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2005, 05-04 Permit App: 05001443 Residence Project Number: 05001443 Inv: 1 Application Date: 5/4/2005 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: "diCduta�i�i�#"n&n"�:aJ�,awaa .,,a.fi+'�,,, ,'a,",eM�'. 1vn�itiQ '�; �a.gs .a•.�a',.'z� WiNiRKlNibirmctm,�,.`*�a`^pie iakH!kil�iidtiitR %'�i1�8' XPoYi6Yfiw�,.r.st.-u,�;.m o 3 kr�sp F.ti Permit Use: NEW RESIDENCE W/ATTACHED GARAGE- Contact: SANDERS,ROGER K&PAMELA J ELEC Address: 14173 E MISSION AVE C-S-Z: SPOKANE VALLEY,WA 99216 Setbacks:Front 20 Left: 5 Right: 15 Rear: 20 Phone: (509)928-4150 Group Name: Project Name: Site Information: Plat Key: Name: UNIVERSITY PLACE District: Sout Parcel Number: 45204.3510 Block: Lot: SiteAddress: 1519 S OBERLIN RD Owner:Name: SANDERS,ROGER K&PAMELA J Address: 14173 E MISSION AVE Location::CSV SPOKANE VALLEY,WA 99216 Zoning: UR-3.5 Urban Residential 3.5 Water District: 100 SPO CO WATER DIST#3A Hold: ❑ Area: 6,817 Sq Ft Width: 58 Depth: 100 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: �ar�w us � .an aim at ��� u,a ,p i �gma; . a:.,; Review Site Plan Review Released By: Originally Released: 5/4/2005 By: HKAUER Plan Review Released By: Originally Released: 5/4/2005 By: TMELBOU Approach/Drainage [Released By: Originally Released: 5/4/2005 By: ddompier Landuse/Zoning Released By: Originally Released: 5/4/2005 By: HKAUER Operator: DMD Printed By: DMD Print Date: 5/4/2005 Project Number: 05001443 Inv: 1 Application Date: 5/4/2005 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Sewer Review Released By: 05-2884 Originally Released: 5/4/2005 By: ddompier Permits: va . . Approach Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount APPROACH INSPECTION 1 NUMBER OF $25.00 CONST IN ROW-APPROACH 1 NUMBER OF $25.00 Permit Total Fees: $50.00 Building Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Building Characteristics Group: R-3 Type: VB Total Area 1772 Building Height 20 Stories 1 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation GARAGE U-1 VB 550 $10,450.00 550 $10,450.00 RESIDENCE R-3 VB 1,222 $91,258.96 1,222 $91,258.96 Totals: 1,772 $101,708.96 1,772 $101,708.96 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,004.95 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $401.98 Permit Total Fees: $1,411.43 Operator: DMD Printed By: DMD Print Date: 5/4/2005 Project Number: 05001443 Inv: 1 Application Date: 5/4/2005 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Mechanical Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount DUCT SYSTEMS 1 NUMBER OF $10.00 HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00 VENTILATING FANS 3 NUMBER OF $30.00 CLOTHES DRYER 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $72.00 Plumbing Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 3 NUMBER OF $18.00 SHOWERS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 ELECTRIC HOT WATER TANK 1 NUMBER OF $6.00 WATER USING DEVICES 2 NUMBER OF $12.00 Permit Total Fees: $78.00 Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00 $0.00 $50.00 Building Permit $1,411.43 $1,411.43 $0.00 $1,411.43 Mechanical Permit $72.00 $72.00 $0.00 $72.00 Plumbing Permit $78.00 $78.00 $0.00 $78.00 $1,611.43 $1,611.43 $0.00 $1,611.43 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: DMD Printed By: DMD Print Date: 5/4/2005 BUILDING PERMIT APPLICATION WORKSHEET SCm City of Spokane Valley Community Development Department polianeBuilding Division (� � (�, Q � (�� n 11707 E. Sprague Avenue, Suite 106 .000ViR, alle Spokane Valley, WA 99206 � hone: (509) 688-0036; Fax (509) 688-0037 �s �i►Old �f ORMATION 05 - J -i43 Street Address: S-A5f? e �4/' /FP * Assessor's Tax Parcel Number(s): 4 Z€ 4- • 3.570 � 5" 7 S B Lo e/<' 3 4-, 4=X C'-d&'t-- Legal Description:7., rU,d/v�oc74iZsi ,ct-c>� Cret< a�y— ,1.,vr,2 6Xc��T,(7. e.l�s '* PERMIT DESCRIPTION: hc,,zlf, ‘24.4.47/,-,7/(e-,-- ..,p �s�z•-- X] Building Permit ❑ Change in Use ❑ Grading ( I Manufactured Home Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION y ❑ Owner: v--4,,,,./. -/ �a,y.06,-s []r Applicant: '/ f Phone: so Fax: Phone: Fax: Address: /Y7/3 F-, "-so,„ Address: e.,/./A,i vWLd. 9 / Ai 4 l'!.2./s- //.5-7Ci tate Zip Code City State Zip Code * n Contractor: �,l/� I I Architect: Phone: Fax: Phone: Fax: Address: Address: City State Zip Code City State Zip Code WA State Contractor License #: Contact: PERMIT/BUILDING INFORMATION lit HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: c20 /f 0 -"411 . 4/0i6-6 / MAIN FLOOR TO SQ. FTG: 2'`'D FLOORS _ FTG: UNFIN BASEMENT SQ. FTG: Iga� /� � FINISHED BASEMENT SQ. FTG: GARAGE Q. FTG: DECK/COV. PATIO SQ. FTG: M PA/i-:" ss© OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURC : £4PCTL`/cam �'r/ftex ite(-A`n, #OF BEDROOM TOTAL HABITABLE SPACE: IMPERVIOUS SURF CE AREA: COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC //ate o e9 /VP SYSTEM? • MANUFACTURED HOME Width: Length: Year: Pit Set: Manufacturer: 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: Fax: Address: City State Zip Inspector: Phone: Fax: Address: City State Zip SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING Firm Name: Phone: Fax: Inspector(s): 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 •ro•erty own/- Print Name Poler S�thcievS Signature - _ Method of Payment: (Faxed permit applications will onl be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: • SPOKANE COUNTY WATER DISTRICT # 3 NEW SERVICE ORDER WO# DATE ORDER RECIEVED BY ID WSA# MAP# I 1644 4/25/05 I G. Deacon 409 I 2 I 45 NAME Roger Sanders SERVICE ADDRESS 1519 S Oberlin BILLING ADDRESS see below BY ORDER OF CONTRACTOR BY ORDER OF OWNER/ ! Jar• _ / 6' ...— SERVICE SIZE METER SIZE LIVING IIT FIRE LINE SIZE SERVICE TYPE I 1 1 1 I 1 f 0 I 'SINGLE FAMILY AMOUNT DUE Initials/Date Showing Reciept of Letter Describing Commercial WATER SERVICE CONNECTION FEE METER FEE PAVEMENT FIRE LINE I $1,450.00 I $0.00 I $0.00 I $0.00 I $0.00 RECORD OF PAYMENT I I I I Paid 4/25/05 Ck#101 1"Water service$1,450.00 Water main Reinbursment$340.00 Billing Address: 14713 E Mission Spokane Valley WA 99216-1959 phone 928-4150 Contact person Rodger METER MAKE METER SIZE METER NUMBER START READ DATE SET INITIALS ! 1 1 I I I I • •v) wo�� rposr;13 1st °l S . oh a s as � o Uu %r -f. O� oLr1 1•,1 • .evi fOV'CIgao3S/O v S -e J 40 use. -/o ISA /OCos . ,clun V10 4— GvnAl +I) itlCA yt� Gcdr-Pr f S40,,14.4(iiiL) tool rt 114 `4 EN^ rr+ y 4 k✓1 1-'1/4 2)-4x.; k_ ,n rze r c2S !.- e3c, q (. a, q -02 -Vere, JA L WA 99 : r7 1(_ Li, 7 Thi.5 DW n. �. e' l ✓V % 4ISo 0? =--.27' 1 0 V1 m 1 1 qt, ,?fhpoetil Lik-e iN C7. Z21 Le9a1 Dec ; Set bate UNs✓e c:ry PEACE, Lois 74S1 167414e, aria $Lock 34 ExCe?T -Mt- Noe" G r FEEL THVE6P AND t egccePr RPMs • Sete --- j $t 1 5.6% DO et1 i ltG Se $.ccs 12.2:2- Sg,CT I 5 V I 'i, Il9 SObrJir I K- siDALK civviR ' � STU8 . 56 1 I 1 i 1 � _ 'i 4«9e e. I rzs-s -f-t- . z hl ct rsrTE ? W4tee �'` if ' NI 1 L.tncIN 1 r V Z�.i ! i � k4: r _�_.� .-�- \ p rt Sea YY 1 Driveway leo i 1 5A tifort i PLA litG DEPT. APPROVED ! \� •�r / � DATE: ' -. 0 R ‘ Amor C_Ogz \ate r .250i3' CEEI2LiN AV