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2004, 04-26 Permit App: BLD-04-04192 Residence PUG 03 2003 14 48 FR TO 4834966 P.01/03 /'050 .5,i 1 T 400N1144 . ' . *alone ' _.,„„,00- Valley ....- PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone:(509)688-0086 Fax:(509 688-0037 REQUIRED SITE.INFORMATION STREET ADDRESS: =- ,44 s r3 01/4-)e . ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL.DISCRIPTION: Zt i - -. ''- ...-2-4. 1,11c--r- e :,, PERMIT DESCRIPTION: O yD1NG PERMIT - CHANGE EY USE • -®.GRADING a MANUFACTVRED HOME DREEoCATox DSIGN DTENANT MOTHER 1 OWNER/ APPLICANT INFORMATION.."1......7.---..."1- ®OWNER: G-ANZe-C 6. 0QOG-L/9.SJNA 0 APPLICANT: PHONE:LI�3�$3 Z FAX: C-I8S-449 GC PHONE: FAX ADDRESS: /U S75-10 C(es i�I flr�_ ADDRESS: CITY,STATE.ZIP S` 0rA t ci9 1:17,STATE,ZIP € G.. 00 z:C- sS1:1 ARCHITECT: QCONTRACTOR:44A-c7-Ce-47' PHONE: '' 3-0s-3 Z FAX: -(-IC.. PHONE: FAX: ADDRESS: N.'S IQ Cr.STLtA- sPbL� 6 ADDRESS: CITY,STATE,ZIP WA- O fCf'zf7 CITY,.STATE,ZIP . WA ST CONTRACTOR LICENSE i# L//U 7.0 G 0011 PS_ CONTACT: 1 PERMIT/BUILDING INFORMATION COST OF PROJECT: • 30%SLOPES ON PROPERTY: ,I..,0 MAIN FLOOR SQ FT: /05-C-) C) BUILDING HEIGHT TO PEAK: Z2 OCCUPANCY GROUP:. 2No FLOOR SQ FT: CD BUILDING DIMENSIONS: 53s 5-2-- CONSTRUCTION TYPE: UNFIN BASEMENT: / FINISHED BASEMENT: 0 NUMBER OF STORIES: STRUCTURES ON PROPERTY: NUMBER cf BEDROOMS: '2- CRITICAL AREAS: GARAGE: -"M 2- . rTE: �. STAF �— -_.... 11111.1.11MINIM METHOD OFPA YMENT. © 0 u„n, ; QVISA • CASH CHECK • - Illia BANKCr4RtJ0; EXPIRES: VINO AUTHORIZED SIGNATURE' RUG 03 2003 14:48 FR TO 4834966 P.03/03 tOs SfiNilaEr 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone llaneSpokane Valley,WA 99206 509-688-0037-Fax 400,VaMY _ ___ • Plumbing Permit Application - PROJECT R-15-13 /� �p� PERM T ADDRESS: cu `-` `� USE. OWNER: PHONE(Daytime Contact); MAILING ADDRESS: (street) `b (city/state) (ZIP) CONTRACTOR . LICENSE#: G /v zGL (r- D© r-69ss -1(L=• N G-�0-7 2.-RS-- MAILING SMAILING ADDRESS: PHONE R 4i. 43SK') C 1z-r . "140Y-e9(1,6- w44- C"?-21 7 (street) (city/state) (ZIP) . PLUMBING FIXTURES Ill DESCRIPTION DETAILS it OF UNITS X COST EQUALS AMOLWr WATER CLOSET,BIDETS X - MIMI O TRS �� ['URINALS X $4 rill N -- JTUBS _ :3 in SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT I S*N S LAVSIBASIIVS,BAR,FLOOR,KITCHEN, El LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 „'L RAY,FOOD,PREP/CULINARY/MEAT �f�( flDISHWASHER IIMMIMINIMENNIE i Inall $6 - 6 El GARBAGE DISPOSAL I $6• - fl WATER SOFTENER $6 - 10 ELECT.HOT WATER TANK NOTE:IP GAS,SEE MECHANICAL $6II - FLOOR DRAINS AREA,CASE,COIL,TRENCH.CONDENSATE L S6 - FOUNTAINS,DRINKING $6 - WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,ROAR, WASTE,VENT,PLUMBING REVERSALS S6 - SE in SEWAGE EJECTOR GRINDER,SUMP PUMP IIMMIMIIU 56 - WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB. STEAMER PROOFER,CARBONATOR X $6 , SWAMP COOLER CROSS CONNECTION DEVICE VACUUM BREAIER,CHECK VALVE,AND X $6 LLP.B.PD.FOR:VATS,TANKS,ROLLERS - Il SPRINKLER SYSTEM • X SZS INTERCEPTORS ' GREASE TRAP SAND TRAP,CHEMICAL X HOLDING TANKIllIM MEDICAL GAS•- outlet NITROUS,OXYGEN X - 20 MISC.PLUMBING FrorcuRE X $6 - - _. SUBTOTAL: CETHOD OP PAYMENT _ par PLUS PROCESSING FEE: 535.04 ] CASH O CHECK ❑ Mini . 1 TOTAL PERMIT FEL DUE: • ATEEXPIRES: ANKCAIW NUMBER _., -- UTHORIZED SIGNATURE: • ** TOTAL PAGE.03 ** AUG 03 2003 14 48 FR TO 4834966 P.02/03 0.11.r. I �, 11707)East Sprague Avenue,Suite 106 509-688-0036-Phone � Spokane Valley,WA 99206 509-688-0037-Fax 40.60, --- •Mechanical Permit Application PROJECT rimer ADDRESS: G, /44 5-1 3 C / l USE: OWNER:///V•Zcc G..- Do L C: SS .I- :C'_. PHONE(Daytime Contact): MAILING ADDRESS: 1O Cees Li give- s PO K:o9n !AAA - 2.1-7 (street) (Qty/state) (ZIP) CONTRACTOR LICENSE 5: LArtl �.G. iDoue.—(mac n.e- 1_4A)z.c6-I,es--7z+:Ds MAILING ADDRESS: •• PHONE it: /1l- E3S7O ci-- -s-re--1^-€-____ _74,51,/,-E7.sc LL+4 crG/ZI"•L� (street) (city/state) (ZIP) DES CPJPTION OF WORK AOFUNITS X COST EQUALS AMOUNT I FUEL BURNING APPLIANCE •oR a 100,000 / X 515 - /4 2 FUEL BURNING APPLIANCE >100,000 X 519 ■ 3 UNLIETED APPLIANCE(ADDITIONAL FES) -OR<414000 X $50 - 4 uNL6rED APPLIANCE(ADDITIONAL FEE) >400,030 X $100 - 5 USED APPLIANCE(WSEC ndn.AFYJE rating) •ore 400,000 X $50 - 6 USED APPLIANCE(W5EC min.AFUE rising) >400,000 X $100 • 7 BOREE/REFRIGERAION I-1003.4 BTU X 515 • E BOILER/REFRIGERATION 101.500M BTU X $ - 9 BOa.E VREFRIGERAIION 502.1.000M BTU + X 539 - 10 BOILER/REFSICERA'IION 1001-1.750M BTU X . 537 • . I1 BOILERIREFRICERATION •1750M BTU X $95 • . 12 GAS LOC,GAS INSERT.GAS FIREPLACE - I X 510 • 13 RANGE - X $10 1 - 14 DRYER - X 510 • 15 FUEL BURNING WATER HEATER - / x $10 - t0 16 MSC-FUEL BURNING APPG - X 510 - 17 GAS PIPING(ea.Outlet) - 3 x s1 - _ 18 DUCTSYSTEME - /_ X 510 - r.0 . 19 VENTILATING FANS - y. X SW - i0 20 AIR HANDI,BR(DOES NOT include ducting) -OR a 10,000csm X $12 • ` 21 AIR HANDLER(DOES NOT Included, g) >10,000 CPM X 519 • • 21 EVAPDRAT1VE COOLERS - X s10 - FATYP0IROOD X 550 - 24 TYPE U HOOD - _ X 510 • 25 HEAT PUMP/AJR WWNDIT1ONEE 0o TON X 512 . 26 AIR CONDITIONER 3-13 TON X 520 - Z7 AIR CONDMONER 15.30 TON X 525 - 28 AIR CONDMONBR 30.50 TON X ..29 AIR CONDITIONER +50 TON X $6R - 30 LPG SroRAGE TANK ^ .. X 510 • - SI WOOD OR PELLET SIUVE/iNSERT - x ' 510 • 32 WOOD STOVE-FREE STANDING - X 525 - SUBTOTAL $8 METHOD OF PAYMI?NI' PLUS PROCESSING FEE: $35.00 TOTAL main FEE DUE: JMSc . --- ❑ CASH 0 CHECK ❑ 0 DATE: EXPIRE& BANKCARD NUNBER • -- AUTHORIZED SIGNATURE , _ _ Latace G-Dougins.c.Inc- 315 E. Rosewood Ave.., Spokane WA 99208-52u; Frouse Plan: Address: Bedrooms: Le/MI: LOT 1- BLOCK "Z-•-• Baths: Development 54}41inee-r-eie-9eci Elevation: Scale: 1"=j2'- 2' ft • • t Z 56; . . 1 \OV I .\16,kij ee W4A11.-\ AAU 0id ?•," • • /t.7 ,-707 • ADDRESS . c, ZONE At •-S ROAD WIDTH FRONT7-//i FLANKING_-- This site plan is being submitted tor the of COMMENTS t • obtaining a building permit and IS tni•and REVIEWED BY 'V representation of the proposal. Ali known lines/dimensions,curb lines,structures and ts have been identified. Also indicated are bodies of water, steep slopes or other critical areas.. Signed:••••••••••••••••••,••••••...... .......11M..1i..mdMI.m.1•01•111••••••••••..•. Date:... ...........1.01.1....1•1,......M=M1••••••••••••••••••10111•••••••••••••••••••••••••••••••••••••