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2003, 06-04 Permit App: BD-03-243 ResidenceIv OF R )0C 11707 E. SPRAGUE, STE 106 "00 Vaile SPOKANE VALLEY, WA 99206 (509)688-0036 FAX (509)688-0037 SITE INFORMATION PROJECT TRANSMITTAL: TRANSMITTAL DA 1E: PERMIT INFORMATION Site Address: 13.1 I 5. 'P,ett in 4-e Parcel Number: Subdivision: \%Gt,(tt 1 n ie 3 Block: 1 Lot: 11 Zoning: Water Dist: Lg:40- ect_ e...aryi_64. 3 S . fi ct,rr Owner: Address: Building Inspector: Permit Number: Issue Date: Permit Use: RPSlg-c-10 Applicant: `kr" Phone: Contact: CA_ Phone: 2_0416 Contractor: Setbacks — Front: Left: Right: Rear: BUILDINGS: 0 V. APPROVALS PLANNING: ENGINEERS: P LA) O 3 305-- 'j:/) It /4/03 IS APPROVALS �o/l e 07.3O - mdoo 1t4.6¢0 -- ccv I G-, op 11.oc 72 30 tL LQ©Q £ I au,o.•O-O 9--i:/(17,3D 979.7 IgSq 15V 1 20 •c 7. oQ ti•00 I'1 J.0 -5L93 2-0 2.S,Gro A ppr°c. �. , City of SPOKANE VALLEY ECEIIWE JUN 0 3 2003 �JMILDH1 PERMIT # 03 -Ly-3 BUILDING PERMIT APPLICATION e--1='zee N- (& -003 Box 1 OWNERC — JOB LOCATION \ \\ S , � c � , � �, • \"\ OWNER'S ADDRESS `3 ,� `F� CITYcn, PHONE SC.� .-€•� ""i Caw. 3 V a\\ e •h +� DESCRIBE JOB THIS PROPERTY IS OWNED BY: SIN LE/MARRIED PARTNERSHIP CORP. V BOX 2 CONTRACTOR'S NAME \—\, �cwL�. c� C PHONE CONTRACTOR'S ADDRESS CITY CONTRACTOR'S REG.# \\ `t\ .'-C".z\0� EXPIRATION DATE 30X 3 CONTACT PERSON OF PROJECT ADDRESS (CARD MUST BE PRESENTED AND COPIED OR VEFIFIED) PHONE CITY ZIP 30X 4 SEWER AVAILABILITY CMZ ,.�� WATER AVAILABILITY 30X 5 ESTIMATED PROJECT COST $ EXISTING BLDG. VALUATION $ 3OX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) • CENSUS NUMBER LOT NUMBER OX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR\ / 2ND FLOOR 3RD FLOOR / OTHER / BASEMENT FINISHED -mop BASEMENT UNFINISHED / CARPORT / TOTAL DX 8 (1) SINGLE FAMILY ( ) MULTIFAMILY (NO. OF UNITS ( ) COMMERCIAL / INDUSTRIAL ( ) TENANT IMPROVEMENT DECK CfiGARAGE Vet / / HEIGHT TO PEAK OF BUILDING \S FT. ( 1) NEW CONSTRUCTION ( ) EXISTING STRUCTURE TOTAL AREA OF PROPERTY \ SQ. FT. IMPERVIOUS SURFACE \ ,4 \o‘ ,4 SQ. FT. )X 9 PLUMBING FIXTURES (Including rough -ins) MECHANICAL APPLIANCES PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES, SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS, LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL IX 10 Water Service meter size (if known) Also see BOX 4 X 11 Septic Tank — Not generally allowed in the City of Spokane Valley. For special circumstances contact Your sewer purveyor and the Health District (See BOX 4) X 12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public Works Department. =RIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND - RRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE DVE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE. NER / AGENT DATE - (OVER) I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card: Visa Mastercard -- ---- ---- -- Expiration Date Print the name of the Holder Signature OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT _ PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE REMARKS SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENIiAPPROVAL DISAPPROVAL DATE REMARKS PUBLIC WORKS DEMRTMENT APPROVAL DISAPPROVAL DATE TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY TYPE OF CONSTRUCTION STORIES , I BUILDING SQ. FT. BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. TOTAL SQ. FT. TOTAL VALUATION •BUILDING PERMIT NO. PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE OTHER CHARGES ; I AMOUNT DUE PLAN CHECK FEE REC'D RECEIPT NUMBER BUILDING DEPARTMlfNT APPROVAL BY DATE ASSIGNED ADDRESS Spokane �sValley Mechanical Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 PROJECT \\\ ADDRESS: S it.. Cc' c--,11. PERMIT USE: OWNER COST EQUALS PHONE (Daytime Contact): MAILING ADDRESS: FUEL BURNING APPLIANCE -OR<100,000 ‘ (street) 515 (city/state) (ZIP) CONTRACTOR: �`^\ \ LICENSE #: X MAILING ADDRESS: - PHONE #: UNLISTED APPLIANCE (ADDITIONAL FEE) - OR <400,000 (street) 550 (city/state) (ZIP) METHOD OF PA 0 CASH 0 CHECK ❑ ❑ !_ • DATE: BANKCARD NUMBER: a l 7-t-rn n i l x: n EXPIRES: DESCRIPTION OF WORK 8 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE -OR<100,000 ‘ X 515 - f.' 2 FUEL BURNING APPLIANCE > 100,000 X 519 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) - OR <400,000 X 550 - 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X 5100 - 5 USED APPLIANCE (WSEC min. AFUE rating) - or <400,030 X 550 - 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X 5100 = 7 BOILER/REFRIGERATION 1 -100M BTU X 515 - 8 BOILER/REFRIGERATION 101- 500M BTU X 528 - 9 BOILER/REFRIGERATION 501-1,000M BTU X 539 - 10 BOILER/REFRIGERATION 1001-1,750M BTU X 557 - 11 BOILER/REFRIGERATION +1750M BTU X 595 - 12 GAS LOG, GAS INSERT, GAS FIREPLACE - X 510 - 13 RANGE - X 510 - 14 DRYER - 1 X 510 - HO 15 FUEL BURNING WATER HEATER - t► X 510 - 1 0 16 MISC. FUEL BURNING APPL. - X 510 - 17 GAS PIPING (ea. Outlet) - 2... X 51 - 2. 18 DUCT SYSTEMS - X 510 - 19 VENTILATING FANS - X S10 - L{ 0 20 AIR HANDLER (DOES NOT include ducting) - OR < 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 - 1 X 510 - i'D 25 HEAT PUMP/AIR CONDITIONER 0.3 TON X 512 - 26 AIR CONDITIONER 3-15 TON X 520 = 27 AIR CONDITIONER 15-30 TON X 525 - 28 AIR CONDITIONER 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 - vfENT SUBTOTAL: ''.2.Cti PLUS PROCESSING FEE: $35:00 TOTAL PERMIT FEE DUE: 11S4if�t 0 CASH 0 CHECK ❑ ❑ !_ • DATE: BANKCARD NUMBER: a l 7-t-rn n i l x: n EXPIRES: *name .j Valley 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT ADDRESS: �\ ' �‘'cc OWNER: `\ MAILING ADDRESS: PERMIT S� USE: PHONE (Daytime Contact): (street) CONTRACTOR: M C��\\ MAILING ADDRESS: (city/state) (ZIP) LICENSE #: PHONE #: (street) (city/state) (ZIP) PLUMBING FIXTURES 1 DESCRIPTION TOILETS DETAILS # OF UNITS X COST WATER CLOSET, BIDETS 2 3 4 5 URINALS TUBS 1 x EQUALS AMOUNT X $6 SHOWERS (PER TRAP) SINKS X $6 BATH, STALL, ON-SITE BUILT X $6 LAVS/BASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT or X •7- Le 244 6 DISHWASHER X 7 CLOTHES WASHER 8 GARBAGE DISPOSAL 1 X $6 4 X 9 10 11 WATER SOFTENER ELECT. HOT WATER TANK X $6 roc NOTE: IF GAS, SEE MECHANICAL FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X X $6 $6 12 13 FOUNTAINS, DRINKING WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL X $6. INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 14 15 SEWAGE EJECTOR WATER USING DEVICE GRINDER, SUMP PUMP X $6 ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6 17 SPRINKLER SYSTEM X $25 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 20 MISC. PLUMBING FIXTURE X $6 ETHOD OF PAYMENT VISA' ICASH 0 CHECK 0 1TE: EXPIRES: .NKCARD NUMBER ITHORIZED SIGNATURE: SUBTOTAL: PLUS PROCESSING FEE: - $35:90— TOTAL PERMIT FEE DUE: tite"3-5 - 2Kj3 SpoKt1Iy£ Coai try SPOKANE :COUNTY DIVISION OFBUILD AND CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE • SPOKANE,, WA'9926Q 00, Site Information Project Information Site Address: 1311 S PERRINE RD SPOKANE, WA 00000 Parcel Number: 45214.3319 Subdivision: Block: 1 Lot: 19 Zoning: UR -3 Urban Residential 3.5 Owner: CAMERON, LEE L & MARY L Address: 2915 HORSEHEAD BAY DR NW GIG HARBOR, WA 98335- BuildingInspector: BOBBY STONE Water Dist: Project Number: 03003823 Inv: 1 Issue Date: 6/2/2003 Permit Use: SEWER CONNECTION Applicant: HOMESTEAD CONSTRUCTION 312 S FARR RD SPOKANE WA 99206 Phone: (509) 926-0755 Contact: HOMESTEAD CONSTRUCTION 312 S FARR RD SPOKANE WA 99206 Phone: (509) 926-0755 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Seiner Connection Permit Contractor: HOMESTEAD CONSTRUCTION License #: HOMESCI0990C SEWER CONNECTION 1 $85.00 PROCESSING FEE Total Permit Fee: FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY $15.00 $100.00 Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED. Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation. Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure. This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc. CALL BEFORE YOU DIG, (509)456-8000. STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000. Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including those related to trench safety. Payment Summary Total Fees AmountPaid AmountOwin2 $100.00. $100.00 $0.00 Tran Date Receipt # Payment Amt 6/2/2003 3412 $100.00 Processed By: FORRY, JEFF Printed By: CUM IINGS, KATHY Page 1 of 1 PERMIT \ \c \c\\ << LD — 2-0 Ico74';" 5 $e7 1C ems /10o / 5 sem/ s/4 (tie ler eP;Pe - 4-,/`)c' 6- 9_ o /41,,,/dam g c,7 6 /� U 3 _ //-0 % 30-0