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2004, 04-07 Permit App: BLD-04-03985 Residence AUG 03 2003 14:48 FR TO 4834966 P.01/03 Q00"11.4 /O.. 5 p f T SPolian aikl PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION . 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone:(509)688.0036 Fax:(509 . : 1137 REQUIRED SITE INFORMATION __ STREET ADDRESS: e- / ` 1 /C i'c7 a lr'eE'` t' ASSESSOR'S TAX PARCEL NUNIBER(S): LEGAL DISCRIPTION: G ,"--Z .. 4O'n PERMIT DESCRIPTION: -i .DING PERMIT - a GiANGE iN.USE -DGGRADING a M NVFACTI71 )HOME pRELOCA N DSIGN DTENANT palm OWNER/APPLICANT INFORMATION O OWNER: .44/V ZGiT 6. Dp C)--1135 S Tri- ® APPLICANT: PHONE 4.-4.33-65-- 7_ FAX: R-649C7Gv PHONE: FAX . ADDRESS: Ai F3TIQ C(eS J_/!l1 _ ADDRESS: J rbe e �A/. q,c.,STATE,ZIP . CITY,STATE,ZIP QCONTRACTOR:X41�ZC G'- Oo L%C:Cff-sS. 'nuc. Ci ARCHITECT.: PHONE: e--49 3-67s-3 Z FAX: ? 3-(-49C. PHONE: FAX: ADDRESS: • (SICK Cr S3 tA-- S E,K,7✓, ADDRESS: Us)"- otu71-7 CITY,-STATE,ZIP . CITY,STATE,ZIP . WA ST CONTRACTOR LICENSE# L/,U•�l_6-001 2-P5— CONTACT: • PERMIT/BUILDING INFORMATION 11.1.1 i23-C) COST OF PROJECT: 30%SLOPES ON PROPERTY: 4.../C) MAIN FLOOR SQ FT: BUILDING HEIGHT TO PEAK: 2-0 OCCUPANCY GROUP:. 2N0 FLOOR SQ FT: C) BUILDING DIMENSIONS: CONSTRUCTION TYPE: UNFIN BASEMENT:" CD NUMBER OF STORIES: / STRUCTURES ON PROPERTY: FINISHED BASEMENT NUMBER of BEDROOMS: 3 CRITICAL AREAS: GARAGE: 67 7. T DATE: STAFF:. - --- ---- __. .._ METHOD OFPAYMENT: • - --- © CJ C:1 r -- . Q *il ■' • ,4.4,,I'ln A . CASH CHECK BANKCARD# EXPIRES: VIN# AUTHORIZED SIGNATURE: RUG 03 2003 14:48 FR TO 4834966 P.02/03 11707 East Sprague Avenue,Suite 106 509-688-0036-?hone SPOliane Spokane Valley,WA 99206 509-688-0037-Fax [ AIIMMINIIIIW Mechanical Pennit Application PROJECT �`_ PERMIT - ADDRESS: e- /44 7( , Gx, _,&__ USE: OWNER LilArzC 6_- Dc -ass • _ PHONE(Daytime Contact): MAILING ADDRESS: - k, <3 5-10 Cr-e -c.:_i Are 54i4 t& 4 - QiGi Z/7 (street) (city/state) ('LIP) CO�NPRACTORLICENSE t: 1AtiZ•Ce-.G.- Gb 3(—& S 3'n•C• L.4AJ2 C6-©a.-72 S MAILING ADDRESS_.••• PHONE t: 4-13"CS5-'32...._ — /U• gs o c i es-; I s - � ,q.,-€ L.4.44. cc G/Z f _ (street) (city/state) (ZIP) DESCRIPTION OF WORKI OF UMTS X COST EQUALS AMOUNT F1) 1 EL BURNING APPLIANCE _OR<100,000 / X 51S /r,' 2 FUEL BURNING APPLIANCE >100,022 X 519 • 3 UNLISTED APPLIANCE(ADDTITONAL FEE) -OR<000,00O X $50 - 4 UNLI;IED APPLIANCE(ADDITIONAL FRE) >62,000 X_ $100 _ USED APPUANCE(MEC min.AFUE radn5) .ar<400,000 X 550 - 6 USED APPLIANCE(MEC mfe.AFUE twine >400,000 X $100 - 7 B01LER/EEFRIOERA7ION 1-10011 BTU X 515 • -a BOILER/REFRIGERATION 101.500M BTU X SA • 9 BOILER/RZFILIGERAI1ON 501.1,000U BTU X $39 - 10 EOLEWREERIGERATION 1001-1,750M BTU X . $57 • I1 BOILER/REFRIGERATION •1750M BTU X 595 - 12 GAS LOG.GA5INSERT,GAS FIREPLACE - i X 510 - 10 13 RANGE - X $10 - I4 DRYF,R - X M0 - 15 FUEL BUtW WG WATER HEATER - I X $10 - i0 16 MEC FUEL BURNING APPL. - X 310 - _ 17 GAS PIPING(ea.Outlet) - 3 x 51 - _- le DUCTSYSrEMS - . / X 510 • /452 19 VENTLLATWGFANS - Y. X SIO • 140 20 AIR HANDLER(DORS NOT uidudeducting) .OR<1WU]CFM X $12 21 AIR HANDLER(DORS NOT Include dueling) a 10000 CFM X 519 22,EVAPORATIVE aooIIRS - X F10 • _ 23 TYPE I HOOD - X 550 - 24 • E HOOD - X 510 - 2S MEAT PLUMP/AB.tCONDMONER 0-3 TON X $12 • 26 AIR CONDITIONER, 3•IS TON X VE • 27 AIR CONDITIONER _ 15-3O TON X S25 • 28 AIR CONDRSONER SE-50 TON X 535 • 29 AIR CONDII1ONER +50 TON X $60 - 30+LPG STORAGE TANK - X 510 Si WOOD OR PELLET STOVE1INSERT - X ' 510 - 32 WOODSTOVE-FREE STANDWG - X 525 - SUBTOTAL: g METHOD OF PAYMENT PLUS P ROI FSSING FET $35.00 TOTAL PERMIT FEE DUE: 1.-7,... --- NM ❑ CASH ❑ CHECK 0 Min 0 .- DATE! EXPIRES! BANKCARD NUNBER; _ AUTHORIZED SIGNATURE AUG 03 2003 14 48 FR TO 48.34966 P.03/03 Now& 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone p Spokane Valley,WA 99206 509-688-0037-Fax Plumbing Permit Application PROJECT PERMIT ADDRESS: &, /L4 ( Win/ USE: OWNER: PHONE(Daytime Contact); MAILING ADDRESS: — (street) (city/state) (ZIP) Y CONTRACTORLICENSE 0: Z./4/13-ace, G-- Do ISS 1:-.-A , z}N 2.0 c..--S)07 Z PS-- MAILING ,SMAILING ADDRESS: PHONE I: Air 4 s-7O crezfri. - s Y15tNE wj4- C•?Z►- (street) (cty/state) (ZIP) . PLUMBING FIXTURES DESCRIPTION DETAILS t OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS 3 X $6 I 2 URINALS X $6 - 3 TUBS 3 X S6 - . I 4 SHOWERS(PER TRAP) BATH,STALL,ON-517EBUILT X $6 - S SINKS LAYS/BASINS,BAR,FLOOR,KITCHEN, LAUNDRY,=LILY,JANITOR,PHOTO,X- ),. X $6 RAY,FOOD,P'REP/CULINARY/MEAT '( 6DISHWASHER 1 X $6 - 7 CLOTS WASHER I X $6 - 0 8 GARBAGE DISPOSAL I X $6 - 6) 9 WATER SOFTENER X $6 - 10 ELECt.HOT WATER TANK NOTE:IP GAS,SEE MECHANICAL X 56 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE , X $6 - 12 )FOUNTAINS,DRINKING X $6 ' 13 WATER PWING/DRAIN•IN INSTALLATION,ALTERATION,REPAIR, WASTE,VENT,PLUMBING REVERSALS X $6 - REVERSAL 14 SEWAGE EJECTOR ,GRINDER,SUMP PUMP X 56 - 15 �WATTiR USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB. STEAMER,PROOFER,CARBONATOR, X $6 ' SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND X $6 R.P.B.PD.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS ' GREASE TRAP,SAND TRAP,CHEMICAL X 56 ' HOLDING TANK 19 MEDICAL GAS per outlet NITROUS,OXYGEN X 56 — 20 MEC.PLUMBING FIXTURE X $6 ' SUBTOTAL: 6ETHOD OP•PAYMENT _ �}_� CHECK yEr PLUS PROCESSING FEE: $35.00 GASH ,0 0 � 0 • ._1 TOTAL PERMIT FEE DUE: SATE: EXPIRES: ANKCARD NUMBER: _ UTHORIZED SIGNATURE: //... Ars-. • ** TOTAL PAGE.03 ** Z0'3D:id t bZ:80 b00Z ZZ ddd Lance G.Uougia s.Inc. St:" E. Rosewood Ave., Spokane WA 99208-5507 y Esau se Plan: Address: L: • ie;k7b7gC2v Bedrooms: Legal: LOT 57 BLOCK 2 Baths: Devefopmenr_ e.Ce.STS Elevation: Scale: 1"=20T 4-20D • ADDRESS ill l) . lSC b 4,1 Cce,,t(� • ZONE ADDRESS, ROAD WIDTH 38 • ' • • FRONT jp' FLANKING ;COMMENT • S REVIEWED SY�� // . ( X1.4►{III/ 6" • • • • tA � Cr • if cif • • ------ 17.5rA cf CISsite plan is beir g submitted for the purpose at + „il a building ,Sermit and is a true and oorrett nieuion of the proposal. All known property dimensions,curb lines,structures endeaaauaants 4 r have been identified Also indicated are Mlleardi. �1 bodies of water, steep slopes er outer CN1ioI arese. Signed: Date: • of Z,'!O ezt/ ' 70 MOHJ sstii noa 3DZNti1 Z EZ:80 b00Z/ZZ/b0