2006, 11-28 Permit App: 06004661 Addition, Plumbing FixturesProject Number: 06004661 Inv: 1 Application Date: 11/28/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:.
.;zn
Permit Use: ADD BATHROOM AND PARTITION
Contact: ROSENBERG, MIKE
-- — -- -- -- --
Address: 1219 S PIERCE RD
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front Left: Right: Rear:
Phone: (509) 951-5252
Firm: OWNER
Group Name:
Project Name:
Site Information:
Plat Key: 000000 Name: Range
District: Sout
Parcel Number: 45213.9169 Block:
Lot:
SiteAddress: 1219 S PIERCE RD
Owner: Name: ROSENBERG, MIKE
Sg Ft
Address: 1219 S PIERCE RD
Location:: CSV
SPOKANE VALLEY, WA 99206
Zoning: UR -3.5 Urban Residential 3.5
$1,500.00
Water District: 007 MODEL
Hold: ❑
Area: .36 Acres Width: 0
Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Released By:
Permits:
-- — -- -- -- --
- --- --- Building Permit ----
Contractor: OWNER
Firm: OWNER
Phone: (000)000-0000
This Application:
Total Project:
Description Grp
Type Notes Sg Ft Valuation
Sg Ft
Valuation
1&2 FAMILY R-3
VB ADD BTH 0 $1,500.00
0
$1,500.00
Totals: 0 $1,500.00
0
$1,500.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Operator: jmm
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Printed By: jmm Print Date:
Fee Amount
$69.25
$4.50
$27.70
$101.45
11/28/2006
Project Number: 06004661 Inv: 1 Application Date: 11/28/2006
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
- ---- - -- Plumbing Permit --- - — - - --
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
Units
Unit Desc
Fee Amount
TOILETSBIDETS
1
NUMBER OF
$6.00
SINKS
3
NUMBER OF
$18.00
TUBS
1
NUMBER OF
$6.00
Permit Total Fees:
$30.00
Notes:
Page 2 of 2
Payment Summary
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $101.45 $101.45 $0.00 $101.45
Plumbing Permit $30.00 $30.00 $0.00 $30.00
$131.45 $131.45 $0.00 $131.45
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the .information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: jmm Printed By: jmm Print Date: 11/28/2006
Sf °f JLiQne 'MaWAIL 11707 E Sprague Ave, Suite 106
Valley Spokane Valley, WA 99206
,,;,00.7 (509)688-0036 FAX:(509)688-0037
C-nmmunity Develovment www spokanevallev.ore
Residential Construction
Permit Application
srrE ADDRESS
:.X. —...
PERMIT FEE: I
NOV 2
New Co /ruction ❑ Accessory Bldg
Addition/Remodel ❑ Deck
Other:
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
••aaw a...i w - -- ---
# OF STORIES:
_ �
Fuilding-
. CflnLraator
2 FLOOR SQ. FTG:
Name. l C` ,-2d r -Gr .3 cc -IC
Name: 0 L- vt L!L-
FTG: .7 /
Address: L S c .
L ZC c`_
Address:
AREA:
City: po �,(�Y1 ` Stater Zip:
�'Z City:
State:
Phone: Fax:
Phone:
Fax:
Contractor Lie No:
Exp Date:
x
C+on�tact�ersoA- '" S - _ City Business Lie. No:
. .. . _ . -...
HEAT SOURCE:
...:......
Name:
Phone: S v q5 Z S
L--)cs!L
Describe the scope of work in detail:
Cost of Project: $
v
Zip:
/—.*L.. XT/A :f --+
W""""""— 1(le 1u11u
HEIGHT TO PEAK:
WL11 1v1Vo1 IJV a.vau 1F.ltr•
DIMENSIONS:
••aaw a...i w - -- ---
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
FTG: .7 /
AREA:
FINISHED BASEMENT
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
SQ. FTG:
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
t-
L--)cs!L
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature f= "' � --�""'�
Date -2--7-0 ('
Method of yment.
❑ Cash ❑ Check ❑ Mastercard &VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 825/2D05
so C e
,,,;�Valky
11707 E Sprague Ave Suite 1D6 ♦ Spokane Vattey WA 99206
5D9.921.10D0 ♦ Fac 509.921.1008 ♦ c1tyhaL1ftp*anevatley.org
Residential Plan Submittal Minimums
❑ Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor. Dimension to scale (minimum 1/87, and label each
Room (Including sq. footage of house and garage on plans) Show each
level of eAsting house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22' X 30' attic access location
C] 18' X 24' crawl space access:
❑ One-hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
D Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
0 Insulation information
Permit Center
Spokane PERMIT 1707 E Sprague Ave, Suite 106 PERMIT NUMBER:
.�/�Valley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037 PERMIT FEE:
Community Development www.spokanevallev.or�
Mechanical Permit Application ❑ Commercial gResidential
SITE ADDRESS: 1 �--/ q !; e I (= 4 G,- �-' '9
Building Owner
DESCRIPTION OF WORK
Name: l� l
Phone: S �`�L c7 b s Fax:
Address: 12-1
City: �� State: A- Zip• Z
Contractor
Equal to or less than 100,000
Name:
Phone: Fax:
Address:
City: State: Zip:
License No:
City Business Lic:
Contact
3
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS X
COST = TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00 =
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00 =
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 SEC min. AFUE ratio
Equal to or less than 400,000
X
$50.00 -
6
USED APPLIANCE SEC min. AFUE ratio
More than 400,000
X
$100.00 =
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00 -
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00 =
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00 =
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00 -
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00 =
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00 =
13
RANGE
X
_
$10.00 =
14
DRYER
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 include ductin
Equal to or less than 10,000 CFM
X
$12.00 =
21
AIR HANDLER DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00 =
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
15-30 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 =
33
REPAIR & ADDITIONS
X
$15.00 =
34
VENTILATION SYSTEMS
X
$12.00 =
35
VENTILATION MECHANICAL EXHAUST
X
$12.00 =
36
INCINERATOR - RESIDENCE
X
$19.00 =
37
INCINERATOR - COMMERCIAL
X
$22.00 =
METHOD OF PAYMENT:
[]CASH ❑ CHECKI VISA ElMC
CARD #:
AUTHORIZED SIGNATUREf.=-''
REVISED 8/26/05
/ J
c
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE:
Permit Center
��gE�
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206 PERMIT NUMBER:
(509)688-0036 FAX: (509)688-0037
Community Development www.sookanevallev.org PERMIT FEE:
Plumbing Permit Application ❑ Commercial el,Tl Residential
SITE ADDRESS: _ % 2,1 S S', 4j.,
e" If)dn iG M -ice i ) A— r Q -I
Building Owner I/k 1 ,Y L M
DESCRIPTION OF WORK
Name:Phone:
!/L L Cc`s f c`.
c •2�
c �- Fax:
p _12_ C�
Address: r 2-1
1cJ
City: � State: Zi � ' Z OL -
/%k L L—) A— p
Contractor
WATER CLOSET, BIDETS
Name: D it L
$6.00
Phone: Fax:
Address:
2
City: State: Zip:
License No:
City Business Lic:
Contact
-
Name:
TUBS
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
-
2
URINALS
X
$6.00
-
3
TUBS
C
X
$6.00
-
4
SHOWERS PER TRAP
BATH, STALL, ON-SITE BUILT
X
$6.00
-
LAVS/BASINS, BAR, FLOOR, KITCHEN,
5
SINKS
LAUNDRY, UTILITY, JANITOR, PHOTO,
X
$6.00
=
X-RAY, FOOD; PREP/CULINARY MEAT
6
DISHWASHER
X
$6.00
-
7
CLOTHES WASHER
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
AREA, CASE, COIL, TRENCH,
11
FLOOR DRAINS
CONDENSATE
X
$6.00
-
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
WATER PIPING/DRAIN-IN WASTE,
NSTALLATION, ALTERATION, REPAIR,
14
VENT, PLUMBING, REVERSAL
REVERSALS
X
$6.00
-
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
ICE AN/OR COFFEE MAKER, HOSE BIB,
16
WATER USING DEVICE
STEAMER
X
$6.00
=
PROOFER, CARBONATOR, SWAMP
COOLER
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
17
CROSS CONNECTION DEVICE
BOILERS
X
$6.00
=
GREASE TRAP, SAND TRAP,
18
INTERCEPTORS
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS(per outlet
NITROUS, OXYGEN
X
$6.00
-
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
-
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE INTERCEPTOR I
X 1
$15.00
-
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
❑CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES: $3
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXHAUST FANS
1.00FM kitchen
50 CFM bwhrooms
& laundry J►t.
Tok.-tw�
J,
O
WHEN INTERIOR AL
REOUIRiNG A PERI;
SLEEPINOOMDVWLLIN4.HE
WITH SAKE AL
DWELLINGS. 1
S. REPANtS OR ADDITIONS
I, OR WHEN ONE OR MORE
3 OR CREATED IN EXISTING
UNIT SHALL BE PROVIDED
ED AS REED FOR NEW
SMOKE ALARMSJ"ALL BE INTERCON-
NECTED AND HSRIT WIRED IN SUCH A
MANNER THAT TACTIVATION OF ONE
ALARM WILL AGATE ALL ALARMS.
(BEDROOMS,AS APPROACHING
BEDROOMS, VASULTED CEILING
WITH RISE OF 24" 1004 EACH FLOOR)
1-1 HIS BUILDING SUBJECT
TO FIEL
1N,SF CTION CORRECTIONS
THEE` E KEPT
IfiE
COMPLIANCE
WSION