2005, 07-20 Permit App: 05002470 RemodelProject Number: 05002470 Inv: I
. Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/20/2005 Page.1 of 2
Project Information:
Permit Use: REMODEL KITCHEN & FINISH BASEMENT- (2) Contact: OVNICEK, BART & HEIDI
BEDROOMS & BATH Address: 8415 E MISSION AVE
C - S - Z: SPOKANE VALLEY, WA 99212
Setbacks: Front Left: Right: Rear: Phone: (509) 893-2671
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: RANGE District: Nort
Parcel Number: 45074.9083
Block: Lot:
SiteAddress: 8415 E MISSION AVE
Location:: CSV
Owner: Name: OVNICEK, BART & HEIDI
Address: 8415 E MISSION AVE
SPOKANE VALLEY, WA 99212
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 1.15 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information•
Review
Plan Review
Released By:
Permits:
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RESIDENCE R-3 VB REMODEL 0 $10,000.00 0 $10,000.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 0 $10,000.00 0 $10,000.00
Units Unit Desc Fee Amount
1 SELECT $181.25
1 SELECT $4.50
'1 SELECT $72.50
Operator: K_C Printed By: K_C
Permit Total Fees: $258.25
Print Date: 07/20/2005
Project Number: 05002470 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/20/2005
Contractor: OWNER
Item Description
GAS WATER HEATER
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
WATER USING DEVICES
Notes:
Mechanical Permit
Units
Page 2 of 2
Firm: OWNER
Phone:
Unit Desc
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
(000) 000-0000
Permit Total Fees:
Plumbing Permit
Firm: OWNER
Fee Amount
$10.00
$12.00
$20.00
$42.00
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$6.00
$12.00
$6.00
$6.00
$6.00
$36.00
Pai'nrent Summon,:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$258.25
$42.00
$36.00
Invoice Amount
$258.25
$42.00
$36.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$258.25
$42.00
$36.00
$336.25 $336.25
$0.00
$336.25
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: 07/20/2005
Plia ..Se
alley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Vallay Community Development Department
_ • Building Divisior,
11707_E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
)1-M kis 5lo 1.)
Assessor's Tax Parcel Number(s): t-/ 5-0 % t/ T1 CJS; ^5
Legal Description: in - ytj 'rr 9b (21 ae',,,y G Fin 0f -CUL/ 7y (`-r 5L "VY;
fiin.5
PERMIT DESCRIPTION: 65.soyno
n Building Permit
❑ Relocation
❑ Change in Use ❑ Grading
❑ Tenant Improvement ❑ Fire Safety
❑ Manufactured Home
❑ Other
OWNER/APPLICANT INFORMATION
❑ .Owner. far } %-
Phone: -)��
Address: q,%-) )S
El
. 490Va)
Gty
i%c•�d' cit. .1c
Fax:
r11.,E SG;nr\
U -4n G )7
State Zip Code
Contractor: nn,r�A
Phone:
Address:
Fax:
City
State Zp Code '
❑ Applicant:
Phone:
Address:
Fax:
City
State Zip Code
❑ Architect:
Phone: Fax:
Address:
City
WA State Contractor License #: Contact:
Contact:
Spokane Valley Bus. Liscense #:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMS � IONS::1
# OF STORIES: I
1/2
MAIN FLOOR TO SQ. FTG:
2"" FLOOR SO. FTG:
Syoo
UNFIN BASEM NT SQ. FTG:
776
FINISHED BASEMENT SQ. FTG:
GARAGE SQ FTG:
«x1o4 J7n
DECK/COV. PATIO SQ. FTG:
OCCUPANCY. GROUP:
CONSTRUCTION TYPE:
st ria liC rwy,
HEAT SOURCE:
3°S P2a4
# OF BEDROOMS:
TOTAL HABfTABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF RO, CT:
4 COO
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? on Lrhy *c,-
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year. Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler. # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner.
Address:
Phone: Fax:
City State Zip
Inspector. Phone: Fax:
Address:
City
State Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
❑ REINFORCEMENT ❑ WELDING
Firm Name: Phone:
Inspector(s):
Fax:
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.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: i Expires: VIN#:
Authorized Signature:
PLUMBING PERMIT APPLICATION
•
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address: Permit Use:
Owner.
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone (Daytime Contact):
Mailing Address:
City
License #:
Contractor.
Mailing Address:
State Zip Code
Phone it.
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
0 OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET. BIDETS
I
X
56.03
=
2
URINALS
X
$6.OD
=
3
TUBS
1
X
56.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
56.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,p
X-RAY, FOOD, PREP/CULINARY MEAT
•S-4`
X
56.00
=
6
DISHWASHER
1
X
56.00
=
7
CLOTHES WASHER
X
56.00
=
8
GARBAGE DISPOSAL
X
55.00
=
9
WATER SOFTENER
+
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
56.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
56.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
56.00
=
13
FOUNTAINS, DRINKING
X
56.00
=
,.
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
56.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER ,I
PROOFER, CARBONATOR, SWAMP COOLER
1
56.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR VATS, TANKS, BOILERS
X
56.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK -
X
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
55.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
56.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
520.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
515.0D
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
DATE
SUBTOTAL
0 VISA 0 MASTERCARD
PROCESSING FEE•
53,
EXPIRES:
TOTAL PERMIT FEE DUE:
1
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
*laas"ne
MECHANICAL PERMIT APPLICATION
Phone: (509) 668-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address:
Owner.
Mailing Address:
Contractor. License #:
Mailing Address:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
Cey
Phone #:
State
Zip Code
Ci
State
Zip Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
11OF UNITS
X
COST
=
TOTAL AMOUNT J
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
=
2
FUEL BURNING APPLIANCE
More than 100,000 -
X
115.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
150.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400.000
X
1100.00
=
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
150.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
. More than 400,000
X
1100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
512.00
=
6
BOILER/REFRIGERATION
101 • 500M BTU
X
120.00
=
9
BOILER/REFRIGERATION
501 • 1,000M BTU
X
125.00
=
10
BOILER/REFRIGERATION
1.001 - 1,750M BTU
X
$35.00 '
=
11
BOILER/REFRIGERATION
' More than 1,750M BTU
X
160.00
=
12
GAS LOG, GAS INSERT. GAS FIREPLACE
X
$10.00
=
13
RANGE
-
X
110.00
=
14
DRYER
X
110.00
=
15
FUEL BURNING WATER HEATER
I
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
110.00
=
17
GAS PIPING (each outlet)
X
11.00
=
16
DUCT SYSTEMS
X
110.00
=
19
VENTILATING FANS
X
110.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10.000 CFM
X
512.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
115.00
=
22
EVAPORATIVE COOLERS
X
110.00
=
23
TYPE I HOOD
r
X
150.00
=
24
TYPE II HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
112 00
=
26
AIR CONDITIONER
3-15 TON
X
120.00
=
27
AIR CONDITIONER
15-30 TON
X
125.00
=
26
AIR CONDITIONER
30-50 TON
X
$35 00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
LPG STORAGE TANK
X
110.00
=
31
WOOD OR PELLET STOVE/INSERT
-
X
510.00
=
32
WOOD STOVE - FREE STANDING
X
125.00
=
33
REPAIR & ADDITIONS
X
$15.00
=
34
VENTILATION SYSTEMS'
X
512.00
=
35
VENTILATION MECHANICAL EXHAUST
X
112.00
=
36
INCINERATOR -RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X _
$22.00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK 0 VISA 0 MC
CARD titEXPIRES:
DATE:
SUBTOTAL
. PROCESSING FEE
135.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: