: 5\ O CARD NUMBER: ORIZED SIGNATURE: Spoikan ‘ ' ....*Valley al07 East S ra a enue, Suite 106 509-688-0036 - Phone kane ValleyWA 99206 • 509-688-0037 - Fax For Inspections, call 509-688-0054 -Mechanical Permit Application METHOD OP PA ❑ CASH 0 DESCRIPTION OF WORK PROJECT ADDRESS. (Soho rl. Pi nes Ra, bld5j''5 PERMIT I USE: f-IQC\+2/l /coaLiN6 OWNER J O h RQ (� i AMOUNT PHONE (Daytime Cont ): w9 _ 230-5199 MAILING ADDRESS: o. box `-1S8 b -Hs Drc.Aa.v-d>> c.Jaso qc oa (street) (city/state) (ZIP) CONTRACTOR: Co W opi,\JJ X LICENSE $: - MAILING ADDRESS: UNLISTED APPLIANCE (ADDITIONAL EEE) PHONE 1: X 550 - (street) (city/state) (ZIP) X SILO . - METHOD OP PA ❑ CASH 0 DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK t OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE •OR<180000 . ( X 515 - 15,00 2 FUEL BURNING APPLIANCE > 100,000 X 519 - 3 UNLISTED APPLIANCE (ADDITIONAL EEE) - OR <400,000 X 550 - 4 UNLISTED APPLIANCE(ADDMONAL FEE) >403,000 X SILO . - 5 USED APPLIANCE (WSEC min. AFUE rating) - or <400,000 X 550 - 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X 5103 - 7 BOILER/REFRIGERATION 1- 100M BTU X 515 - 8 BOILER/REFRIGERATION 101- 500M BTU -X 52S - 9 BOILER/REFRIGERATION 501- 1,000M BTU X 539 - 10 BOILER/REFRIGERATION 1001- 1,750M BTU X 557 - 11 BOILER/REFRIGERATION +1750M BTU X 595 - 12 GAS LOC, GAS INSERT, GAS FIREPLACE - X $10 - 13 RANGE - X 510 - 14 DRYER - X 510 - 15 FUEL BURNING WATER HEATER - X 510 - 16 MISC FUEL BURNING APPL. - X 510 - 17 GAS PIPING(ea- Outlet) - 1 X 51 - 1-Q0 18 DUCT SYSTEMS - 1 X 510 - D 19 VENTILATING FANS 1 X 510 - (()_ IC JG 20 AIR HANDLER (DOES NOT Include ducting) - OR <10,000CFM X 512 - - 21 AIR HANDLER (DOES NOT include ducting) > 10,0)) CFM X 519 • 22 EVAPORATIVE COOLERS - X 510 - 23 TYPE I HOOD - X 550 - 24 TYPE II HOOD - X 510 - 25 HEAT PUMP/AIR CONDITIONER 0-3 TON 1 X 512 - 12 0 O 26 AIR COND77IONER 3-15 TON X 520 - 27 AIR CONDRIONER 15-3070N X 525 - 28 AIR CONDITIONER 30-50 TON X 535 - 29 ABRCONDITIONER +50 TON X 560 - 30 LPG STORAGE TANK - X 510 - 31 WOOD OR PELLET STOVE/INSERT - X 510 - 32 WOOD STOVE -FREESTANDING - X 525 • HENT' 11111111.11-. Id fa el ..-.--c. rn 144 ®3t SUBTOTAL: L(g.00 PLUS PROCESSING FEE: _ a S 00 r TOTAL PERMIT FEE DUE: DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: Dawn Dompier From: Figg, Greg [FiggGrawsdot.wa.gov] Sent: Friday, August 08, 2003 1:49 PM To: Dawn Dompier Cc: Cote, Ronald Subject: RE: N.1506 Pines Change of Use (John Redl) Dawn, this did not go thru the first time lets see if it works this time. Greg > Original Message > From: Figg, Greg > Sent: Wednesday, August 06, 2003 9:04 AM > To: Dompier Dawn (E-mail) > Cc: Cote, Ronald > Subject: N.1506 Pines Change of Use (John Redl) > Dawn, we have looked at the above proposal and do not have any > objections to it moving forward. Access from this site is proposed to > Maxwell which is our preferred means to access this site. If you have > any questions on this please let me know. Greg Figg - WSDOT