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2004, 01-05 Permit App: BLD-03-03343 Residence X r Nmicane 40,00Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT 11707 E. Sprague Ave.,Suite 106 Spokane Valley,WA 99206 Permit#: BLD-03-03343 Job Address: 18913 E RIVERWALK LN Applied: 12/26/2003 GREENACRES WA Issued: 01/05/2004 Description: SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE Expires: 07/03/2004 Subdivision: Lot: Blk: Parcel No: Zoning: Owner: CONDRON CONSTRUCTION, INC Applicant: CONDRON CONSTRUCTION, INC Phone: (509)325-4865 Address: 802 W ROSEWOOD AVE SUITE B SPOKANE,WA 99208-4142 Contractor: CONDRON CONSTRUCTION INC Phone: (509)467-8096 Address: 7205 W KENDICK RD Lic No: CONDRCI044MT NINE MILE FALLS WA 99026-9234 General Information: Fees: TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 397.50 VALUATION 100000 BASIC PERMIT FEE 993.75 CLOTHES WASHER 1 DRYER 10.00 GARBAGE DISPOSAL 1 FUEL BURNING WATER HEATER 10.00 FLOOR DRAINS 1 GAS PIPING 2.00 WATER USING DEVICE 3 VENTILATING FANS 20.00 FUEL BURNING APPL<= 100,000 1 WSBCC SURCHARGE 4.50 DRYER 1 TOILETS 12.00 FUEL BURNING WATER HEATER 1 TUBS 12.00 GAS PIPING(ea. OUTLET) 2 SINKS 18.00 VENTILATING FANS 2 DISHWASHER 6.00 TYPE II HOOD 1 CLOTHES WASHER 6.00 BUILDING HEIGHT TO PEAK 15 GARBAGE DISPOSAL 6.00 FLOOR DRAINS 6.00 COST OF PROJECT 100000.00 #OF STORIES 1 WATER USING DEVICE 18.00 FUEL BURNING APPL<= 100,000 15.00 #OF BEDROOMS 2 FRONT SETBACK 21 Total Calculated: 1,536.75 REAR SETBACK 78 Deposits/Receipts: 1,536.75 LEFT SETBACK 5 Total Due: RIGHT SETBACK 5 0.00 FLANKING SETBACK 5 OCCUPANCY GROUP r-3 CONSTRUCTION TYPE 5-n CURRENT PROPERTY SIZE 8796 CURRENT PROPERTY USE REISDENCE SERVED BY SEPTIC SYSTEM no WELLS LOCATED ON PROPERTY no TOILETS 2 TUBS 2 SINKS 3 DISHWASHER 1 THIS IS NOT A RECEIPT • Spokane NEW SINGLE FAMILY RESIDENTIAL PERMIT 11707 E. Sprague Ave., Suite 106 Spokane Valley,WA 99206 Permit#: BLD-03-03343 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 property owner. Print Name Signature Date Staff Initials THIS IS NOT A RECEIPT Spokane;Valley Permit Receipt RECEIPT NUMBER 00001394 Account name: 000273 Date: 1/5/2004 Applicant: CONDRON CONSTRUCTION, INC Type: charge #mastercard Permit Number Fee Description Amount BLD-03-03343 PLAN CHECK FEE 397.50 BLD-03-03343 BASIC PERMIT FEE 993.75 BLD-03-03343 WSBCC SURCHARGE 4.50 BLD-03-03343 TOILETS 12.00 BLD-03-03343 TUBS 12.00 BLD-03-03343 SINKS 18.00 BLD-03-03343 DISHWASHER 6.00 BLD-03-03343 CLOTHES WASHER 6.00 BLD-03-03343 GARBAGE DISPOSAL 6.00 BLD-03-03343 FLOOR DRAINS 6.00 BLD-03-03343 WATER USING DEVICE 18.00 BLD-03-03343 FUEL BURNING APPL <= 100,000 15.00 BLD-03-03343 DRYER 10.00 BLD-03-03343 FUEL BURNING WATER HEATER 10.00 BLD-03-03343 GAS PIPING 2.00 BLD-03-03343 VENTILATING FANS 20.00 Total: 1,536.75 N,� THIS IS NOT A PERMIT Scerk or !"'" Penalties will be assessed for pal�aile commencing work without a permit 4/0ITalle ' NEW SINGLE FAMILY RESIDENTIAL 11707 E. Sprague Ave., Suite 106 Spokane Valley,WA 99206 Application#: BLD-03-03343 Job Address: 18913 E RIVERWALK LN Applied: 12/26/2003 GREENACRES WA Issued: Description: SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE Expires: 06/23/2004 Subdivision: Lot: Blk: Parcel No: Zoning: Owner: CONDRON CONSTRUCTION, INC Applicant: CONDRON CONSTRUCTION, INC Phone: (509)325-4865 Address: 802 W ROSEWOOD AVE SUITE B SPOKANE,WA 99208-4142 Contractor: CONDRON CONSTRUCTION INC Phone: (509)467-8096 Address: 7205 W KENDICK RD Lic No: CONDRCI044MT NINE MILE FALLS WA 99026-9234 General Information: Fees: TYPE OF RESIDENTIAL PERMIT sfr PLAN CHECK FEE 397.50 VALUATION 100000 BASIC PERMIT FEE 993.75 BUILDING HEIGHT TO PEAK 15 WSBCC SURCHARGE 4.50 COST OF PROJECT 100000.00 TOILETS 12.00 #OF STORIES 1 TUBS 12.00 #OF BEDROOMS 2 SINKS 18.00 FRONT SETBACK 21 DISHWASHER 6.00 REAR SETBACK 78 CLOTHES WASHER 6.00 LEFT SETBACK 5 GARBAGE DISPOSAL 6.00 RIGHT SETBACK 5 FLOOR DRAINS 6.00 FLANKING SETBACK 5 WATER USING DEVICE 18.00 FUEL BURNING APPL<= 100,000 15.00 OCCUPANCY GROUP r-3 CONSTRUCTION TYPE 5-n DRYER 10.00 FUEL BURNING WATER HEATER 10.00 CURRENT PROPERTY SIZE 8796 CURRENT PROPERTY USE REISDENCE GAS PIPING2.00 VENTILATING ATING FANS 20.00 SERVED BY SEPTIC SYSTEM no WELLS LOCATED ON PROPERTY no Total Calculated: 1,536.75 TOILETS 2 Deposits/Receipts: 0.00 TUBS 2 Total Due: SINKS 3 1,536.75 DISHWASHER 1 CLOTHES WASHER 1 GARBAGE DISPOSAL 1 CITY OF SPOKANE VALLEY FLOOR DRAINS 1 APPROVED FOR SUBM! 5 e; WATER USING DEVICE 3 D FOR CODE COMPLIA FUEL BURNING APPL<= 100,000 1 lfl21aJs/ Da 0 E VALLEY �G DIVIS DRYER 1 , i' 03 FUEL BURNING WATER HEATER 1 Building — • GAS PIPING(ea. OUTLET) 2 I / iL{� n-VENTILATING FANS 2 Planning - - 36 �',•,..;J� TYPE II HOOD 1 i Public Works ' ti toL( 4., ne(9--fyclp 0,r) &A,(9-k.,"-c____ Priii..4 I/ J THIS IS NOT A RECEIPT I � stonianoiee\i„ .0,011rValley PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206. .. •. Phone:(509188-0036 Fax:(509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS:_le9/..3 ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DISCRIPTION: 1�t7 I- Z �( { f �,Lc PERMIT DESCRIPTION: itist1.DING.PERMIT • D CHANGE IN USE • �].G D�TG D.MANUFACTURED HOME aRELOCATION 0-SIGN 113 TENANT 0-OTHER • OWNER / APPLICANT INFORMATION _:_,........21- D OWNER: / OZ r l rO \S CI APPLICANT: C�►.- C PHONE:.;ZS• O�,S FAX: S Z+7- % - ^ PHONE: FAX: ADDRESS: _ LA-1 .!l-C) :C-Or i !�}J %I2O, .ADDRESS: CITY, TATE,ZIP .• CITY,STATE,ZIP ARCHITECT: CONTRACTOR: cr -' • _ r -C-Y_ ,, - PHONE: FAX: PHONE: FAX: ADDRESS: ADDRESS: // �ppCITY,.STATE,ZIP CITY,STATE,ZIP C WA ST CONTRACTOR LICENSE# -O 10 N a t % h 1/14r-CONTACT: PERMIT/BUILDING INFORMATION 1 COST OF PROJECT: /OJ, at-Y-3 30%SLOPES ON PROPERTY: MAIN FLOOR SQ FT: /Y-7 BUILDING HEIGHT TO PEAK: CS OCCUPANCY GROUP:. >'�-r( U Wv' • 2ND FLOOR SQ FT:. (i BUILDING DIMENSIONS: S V< Liv CONSTRUCTION TYPE: �-v ' UNFIN BASEMENT: C'�T 'NUMBER OF STORIES: / VZ STRUCTURES ON PROPERTY: 14/A' FINISHED BASEMENT: NUMBER of BEDROOMS: Z . CRITICAL AREAS: GARAGE: P 0 FLANKING SETBACK: CURRENT PROPERTY SIZE: o) COVERED DECK: FRONT SETBACK: Z1 CURRENT PROPERTY USE: DECK: /(f) REAR SETBACK: 78 CURRENT SEPTIC USE: LEFT SETBACK: 5 5 CURRENT WELL USE: S RIGHT SETBACK: 5 IMPERVIOUS SURFACE AREA: Call 24 hours before inspection required Phone 509.688-0036 Fax 509.688-0037 pokane 1 ey DEPARTMENT OF PUBLIC WORKS Anticipated start date Permit # PW APPROACH PERMIT APPLICATION Location of property 0S -(/3Ntiftimbk— (Address/Parcel #, if available) Applicant Name S P-e-/L AP O . Address Phone Contractor's Name Address Phone Contractor's Reg# Expires PROJECT DESCRIPTION (Provide site sketch) Residential Driveway Commercial/Industrial Driveway Existing Curb & Gutter Rural Road Section Culvert Installation Sidewalk Repair/Construction Other conditions See construction requirements and details on reverse. Bond/insurance certification must be on file with the City. SPECIAL CONDITIONS: PERMIT FEE $ Inspection Fee$ I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Card# Expiration Date Name of Holder Signature Fees Paid$ Date !nit „ 110. , „ 11 . ) ., �, �, . • S1219'11 E 77.17 10 1h5.00' �o s i,.; \ �11� 2•191'1” 110.00' A L -c.„;,.. `°� len- 0 N o Z • \ �, d. ` \ F- ©O d"r? (On In O .,\ Ni r-1 r• 1 IQ z t N W di n C-4 L �. co 0 r\\ 7123. 17,5 0 \v� ow ft 0 17.5 co \CO Ion ,c�6„E a Q 6E�\ 125.03 1 1 Ir- 51219 Q � 5121g5 � En--lo t� 1 1\0.02 LL o A Q _cn 1 v R Cb1 coo ol` 1 F- 2 o 2M F- Z D - M d' NI o n COI rn v 1 M a�' o o co �, U O a 4. rl N v....\__ 0 0) "Z (L 1- (0 c3r to N. 1 - 71.50 p 6. 1� o t � Z I— o cn 1 to 1 E 3 O Q N 6„�I 132.19 1 � �' -L---1 5121956 0 S1219( '`+ X110 3\4. 110.0 oo J O `” r p CA t l F N p t vNi a 1' M- +-1_ i-I� 0 1* .Q co cd d 1 75.13' N 1� xa� co 1 1 3 coo, 1°0 0ow19,56„E ,, 139.36 M v. CC I 512 LL. 51219 56L ~� 1'3 0;1 1 110.01 � / 3, M (n 1 o aU 1�' pG r ,:-.) / "Cr) y� J NcNI / d N �I' V'PCS- U 1 0 ;I \ D Z Q W V I: "SI" / z to 1 146,96 80.69' �( ® �� `�W E 4 • / IA\S29'53„w 1 _ X81 . �1\� �,�\ ',�°sz ,�* o / Al 1 Li 74 \0 1,1R(1) Mr"'„\,\\ \ N. _ / J �i°2 N . r °. - 8l, Q' P ' a. '.._ o o t �\K"' �� ,6 gS _ •`�'410e,4s F41, / t 9 z \ I r'i / 1O aU N• �� Z Z p U .---,\ LL. _ Z / \� Z 200 .��',\o� II �� / , anti 1\ // / NN i I ��/ppb . z w N N 1 �b�`1,4 y�N/ / ,4 Q h- a N 1 / N 0oma 0 ~ \z N 0 cc v // oar Ioa ill ' 'N // OwD UZ � \ WJ � ODZ M \ ~ N ZOO LLLLI Q \ aa0 aov0� a � AZO wH - 2- PH 1‘4•0? 40,F 20.39dd 51 :80 200E LE Dal F qC ADDRESS: 18913 E Riverwalk Lane MAIN FLOOR SF: 987SECOND FLOOR SF: LEGAL DESCRIPTION: BASEMENT SF LOT: 2 BLOCK: 1 FINISHED SF: 80 PLAT: Riverwalk 11th Add. UNFINISHED SF: 634 CONTRACTORS' #: CONDRCI022MT GARAGE SF: 480 SCALE_ 1" = 20.0' I' CE/VED 3 0 2003 1------------- 1- 157 f-j +.35 j 0�ri ooN TM0A ` Jr �NCOpFPME NT . Z.q. 1,,. \I.... i ; : 'V \/) C 5,F A rea r PLANNING DEPT. APPROVED El, 711 • yore BY: • ' i �` � ��'� 1.... v:.. DATE: � � D� �' ---\---t (7,c-of9...--1,- Pr,- 0. Q �� sttiara -,. i"---'0,0--AA /-i:, 4, (^Ake �, - ' i f ,_ ' / -> / L. 75:)/ i A ,. yg _. ei /A ,__,‘„A,_z\ft . , ,:zi:--...:7-- .., 4„' ., . , i '4rThr-- '---------\_.-- li/r I Yaa - C4- :Zig D1T1 0.0, . .i ' -,�1j�a`,}'�- 1. �; �jV '4 �l� s c�-urfs �,fi _. �� T4s: subservient estates for tax purposes cannot be changed without filing a rep at. The private roa s, hgage thereon. --id— Side yard and rear yard setbacks shall be determined at the time building permits ore requested. The setbacks indicated on this plat may be varied from if proper) zoning approvals are obtained. ACK STATI• WARNING: Spokane County has no responsibility to build, improve, or maintaih or otherwise service the private roads contained within or providing service to the property described in this plot. By accepting this plat or subsequently by allowing o building permit to be issued on property on cy private rood, Spokane County assumes no obligation for said private roadand the owners hereby acknowledge that the County hos no obligation of Cour any kind or nature whatsoever to establish, examine, survey, construct, alter, repair, improve, maintain, or provide drainage or snow removal on a private road. This requirement is to, and shall run with the land and sholl be binding upon the owner(s), their heirs, successors and/or assigns including the obligation to participate in the maintenance of the private rood as provided herein. On I e �7 3�Q� 1 and which byreference is made a part thereof. of L This Plat is subject to a separate DECLARATION OF COVENANTS as recorded under Auditor's Document No. and uses and Spokane County is hereby granted the right of ingress and egress to all private roads, common areas and/or drainage easements, A perpetual sewer line easement for the installation, operation and maintenance of sanitory sewer over the private roods as shown hereon is hereby grunted to Spokane County, its successors and/or assigns for the sole purpose of construction, installing operating, maintaining, repairing, altering, replacing, removing and all other uses or purpose which are or may be related to a sewer system. Spokane County, its successors and/or .Give assignsat all time hereinafter at their own cost,and expense, may remove all crops, brush, grass or trees that may interfere with the construction, installing, operating, maintaining, repairing, altering, replacing, removing and all other uses or purpose which ore or may be related to a sewer system. The grantors reserve the right to use and enjoy that property which is subject to this easement for the purposes which will not interfere with the county's full enjoyment of the rights hereby granted. PROVIDED the grantors shall not erect or construct any building or other structure or drill on the easement or diminish or substantially add to the,ground cover NOT over the easement. The easement described herein above is to, and shall run with the land. rest My The owner(s) or suecessor(s) in interest agree to join in any County—approved stormwater management program, and to pay such rates and charges as may be fixed through public hearings for service or benefit obtained by the planning, design, construction, maintenance or operation of stormwater control fccilities. The owner(s) or successor(s) in interest agree to authorize the County to place their nome(s) on a petition for the formation of a ULID by petition method pursuant to RCW 36.94, which petition includes the owner(s)' IN I property and, further, not to object by the signing of a protest petition against the formation of a ULID by resolution method pursuant to RCW Chapter 36.94 which includes the owner(s)' property. PROVIDED this•condition shall not prohibit the owner(s) or successor(s) from objecting to any assessment(s) on the property as a result of improvements coiled for in conjunction with the formation of a UUD by either petition or resolution COt method under RCW Chapter 36.94. V A public sewer system will be made available for the plat and individual service will be provided to each lot prior to sole. Use of individual on—site sewage disposal systems shall not be authorized. BY: The public water system, pursuant to the Water Plan approved by county and state health authorities, the local fire protection district, Division of Building & Code Enforcement and water purveyor, shall be installed within this subdivision; and the applicant shall provide for individual domestic water service as well as fire protection to each lot prior to sale of each lot and prior to issuance of a building permit for each lot. Use of private ITS wells and water systems is prohibited. Utility Easements are hereby granted over the privote roads and over 10' and 16' wide strips adjoining the private roods cs shown hereon to the serving utility companies for the construction, reconstruction, maintenance and operation of the utilities. Together with the right to inspect said utilities and to trim, and/or remove brush and trees that may interfere with the construction, maintenance and operation of the same. Easements for sidewalks, as platted and shown hereon are hereby granted to the RIVERWALK ELEVENTH HOMEOWNERS ASSOCIATION. The sidewalks are to be maintained by the RIVERWALK ELEVENTH HOMEOWNERS ASSOCIATION or their SDsuccessors in interest. Portions of Lots 1 through 5, Block 1 and Traot "D" are within the 200—foot shoreline boundary and havelegal'iimitations on the budding of structures (including fences) and on changing the natural` vegetation, pursuant to Co the Spokane County Shoreline Programa + On Drainage easements as platted and shown hereon, which are for the purpose of conveying and storing stormwater runoff, and for installing, operating and maintaining drainage ponds and drainage facilities which dispose of St ` and treat stormwater' runoff, are hereby granted to the RIVERWALK ELEVENTH HOME OWNERS ASSOCIATION and Spokane County. Tracts B and C are hereby dedicated to the RIVERWALK ELEVENTH HOME OWNERS ASSOCIATION foi of for the purpose of conveying and storing stormwater runoff, and for installing, operating and maintaining drainage facilities which dispose of and treat stormwater runoff., A drainage easement is granted to. Spokane County bo over Tracts B and C for inspection and emergency maintenance of stormwater facilities. o sa Spokane County and its authorized agents are hereby granted the right to ingress and egress to, over and from all public drainage easements for the purposes of inspection and emergency maintenance of draina9e swales, Gi ponds, culverts and other drainage facilities, if not properly maintained by the property owner(s) or the RIVERWALK ELEVENTH HOME OWNERS ASSOCIATION. Spokane County does not accept the responsibility to inspect or maintain drainage facilities located outside of public rights-of—way, except in cases where Spokane County specifically assumes that responsibility in writing. Neither does Spokane County accept any liability for any failure by the property owner(s) to properly maintain such areas,' by The property owner(s) within this plat shall be held responsible for keeping open and 'maintaining the surface path of natural or man—mode drainoge flow over and across their respective properties. If the property owner(s) M, fail to maintain the surface path of natural or man—mode drainage flow, or drainage facilities on private properties, a notice of such failure may be given to the property owner(s). If not corrected within the period indicated on said notice, Spokane County has the right to correct the maintenance failure, or hove it corrected, at the expense of the property owner(s). Any building that is constructed on a lot in this plot shall be set at such an elevation so as to provide positive drainage away from any drainage entry point to the building (including but not limited to a window well, a window unprotected by a window well, or a doorway). Said positive drainage shall consist of a minimum slope of 3% away from the building for a distance of at least 10 feet from the building. The lots shall be graded so that either a) all runoff is routed away from the building, and conveyed over the lot to a natural drainage swale or approved drainage facility, or b) drainage intercepted on the lot is disposed of on the lot in an approved . .., o.,.. u-,1 „int indi,rlinn onv '208' swales, shall be constructed in accordance with the approved plans on file at the Spokane County Engineer's Office. Any proposed changes to the V\..I 11 GCM-I, 1.1.GJ IIN �..� ..+�.�.i vc.. . v� va Illii 1X707 East.Sprague1A venue,suite 106 509-688-0036-Phone Sti0 �liall Spokane Valley,WA, 99206 509-688-0037-Fax ��� �� For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT , PERMIT ADDRESS: j �ClI 3 4k., N/t^,t"r(,�. USE: OWNER PHONE(Daytime Contact): MAILING ADDRESS: • (street) (city/state) (ZIP) CONTRACTOR LICENSE Y: MAILING ADDRESS: PHONE II: • (street) (dry/state) (ZIP) - PLUMBING FIXTURES DESCRIPTION DETAILS I OF(WITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS 0 X $6 - /Z 2 URINALS X i6 - 3 TUBS Z. X $6 - (a 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 5 SINKS IAVS/BASINS,BAR FLOOR,IcrrCHEN, LAUNDRY,UTILITY,JANITOR PHOTO,X- 3 . X $6 - RAY,FOOD,PREP/CULINARY/MEAT 6 DISHWASHER IX $6 - 7 CLOTHES WASHER I X $6 8 GARBAGE DISPOSAL X 9 WATER SOFTENER X $6 - 10 ELECT,HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL X $6 - -I I FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE j X $6 - 12 FOUNTAINS,DRINKING , X . - $4• ` - .• 73 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, WASTE,VENT,PLUMBING. REVERSALS X S6 - REVERSAL I 14 SEWAGE EJECTOR GRINDER,SUMP PUMP • X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, • STEAMER,PROOFER,CARSONATOR X S6 • - f<, SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND - R.P.B.P.D.FOR VATS,TANKS,BOILERS X $6 17 SPRINKLER SYSTEM X $e - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL • • X HOLDING TANK . - 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - TO MISC PLUMBING FIXTURE X $6 - ETHOD OP PAYMENT SUBTOTAL: &T IIMIW •` ' + PLUS PROCESSING FEE $35.00 D � 0 0 .: G TOTAL PERMIT FEE DUE: 4 0) / , LTE: EXPIRES: NKCARD NUMBERZ ! HORIZED SIGNATURE: ** TOTAL PAGE.01 ** UV I Si. GV VJ .1....,•GJ I 1\ I v r+G I....,..0 V,— e•wamIIn•rrammsIc Scol,oka11707 Bast Sprague Avenue,Suite 106 509-688-0036-Phone pne Spokane Valley,WA 99206 509-688-0037-Fax �%Hey: For Inspections, call 509-688-0054 -Mechanical Permit Application PROJECT PERMIT ADDRESS: / `7 (3 .k� USE: OWNER ( PHONE(Daytime Contact): MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR LICENSE It: MAILING ADDRESS: PHONE 8: (street) (city/state) (ZIP) • DFSCRIPITON OF WORK I OF UNITS X COST EQUALS AMOUNT _1 FURL BURNING APPLIANCE •OR4100.000 i X 515 15 2 FUEL BURNING APPLIANCE >100,000 X 519 ■ 3 UNLISTED APPLIANCE(ADDITIONAL.FRE) -OR c 400,000 X ISO - 4 UNLISTED APPLIANCE(ADDr1TONAL FEE) >400,000 X SIDO ■ 5 USED APPLIANCE(WSRC min.APUE rating)_ •or<400,000 X $50 • 6 USED APPLIANCE(MEC min.AFUE rating) >600,000 X $100 - ' 7 BOILER/REFRICERATLON 1.100M BTU X S2$ - I BOILER/REFRIGERATION 101-SOOM BTU _ r X S28 - 9 BOILER/REFRIGERATION Sal-1,000M BTU X $39 • , 10 BOIL ER/REFRIGERATION 1001-1,750M BUT X , $57 11 BOILER/REFRIGERATION •1750M RTU X $95 - 12 GAS LOC,GAS INSERT,GAS FIREPLACE .• X 510 - 13 RANGE • - )( 510 • 14 DRYER - X S10 - 15 FUEL BURNING WATER HEATER - / X S10 • (J 16 M1SC FUEL BURNING APDL. . .. - X . 510 . 17 CAS PIPING(ea.Oudot) - 7.. X Sl - Z.- 18 DUCT SYSTEMS _ ' X S10 • 19 VENTILATING FANS - - Z-, X f10 Z�% 20 AIR HANDLER(DOES NOT Include duet1$0) -OR<10,000CFM( X S12 - 21 AIR HANDLER(DOES NOT Include dueling) >10,000 CFM X r" 919 • 22 EVAPORATIVE COOLERS - X $10 - 23 TYPE I HOOD - X 5'SO - 26 TYPE IIHOOD - / X S30 _ • (-3 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X S12 - 26TAIR CVNDTrIONER 3-15 TON X 520 • 27 AIR CONDITIONER 15-30 TON X $25 • 28 AIR CONDITIONER 30-SO TON X S35 - 29 AIR CONDONER -50 ION X S60 - 30 LPC STORAGE TANK - X $10 .. *------ 31 WOOD OR PELLETSTOVF/INSERT - X 510 • 32 WOOD STOVE-FREE STANDING - X $2.5 - • • SUBTOTAL: 5'7,, METHOD OP PAYMENT PLUS PROCESSING FEE: $35.00 Vra r, ,.., ;I^r(' TOTAL PERMIT FEE DUE cl Z 0 CASH ❑ CNEQG 0 111111111111111 ❑ L `.I DATE: EXPIRES: • DANKCARD NUMBER AUTHORIZED S)ONATURE: ** TOTAL PAGE.02 **