2005, 03-31 Permit App: 05000716 RemodelProject Number: 05000716 Inv: 1
Application
Date: 03/31/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DRYWALL BASEMENT, FINISH (2) BATHROOM
AND LAUNDRY
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Contact: TURBAK, MIKE & HOLLY
Address: 19023 E SHANNON LN
C - S - Z: SPOKANE VALLEY, 99016
Phone: (509) 954-7576
Group Name:
Project Name:
Name: RIVERWALK 11TH ADD PUD
11501DITEMBEL Wan
District: East
Parcel Number: 55083.5905 Block: 3
SiteAddress: 19023 E SHANNON LN
Location:: CSV
Zoning: UR -7
Water District:
Area: .00 Acres
Urban Residential -7
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot: 5
Owner: Name: TURBAK, MIKE & HOLLY
Address: 19023 E SHANNON LN
SPOKANE VALLEY, 99016
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Plan Review
Permits:
Released By:
Originally Released: 03/09/200
Operator: DMD Printed By: MT Print Date: 03/31/2005
Project Number: 05000716 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/31/2005 Page 2 of 3
Contractor: OWNER
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Group: R-3 Type: VB
Total Area 844
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT R R-3 VB 844 $4,220.00 844 $4,220.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Contractor: OWNER
Item Description
VENTILATING FANS
Contractor: OWNER
Totals: 844 $4,220.00 844 $4,220.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$111.25
$4.50
$44.50
Permit Total Fees: $160.25
Mechanical Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc Fee Amount
1 NUMBER OF $10.00
Permit Total Fees: $10.00
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc
TOILETS/BIDETS 2 NUMBER OF
SINKS 2 NUMBER OF
SHOWERS 1 NUMBER OF
TUBS 1 NUMBER OF
WATER USING DEVICES 2 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$12.00
$ 6.00
$6.00
$12.00
$48.00
Operator: DMD Printed By: MT Print Date: 03/31/2005
Project Number: 05000716 Inv: 1
Application
•
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/31/2005 Page 3 of 3
Notes: VarrateMiltaMMOSMOSOrIlltaN4SMEMWMAISREAMMA N kk+w .,wAMOSIMMENMESWPSINMENZOMMENSMIMMUNNUMIS
ALL PERMIT APPLICATIONS IN MISSION MEADOWS MHP MUST HAVE PLANNING
DIVISION REVIEW BY MICKI HARNOIS OR GREG MCCORRMICK
Payment Summary: =WIMP'.,EVAKIEV,
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$160.25
$10.00
$48.00
Invoice Amount
$160.25
$10.00
$48.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$160.25
$10.00
$48.00
$218.25 $218.25 $0.00 $218.25
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: DMD Printed By: MT Print Date: 03/31/2005
0,9 (Le
-BUILDING PERMIT APPLICATION WORKSHEET
*lane vitElvorn
,/Valley
UilLORM
alley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
ne: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: 1 1D 23 E • S 1441/0/L0 rJ UU
Assessor's Tax Parcel Number(s): 5570 S,•?) .5405
Legal Description:
vEk wPkx P 1 h-4 Apt LOT 5 5LY.3
PERMIT DESCRIPTION: Df2 � L L b3M X / a BM -14 S / LAJL1 (i
21Building Permit
n Relocation
H Change in Use
n Grading C Manufactured Home
Tenant Improvement [ .1 Fire Safety
Other
OWNER/APPLICANT INFORMATION
Owner: M OLE 4 1- oU t 113 ,41(
Phone: 95,- -13-7L/Fax:
Address: 1 O? E SWWk)1 LN
SPat > (vA 8610 f iD
City State
n Contractor:
Phone: Fax:
Address:
Applicant: ME
Phone: Fax:
Address:
Zip Code City
City
State
WA State Contractor License #:
Zip Code
State Zip Code
n Architect:
Phone: Fax:
Address:
City
Contact:
State
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS: Q
�v�zJ (A'oX')
# OF STORIES:
MAIN FI
TO SQ. FTG:
flo
2 FLOOR SQ. FTG:
UNFIN SE E 5SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG: .
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE: FA
G
# OF BEDROOMS: I
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT . 7 00 00
30% SLOPES ON PROPERTY:
SEWER ON-SITE SEPTIC
M?
Width:
Manufacturer:
MANUFACTURED HOME
Length: Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler:
Tent:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City
Inspector: Phone:
Address:
State
Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
BOLTING LJ CONCRETE
Firm Name:
C REINFORCEMENT
Phone:
Inspector(s):
Fax:
n WELDING
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 resultingdevelopment rights granted by any issued permit inure to the pro ty gpvner.
Print Name M l .> E itY6A_ Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check
Bankcard #:
Authorized Signature:
❑ Mastercard
❑ VISA ❑ Other
Expires: VIN#:
ne
;.'vaIiey
Project Address:
Owner: M ILC -
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
1002.3 E $NA\AON L (J
HcLL.Y 71).284V
Mailing Address:
Contractor:
11023 e f-HNk)ON L.A)
City
Permit Use:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
8001I-FIPITM (s)
Phone (Daytime Contact): - 7S-1 lU
SPOOVE V4LLEV (AA qQN (LJ
State Zip Code
License #: Phone #:
Mailing Address:
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST •
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS '
a
X
$6.00
=
I �- • ilb
2
URINALS
X
$6.00
3
TUBS
1
X
$6.00
=
Co,))J
4
SHOWERS (PER TRAP)
BATH, STALL, ONSITE BUILT
(
X
$6.00
=
to./DO
to. D O
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
i
(�
X
$6.00
=
/ 00
O
6
DISHWASHER
X
56.00
=
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
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
. REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER OSE BIB,
STEAMER
X
$6.00
=
�/
rn a COROOFER,
CARBONATOR, SWAMP COOLER
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK
DATE:
SUBTOTAL
0 VISA 0 MASTERCARD
PROCESSING FEE
. $35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SOOka f)Cf e
, 'aJky
Project Address:
Owner:
Mailing Address:
State
Contractor: License #: Phone #:
Mailing Address:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Community Development Departn'!ent
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Confact):
City
Zip Code
c
State
Zin Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
ST2.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$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
1
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
^ $10.00
=
17
GAS PIPING (each outlet)
X
$1.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
1
X
$10.00
=
1 O. on
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
S50.00
=
24
TYPE 11 H000
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
26
CONDITIONER
3-15 TON
X
$20.00
=
27
.AIR
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
VENT1LATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR - RESIDENCE •
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
_
METHOD OF PAYMENT:
❑ CASH 0 CHECK 0 VISA 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
J
1
Lo
n
4/ u l
TH, , .
AST
All LoOs
0,I A I) I SSU I � � EMERGENCY E 11RESS REQUIREMENTS
C(�(%.►�_'(j„r�i n(1/ I y�n\ i��(1 /�,`IV „ 1 vt rI/l I i//J� Fn%/I1 r\ ,` .✓„ FROM S EEPNG ROOMS
04/1 5.7 SQUARE
QUARE FEETLt) NET NG (MAX 44•) 5.0 SQUARE FEET
IEW EC CODE COMPLANCE
Q GRADE f100R OPENIHEIGHT 24 INCHES MSIONNET CLEAR OPENING
3) NET CLEAR OPENING WIDTH 2O INCHES
1/)j - 4a• ABOVE FLOOR MAX FINISHED SILL EIGHT
POKA
; .
1/
5) EMERGENCY ESCAP & RESCUE OPENING"SHALL BE { '
OPERATIONAL FROM T1 I E INSIDE OF THE ROOM WITHOUT
�- y� l��} l THE USE OF KEYS OR OLS
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BARRIER OVER 4' RADON AGGREGATE .�-•A�! rn I
10 In
1'' o �P. N
WHEN INTERIOR ALTERATIONS. REPAIRS OR ADDITIONS -
REQUIRING A PERMIT OCCUR, OR VWIEN ONE OR MORE ~_ ' I
z�7
SLEEPING ROOMS ARE ADDED OR CREATED IN E)ISTa1s I .lalsTSL• VE o
o I! I
DWELLINGS, THE DWELLOOG UNIT SHALL FRONDED Q� _ 2
AS REWIREORM NEW ( l I
WITH SMOKE ALARMS LOCATED W. 0 UP GR \
DWELLINGS. ( I m z O ; ' 24Ga I I , ti� pAV b
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A
AND HARD ONE Q- '
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MANNER THAT THE
AA ONA AFOAS I I _ T R A 5 -�O - .91
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BARRIER OVER 4' RADON AGGREGATE .�-•A�! rn I
10 In
1'' o �P. N
WHEN INTERIOR ALTERATIONS. REPAIRS OR ADDITIONS -
REQUIRING A PERMIT OCCUR, OR VWIEN ONE OR MORE ~_ ' I
z�7
SLEEPING ROOMS ARE ADDED OR CREATED IN E)ISTa1s I .lalsTSL• VE o
o I! I
DWELLINGS, THE DWELLOOG UNIT SHALL FRONDED Q� _ 2
AS REWIREORM NEW ( l I
WITH SMOKE ALARMS LOCATED W. 0 UP GR \
DWELLINGS. ( I m z O ; ' 24Ga I I , ti� pAV b
U� U r IIOV ��-- I I 4'-b. "1 y N 2` T IL' O/C �BEARING j
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INTER _Z N 1 b
SHALL BE —
SMOKE ALARMS WIRED IN SUCH i- - — -- -- -- -- — --
A
AND HARD ONE Q- '
NECTEQ f � �` I � �_ ¢ . i ER n `^
MANNER THAT THE
AA ONA AFOAS I I _ T R A 5 -�O - .91
Q LARM W{LL AREAS APPROAC I I - �! ♦ I
(BEDROOMS. VAULTED CE ._._ a
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