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2013, 02-04 Permit App: BLD-2013-0171 RemodelSpokane Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 nermitrenter sookanevaIlev.orq RESIDENTIAL CONSTRUCTION PERMIT APPLICATION ❑ NEW CONSTRUCTION ❑j ADDITION/REMODEL 0 DECK 0 OTHER SITE ADDRESS: 8420 EAST NORA AVE, SPOKANE VALLEY, WA 99212 0 ACCESSORY BUILDING ASSESSORS PARCEL NO.: 45074.0516 LEGAL DESCRIPTION: BUILDING OWNER NAME: JAN CARLSON NAME: JAN CARLSON ADDREss: 8420 EAST NORA AVE. Cnv: SPOKANE VALLEY STATE: WA zip: 99212 PHONE: FAX: CELL: 509-230-8654 CONTACT NAME: JAN CARLSON PHONE: FAX: CELL: 509-230-8654 CONTRACTOR NAME: JAN CARLSON —0(A) n e r MAILING ADDRESS: 8420 EAST NORA AVE, SPOKANE VALLEY, WA 99212 CITY: SPOKANE VALLEY STATE: WA zip: 99212 PHONE: FAX: CELL: 509-230-8654 CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRTRE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: Se*MOP i&4.uA$2ccxrt eritrttc,wu lepL,ALl,o�t=�(at lS a.+ofli/,�r�fUn.,iy;561"PoclrPaitrti REPLACE ALL EXISTING WATER LINES WITH COPPER PIPE, WILL ONLY ADD ONE FLOOR DRAIN; 2X.5 ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: Dimensions: No. of Stories: Total Habitable Space: Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ FT: Finished Basement SQ FT: Garage SQ FT: Deck/Covered Patio SQ FT: Impervious Surface Area: 30% Slopes on Property: No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic: TOTAL COST OF PROJECT: $ 4,000 PISCLAIMER The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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. Effective October 28, 2007 Page 1 of 2 P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit App 10.28.07.doc all „t Signature N • Date: FEBRUARY 4, 2013 Method of payment: 0 Cash CI Check Bankcard #: 0 Visa 0 Mastercard EXP: VIN#: Authorized Signature; Effective October 28, 2007 Page 2 of 2 P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit App 10.28.07.doc Spokane Walley Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX. (509)688-0037 permitcenter(1)spokanevallev ore Community Development Plumbing Permit Application PERMIT NUMBER: PERMIT FEE: n Commercial n Residential SITE ADDRESS: 8420 EAST NORA AVE, SPOKANE VALLEY, WA. 99212 Building Owner JAN CARLSON Name: JAN CARLSON Phone: Fax Address' 8420 EAST NORA AVE, SPOKANE VALLEY, WA. 992:00e: State Zip Contractor Name Phone Fax: Address City: State: Zip: License No: City Business Lie Contact/Project Manager: Name JAN CARLSON Phone # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS 4 1 URINALS 0 TUBS 0 SHOWERS (per trap) # 1 SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat �/ p 1 DISHWASHER 0 CLOTHES WASHER 0 GARBAGE DISPOSAL 0 WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate t ROOF DRAIN/OVERFLOW DRAINS 0 FOUNTAIN, DRINKING 0 WATER PIPING/DRAIN-IN WASTE Installation, Alterations, Repair, Reversals 0 WATER USING DEVICE Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler 0 PRIVATE SEWAGE DISPOSAL SYSTEM NA WATER HEATER If Gas, See Mechanical 0 INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including traps, vents except kitchen type grease interceptors functioning as fixture traps 0 REPAIR OR ALTERATION Water piping, drainage or vent piping R ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmosphenc type vacuum breakers 0 MEDICAL GAS 0 INCEPTORS Project # &CI — i -. —) 7 @CASH Carda SIGNATURE: ❑ CHECK ❑ VISA ❑ MC EXPIRES: VIN' 1 RECEIVED FEB 0 4 2013 I CSV PERMIT CENTER SUB # REVr�P.\Community Devclopmenl\02 Administration\03 Forms - Official VersionsWermil Center \Plumbing Permit pp 'om04.03.09.dg,doe CURRENT FEES AVAILABLE AT: http://w.wv spokanevalley.org/ under the quick links for Forms, Master Fee Schedule. P:\Community Development\02 Admmistratmn\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg doe �\ Permit Center *Mane 11703 E Sprague Ave, Suite 13-3 l� Spokane Valley, WA 99206 jVal ley (509)688-0036 FAX (509)688-0037 Community Development permitcenter rs sookanevallev on, Mechanical Permit Application PERMIT NUMBER: PERMIT FEE: ❑ Commercial Residential SITE ADDRESS: Building Owner ¶YW 64s4 Worn i4ve, ka,.e Un 1 ey1ltl4- 99,212 NameJAN CARLSON Phone 509-230-8654 Fax Address:8420 EAST NORA AVE City SPOKANE VALLEY state WA Zip 99212 Contractor NameJAN CARLSON Phone: 509-230-8654 Fax Address 8420 EAST NORA AVE City SPOKANE VALLEY state. WA Zip 99212 License No. City Business Lie Contact/Project Manager: Name JAN CARLSON Phone. 509-230-8654 ECASH 0 CHECK 0 VISA 0 MC CARD #. EXPIRES SIGNATURE NTER SUS #Q I REV# P.\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg doc #UNITS FURNACES 8 SUSPENDED HEATERS -INSTALLATION OR RELOCATION Up to 8 including 100,000 BTU - 0 FURNACES 8 SUSPENDED HEATERS -INSTALLATION OR RELOCATION Over 100,000 BTU 0 DUCT WORK SYSTEM 0 HEAT PUMP/AIR CONDITIONER 0-3 TON 0 AIR CONDITIONER Over 3-15 TON 0 AIR CONDITIONER Over 15-30 TON 0 AIR CONDITIONER Over 30-50 TON 0 AIR CONDITIONER Over 50 TON 0 GAS WATER HEATER 0 GAS PIPING SYSTEM (each outlet) 0 GAS LOG, FIREPLACE, 8 GAS INSERT 0 VENTS INSTALLATION, RELOCATION, REPLACEMENT REPAIRS OR ADDITIONS REPAIRS OR ADDITIONS SAPPLIANCE 2 BOILER, COMPRESSORS, ABSORPTIONS SYSTEM 0 to 3 hp -100,000 BTU or less BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 3 - 15 hp - 100,001 to 500,000 BTU 0 BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 15-30 hp - 500,001 to 1,000,000 BTU 0 BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 30 hp - 1,000,001 to 1,750,000 BTU 0 BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 50 hp - over 1,750,000 BTU 0 AIR HANDLER (DOES NOT include ducting) Each unit up to 10,000 cfm, including ducts 0 AIR HANDLER (DOES NOT include ducting) Each unit over 10,000 cfm 0 EVAPORATIVE COOLERS/other than portables) 0 VENTILATION AND EXHAUST Each fan connected to a singe duct 1 )))) VENTILATION AND EXHAUST Each ventilation system VENTILATION AND EXHAUST Each hood served by mechanical exhaust 0 INCINERATORS Installation or relocation of residential 0 INCINERATORS Installation or relocation of commercial 0 APPLIANCES — ----0(7 13 Range, Clothes Washe UNLISTED APPLIANCES Under 400,000 BTU flr0)et.t UNLISTED APPLIANCES Over400,000 BTU _ 1�1` .rr HOOD Type I RFCEIVED HOOD Type II 0 L P STORAGE TANKr- 1 . WOOD OR PELLET STOVE INSERT Jits /�� 3 WOOD STOVE SYSTEM - FREESTANDING 1 r, r,,, „_ 0 ECASH 0 CHECK 0 VISA 0 MC CARD #. EXPIRES SIGNATURE NTER SUS #Q I REV# P.\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg doc CURRENT FEES AVAILABLE AT. htto./i\wwi.sookanevalley.orq Quick link to fors, then Master Fee Schedule • \. til P:\Community Development\02 Administration\03 Forms - Official Versions\Perma CenterUlechanical Permit Application 04-03-09 dg doc 1 h I i K P