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2004, 05-19 Permit App: BLD-04-04392 Addition, RemodelSpokane .,,, '01/alley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: yL� 3L -pirS ISI N T A PERMIT t�� Penalties will be assessed for commencing work without a permit RESIDENTIAL ADDITION/REMODEL 17811 E MONTGOMERY OTIS ORCHARDS WA 99027 2 STORY ADDITION - LIVING, KITCHEN & GARAGE W/REMODEL OF EXISTING HOUSE - OWNER CONTRACTOR JOE & SHARI BURNS JOE & SHARI BURNS 17811 E MONTGOMERY OTIS ORCHARDS, WA 99027 Lot: Blk: Parcel No: Application #: BLD -04-04392 Phone: (509) 922-0117 Phone: Lic No: Applied: Issued: Expires: Zoning: 05/19/2004 11/15/2004 General Information: VALUATION REROOF BUILDING HEIGHT TO PEAK DIMENSIONS COST OF PROJECT # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE STRUCTURES ON PROPERTY CURRENT PROPERTY SIZE CURRENT PROPERTY USE SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SHOWERS (PER TRAP) SINKS DISHWASHER CLOTHES WASHER WATER PIPING/DRAIN-IN WASTE FUEL BURNING APPL <= 100,000 DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) AIR CONDITIONER 3 - 15 TON 97916 N 24-2 46 X 40 30000.00 2 3 40 145 14 10 r-3 5-n 2 70 X 225 RESIDENCE yes no 3 3 1 5 1 1 1 4 1 1 6 1 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SHOWERS SINKS DISHWASHER CLOTHES WASHER WATER PIPING/DRAIN-IN WASTE FUEL BURNING APPL <= 100,000 DRYER FUEL BURNING WATER HEATER GAS PIPING AIR CONDITIONER 3 - 15 TON Total Calculated: Deposits/Receipts: Total Due: 391.90 979.75 4.50 18.00 18.00 6.00 30.00 6.00 6.00 6.00 60.00 10.00 10.00 6.00 20.00 1,572.15 0.00 CITY OF SPOKANE VALLEY APPROVED FOR SUBMITTAL lrlitialV ate iif-t', Building Planning Public Works /111.0 I. 1,572.15 THIS IS NOT A RECEIPT MHY 1' 2U114 by:1y rK 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner. Applicant: Address: Contractor: Address: IU JGrilJO 1 r.CJl/ UG THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit RESIDENTIAL ADDITION/REMODEL Application #: BLD -04-04392 17811 E MONTGOMERY OTIS ORCHARDS WA 99027 2 STORY ADDITION - LIVING, KITCHEN & GARAGE W/REMODEL OF EXISTING HOUSE - OWNER CONTRACTOR JOE & SHARI BURNS JOE & SHARI BURNS 17811 E MONTGOMERY OTIS ORCHARDS, WA 99027 General Information: VALUATION REROOF BUILDING HEIGHT TO PEAK DIMENSIONS COST OF PROJECT # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE STRUCTURES ON PROPERTY CURRENT PROPERTY SIZE CURRENT PROPERTY USE SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SHOWERS (PER TRAP) SINKS DISHWASHER 1 CLOTHES WASHER 1 WATER PIPING/DRAIN-IN WASTE 1 FUEL BURNING APDL <=100,000 4 DRYER 1 FUEL BURNING WATER HEATER 1 GAS PIPING (ea. OUTLET) 6 AIR CONDITIONER 3 -15 TON 1 Lot: Blk: Parcel No: Phone: (509) 922-0117 Phone: Lic No: Applied: Issued: Expires: Zoning: 05(19/2004 11115/2004 97916 N 24-2 46 X 40 30000.00 2 3 40 145 14 10 r-3 5-n 2 70 X 225 RESIDENCE yes no 3 3 1 5 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SHOWERS SINKS DISHWASHER CLOTHES WASHER WATER PIPING/DRAIN-IN WASTE FUEL BURNING APPL <= 100,000 DRYER FUEL BURNING WATER HEATER GAS PIPING AIR CONDITIONER 3 -15 TON Total Calculated: Deposits/Receipts: Total Due: 391.90 979.75 4.50 18.00 18.00 6.00 30.00 6.00 6.00 6.00 60.00 10.00 10.00 6.00 20.00 1,572.15 0.00 'CITY OF..SPOKANE VALLEY APPROVED FOR SUBMITTAL Building Planning initials/Date 1,572.15 THIS IS NOT A RECEIPT Sewttgebe��poms, orstem �� ler day. OCCUPCY PLOT ALLOWED until system in.Rt !kation has sooroval 3 cn.v 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: /7 8/1 6 . WO * Pfler ASSESSOR'S TAX PARCEL NUMBER(S): Sj ? J • 0/ a" LEGAL DISCRIPTION: PERMIT DESCRIPTION: E DULLDING PERMIT ®RELOCATION 2 fr l°fZOG a CHANGE "IN USE 0 GRADING >r IGN i TENANT 0 MANUFACTURED HOME OWNER / APPLICANT INFORMATION ® OWNER: J4 `L.' 4 e'4r 1 (2,)Lot /e/'1 PHONE: S : `i C.%1 `7 fjmmr �y (CQO 73 PHONE: FAX: ADDRESS: /> S" // E )4/Orli 1,70:, vyi er n a )44"ley ADDRESS: CITY,ST TE, ZIP �94, 0 CONTRACTOR: PHONE: FAX: ADDRESS: CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # CONTACT: ® APPLICANT: CITY, STATE, ZIP ARCHITECT: PHONE: FAX: ADDRESS: CITY, STATE, ZIP PERMIT/BUILDING INFORMATION COST OF PROJECT: 34-1)‘')°C-) BUILDING HEIGHT TO PEAK: 1 2 " BUILDING DIMENSIONS: /6 X P NUMBER OF STORIES: NUMBER of BEDRO FLANKING SETBACK: FRONT SETBACK: L, REAR SETBACK: /<(:57 LEFT SETBACK: I'`f 30% SLOPES ON PROPERTY: /1,--)i OCCUPANCY GROUP: CONSTRUCTION TYPE: wC61 STRUCTURES ON PROPERTY: Z CRITICAL AREAS: CURRENT PROPERTY SIZE: /C) X: -3 — CURRENT PROPERTY USE: ✓�'•?r CURRENT SEPTIC USE: "+`" 01A CURRENT WELL USE: RIGHT SETBACK: L- IMPERVIOUS SURFACE AREA: MAIN FLOOR SQ FT: ' /'3O 2ND FLOOR SQ FT: e S( I UNFIN BASEMENT: FINISHED BASEMENT: GARAGE: Yi COVERED DECK: y6C-) DECK: MANUFACTURED HOME SIGN WIDTH: LENGTH: YEAR: PIT SET: MANUFACTURER: SQ FT OF SIGN: HEIGHT OF SIGN: # OF SIGNS: AREA OF EXIST SIGN: TYPE OF SIGN: RELOCATION FIRE SAFETY PREVIOUS ADDRESS: PROPOSED USE: FIRE SPRINKLER: PAINT BOOTH: FIREWORKS DISPLAY: FIRE ALARM: TENT: BLASTING: DATE/TIME: WA STATE NON-RESIDENTIAL ENERGY CODE I PLANS EXAMINER: PHONE: FAX: ADDRESS: CITY, STATE, ZIP INSPECTOR: PHONE: FAX: ADDRESS: CITY, STATE, ZIP SPECIAL INSPECTIONS O BOLTING FIRM NAME: INSPECTOR(S): 0 CONCRETE 0 REINFORCEMENT PHONE: 0 WELDING FAX: BUILDING STAFF USE ONLY 1 IS PUBLIC SEWER AVAILABLE: 0 YES 0 NO IF YES: 0 COUNTY 0 CITY IS PUBLIC WATER AVAILABLE: YES • NO IF YES, WHICH WATER DIST/IRR: IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO IS THE PROPERTY LOCATED WITHIN ASA: 0 YES 0 NO PSSA: 0 YES 0 NO DATE: METHOD OF PAYMENT: O 0 1 STAFF: CASH CHECK VISA BANKCARD #; EXPIRES: VIN # AUTHORIZED SIGNATURE: *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD 1 MECHANICAL PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Project Address: /7 /] ' ;jr,v Permit Use: Phone (Daytime Contact): s-®9. 220.73' Mailing Address " SowL° erefriacrP.s v.' 't�2��' City State Zip Code Contractor: License #: Phone #: Owner: Tate k 5 0it i B(irris Mai ing Address: Ci State AUTHORIZED SIGNATURE: Zip Code DESCRIPTION OF WORK # OF UNITS` X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 ., 1 "1 X $15.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $19.00 = 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 1 - 100M BTU X X $100.00 $15.00 = = 7 BOILER/REFRIGERATION 8 BOILER/REFRIGERATION 101 - 500M BTU X $28.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $39.00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $57.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $95.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 = 13 RANGE / X $10.00 = 14 DRYER 1 X $10.00 = 15 FUEL BURNING WATER HEATER / X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) 6 X $1.00 = 18 DUCT SYSTEMS / X $10.00 = 19 VENTILATING FANS 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 $19.00 = 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 = 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 X $10.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA 0 MC CARD #: DATE: SUBTOTAL PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: Zip Code Siolane PLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Project Address: 1787/ e 1,r9Py y Permit Use: Owner: J( t SGiote € (rlg Phone (Daytime Contact): 50? -220-7380 Mailing Address: Contractor: Sgrwe kcir r/ //49 y A 99204 City State Zip Code Phone #: License #: Mailing Address: City State BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 3 X $6.00 = 2 URINALS X $6.00 = 3 TUBS 3 X $6.00 = 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 C X $6.00 = 6 DISHWASHER 11 X $6.00 = 7 CLOTHES WASHER `\ 1 X $6.00 = 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL 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 $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL INSTALLATION, 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 = METHOD OF PAYMENT; ❑ CASH [e CHECK 0 VISA 0 MASTERCARD DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code x'01' yva, COQ • ADDRESS ZONE ROAD WIDTH FRONT COMMEN REVIEWE 1 P / hir"i 1.9.1 This site plan is being submittal tor the purpose of ontaining a building perm* and M a Mus and OOraCt r•i, ,sentahon of the proposal. AN ONlowrl pagoda Irn itnhrensions, curb lines, structural andsasMwlls babe been identified. Also htdioaled are wellsnds, bodies o1 w r, steep, lopes or other critical ares. Signed: Date' S' / C N