2004, 05-18 Permit App: BLD-04-04390 Additioncue
Spra��okane
.,,r•' Malley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
RESIDENTIAL ADDITION/REMODEL
Application #: BLD -04-04390
3008 S OBERLIN RD
SPOKANE WA 99206-3355
20 X 40 ADDITION TO ATTACHED GARAGE, CONVERT 156 SQ FT OF EXISTING
GARAGE TO KITCHEN/ DINING ROOM AND TEAR OFF/REROOF RESIDENCE
(OWNER IS CONTRACTOR)
JONES, CLAIR M & BETTY
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45294.0807
45294.0812
JONES, CLAIR M & BETTY Phone: (509) 924-5298
3008 S OBERLIN RD
SPOKANE, WA 99206-3355
Phone:
Lic No:
Zoning:
05/18/2004
11/14/2004
General Information:
VALUATION
REROOF
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
CLOTHES WASHER
DRYER
VENTILATING FANS
25200
N
15' 4"
20 X 40
1
40' 10"
u-1
wood
1
no
no
1
1
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
CLOTHES WASHER
DRYER
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
100.34
401.35
4.50
6.00
10.00
10.00
532.19
0.00
532.19
THIS IS NOT A RECEIPT
"ft.
SioMane
4,00\7alley
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:
3 0n8 0 6e1-/:,-, eGJ.
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: of 32,rZye •*- ,-i'J , a:•.�q
I] Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
O Relocation ❑ Tenant Improvement 0 Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
O Owner: ciz;y. 2 gle/ To•ies ,. L�
Phone: spy -1=4 rax: ,4.4e_
Address: s. 30ol rra
PoICsne_
City
O Contractor:
Phone:
[.Jli '192oC
State Zip Code
A/o pie.
Address:
Fax:
❑ Applicant:
Gi a v' Se.1e-s
Phone: so9.y Fax: ,v,.,€
Address: s. 3007
spa+ka.a %urs cb/1J �.
City State Zip Code
0 Architect: ,r/c
Phone: Fax:
Address:
City State Zip Code City State Zip Code
WA State Contractor License #:
Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
IS` qh
DIMENSIONS:
,v' _poi
# OF STORIES:
1
UNFIN BASEMENT SQ. FTG:
MAIN FLOOR TO -SQ. FTG:
2Pw FLOOR 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:
Est 31 0--' lel (((
30% SLOPES ON PROPERTY:
A/.
SEWER OR ON-SITE SEPTIC
SYSTEM? set..., e..A-
r'
.y (..r LL ;ILA.
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: Phone:
Address:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
0 BOLTING 0 CONCRETE
Firm Name:
Inspector(s):
❑ REINFORCEMENT
Phone:
Fax:
0 WELDING
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 c,1 z; r .i¢,5
Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ® Check 0 Mastercard ❑ VISA 0 Other
Bankcard #:
Authorized Signature:
Expires:
VIN#:
0,\%,„
*lane
„,,Valley
Project Address: s ,moos Oba-i; , /moi a
Owner: 2-0 as
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
Permit Use:
Phone (Daytime Contact): sb ry -y vi
Mailing Address: s . zoo'
Contractor:
Mailing Address:
„Sp .kz•.c \izb>dy
City
f) `t v'avC.
State Zip Code
License #: Phone #:
City
State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
a
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
16.00
=
2
URINALS
X
16.00
=
3
TUBS
X
16.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ONSITE BUILT
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
$6.00
=
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
I
X
56.00
=
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
16.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
" .00
TOTAL. PERMIT FEE DUE:
_
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
Project Address:
Owner: Phone (Daytime Contact):
Mailing Address:
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707E Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Contractor: License #:
Mailing Address:
City
State
Phone #:
Zip Code
c
to
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
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
X
$100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$15.00
=
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)
X
$1.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
X
$10.00
=
20
AIR HANDLER (DOES NOT indude 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
X
$20.00
=
27
AIR CONDITIONER
15-36 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:
❑ CASH 0 CHECK 0 VISA 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code
Fl
20 A�WtpSt
PO FaONS .
COJAMEON
vo goEt
This site plan is being submitted for the purpose of
obtaining a building permit and is s true and t OMO
representation of the proposai• AN known PgwftY
linesldimensions, curb 11111111, suuetwa WW enetnente
have been identified. Also kfdlc&W are wetlands'
bodies of water, 91T stops$ o/ otlW a llad areas'
Signed: -^--�
Date: "O
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