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2003, 06-25 Permit App: BD-03-702 Residence
Page 1 of 2 Date: r Pa Project Number: WQ3- �OZinv: 1 Application `� � �,� g THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: xllrlll �..._, ��V��w:� Permit Use: e -5l l�� G Contact. KEVIN MADDEN Address: S. 1214 PROGRESS RD C - S - Z: SPOKANE, WA 99037 Setbacks: Front Left: Right: Rear: Phone: (509) 927-7526 Group Name: Site Information: Project Name: Plat Key: Name: SHELLEY LAKE PUD District: F 1 rcel Number: 45242.1309 Block: Lot: SiteAddress: 614 S SHELLEY LAKE LN VERADALE, WA USA 99037 Location:: VER Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: 9,725 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Owner: Name: KEVIN MADDEN0 l Address: S. 1214 PROGRESS14 j�j �Qd3 SPOKANE, WA 99037 Hold: '_7 6 Depth: 0 Right Of Way (ft): 0 Review Information: BUILDINGS: APPROVALS C PLANNING: ENGINEERS: HEAL SEWER_ FIRE J!ISTs -4 AJ 12 1 f 1,2/0 22910.©0 .PA-\ C),z ov J ul-�') i L.3,- I I I j ©� 5 4v p CCL: L1 0/r D !E IE !N,2003 D D ' UU Oj L D of Im 0 1 L.3,- fi SS I v� D APPROVED B a; n � 1 1 I �h( I I^ r A1r,ea,,d,qA' Lc-we" 1��91111111 I magivle It Fiv115hed,,, With YDIAR Colml valleyway Offered at $145,000 • New Madden Homes Design • Three Main Level Bedrooms, Two Baths • 15.5 x 13 Ft. Master w/Double Closets & 3/4 Bath • Future Family Room w/Slider, Bedroom & RI Bath Down Trevor Windhorst, GRi Office: 891-0225 Mobile: 216-2090 Windermere Windermere Real Estate/Valley, Inc. 12929 E. Sprague, Spokane, WA 99216 • Beachwood Kitchen has Range, Dish- washer, Disposal, Pantry & Eating Bar • Dining Room w/Waterfall Ceiling Treatment • Main Floor Laundry • Gas Furnace & Water Heater • Vinyl Windows • Four Car Tandem Garage • Partially Fenced Backyard • Public Water & Sewer Q rY ( SQSe 401;00Y`ey 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax Plumbing Permit Application PLUMBING FIXTURES DESCRIPTION DETAILS -TS' WATER CLOSET, BIDETS ALS 4 511L)WERS (PER TRAP) BATH, STALL, ON-SITE BUILT 5 SINKS LAVSBASINS, BARFLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO; X- RAY, FOOD, PREP/CULINARY/MEAT 7 CLOTHES WASHER 8 GARBAGE DISPOSAL Fnooe�� 9 WATER SOFTENER 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE 12 FOUNTAINS, DRINKING 13 WATER PIPING/DRAIN-IN INSTALLATION, ALTERATION, REPAIR, _ _ 1 �A , VENT, PLUMBING REVERSALS - REVERSAL 14 SEWAGE EJECTOR GRINDER, SUMP PUMP 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS 17 SPRINKLER SYSTEM 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK 19 MEDICAL GAS per outlet NITROUS, OXYGEN 20 MISC. PLUMBING FIXTURE OF PAYMENT i ❑ cF-mcic ❑ ti Y EXPIRES: D NUMBEIL- :ED SIGNATURE: Xt X XXX SUBTOTAL: • PLUS PROCESSING FEE: TOTAL PERMIT FEE DUE: Fnooe�� '��iama� Looe Xt X XXX SUBTOTAL: • PLUS PROCESSING FEE: TOTAL PERMIT FEE DUE: 3o.ne -:wOVallev Mechanical Permit Application PROJECT 5, C ke / tf" LCi(� PERMIT ADDRESS: �-' E:&' w owa OWNER Vdked $15 C,,Gt PHONE (Daytime Contact):Df 4-- 6 59• MAILING ADDRESS: X $19 //I k0ty OR <400,000 P. �92 cZ � (street) 4 UNLISTED APPLIANCE (ADDITIONAL FEET (City/stake) (ZIP) CONTRACTOR: E 5 USED APPLIANCE (WSEC min. AFUE rating) LICENSE ✓� MAILING ADDRESS: $50 PHONE #: i 400,000 X $100 (street) 1- loom BTU (d /state (21P) SUBTOTAL: METHOD OF PAYMENT PLUS PROCESSING FEE: TOTAL PERMIT FEE DUE - E3 CASH UE:E3CASH [:1 CHECK ❑ ❑ DATE: - EXPIRES: BANKCARD NUMBER• _ AUTHORIZED SIGNATURE DESCRIPTION OF WORK OF UNITS X COST EQLIALS AMOUNT 1 FUEL BURNING APPLIANCE OR < 100,000 X $15 2 FUEL BURNING APPLIANCE > 100,000 X $19 3 UNLISTED APPLIANCE (ADDITIONAL FEE) OR <400,000 X $50 4 UNLISTED APPLIANCE (ADDITIONAL FEET > 400,000 X $100 5 USED APPLIANCE (WSEC min. AFUE rating) or < 400,000 X $50 6 USED APPLIANCE (WSEC min. AFUE rating) i 400,000 X $100 7 BOILERIREFRIGERATION 1- loom BTU X $15 8 BOILER/REFRIGERATION 101- 500M BTU X $28 9 BOILER/REFRIGERATION 501-1,000M BTU X $39 10 BOILER/REFRIGERATION 1001 -1,750M BTU X $57 11 BOILER/REFRIGERATION +1750M BTU X $95 12 GAS LOG, GAS INSERT, GAS FIREPLACE - X $10 13 RANGE - X $10 14 DRYER - X $10 In 15 FUEL BURNING WATER HEATER - X S10 16 MISC. FUEL BURNING APDL. - X $10 17 GAS PIPING (ea. Outlet) - X $1 IB..RZTCTSYSTEMS - X $10. ... ._.._s_. ,.__. 19 VENTILATING FANS - X $10 20 AIR HANDLER (DOES NOT include ducting) - OR < 10,000CFM X $12 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X $19' 22 EVAPORATIVE COOLERS - X S10 23 TYPE I HOOD - X $50 24 TYPE II HOOD - X S10 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 26 AIR CONDITIONER 3-15 TON X $20 27 AIR CONDITIONER- 15-30 TON X $25 28 AIR CONDITIONER 30-50 TON X $35 29 AIR CONDITIONER +50 TON X $60 30 LPG STORAGE TANK - X $10 31 IWOOD OR PELLET STOVEIINSERT - X $10 32 1wooD STOVE - FREE STANDING - X $25 SUBTOTAL: METHOD OF PAYMENT PLUS PROCESSING FEE: TOTAL PERMIT FEE DUE - E3 CASH UE:E3CASH [:1 CHECK ❑ ❑ DATE: - EXPIRES: BANKCARD NUMBER• _ AUTHORIZED SIGNATURE STY ( Wane ,r.►0V1q11ey 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax Mechanical Permit Application PROJECT ADDRESS: # OF UNITS j/ l0 I ��/� PERMIT 1 FUEL BURNING APPLIANCE - OR < 100,000 X $15 2 FUEL BURNING APPLIANCE > 100,000 OWNER: )t ' $19 3 UNLISTED APPLIANCE (ADDITIONAL FEE) PHONE (Daytime Contact): X MAILING ADDRESS: 4 UNLISTED APPLIANCE (ADDITIONAL FEET > 400,000 X $100 - / 1/1 / I/ ( Q J11-r—lAv 6 USED APPLIANCE (WSEC min. AFUE rating) (street) X (City/stake) (ZIP) 1-100M BTU CONTRACTOR: $15 - 8 BOILERIREFRIGERATION LICENSE ✓ mC X MAILING ADDRESS: 9 BOILER/REFRIGERATION 501-1,000M BTU PHONE #: $39 - /O�D/ DAY X a-� 14, L 11 BOILER/REFRIGERATION (street) X ((a /state I (21P) - DESCRIPTION OF WORK # OF UNITS X COST I EQUALS AMOUNT 1 FUEL BURNING APPLIANCE - OR < 100,000 X $15 2 FUEL BURNING APPLIANCE > 100,000 X $19 3 UNLISTED APPLIANCE (ADDITIONAL FEE) - OR < 400,000 X $50 - 4 UNLISTED APPLIANCE (ADDITIONAL FEET > 400,000 X $100 - 5 USED APPLIANCE (WSEC min. AFUE rating) - or < 400,000 X $50 - 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X $100 7 BOILER/REFRIGERATION 1-100M BTU X $15 - 8 BOILERIREFRIGERATION 101- 500M BTU X $28 - 9 BOILER/REFRIGERATION 501-1,000M BTU X $39 - 10 BOILER/REFRIGERATION 1001 -1,750M BTU X $57 - 11 BOILER/REFRIGERATION +1750M BTU X $95 - 12 GAS LOG, GAS INSERT, GAS FIREPLACE - X $10 13 RANGE - X $10 - 14 DRYER - X $10 - 15 FUEL BURNING WATER HEATER - X $10 - 16 MISC. FUEL BURNING APPL. - X $10 - 17 GAS PIPING (ea. Outlet) - X $1 - 18 DUCCSYSTEMS _ X $10. 19 VENTILATING FANS - X $10 - 20 AIR HANDLER (DOES NOT include ducting) - OR < 10,000CFM X $12 - 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X $19 22 EVAPORATIVE COOLERS - X $10 23 TYPE I HOOD - x 550 - 24 TYPE II HOOD - X 510 - 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 26 AIR CONDITIONER 3-15 TON �� X $20 - 27 AIR CONDITIONER. 15-30 TON X $25 - 28 AIR CONDITIONER 30-50 TON X $35 - 29 AIR CONDITIONER +50 TON X $60 - 30 LPQ STORAGE TANK - X $10 31 WOOD OR PELLET STOVE/ANSERT - X $10 32 IWOOD STOVE - FREE STANDING - X $25 - SUBTOTAL: METHOD OF PAYMENT PLUS PROCESSING FEE: ' TOTAL PERMIT FEE DUE: ❑ CASH El CHECK ❑ ❑ �_...:.__.. DATE: EXPIRES: BANKCARD NUMBER. - AUTHORIZED SIGNATURE: HOD OF ASH S�`o"l�an' ems'' ,,,iValley Plumbing Permit A 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax lication PROJECT ADDRESS: % � . P( I L� / /, C -C( /` `PFPERMrr SE: # OF UNITS OWNER: ��- �/ de/T PHONE (Daytime Contact) '' a0 MAILING ADDRESS: TOILETS WATER CLOSET, BIDETS O / 1 $6 - (street) (Ci /stat) (ZIP) CONTRACTOR: LICENSE #: -! MAILING ADDRESS: TUBS PHONE #: X � - 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT (street) ( /st e)(zip) PLUMBING FIXTURES 'yc d, :CARD NUMBER: [ORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 - 2 URINALS X $6 - 3 TUBS X � - 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6 - 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- X $6 - l/ RAY, FOOD, PREP/CULINARY/MEAT 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 - 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 X $6 - 12 FOUNTAINS, DRINKING 40 X - 13 WATER PIPING/DRAIN-IN INSTALLATION, ALTERATION, REPAIR, WASTE, VENT, PLUMBING REVERSALS X REVERSAL I l (� 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, X - SWAMP COOLER I Z 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6 - 17 SPRINKLER SYSTEM ® X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK Q X $6 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE O X - PAYMENT SUBTOTAL: ] CHECK ❑ ❑ tA_ .�__�.. PLUS PROCESSING FEE: TOTAL PERMIT FEE DUE: RXPT R F S• :CARD NUMBER: [ORIZED SIGNATURE: Group Name: Project Name: - Permits Sewer Connection Permit Contractor: FOLSOM EXCAVATING INC License #: FOLSOEI994DO SEWER CONNECTION 1 $85.00 PROCESSINGFEE $15.00 Total Pennit Fee: $100.00 FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES $=30-5:00 PM MONDAY THRU FRIDAY Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRI Contractor or applicant is to field locate and confirm the elevation and position Sewer stubs are to be checked prior to connection to ensure that they have accel Sewer lines should be constructed to allow for gravity flow from the lowest leve This permit must be presented to the job site inspector for verification. To locat CALL BEFORE YOU DIG, (509)456-8000. STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVAT. NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN, Spokane County Code requires the installer comply'with all requirements of the sewer stub prior to any other excavation. ible grade and are clear and unobstructed to the main sewer >f the structure. auried cables, gas piping, water lines, etc. BEFORE YOU DIG' CENTER BE 456-8000. Dept of Labor and Industries. including Total Fees AmountPaid AmountOwine Tran Date Receipt # Payment Amt $100.00 $100.00 $0.00 6/25/2003 4029 $100.00 Processed By: BURRIS, ROBIN PERNIIT Printed By: WENDEL, GLORIA Page 1 of 1 Site Information Project Information Site Address: 614 S SHELLEY LAKE LN Project Number: 03004404 Inv: 1 Issue Date: 6/25/2003 VERADALE, WA 99037 Permit Use: SEWER CONNETION Parcel Number: 45242.1309 Subdivision: Applicant: KEVIN MADDEN Block: Lot: S. 1214 PROGRESS RD Zoning: UR -3 Urban Residential 3.5 SPOKANE, WA 99037 Phone: (509) 927-7526 Owner: KEVIN MADDEN Contact: KEVIN MADDEN Address: S. 1214 PROGRESS RD S. 1214 PROGRESS RD SPOKANE, WA 99037 Phone: (509) 927-7526 SPOKANE, WA 99037 Building Inspector: BOBBY STONE Setbacks - Front: Left: Right: Rear: Water Dist: Group Name: Project Name: - Permits Sewer Connection Permit Contractor: FOLSOM EXCAVATING INC License #: FOLSOEI994DO SEWER CONNECTION 1 $85.00 PROCESSINGFEE $15.00 Total Pennit Fee: $100.00 FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES $=30-5:00 PM MONDAY THRU FRIDAY Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRI Contractor or applicant is to field locate and confirm the elevation and position Sewer stubs are to be checked prior to connection to ensure that they have accel Sewer lines should be constructed to allow for gravity flow from the lowest leve This permit must be presented to the job site inspector for verification. To locat CALL BEFORE YOU DIG, (509)456-8000. STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVAT. NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN, Spokane County Code requires the installer comply'with all requirements of the sewer stub prior to any other excavation. ible grade and are clear and unobstructed to the main sewer >f the structure. auried cables, gas piping, water lines, etc. BEFORE YOU DIG' CENTER BE 456-8000. Dept of Labor and Industries. including Total Fees AmountPaid AmountOwine Tran Date Receipt # Payment Amt $100.00 $100.00 $0.00 6/25/2003 4029 $100.00 Processed By: BURRIS, ROBIN PERNIIT Printed By: WENDEL, GLORIA Page 1 of 1