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2005, 05-12 Permit App: 05001567 Addition Project Number: 05001567 Inv: 1 Application Date: 05/12/2005 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commenci g work without a permit Project Information: Permit Use: 20 X 30 GREAT ROOM ADDITIONContact: MESSING,JOHN H&REBECCA J 1-5,,i#/j3t Address: 7617 E RUTTER AVE C-S-Z: SPOKANE VALLEY,WA 99212 Setbacks:Front 43 Left: 60 Right: N/ Rear: 17* Phone: (509)924-7016 Group Name: Site Information Project Name: Plat Key: Name: ORCHARD AVE ADD REPLAT B 151,152,(FEES) District: Nort Parcel Number: 45072.0405 Block: Lot: SiteAddress: 7617 E RUTTER AVE Owner:Name: MESSING,JOHN H&REBECCA J Address: 7617 E RUTTER AVE Location::CSV SPOKANE VALLEY,WA 99212 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 13,306 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: J Plan Review ' I Released By: - i ''4 11 .1111111■11111WA411111•.111.1/0111":1111111.NM IINIMMMII " Permits: .. Operator: K_C Printed By: K_C Print Date: 05/12/2005 Project Number: 05001567 Inv: 1 Application Date: 05/12/2005 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: UNKNOWN Firm: UNKNOWN Address: UNKNOWN Phone: (000)000-0000 UNKNOWN,WA UNKNOWN Building Characteristics Group: R-3 Type: VB Total Area 600 Building Height 0 Stories 1 Dwelling Units 0 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VB 600 $44,808.00 600 $44,808.00 Totals: 600 $44,808.00 600 $44,808.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $593.25 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $237.30 Permit Total Fees: $835.05 Mechanical Permit Contractor: UNKNOWN Finn: UNKNOWN Address: UNKNOWN Phone: (000)000-0000 UNKNOWN,WA UNKNOWN Item Description Units Unit Desc Fee Amount VENTILATING FANS 1 NUMBER OF $10.00 Permit Total Fees: $10.00 Plumbing Permit Contractor: UNKNOWN Firm: UNKNOWN Address: UNKNOWN Phone: (000)000-0000 UNKNOWN,WA UNKNOWN Item Description Units Unit Desc Fee Amount TOILETSBIDETS 1 NUMBER OF $6.00 SINKS 1 NUMBER OF $6.00 SHOWERS 1 NUMBER OF $6.00 Permit Total Fees: $18.00 Operator: K_C Printed By: K_C Print Date: 05/12/2005 Project Number: 05001567 Inv: 1 Application Date: 05/12/2005 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit **PROPOSED CONSTRUCTION CANNOT EXTEND INTO EXISTING 17'REAR YARD SETBACK. Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $835.05 $835.05 $0.00 $835.05 Mechanical Permit $10.00 $10.00 $0.00 $10.00 Plumbing Permit $18.00 $18.00 $0.00 $18.00 $863.05 $863.05 $0.00 $863.05 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: KS Printed By: K_C Print Date: 05/12/2005 . BUILDING PERMIT APPLICATION WORKSHEET • I_ ( t I;ei a aalley Community Development Department SIi ' kane Building Division r =r 11707 E. Sprague Avenue, Suite 106 Valley,, © � ne: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: 74- r7 £ Qui-Fe v See)164 h e V4 )6 7 9 f) / Z Assessor's Tax Parcel Number(s): 1145-637,g- . 6'-SUS c. Legal Description: j i,f-"; . ') PERMIT DESCRIPTION: 9© )( iC%' R,s;dc,4 ,' W- I ° cir4 c r c Vx PKI Building Permit n Change in Use ', ' ' 0 Grading ❑ Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION (3 , ,a Owner: aC 4 h4 Me 55tH Z Applicant: ( Cjg �. Phone: Id y-7O/.6 Fax: Phone: Fax: r Address: `76 / (, R ow e✓ Address: 14 4a)6,ne /04. 79212., State Zip Code City State Zip Code in A Contractor: 1. L; C.1 ❑ Architect: Phone: 9j5--/rX o Fax: Phone: Fax: v Address: 76 /I /:'- Rve,/ Address: 5P° w 4. 9 ?L/ a. C" StateZip Code City State Zip Code L ALL RCC 50606 1-1 WA State Contractor License #: Viffit Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: 6 X j O #OF STORIES:I MAIN FLOOR SQ. FTG: 2"" FLOOR SQ. FTG: 0G)47 UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: 146(4DECK/COV. PATIO SQ. FTG: 1'l64P �� Yioif OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: G/ 4 &cs 6145 Fon4c e #OF BEDROOMS:, TOTAL HABITABLE SPACE: IMPE: IOUS SURFACE AREA: l 660 COST OF PROJECTy�2.c',-' 30% SLOPES ON PROPERTY: S WER ••- ON-SITE SEPT �Z ST yr MANUFACTURED HOME • Width: Length: Year: Pit Set: Manufacturer: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth: Tent: Fireworks Display: Blasting: Date/Time: Valuation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Phone: Fax: Address: City State Zip Inspector: Phone: Fax: Address: City State Zip SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE [l REINFORCEMENT H WELDING Firm Name: Phone: Fax: Inspector(s): 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 per ,it '- .re to the property owner. Print Nam -')W Sc, 'Al Signature Method of Payment: (Faxed permit applications will only be .111P epted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: PLUMBING PERMIT APPLICATION Community Development Department Building Division �i Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106 j,a,ley For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206 Project Address: 76/7 F #9/ Steoi 4f/ Permit Use: C, Owner: ascii/1 Ai- Ale..5- /�/t>Z Phone (Daytime Contact): a V 77(//6Mailing Address: 76/7 67, /CnJ 7reV 540,, L!/ - 972/Z City State Zip Code Contractor: L i�fri"C (/ $/d! )/7 License #:1 4/Lice"SO H Phone#: .S'/cO c Mailing Address: 7,/ 7 /C c!z/E'lf' City State Zip Code DESCRIPTION OF WORK NOF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS I X $6.00 = £O.00 2 URINALS X $6 00 = 3 TUBS X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ONSITE BUILT I X , $6 00 = L/'GG LAYS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = X-RAY.FOOD.PREP/CULINARY MEAT I 6 : GG 6 DISHWASHER X $6.00 = 7 CLOTHES WASHER X $6 00 = 8 GARBAGE DISPOSAL X $6 00 = 9 WATER SOFTENER X $6 00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA,CASE.COIL,TRENCH,CONDENSATE X $6 00 = ROOF DRAINS/OVERFLOW 12 DRAINS X $6 00 = 13 FOUNTAINS,DRINKING X $6.00 = WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X - $6.00 = ICE AN/OR COFFEE MAKER,HOSE BIB, 16 WATER USING DEVICE STEAMER X $6 00 = PROOFER,CARBONATOR,SWAMP COOLER VACUUM BREAKER,CHECK VALVE, 17 CROSS CONNECTION DEVICE AND R P B P.D. FOR VATS,TANKS,BOILERS X $6.00 = GREASE TRAP,SAND TRAP, 18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS(per outlet) NITROUS.OXYGEN X $6 D0 = MISCELLANEOUS PLUMBING 20 FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS - X $20 00 = INDUSTRIAL WASTE 22 INTERCEPTOR X $15.00 = SUBTOTAL �" J Cv METHOD OF PAYMENT: PROCESSING FEE ❑ CASH Ig CHECK ❑ VISA 0 MASTERCARD ' . 0 DATE: EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: C,; MECHANICAL PERMIT APPLICATION Community DevelopmentBuilding DiDepartmentvision�,,� dienTL Phone: (509) 688-0036; FAX: (509) 688-0037, 11707 E. Sprague Avenue, Suite 106 For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206 Project Address: 76/7 �01C?V 5,, 414` Permit Use: Owner: Zo-NW N AIe5S/f1,- Phone (Daytime Contact): u35--foo..) Mailing Address: 7(p l7 C %1 1 We,/ 51-fe /A1 0 9y2,/ 7 - I Sate Zip Code Contractor: L '14 C #1 License#:to/4 A c ,�01OG !7 Phone#: —/ 7C1 Mailing Address: 7101 'v ' Id'✓ /rcO 11 Al State 92/Zgo 7 _ DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 _ X $12 00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 = 3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000X $50 00 = 4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100 00 = 5 USED APPLIANCE(WSEC min AFUE rating) Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE(WSEC min AFUE rating) More than 400,000 X $100 00 = 7 BOILER/REFRIGERATION 1-100M BTU X $12 00 = 8 BOILER/REFRIGERATION 101 -500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501 -1,000M BTU X $25 00 = 10 BOILER/REFRIGERATION 1,001 -1,750M BTU X $35 00 = , ' 11 BOILER/REFRIGERATION More than 1,750M BTU X $60 00 = 12 GAS LOG,GAS INSERT,GAS FIREPLACE X $10.00 = 13 RANGE X $10 00 = 14 DRYER X $10 00 = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING(each outlet) X $1.00 = rj 18 DUCT SYSTEMS I X $10 00 = [] V C— 0 19 VENTILATING FANS X $10 00 = 20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 = 21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X $15.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50 00 = , 24 TYPE II HOOD X $10 00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 00 = 26 AIR CONDITIONER 3-15 TON X $20 00 = 27 AIR CONDITIONER 15-30 TON X $25 00 = 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER More than 50 TON X $60 00 = 30 LPG STORAGE TANK X $10-00 = 31 WOOD OR PELLET STOVE/INSERT X $10 00 = 32 WOOD STOVE-FREE STANDING X $25.00 = _33 REPAIR&ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X $12.00 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR—RESIDENCE X $19.00 = 37 INCINERATOR—COMMERCIAL X $22.00 = METHOD OF PAYMENT: SUBTOTAL 0 CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE EXPIRES CARD# TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE. • This site plan is bei AppgE� " obtaining a building submitted for the purpose of Z01VE LL A� "Alf I.dii 47 . rMk ming a b ld np permit and is a true z __. the proposal. All known d correct �� lines/dim property -- I lines/dimensions,curb Nees,structures and : • F �� ( .- __ __ •/ i have been identified i �°" Ind wetlands, COMMENTS " bodies of bated are l-� or other critical areas. REVIEWED 8Y Cl) ki) Signed: _ /. aw 56,..,. ‘ -..1 1/4) 7- 4 Yat-Lyt-Jk-0( 0.617tet-6-4 �L _ 4 g. ikt ...... _._ a -.fis /7 f , ( .•. ___-, c, I � --- _.c.) - I �---� P- 12i I0 —` 0I 1. �3G' • •••=•.-4•11/1., i ()•1 --.2!: tVi.„.., (C.4 1?) l SOc1T7-t