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2003, 07-14 Permit App: BD-03-783 Residence
4 City of SPOKANE VALLEYIrcq /f) (0W- 0o3 0037 PERMIT # MELDING PERMIT APPLICATION Box•1 OWNER COko* CONS\ 144 \\1c JOB LOCATION ' OWNER'S ADDRESS`&2 UJ . Qn' ' PHONE 3 1{ .rte DESCRIBE JOB C`%i THIS PROPERTY IS OWNED BY: SINGLF/MARRIED PARTNERSHIP CORP. • BOX 2 CONTRACTOR'S NAME C o'K%h C6r6;-\, + kX\-- , PHONE S - t-lkl;.) CONTRACTOR'S ADDRESS 2(L- 1}J ��� al,1r C-L,itk?)CITY CONTRACTOR'S REG.# Cc>V'11)C 1Lk l v\ -C EXPIRATION DATE \• (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT CC."ArVcc>ki\ C=,k•,C }- • Vac_ • PHONE 37 yea(„cri- ADDRESS \c 2 a c3Am ti .v, \ 0. CITY 6 AC\c'CL Cj ZIP t =- BOX 4 SEWER AVAILABILITY WATER AVAILABILITY ------- BOX 5 ESTIMATED PROJECT COST $ EXISTING BLDG. VALUATION $ • BOX 6 PROPERTY TAX ACCOUNT NUMBER • LEGAL DESCRIPTION (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) r, • CENSUS NUMBER LOT NUMBER - r • 30X 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR / 9e7 2ND FLOOR 3RD FLOOR / OTHER ' / BASEMENT FINISHED / BASEMENT UNFINISHED / otl P DECK / (0 0 GARAGE / C•04- -rt - CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING \(6 FT. _L = . 3OX 8 (y SINGLE FAMILY ( ) MULTIFAMILY (NO. OF UMTS ( ) COMMERCIAL / INDUSTRIAL ( ) TENANT IMPROVEMENT ( ) NEW CONSTRUCTION ( ) EXISTING STRUCTURE TOTAL AREA OF PROPERTY IMPERVIOUS SURFACE it 4OX 9 PLUMBING FIXTURES (Including rough -ins) MECHANICAL APPLIANCES SQ. FT. SQ. FT. • PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES, SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSI»N BURNERS, LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL OX 10 Water Service meter size (if known) Also see BOX 4 OX 11 Septic Tank - Not generally allowed in the City of Spokane Valley. For special circumstances contact Your sewer purveyor and the Health District (See BOX 4) OX 12 Street use may require a " Street Use Permit for sewer, water, sidewalks, curb cuts. Contact the Public Works Department. /ERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRyE AND ' DRRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE 30VE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE. JVNER/AGENT DATE fn\/FRN I hereby authorize the City of Spokane Valley to charge the fee for this permit tom credit Visa MasterCard Y card: Print the name of the $older Expiration Date ----------------ice Signature ---------------- OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE ZONE SEIM. CKS: FRONT SIDE PLANNING DEPARTMENT APPROVAL DISAPPROVAL REAR HEIGHT LIMIT REMARKS DATE SEPA:—EXEMPT — = ► _-- NOT EXEMPT FIRE�� '--------------=------------_—_—____—__--____--__—__—__--________—___-- — DEPARTMENTI4PPROVAL DISAPPROVAL REMARKS DATE PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE • TYPE OF JOB: NEVIt! RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY TYPE OF CONSTRUCTION STORIES BUILDING SQ. FT. �p BUILDING SQ. FT. BUILDING SQ. FT. @ — BUILDING SQ. FT. TOTAL SQ. FT. TOTAL VALUATION BUILDING PERMIT N. PLAN CHECK FEE RECD '� RECEIPT NUMBER PERMIT FEE PLAN CHECK FEE TOTAL FEES . WSBCC SURCHARGE OTHER CHARGES :1 PLUMBING FEE MECH. FEE ENERGY SURCHARGE BUILDING DEPARTMONT APPROVAL . .BY AMOUNT DUE DATE ASSIGNED ADDRESS JUL. 3. 2003 2:17PM CONDRON CONSTRUCTION NO. 01/4 F. 1/j •xiiNgoo r•t„Yi.;wMfm,. . idr1h.i,ybmA...y, 6• Gru•,*Ain{ if .i �l u..d•,.. iYl hfSAh: q.�..'�:... gyp•,. EST B Dw ' 14' EFTA 4'9,e1,40,140; NV* ¢ -:0 '';'' ` Site Information Site Address: 19023 E SHANNON LN OREI ACRES, WA 99016 Parcel Number: 55083.5905 Subdivision: BIoc1c:3 Lot 5 Zoning: UNK Unknown Owner: CONDRON CONSTRUCTION, TNC Address: 802 W ROSEWOOD, STE B SPOKANE WA 99208 - -- • l3nildin4 isss�e�tai^�'. Water Dist: Project Information Project Number: g 0 (3,-7.6 3 Inv: 1 Issue Date: 7 ! I /cr, Permit Use, Applicant: CONDRON CONSTRUCTION 802 W. ROSEWOOD, SUITE B SPOKANE. WA 99208 Contact: CONDRON CONSTRUCTION 802 W. ROSEWOOD, SUITE B SPOKANE., WA 99208 Phone: (509) 325.4865 Phone: (509) 325-4865 $etbacls =Ti it , —"tight .• . _-.1Zea1',:...._ -_ • . _... Group Name: Project Name: Sewer Connection Permit Permits Contractor: CONtRONCONS RUCTION License#: CONDRCT044MT 1 BUILDINGS: APPROVALS 7///' PLANNING: // / 2- o ENGINEERS: e O.3 _2 SEWERS i kvs)- qs(7 e 6730 — /0 91C �, , 3-3-7 3. LiO 100 15 co. cc (31(67(-1:71-i �, 1121- 12.E 99.00 V -k eckL JUL. 11. 2003 11: 50AM CONDRON ADV -19023--E.. Shannon Ln... . LEGA. ESCRIPTION: LOT: 5 BLOCK: 3, PLAT: Riverwalk 11th Addition CONTRACTORS' tS CO•NDRC1022MT SCALE: 1" CONSTRUCTION MAIN FLOOR SF: SECOND.. F1O0 BASEMtNT SF FINISHED`SF: UHFINISHE"D SF: GARAGE SF: ICU. U4 I C7 r. I 916 504 SIVovtvNOvl JUL 08 2003 11:55 PAGE.01 AqT1 t �� ""► Sp+o�;ane �M 1Valley Mechanical Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 METHOD OF PA DESCRIPTION OF WORK ` PROJECT ADDRESS: ‘,C\0-2 7j vV�C/.V� AO O (,1 PERMIT USE: OWNER: PHONE (Daytime Contact): MAILING ADDRESS: Cov\dr©v\ C NNFA r 11V`c FUEL BURNING APPLIANCE (street) (city/state) (ZIP) CONTRACTOR: - LICENSE #: 2 MAILING ADDRESS: > 100,000 PHONE t: X $19 - (street) (city/state) (ZIP) - OR < 400,000 X METHOD OF PA 0 CASH 0 CHECK DATE: p /� BANKCARD NUMBER: REDAcr-91, AUTHORIZED SIGNATURE: x' l'` EXPIRES: \U \c 3 This document originally contained confidential credit card information which was redacted pursuant to RCW 19.255.010 and the original document destroyed pursuant to SOS DAN GS2014-030. DESCRIPTION OF WORK ` # OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE - OR < 100,000 , X 515 - 1 `S"--- 2 FUEL BURNING APPLIANCE > 100,000 X $19 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) - OR < 400,000 X 550 - 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X 5100 - 5 USED APPLIANCE (WSEC min. AFUE rating) - or < 400,000 X 550 - 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X 5100 - 7 BOILER/REFRIGERATION 1-100M BTU X 515 - 8 BOILER/REFRIGERATION 101- 500M BTU X $28 - 9 BOILER/REFRIGERATION 501 - 1,000M BTU X 539 - 10 BOILER/REFRIGERATION 1001 - 1,750M BTU X 557 - 11 BOILER/REFRIGERATION +1750M BTU X 895 - 12 GAS LOG, GAS INSERT, GAS FIREPLACE - X 510 - 13 RANGE - X $10 - 14 DRYER - X $10 - 15 FUEL BURNING WATER HEATER - , X 510 = j 16 MISC. FUEL BURNING APPL. - X 510 - 17 GAS PIPING (ea. Outlet) - * X 81 - ' I `-i 18 DUCT SYSTEMS - X 510 - 19 VENTILATING FANS - X 510 - 20 AIR HANDLER (DOES NOT Include ducting) - OR < 10,000CFM X 812 - 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X 519 - 22 EVAPORATIVE COOLERS - X 810 - 23 TYPE I HOOD - X 550 - 24 TYPE II HOOD - , X 810 - /fit+ 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512 - 26 AIRCONDITIONER 3-15 TON X 820 - 27 AIR CONDITIONER 15-30 TON X 525 - 28 AIR CONDITIONER 30-50 TON X 835 - 29 AIR CONDITIONER +50 TON X 860 - 30 LPG STORAGE TANK - X 810 - 31 WOOD OR PELLET STOVE/INSERT - X 810 - 32 WOOD STOVE - FREE STANDING — X 825 - 'HENT -., ': SUBTOTAL: l.ii 9 PLUS PROCESSING FEE: "1397190 --*"1397190--*__... TOTAL PERMIT FEE DUE: 0 CASH 0 CHECK DATE: p /� BANKCARD NUMBER: REDAcr-91, AUTHORIZED SIGNATURE: x' l'` EXPIRES: \U \c 3 This document originally contained confidential credit card information which was redacted pursuant to RCW 19.255.010 and the original document destroyed pursuant to SOS DAN GS2014-030. vIETHOD OF 3 CASH )ATE: 000r Sjf (`��kan�ems"''""" .000Valley 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 Plumbing Permit Application rA PROJECT DESCRIPTION PERMIT ADDRESS: USE: # OF UNITS OWNER: COrAXOVI C,osi. • ` PHONE (Daytime Contact): ` COST MAILING ADDRESS: 1 AMOUNT 1 (street) (city/state) (ZIP) X CONTRACTOR: - LICENSE #: 2 URINALS MAILING ADDRESS: PHONE #: $6 - 3 TUBS (street) (city/state) (ZIP) • PLUMBING F MKCARD NUMBER: • .UTHORIZED SIGNATURE: 1 DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS Z X s6 - 1 -z 2 URINALS X $6 - 3 TUBS ( X $6 - Le 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6 - 5 SINKS LAVS/BASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X $b - _ L- 6 DISHWASHER $6 - 7 CLOTHES WASHER �1 X $6 Q P 8 GARBAGE DISPOSAL X $6 -Le 9 WATER SOFTENER X $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE I X - I 12 FOUNTAINS, DRINKING X $6 - P 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR REVERSALS l9 �� X $6 - 14 SEWAGE EJECTOR GRINDER SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR SWAMP COOLER X $6 - b 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X' - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FDCI'URE X $6 - PAYMENT 3 CHECK • tn.stacl, ._-• _ SUBTOTAL: �� �� PLUS PROCESSING FEE: $35.00 ■ ■ CVOs D'CC. TOTAL PERMIT FEE DUE: MKCARD NUMBER: • .UTHORIZED SIGNATURE: 1 JUL. 3.2003 2:I7PM CONDRON CONSTRUCTION NU. U I /4 r. v) r or+��Gn� l •••!n 1 ! ssv. •i6 td; n4a..o,,,p„c : o•,Ifbnh1.. •tdlr.ril=r ibl blld:,1 TA'4; O ���,�;jr j 'OR*Y, ► tai ir:019, Site Information Project Information J Site Address: 19023 E SHANNON LN 012E1;NACRES, WA 99016 Parcel Number: 55083.5905 Subdivision: Blocle 3 Lot 5 Zoning: UNK Unknown Owner: CONDRON CONSTRUCTION, INC Address: 802 W ROSEWOOD, STE B SPOKANE WA 99208 — 3uildinb TnspettaVrTZON 'Ft NO . �-- Watelr Dist Project Number 03004740 Inv: 1 Issue Date: Permit Use: SEWER CONNECTION - RIVERWALK 11TH Applicant: CONDRON CONSTRUCTION 802 W. ROSEWOOD, SUITE B SPOKANE. WA 99208 Contact: CONDRON CONSTRUCTION 802 W. ROSEWOOD, SUITE A SPOKANE, WA 99208 7/3/2003 Phoue: (509) 325.4865 Phone: (509) 325-4865 Setback : Flro�xt . - — . Group Name: Project Name: Permits $ewer Connection Permit ' Cohitr ctor: CO141 .ON CONSTRUCTION License #: CON1 RCI044MT SEWER CONNECTION 1 585.00 PROCESSING FEE Total Permit 1?ec: FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES0-:00 PM MONDAY THRU FRIDAY Call for inspection prior to cover.. ONE WORKING DAY NOTICE REQUIRED. Contractor or applicant is to field locate and confirm the elevgtiou.aad position of server stub prior to any other axoavation. Sewer stubs arc to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure. This permit must be presented to the job site inspector for vcrifteatiou. o /oleate buried cables, gas piping. water lines, etc. CALL BlEFORE YOU DIO, (509)456-8000. STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE ",GALL BEFORE YOU 1)I0" CENTER EE NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAB'S IN ADVANCE; (509)456-8000. Spokane County Codc requires the installer comply with all rccluircmcnts of the Washington State Dept of Labor and Industries, including those related to trench safety. $15.00 5100.00 Payment Summary Total Fees AmountPaid AmountOwing 5100.00 $100.00 50.00 Trac Date 7/3/2003 Processed By: SMATTO, JULIE Printed By: IaTUTISEN. PAM Page 1 of 1 Receipt # 4217 Pavnieut And 5100.00 COPY PAGE.02 Sj�ems• �,jUalley Call 24 hours before inspection required Phone 509.688-0036 Fax 509.688-0037 DEPARTMENT OF PUBLIC WORKS Anticipated start date Permit #-APS 0 o3_25 -- APPROACH 3_ 'APPROACH PERMIT APPLICATION Location of property 1t610Snoanhoh Ur. (A dresslParcel #, if available) Applicant Name Ci)cna‘rwv. Address Phone Contractor's Name Address Phone Contractor's Reg# Expires PROJECT DESCRIPTION (Provide site sketch) Residential Driveway Existing Curb & Gutter Culvert Installation Other conditions Commercial/Industrial Driveway Rural Road Section Sidewalk Repair/Construction 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 9oY/ �\ 7O u:\ I �1 ) Z Z Z n� C X 03 3 \ CO 0 o 0) N99 M 6�Z1.N 0 w426 "Tl ►�a D 0" S � (6\ 0c .a2 .`� (..,4 W o0. JN 11 .(36. (1) 00" 0C.• 6\ S�ZS J �o T1 100\ es oo. 0 \ oo. 96 60 'g Mw \. J O N ;- Z4 �\ -i ,66'6 3.0 0.60 9a ill �1 1 • W+ N O,60N (3