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Home My WebLink About2003, 10-28 Permit App: BLD-03-02918 Finish Basement,#Malley 311.7 03-1"g 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 1 STREET ADDRESS: I I 1 1 S. ,V eW er ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DISCRIPTION: PERMIT DESCRIPTION: F n sk (3QSemen+ 11 BUILDING PERMIT 0 CHANGE IN USE ® GRADING ®RELOCATION fl -SIGN QTENANT CI MANUFACTURED HOME OTHER OWNER / APPLICANT INFORMATION ®OWNER: Ven Srn:4k PHONE: Soy Sb 1—S$ 643 FAX: 1 I ADDRESS: 1112. S. NJPM3eJ Ve(AdLIq.\JR CITY,STATE, ZIP - • gg031 ®CONTRACTOR: 0 Len er ® APPLICANT: PHONE: ADDRESS: CITY, STATE, ZIP 0 FAX: ARCHITECT: PHONE: FAX: PHONE: ADDRESS: ADDRESS: CITY, STATE, ZIP FAX: WA ST CONTRACTOR LICENSE # CITY, STATE, ZIP CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT:] OOO BUILDING HEIGHT TO PEAK: BUILDING DIMENSIONS: NUMBER OF STORIES: NUMBER of BEDROOMS: FLANKING SETBACK: FRONT SETBACK: REAR SETBACK: LEFT SETBACK: RIGHT SETBACK: 30% SLOPES ON PROPERTY: OCCUPANCY GROUP: CONSTRUCTION TYPE: STRUCTURES ON PROPERTY: CRITICAL AREAS: CURRENT PROPERTY SIZE: MAIN FLOOR SQ FT: OW' ZNO FLOOR SQ FT:- UNFIN BASEMENT: FINISHED BASEMENT: GARAGE: COVERED DECK: CURRENT PROPERTY USE: DECK: CURRENT SEPTIC USE: CURRENT WELL USE: IMPERVIOUS SURFACE AREA: MANUFACTURED HOME SIGN WIDTH: LENGTH: YEAR: PIT SET: MANUFACTURER: SQ FT OF SIGN: HEIGHT OFSIGN: # 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 PLANS EXAMINER: PHONE: FAX: ADDRESS: CITY, STATE, ZIP INSPECTOR: PHONE: FAX: ADDRESS: CITY, STATE, ZIP SPECIAL INSPECTIONS 0 BOLTING FIRM NAME: ®CONCRETE ® REINFORCEMENT 0 WELDING PHONE: FAX: INSPECTOR(S): BUILDING STAFF USE ONLY 1 IS PUBLIC SEWER AVAILABLE: 0 YES 0 NO IS PUBLIC WATER AVAILABLE: ® YES ® NO IF YES: 0 COUNTY CITY IF. YES, WHICH WATER DIST/IRR. IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO 1S THE PROPERTY LOCATED WITHIN ASA: YES NO PSSA: 0 YES 0 NO DATE: 1 1 STAFF: METHOD OF PAYMENT: D CASH CHECK BANKCARD IC EXPIRES: V/N# AUTHOR/ZED SIGNATURE' *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD Spokan ems"°' 41 Valley Plumbing Permit Application 11707 East Sgrague.Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax PROJECT ADDRESS: 'I ((`z, S. NleA.6)? -+ PERMIT - USE: Fig ISi? 8A$EMern11 OWNER: Jen s,- ,-+� - PHONE (Daytime Contact): 09 a-: I SRCe MAILING ADDRESS: II 12 s-tveua& C-4 Vert -aa Lc WA 89031 (street) (city/state) . - (ZIP) CONTRACTOR: O caner - TOILETS - LICENSE 7: ' ( MAILING ADDRESS: _ S&'me. 0-a Cl_60vre- $6 PHONE 1: b 2 URINALS (street) (city/state) (ZIP) ' PLUMBING FIXTURES its ETHOD OF CASH ATE: 1NKCARD NUMBER: JTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS - WATER CLOSET, BIDETS ' ( X $6 - . b 2 URINALS - X $6 - 3 TUBS X - $6 - 9 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT ( X 56 e (p 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY; UTILITY, JANITOR PHOTO, X- RAY, FOOD; PREP/CULINARY/MEAT X $6 - IIAd .%1 SIA" A� (1�i 6 DISHWASHER' X $6 - 6 7 CLOTHES WASHER ( X E6 - CD 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X 56 - 10 ELECT. HOT WATER TANK NOTE- IF GAS, SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 - 12 FOUNTAINS, DRINKING ' ' - - - '-'- — -' "- - '- X - --'- - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X 56 - - 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 et 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 56 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE - X - $6 - PAYMENT allMall YIS4 ' Nrsfx+y ❑ CHECK 0 =Ma ___%rte SUBTOTAL: .001;r47k 40.a) PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: e3 -d are 1NKCARD NUMBER: JTHORIZED SIGNATURE: spokan'� „.#Valley Mechanical Permit Application 11707 East Sprague Avenue+ Suite 106 Spokane Valley, WA 99206 509-688-0036- Phone 509-688-0037 - Fax PROJECT ADDRESS: _ PERMIT USE: OWNER: PHONE (Daytime Contact): MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR LICENSE #: MAILING ADDRESS: -- PHONE #: (street) (city/state) (ZIP) 0 DESCRIPTION OF WORK FUEL BURNING APPLIANCE 1 OF UNITS X COST EQUALS AMOUNT - OR <100,000 X 515 • 2 FUEL BURNING APPLIANCE > 100,000 X 519 UNLISTED APPLIANCE (ADDMONAL FEE) -OR<400,00D X 550 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X 5100 5 USED APPLIANCE (WSEC min AFUE rating) or <400,000 X • 550 • 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X $100 7 BOILER/REFRIGERATION 1- 100M BTU X 515 - 8 BOILER/REFRIGERATION 101- SOOM BN X 528 9 BOILER/REFRIGERATION 501- 1,000M BTU X 539 10 BOILER/REFRIGERATION t001- 1,750M BTU X 557 11 BOILER/REFRIGERATION +1750M BTU X 595 12 GAS LOG, GAS LNSERT, GAS FIREPLACE X 510 13 RANGE X 510 14 DRYER X 510 p it l/ -(71104 15 FUEL BURNING WATER HEATER X 510 16 MISC FUEL BURNING APPL.._ . 17 GAS PIPING (ea Outlet) X 51 18 DUCT SYSTEMS X 510 19 20 VENTILATING FANS 7- 510 AIR HANDLER (DOES NOT include ducting) - OR c 10,000CFM X 512 21 AIR HANDLER (DOES NOT Include ducting) > 10,000 CFM X 519 22 EVAPORATIVE COOLERS X 510 23 TYPE I HOOD X 550 24 TYPE II HOOD X 510 25 HEAT PUMP/AIR CONDn1ONER 0-3 TON X 512 26 AIR CONDITIONER 3-15 TON X 520 27 AIR CONDITIONER 15-30 TON X 525 28 AIR CONDMONER 30-50 TON X 535 29 AIR CONDITIONER +50 TON X 560 30 LPG STORAGE TANK X 510 31 WOOD OR PELLET STOVE/INSERT X 510 32 WOOD STOVE - FREE STANDING X 525 • METHOD OF PAYMENT DATE: EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE - SUBTOTAL: PLUS PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: