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2004, 04-26 Permit App: BLD-04-04191 Residence AUG 03 2003 14:48 FR TO 4834966 P.01/03 spoune . ---4•00100 PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 EastSprague Ave Ste 106 Spokane Valley, WA 99206 Phone:(509)6884036 Fax: 6884037 REQUIRED SITE INFORMATION STREET ADDRESS: ASSESSOR'S TAX PARCEL NUMBERS}: LEGAL DISCRIPTION: 4 f ' / 2 cam__ lj�i PERMIT DESCRIPTION; DECILDING PERMIT 113 4&4NGR IN•USE -IMGRADING amikNuFACITRED.SOME pRELOCaTION 13 SIGN. TENANT p.aT OWNER/APPLICANT INFORMATION a OWNER: G 4A.,/ZCC C, DC-'LX--61-S5 -1",C.r ® APPUCANT: PHONE:u 2.- FAX: U "4}C1PHONE: MX: ADDRESS: A-i - 'S 1C% Cres i ZAAJ-€_ - ADDRESS: 64"6- u.44 ci.c 2T.a',STATE,ZIP • CITY,STATE,ZIP 4 CI CONTRACTOR: 1vZG G_ ��,vt-G9sS 'r- c. Q ARCHITECT: PHONE: 64c •---(c753 Z FAX PHONE FAX: ADDRESS: ti �S�i� Cr e5 i LI; c� �,q ADDRESS: - c(c(2. 7 CITY,STATE,ZIP CITY,STATE,ZIP WA STCONTRACTOR UCENSEA CONTACT: • PERMIT/BUILDING INFORMATION COST OF PROJECT: 30%SLOPES ON PROPERTY: 6 MAIN FLOOR SQ FT: 1137-- BUILDING HEIGHTTO PEAK: OCCUPANCY GROUP:. 2N0 FLOOR SQ FT BUILDING DIMENSIONS: '1O/5t, CONSTRUCTION TYPE: UNFIN BASEMENT: (132--. NUMBER OF STORIES: I STRUCTURES ON PROPERTY: FINISHED BASEMENT: - 0 NUMBER of BEDROOMS: Z CRITICAL AREAS: GARAGE: bei • DATE: t8T ; METHOD OF PAYMENT © a a r- Q u,a . VISA • CASH CHECK r�w- BANKCARD • EXPIRES; VIN# ALITHOR/ZED SIGNATURE HUU 03 200.5 14;48 FR' SiTO 4854bb r.e��e� nT -t 11707 East Sprague Avenue,Suite 106 509.688-0036-?hone509-688-0037-Fax r 11 Spokane Valley,WA 99206 .,j ancal Permit Application ation PROJECT /� ; ,,, PERMIT - ADDRESS: 8, /g6eDg (�,}Ve —t.-- US OWNER:L4n'17,:r' 6.__ 00,=�rLQSS L--A... , PHONE(Daytime Contact): MAILING ADDRESS: Ai , S s-toCres;Li n.;e. s-c-,c I'tkA - rfi Z/-7 (street) (tzty/state) (ZIP) CONTRACTOR , ^ LICENSE I MAIUNG ADDRESS:. PHONE Li --..3--(,---_-5-32_ 'L , ..s--10 C i e S T G 1 n e_ S L/ /,-� 1L.4. Ci'G/Z 1 (street) (city/state) (gyp) _ _^ DESCRIPTION OF WORK • IOFUNITS) % 1 COST (EQUALS I AMOUNT I FUEL auENINC APR.IANCE -OR a 100.000 i IX I sSs _I •• ( . 5 EL 2 FUBURNING APPLIANCE >700.000 X 519 - 3 UNLISTED APPLIANCE(ADDITIONAL FEn -OR 40 1003 X S50 1 - 4 UNLISTED APPLIANCE(ADDSLIONALFES) >400000 X 5100 - 5 U66D APPLIANCES(WSEC mkt.AIM mint .or 4 400.802 X S90 - 6 USED API7IANCEE(WSECmin.AFUE rating) >400.000 X $100 - 7 EOILEVRFFRIGERATION 1-100N BTU X L 515 - 8 BO1LER/REFR!GERATION 101.50064 BTU X S28 9 8oILTION 501•1.00M ETU X $39 —1 10 BOLER/REFRICIERATTON 1021-1.75064 BTU x . 557 - Il BOILER/REFILICERATION •1750M ETU X 595 12 GAS LOC,GAS INSERT.GAS FIR12LAt3 - i X 310 t f I(i 13 RANGE - X S10 - 14 DRYER - i X S10 • 15 FUEL BURNING WATER HEATER - C/ X $10 - I IC?MISC.FUEL BURNING APP!- X S10 - f 17 CAS PIPING(oa.Outlet) - 3 X SI - 18 DUCTSYSTEMs - / X n10 - • I Lb 19 VErrmATBNGFAms -. c/• X SID - 1 4/0 • 20 ALR HANDLER(DOM NOT htehxdsdamnE) -Olt.410A00QMe X $12 - 21 AIR HANDLER(DOPE NOT With&dodiag) >10=C„-1,4 X $19 - 22 EVAPORATIVE ODOURS - X SW - 23 TYPE MOOD X 5150 - 24 TYPE II MOOD - X $10 - 25 NEAT PUMP/AIRCONDITIONER 0-3 TON X 512 26 AIR CONDITIONER 1-IS TON X va - 27 AIR CONDITIONER 15-307VN X SSS - 2a AIR COMMONER 36.50 TON X 335 29 AIR CONDIHONEE +S0 TON X 360 . 30 LPC STORAGE TANK - X 1I0 31 WOOD OR PELLET ETOVE/A6ERT X ' 510 • - 32 WOODSIOVE-FREESTANDING - X S15 - SUErOTAL: TS - METF30D OF PAYMIKP.NT PLUS PROCESSING FEE= $35.00 iiiii.YEA t TOTAL PERMIT PEE DUE: 1 7,3— ❑ CASH ❑ CHECK 0 =MI ❑ 1 •— DATE: f PIRES BANKCARD NJ>1dSER AUTHOR/22D SIGNA111RE poV��s� � 11707 East Sprague Avenue,Suite 106 V �_v 509-688-0036-Phone "aa'e�� Spo}canp Valley,,WA 99206 509-688-0037-Fax ...,OV —Plumbing-Permit Application RorECT PERMIT ADDRESS: ,/Lf USE: OWNER _ PHONE(Daytime Cordact): MAILING ADDRESS: (tet) `4::v" (city/state) (ZIP) CONTRALWX: . LICENSE�: - G Q� DC -G-G4S S 1,1�-_. — MAILING ADDRESS: PHONE is AA-'CR 570 Cc =s',zrl/t-e- s U.4- c' ZI (street) (city/state) (ZIP) • PLUMBING FD(TURES DES UPT7ON DETAILS f IOFUNITS X COST EQUALS AMOUNT I TOIL WATER CLOSED BIDETS .5 X $6 - 1�S 2 URINALS X I 56 • 3 TUBS 3 x 56 - \ 4 SHOWERS(PER TRAP) HA'IYL STALL ON-51 EBUILT X $6 - 5 SINKS LAYS+BAS NS,BAR,FLOOR,Krranw, LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 `� RAY.FOOD.PM/CULINARY/MEAT 6 DISHWASHER j X I $6 - 7 CLOTHES WASHER , X $6 • C, _ 8 GARBAGE DISPOSAL 1 X SS - (4) 9 WATER SOFTENER I— X S6 - 10 ELECT.HOT WATER TANK NOTE IF GAS.SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA,CASE.COIL,TRENCH.CONDENSATE 1 X 56 - (o 12 FOUNTAINS.DRINKING X $6 - 13 WATER PIPING/DRAIN-/N INSTALLATION,ALTERATION,REPAIR, WASTE,VENT,PLUMBING REVERSALS X 56 REVERSAL 14 SEWAGE EJECTOR GRINDER.SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFM MAKER.HOSE BID. STEAMER.?ROOFER.CARBONATDR, X $6 SWAM COOLER 1 I6 ACROSS CONNECTION DEVICE VACUUM BREAKER CHEC:VALVE,AND R.P.B.PD.FOR:VATS,TANKS.BOILERS X - 17 SPRINKLER SYSTEM I X 525 - 18 INTERCEPTORS ' GREASE TRAP SAND TRAP,CHEMICAL HOLDING TANK X 19 ,MEDICAL GAS per outlet NITROUS,OXYGEN X 56 - 20 MISC.PLUMBING FEMME X $6 - TROD OP PAYMENTmime SUBTOTAL: PLUS PROCESSING FEE: $35.00 ] CASH ❑ C CX 0 ❑ m..i . TOTAL PERMIT FEE DUE:: 3 } ATE: EXPIRES: r ANKC RD NUMBIM UTHORIZi D SIGNATURE: ** TOTAL PAGE.233 ** Lanzce G-DOugiass.Inc.. 81;E. Rosewood Ave., Spokane WA 99=08 House Plan: Address: : - /z-t-(v Bedrooms: CL_� it. Barbs: Leual: LOT 3 BLOCK -z_-z_ Elevation: Development: St=.<;i-&- /-c_ i i e-,1�- -5- ; Scale: I"_ '- ,. • it. . K . . wee,-t. ..:._ .. v,lZ • ADDRESS , ZONE 1 � ' ,4. -j ROAD O WIDTH 3 S'-....� COMMENTS lGt"'�FLANKING_ REVIEWED gY e„,...-----) . Se? ' 1.-4. 4:ji 16.1-1c7 ./01 14°6 ' cttk,,,,,c f NGS i 3f,7 • 32' 0 This site plan iS being submitted for no a''''<�mi��q a buddingpermit and is a true and,,• ahc2 of proposal. Alt known propertynension ;.ur lines,structure:i ,v : been identified. Also the s. indicated �&� bodies of water, steep slopes arias, � other critical areas.5-- Signed: Date: t• ly