2004, 07-14 Permit App: BLD-04-07060 Pool, Heater, Piping•••"*..
Spot'"lane
.00.0VaIley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
ilding Permit ❑ Change in Use 0 Grading
❑ Relocation
H Tenant Improvement ❑ Fire Safety
❑ Manufactured Home
❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: 0127V
Phone: -Li-- 9 7 Fax:
Address: 3r7r): 5,
�
/222'"1e J% " ( UJ4- • 79
iiy ate Zip Code
Contractor:
Phone:' lir 7 Fax rJ 2tS/7
Address: / d ,C%• -Mi,'-ems
,a_ x �►
State
p Code
Applicant:
Phone: 534/-'91 / 7 Fax: 53 ;SSI 8
Address: /41 a /C/- $ t..jQ., 6Q-4,4
State Zip Code
Architect:
Phone:
Address:
Fax:
City
WA State Contractor License #:Md,dck $4( / Zo /3 Contact:
State
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
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: ( /
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
MANUFACTURED, HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler:
Tent:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
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
Phone:
Inspector(s):
Fax:
❑ WELDING
DISCLAIMER
The perrr;tee 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.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash 0 Check 0 Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community DevelopmenBt Depart seont
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact):
7' J Q
Z Zi ode
State p
hone*
State
Project Address: 341
Owner: 'e) -YL 1t) --t
Mailing Address:
Contractor:
Mailing Address:
iceit 07v
License #:
DESCRIPTION OF WORK
1
2
3
4
5
6
7
FUEL BURNING APPLIANCE
Equal to or Tess than 100,000
FUEL BURNING APPLIANCE
More than 100,000
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
USED APPLIANCE (WSEC min. AFUE
rating)
USED APPLIANCE (WSEC min. AFUE
rating)
BOILER/REFRIGERATION
Equal to or less than 400,000
More than 400,000
Equal to or Tess than 400,000
More than 400,000
1 - 100M BTU
8
BOILER/REFRIGERATION
101 - 500M BTU
9
10
11
BOILER/REFRIGERATION
BOILER/REFRIGERATION
501 - 1,000M BTU
BOILER/REFRIGERATION
1,001 - 1,750M BTU
More than 1,750M BTU
12
13
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
14
DRYER
15
FUEL BURNING WATER HEATER
16
MISC. FUEL BURNING APPLIANCE
17
18
19
20
GAS PIPING (each outlet)
DUCT SYSTEMS
# OF
UNITS
X
X
X
X
COST
s15.00
$19.00
$50.00
TOTAL
AMOUNT
X
X
X
X
X
X
X
X
X
X
X
X
X
X
$100.00
$50.00
$100.00
$15.00
$28.00
$39.00
$57.00
$95.00
$10.00
$10.00
$10.00
$10.00
$10.00
$1.00
�. '-
X
$10.00
VENTILATING FANS
X
$10.00
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
21
22
23
24
25
26
27
28
29
30
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
TYPE I HOOD
Greater than 10,000 CFM
X
X
$12.00
$19.00
X
$10.00
X
$50.00
TYPE II HOOD
X
$10.00
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
0-3 TON
X
$12.00
3-15 TON
X
$20.00
AIR CONDITIONER
15-30 TON
X
$25.00
AIR CONDITIONER
30-50 TON
X
$35.00
AIR CONDITIONER
More than 50 TON
X
$60.00
LPG STORAGE TANK
X
$10.00
31
32
WOOD OR PELLET STOVE/INSERT
WOOD STOVE - FREE STANDING
X
$10.00
X
$25.00
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
'Le c30
PROCESSING FEE
TOTAL PERMIT FEE DUE:
o 9l
try
Zip Code
I loi sits plan is being erbrefited for the purpose ot /17,\
a building pins* and is a We and correct
i presentation of dus proposal. AP known property ___
, linesidimensions. curb lines, structures and easements ..,.... - ----
ve been identified. Nso indicated are watlandb.-- — Th
odies ot vs 1
. steep slopes or other critical *Os. i
Signed: 21/ ic------------7//:
/S- / /
Date: 1 ,-/./
/
7
---.„.
.09 r, C: f
ADDRESS 1
ZONE
ROAD WIDTH kir
FRONT rj(t•I‘ FLAPiKlNG
COMMENT'
CO'
REVIEWED By!
1
62
APr:22. 2004 8:515AM HAWAIIAN FIBERGLASS POOLS
Michelle
0.711-48 P. i%1
From: anadee snyder [anadeesnyderawindermere.comj
Sent: Sunday, April 18, 2004 4:52 PM
To: Into@hawalianfiberglasspooLnet; salesghawaiianfiberglasspool.net
Subject: CUSTOMER Inquiry - Aloha/Hawaiian (www.hawaiianfiberglasspool.ne
Below is the result of taour feedback form. It was submitted by anadee mg der
(anadeesny derzwindernlere.com) an Sunday, April 18, 2004 at 17:52:08
am-rns: [No Choice Macle]
realname: anadeeSay der
addr1:17 eagle lane
suite
city: kettle falls
state: w
zip 99141
phones 509--680-0860
fax
timeframe: Not sure_
FavoriteStyles:Montego, Newport, Waikiki,
comments: curious about prices
1