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2004, 04-06 Permit App: BLD-04-03979 Residence AUG 03 2003 14:48 FR TO 4834%6 P.01/03 SPOlane • doolVaLley PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILD/NG DIVISION 11707 East Sprague Ave Ste 106 • Spokane Valley, WA 99206 Phone:(509)688-0036 Fay:(509- 003T REQUIRED SITE INFORMATION miimr---------J STREET ADDRESS: E - I L17Cb CGI e ----L/ ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DISCRIPTION: z---r- (y_.. ZZ Yl1 ec-/ i C-17 e'7-Si, 5T±- PERMIT DESCRIPTION: - � ' ING PERMIT • CICHANGE IN USE CI GRADING GRADING C 1'W TFAc�.HOME C P.ofaTRIN DUCAT- O TENANT DOTHER iiimisT OWNER / APPLICANT INFORMATION - -milliMillOilimi C OWNER: i aA"Z C. O0 t,_::G-LS S � : �C-. C APPLICANT PHONE:6-4S-3-e3-3 Z- FAX: U6S- (:)‘:, PHONE FAX: ADDRESS: :ti - 'SIC Cresl z-m,..'€- ADDRES& .570e/iii-e- I,.A4 c m ,STATE ZIP • CITY,STATE.ZIP CONTRACTOR: C( 6-- Or;uC-t':4ss 'r. Q- ARCHITECT: PHONE: 1 &5^3 Z FAX: --q----;-`-'Gi(--,C.r. PHONE FAX: ADDRESS: /'- ' iO c!'•Ps;Gi.,-'t- 3.0Se-19A-T ADDRESS: r u.AA-- Creat-7 CI TY,STATE,ZIP - CITY,STATE,ZIP WA STOOP/TRACTOR LICENSE# CONTACT: PERMIT/BUILDING INFORMATION _I COST OF PROJECT: 30%SLOPES ON PROPERTY: ,44f) MAIN FLOOR SQ FT: I r37-- BUILDING 3ZBUILDING HE1GHTTO PEAK: 19 I OCCUPANCY GROUP:. 2ND FLOOR SQ FT: 0 BUILDING DIMENSIONS: 140V5-60 CONSTRUCTION TYPE: UNFIN BASEMENT: K32- NUMBER OF STORIES: I STRUCTURES ON PROPERTY: FINISHED BASEMENT: Ir) NUMBER of BEDROOMS: CRITICAL AREAS: yl..0 • GARAGE CO' • DATE: STAFF: METHOD OFPAYMENT, - • -- C 0 Cl rCI t1. u.A VISA CASH CHECK -- ' ,. BANKCARD EXPIRES; VINO AUTHORIZED SIGNATURE CCan V .� 11707 East Sprague Avenue,Suite 106 v -v 509-688-0036-Phone 1J� Spokane Valley,'WA 99206 509-688-0037-Fax Plumbing Permit Application PROJECT PERMIT ADDRESS: 6:-.. /I`- /CyG 6./L.,,6 /// USE: • OWNER ---N. PHONE(DaytimeCan act): MAILING ADDRESS: (fit) qv. (city/state) (ZIP) CONTRACTOR . �� = LICENSE#: 1,a� ...� (-- DC�-4SS �,Ao . - MAG ADDRESS: PHONE t: i,'.<'S7O Cr ''S-7-C..-/A-e-- s CANE LA.A4- C Z1 -7 (street) (city/state) (ZIP) • PLUMBING FIXTURES DESCRIPTION DETAILS I OF LEWIS X COST EQUALS AMOUNT I 1 TOUTS WATER CLOSET,SIDLT5 -S X $6 - 15; 2 URINALS X $6 - 3 TEJHS 3 x $6 - I \ 4 SHOWERS(PER TRAP) ,HATFLSrALL,ON-SITE BUILT T X 56 - 5 SINKS LAVS/6A54VS,BAR,FLOOR,KITCHEN, CHEN, LAUNDRY,UTILITY,JAMTOR,PHOTO,X• X $6 - \.g RAY,FOOD.PRP3KUI IIdARY/MSAT 6 DISHWASHER ( X 4 $6 - (o 7 CLOTHES WASHER 1 X S6 - 6 GARBAGE DISPOSAL 1 X $6 (v 9~WATERSOFTENER X $6 , 10 SLSCf.PHOT WATER TANK NOTE:LE GAS,SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE 1 X s6 - 12 FOUNTAINS.DRINKING X $6 • 13 WATER PlPING/DRAIN•IN INSTALLATION,ALTERATION,REPAIR, WASTE,VENT PLUMBING REVERSALS X $6 - REVERSAL 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X 56 - 15 WATER USING DEVICE ICS AND/OR Wet.IA MAKER,HOSE BIB, STEAMER.PROOFER,CARBONATOR. X $6 SWAMCOOLER ,..-33 1 _ 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND R.P.B.PD.FOR:VATS,TANKS,,$OILERS X - 17 SP1UN LER SYSTEM 1 X $25 • 18 INTERCEPTORS ' GREASE TRAP,SAND TRAP,CHEMICAL HOLDINGTANE X 19 MEDICAL GAS per cutlet NITROUS,OXYGEN X $6 - 1 ?D MSC.PLUMB/NG FIXTURE X $6 - SUBTOTAL:CBTHOD OP•PAYAENTamp _ PLUS PROCESSING FEE $35.00 3 C.4SFH ❑ CHECK 0 0 . . • TOTAL PERMIT FEE DUEi$ 3 ATR EXPIRES: ANKCARD NUMBER UTHORJZE1a SIGNATURE: ** TOTAL PAGE.133 ** HUI.] 'ES 617103 14.4d rk I U 41=134bb r.eier u..2 �` 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone SOSpokane Valley,WA 99206 509-688-0037-Fax •Mechanical Permit Application PROJECT PERMIT ADDRESS: _ l L17Q(& cel/- USE OWNERL4A;7t 6- Do r-A.C. PHONE(Daye Contact): MAILING ADDRESS: ti , s s-tO es i f t,,€ s.,,r A. - (AAA - c Z/7 (street) (city/state) (RP) CONTRACTOR:LA,A) c G_ c U C-e_ASS A,•C, LICENSE I2 MAILING ADDRESS:. PHONE Gss 3--C�S`32- /l., 'sic c;es-7e-(n-e. s ; ....4.,-E-: LL,A. 4 wiz i 7 (street) (may/state) (ZIP) DESCRIPTION OF WORK ,t OFLIIVITSI I 1 COST EQUALS i AMOCAT 1 FUEL BURNING APPLIANCE .OR 4103,000 ( I X SIS - - ( . 2 FUEL Bt32NINC AM-2mm >100,000 X 519 • 3 ANLSTED APPLIANCE(ADDITIONAL FEE) -,OR a 400.000 X 111 7 $5o - t UNLISTED APPLIANCE(ADDlIIQNAL FEB) >400.030 X5100 . 5 LED APPLIANCE(WSECmkt AF(IEnin) .are 400.000 X { 490 - 6 USED APPLIANCE(WEECFNA AFT/E ming) >405,000 X 5100 • 7 BOILELUREFRIGFRA3ION 1-10024 BTU X 515 B BOILEIVREFRICERATION 101.500MBTU X 523 . 9 {BOILER/RPFRIGc'RA71ONr 501.vow BTU j X 539 - 10 BOILER/REEBTCERATRON 1001-1.75024 BTU X . S37 • It BOIL6R/SE5R10ERATION .175).(BTU X RS — 12 GAS LOC,CAS INSERT.GASFIREPLACE - 1 X S10 • iC% u RANGE - x 510 - 14 DRYER - r X 570 - • - 25 FUEL BURNING WATER HEATER - / } X 510 - IV 16 MSC FUEL BURNING APP(. - X n0 17 CAS PILING(ea.Qutle1) - 3 X SI - 18 DUCTSISIEM9 - / X s10 19 VENTILATII4GFANS - 4- X au • I 44i7 2D Adt HANDLER(DOES NOT 111614 dosing) -OR a 10.000CFM X S12 - 21 AIR HANDLER(DOES NOT Include gilding) >10=CM X 519 22 EVAPORATIVE COOLERS - X 510 • 23 rrTYPEIHOOD - X 550 24 'IYPE11HOOD - X 510 { 25-HEAT PUNLWAIRCONDI'IIONER 03 TON .� X 512 - It 25 AIR CONDIT/ONa, 1x15 TON X S7J1 - I 27,AIR CONDCt7ONER 15-32 TON X 52S • J 38 AIRCONDTDONER 30.50 TON X 535 - 29 AIR COND117ONER +52 TON X S60 - 30 LPC 57'ORAGETANX - X 510 32 WOOD OR PELLETSToveANISERT - X ' 510 3Z WOOD STOVE-FREESTANDING - X 525 - I St1ETOTAL1 S — MEL•I3OD OF PAYMENT PLUS PROCESSING FM 535.00 iiiiiii401- TOTAL PERMIT PEE DLII: i 7�jI2CASH ❑ CHEG�C ❑ ❑ DATE: EXPO& BANKCARD NU ER AUTHORIZED SIGNATURE // Lanzce G..Dougl _Inc- 81 E: Rosewood Ave., Spokane WA 99208-“0; House PIan_ Address: .d47C‘ GFS--ec-'— Bedrooms: Le��aI: LOT ,z.-z_ BLOCK , Development_ s� n�-e,^ i c rD �o,s; �' Elevation: Scale: I"=70' C, ikSL-Q-Ai L._., . 1,) At e6s, _ , . _ _ This site plan is being submitted for the purpose of obtaining a building permit and is a true and correct C representation of the proposal All known property linesldimensions.,curb lines,structures and easements have bee• identified. Also in• -ated are.wetlands. bodi�r/ to t -�s -• • other cr. -1 areas. Si,f' ,• / 1 Date: mer V V(:/_-__171 ) z 101 1 Y 'LIP( g0OAEie 1,10 ZONE 8 24 �RAD) F4REMN M U VSEENrs FLAN ale , KING i -tier ^,_____ 2 _ I. di �l I i i _ I i I