2005, 12-02 Permit App: 05004550 RemodelProject Number: 05004550 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/02/2005 Page 1 of 2
Project Information:
Permit Use: REMODEL RESIDENCE Contact: SCOTT, ZACHARY J
Address: 24300 E SPRINGDALE CT
C - S - Z: LIBERTY LAKE, WA 99019
Setbacks: Front Left: Right: Rear: Phone: (509) 868-5244
Group Name:
Site Information: Project Name:
Plat Key:
Name: CORBIN ADD TO GREENACRES District: East
Parcel Number: 55172.0902
Block: Lot:
SiteAddress: 18904 E MISSION AVE
Location:: CSV
Zoning: UR -7
Water District:
Area: 10,419 Sq Ft
Nbr of Bldgs: 0
Review Information:
Urban Residential -7
Width: 0
Nbr of Dwellings: 0
Owner: Name: SCOTT, ZACHARY .1
Address: 24300 E SPRINGDALE CT
LIBERTY LAKE, WA 99019
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Permits:
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation So Ft Valuation
RESIDENCE R-3 VB REMODEL 0 $22,000.00 0 $22,000.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
Totals: 0 $22,000.00 0 $22,000.00
Units Unit Desc
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$349.25
$4.50
$353.75
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
VENTILATING FANS
CLOTHES DRYER
HOOD -TYPE II
Units Unit Desc
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: CJJ Printed By: CJJ
Fee Amount
$30.00
$10.00
$10.00
Permit Total Fees: $50.00
•
Print Date: 12/02/2005
Project Number: 05004550 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/02/2005
Contractor: OWNER
Item Description
TOILETS/I3IDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
ELECTRIC HOT WATER TANK
WATER USING DEVICES
Plumbing Permit
Firm: OWNER
Phone:
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Page 2 of 2
(000) 000-0000
Fee Amount
$12.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
$72.00
Notes •
Payment Suninrary: „
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$353.75
$50.00
$72.00
Invoice Amount
$353.75
$50.00
$72.00
$475.75 $475.75
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$353.75
$50.00
$72.00
$0.00 $475.75
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: CJJ Printed By: CJJ Print Date: 12/02/2005
un n Permit Center
Spokane
acsolgUalley
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www spokanevallev.ora.com
Residential Construction
Permit Application
'PERMJTMJ1vIBER: ;
»PERMFTFE
o New Construction
*Addition/Remodel
o Other:
o Accessory Bldg
o Deck
SITE ADDRESS
9o'-1 L• tivssiarl
ASSESSORS PARCEL NO: a�- % . 09 02- LEGAL DESCRIPTION:
-: 'i ; r- - 3e. 4 �'- t-
s
iiildmgowner`_=- ar-- ,-- . :,ter+ " �.
Name JaEL al EE & 7&c 5coif
Address: 143o0 5 r r ojckle- Gi'•
city: Lberij LAIzt, Zip: 54019
Phone: S09 1(A. $2' t\ Fax:
`�Coutact=Person�„,�<.
Name: Zj Zt.G S co-*
Phone: $tl9• 5IC9• 97-'W
Describe the scope of work in detail:
Stl M�
Rerlycin� eXms}trj frgM4j
Shet}ro(12ing r (cfla6
*********The follOwin MUS'rb
***** t= e
-
�_�. _—rte -r- _ _ -_
��� _.. s�z �_- ,"� �
,f,,=. - G_. _ —=,..
Contractor ,.�;� T.�a'_
Name. Owner
MAIN FLOOR TO SQ.
FTG:
Address:
UNFIN BASEMENT SQ. FTG:
City:
Zip:
Phone:
Fax:
Lic No:
Exp. Date:
City Business Lic No:
HEAT SOURCE: I
l34,5t,b00 -
Cost of Project:
$221000
IPS (116L inq re fyy�rviir9..IA-0 b'
wc•Aa6LS re5i(1;n�.l
complete: (write N/A if not applicable)**********************
ra n
l (Ats,
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
305 SLOPES ON
PROPERTY:
# OF BEDROOMS: 3
e.>„\q�
CONSTRUCTION TYPE:
HEAT SOURCE: I
l34,5t,b00 -
SEWER OR EPTIC?
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Date
Method of Payment (Faxed permit applications will only be accepted with major ba kcard)
0 Cash 0 Check 0 Mastercard gl VISA
Bankcard #: Expires: ` \ VIN#:
IZ-Z-oS
0 Other
Authorized Signature:
REVISED 0252005
Permit Center
*name cosgege\etize11707 E Sprague Ave, Suite 106
ValleSpokan4,00.0se Valley, WA 99206
Y (509)688-0036 FAX: (509)688-0037
nw.spokanevallev. ore. com
Community Development
Residential Plan Submittal Minimums
❑ Completed Building, Plumbing & Mechanical application with: Accurate address,
Parcel Number and/or Legal Description, description of work, owner and
contractor information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor. Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
o 22" X 30° attic access location
o 18" X 24° crawl space access:
o One-hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
o Fumace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
O Insulation information -
Sti ken
� Valley
Community Development
Mechanical Permit
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX' (509)688-0037
wv.'w, pokanevallev ore com
Application
n Commercial
PERMIT NUMBER:
PERMIT FEE:
esidential
SITE ADDRESS:
IBlo-i E rds5ion
Buildingowner
Out L aLottC
le 7
C SC441—
-
- -
Name:
- J
Phone: 5
0 9 . 4 G i • SZ LI 4 Fax:
Address:
14321 ,,,4X
11
AJC
City:
I) btrj L+kE• State:
VVI
Zip: 9qd ti
Contractor •
Name:
6wfR r
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business License No:
Confect '.
Name:
Phone:
DESCRIPTION OF WORK
#OF UNITS X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12 00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$150D
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
B OI L E R/R E FR I G E RAT ION
1 - 100M BTU
X
$12 00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25 OD
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
X
510 00
13
RANGE
X
$10 00
14
DRYER
X
$10 00
15
FUEL BURNING WATER HEATER
X
51000
16
MISC FUEL BURNING APPLIANCE
X
$10 00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS .
X
$10 OD
19
VENTILATING FANS
3
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
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
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
525 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
X
$10.00
32
WOOD STOVE - FREE STANDING
X
525 00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR — RESIDENCE
X
$19.00
37
INCINERATOR — COMMERCIAL
X
522.00
METHOD OF PAYMENT:
❑CASH O CHECK
CARD#:
AUTHORIZED SIGNATURE:
SA DMC
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
Permit Center
Spb'kaIIe 11707 E Sprague Ave, Suite 106
ley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www,sookanevalley or".com
Plumbing Permit Application n Commercial RE Residential
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: t17i`1o`k E MIS$tor
Building owner. --
DESCRIPTION OF WORK
# OF UNITS
X
_.
=
TOTAL AMOUNT
Name: kJ OCL
TOILETS
ELI t2
& 'lac
t (o'i
Phone: So - is6Yi•SZN4
Fax:
Address' 1S904
URINALS
6.
Mission AVC
X
. ity k hC Uw�Jla[e: W)1
P:1
Zip:
94616
-Cntra.c,o.r...•,.
TUBS
-_. ... _
_
-.'-..
-
.,-.C. .',
Name.
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
1
X
Phone:
Fax:
Address'
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
3
X
City: State:
Zip:
License No:
DISHWASHER
1
X
City Business License No:
_
.,.
Contact A-�_.-a-
.,./
1
X
..-- __
ti-.
Name:
GARBAGE DISPOSAL
X
Phone:
=
AUTHORIZED SIGNATURE.
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET. BIDETS
%.
X
$0.00
=
2
URINALS
X
56.00
=
3
TUBS
1
X
$600
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
1
X
$600
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
3
X
$6.00
=
6
DISHWASHER
1
X
$600 .
_
7
CLOTHES WASHER
1
X
$6 00
=
8
GARBAGE DISPOSAL
X
$6 00
=
9
WATERSOFTENER
X
$600
=
10
ELECTRIC HOT WATER TANK
NOTE' IF GAS, SEE MECHANICAL
1
X
$6 00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6 00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
5600
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
56.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
5600
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
///���
X
$600
=
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
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
56.00 '
_
21
PRIVATE SEWAGE DISPOSAUSYS
X
$2000
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15 00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK $VISA 0 MASTERCARD
Card# / EXPIRES:
SUBTOTAL
71
PROCESSING FEE
.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE.
REVISED 8/26/05