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2003, 08-27 Permit App: BLD-03-02333 Addition
crri /rte Spokane . 00Val1ey 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit RESIDENTIAL ADDITION/REMODEL Job Address: 18020 E SPRINGFIELD AVE GREENACRES WA Description: 26 X 48 GARAGE ADDITION W/ 2ND STORY LIVING SPACE - FAMILY RM, BE ROdM,AND BATHROOM (L Li— 4.. -C 2eh �'lt,J,r � . Subdivision: Owner: OESTREICHER, JASON Applicant: OESTREICHER, JASON Address: Contractor: Address: Lot: 4 Application #: BLD -03-02333 Applied: Issued: Expires: BI k: 2 Parcel No: 55184.3704 Phone: (509) 924-8957 Phone: Lic No: Zoning: 08/27/2003 02/23/2004 General Information: VALUATION REROOF BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE STRUCTURES ON PROPERTY SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SINKS VENTILATING FANS 90204 N 22.5 26 X 48 2 1 39 47+ N/A 13 r-3 wood 1 no no 1 1 1 1 Fees: PLAN CHECK FEE WSBCC SURCHARGE TOILETS TUBS SINKS VENTILATING FANS BASIC PERMIT FEE Total Calculated: Deposits/Receipts: Total Due: 372.30 4.50 6.00 6.00 6.00 10.00 930.75 1,335.55 0.00 1,335.55 �k 61A-uuInG Ptnn 1-t CAL 1-.1 THIS IS NOT A RECEIPT STAkanre\'` „0"Valley PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206... Phone: (509)688-0036 Fax: (509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: 13020 b • SP/CEJ✓ v G ) .'"(b Avg' ASSESSOR'S TAX PARCEL NUMBER(S): `7 5/ ('y # 3 70 v' LEGAL DISCRIPTION: PERMIT DESCRIPTION: MIMING PERMIT QRELOCATION (dcQtif 0,64 O CHANGE IN USE •0.GRADING [SIGN D -TENANT 1 ,{.0 144 0}41/ ct edit aAok )1A: MANTJFACTTJ D HOME 1 � rW 0 -OTHER.. OWNER / APPLICANT INFORMATION 5oiv 'OWNER Qesc-qfe PHONE: IZ ( $-7 FAX:L�AI PHONE: FAX: ADDRESS: (?O2 C . Sf "Cl l ,4v SMO'�� o 6 ADDRESS: CITY,STATE, ZIP Cl APPLICANT: °CONTRACTOR: STATE, ZIP CONTRACTOR: ® ARCHITECT: PHONE: FAX: PHONE: FAX: ADDRESS: ADDRESS: CITY,. STATE, ZIP WA ST CONTRACTOR LICENSE # CITY, STATE, ZIP CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: 30% SLOPES ON PROPERTY: BUILDING HEIGHT TO PEAK: 2--2'S' 65OCCUPANCY GROUP:. BUILDING DIMENSIONS: CONSTRUCTION TYPE: NUMBER OF STORIES: Z STRUCTURES ON PROPERTY: ')-- NUMBER of BEDROOMS: 1 CRITICAL AREAS: FLANKING SETBACK: vtu CURRENT PROPERTY SIZE: FRONT SETBACK: CURRENT PROPERTY USE: REAR SETBACK: CURRENT SEPTIC USE: LEFT SETBACK: CURRENT WELL USE: RIGHT SETBACK: IMPERVIOUS SURFACE AREA: MAIN FLOOR SQ FT: I I n 2N0 FLOOR SQ FT: `�' Z5- UNFIN BASEMENT: FINISHED BASEMENT: GARAGE: COVERED DECK: DECK: MANUFACTURED HOME SIGN WIDTH: LENGTH: YEAR: PIT SET: MANUFACTURER: SQ FT OF SIGN: HEIGHT OF SIGN: # OF SIGNS: AREA OF EXIST SIGN: TYPE OF SIGN: RELOCATION FIRE SAFETY i PREVIOUS ADDRESS: PROPOSED USE: FIRE SPRINKLER: FIRE ALARM: PAINT BOOTH: TENT: FIREWORKS DISPLAY: BLASTING: DATE/TIME: WA STATE NON-RESIDENTIAL ENERGY CODE PLANS EXAMINER: PHONE: FAX: ADDRESS:. CITY, STATE, ZIP INSPECTOR: PHONE: FAX: ADDRESS: CITY, STATE, ZIP SPECIAL INSPECTIONS 0 BOLTING FIRM NAME: INSPECTOR(S): ®CONCRETE 0 REINFORCEMENT PHONE: 0 WELDING FAX: BUILDING STAFF USE ONLY 1 IS PUBLIC SEWER AVAILABLE: 0 YES 0 NO IS PUBLIC WATER AVAILABLE: 0 YES ® NO IF YES, WHICH WATER DIST/IRR: IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO IS THE PROPERTY LOCATED WITHIN ASA: 0 YES 0 NO PSSA: 0 YES 0 NO IF YES: 0 COUNTY CITY DATE: METHOD OF PAYMENT: 0 CASH CHECK STAFF: VISA BANKCARD#; EXPIRES: VIN# AUTHOR/ZED SIGNATURE: *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD 1 AUG 24 2003 15:46 FR TO 3241567 P.02/03 PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITYDEVELOPMENT BUILDING DIVISION 91707 East Sprague Ave Ste 106 Spokane Valley, WA 99206. , Phone: 509 685-0036 Fax: 509 688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: Zo .So/ (E.Je* Ave, ASSESSOR'S TAX PARCEL NUMBER(S): S] 5 gg 370/4 LEGAL DISCRIPTION: PERMIT DESCRIPTION.: )24G PERNITi aCHANGE IN USE ...O.GRADING DRELOCATION it D -S IG CtTE.NAI 7r D.HOME la MUM OWNER / APPLICANT INFORMATION :SlrOWNER.-i745_6" + OeSCff' PHONE: r t7 7 J ? FAX: ADDRESS: M702-0 Ls . 5ref"Kf b AVE CITY,STATE, ZIP CONTRACTOR: PHONE: FAX: El APPLICANT: PHONE: FAX VY �f . OI6 ADDRESS; ADDRESS: CITY,, STATE, ZIP WA ST CONTRACTOR LICENSE S CITY, STATE, ZIP ARCHITECT: PHONE: FAX ADDRESS: CITY, STATE, ZIP CONTACT: COST OF PROJECT; 30% SLOPES ON PROPERTY:, k0 BUILDING HEIGHT TO PEAK: 2'2.5 650-CCUPANCY GROUP: BUILDING DIMENSIONS: -1SX46 CONSTRUCTION TYPE: NUMBER OF STORIES: �) NUMBER of BEDROOMS: FLANKING SETBACK: FRONT SETBACK: REAR SETBACK: LEFT SETBACK: RIGHT SETBACK: STRUCTURES ON PROPERTY: CRITICAL AREAS: CURRENT PROPERTY SIZE: CURRENT PROPERTY USE: CURRENT SEPTIC USE: CURRENT WELL USE: IMPERVIOUS SURFACE AREA: MAIN FLOOR SQ FT:_ 11 7✓ 2N0 FLOOR SQ FT q 25 UNFIN BASEMENT: FINISHED BASEMENT: GARAGE: COVERED DECK: DECK; [ETHOD 0 ] CASH CITY OF Spokane _Valley 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 PRECT ADDRESS: (Yelp ^ -< q2. 6 ab AVL PE USRMTT # OF UNITS OWNER: s'6N 0 6 fee 6` PHONE (Daytime Contact): qzLi 8(757 MAILING ADDRESS: 5,00A5,00AAS L/.--cC-Y(Wei 'i?o/ (street) (city/state) (ZIP) CONTRACTOR: $6 LICENSE #: MAILING ADDRESS: URINALS PHONE #: X $6 (street) (city/state) (ZIP) ' PLUMBING FIXTURES ATE: EXPIRES: kNKCARD NUMBER UTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 - 2 URINALS X $6 - 3 TUBS X $6 - 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 $6 - 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 X $6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING . REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS 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 - 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 X _ 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT D CHECK W '44.15(61f4-1'6PLUS SUBTOTAL: PROCESSING FEE: $35.00 ❑ ■ -- - TOTAL PERMIT FEE DUE: ATE: EXPIRES: kNKCARD NUMBER UTHORIZED SIGNATURE: *Mime!— '�IIIYriy� 400.0VaHey 11707 East Sprague'Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 'Mechanical Permit Application METHOD OF PA ❑ CASH ❑ C DESCRIPTION OF WORK PROJECT ADDRESS: /o7 _ t- - 5fLJ/iUSE: PEMIT EQUALS OWNER:LTA-5o/\./a ©C�litE-+'(.h/t2 PHONE (Dti (Daytime me • OR < 100,000 MAILING ADDRESS: 540/1 C Sit,ti6 VAI/&E, v poi C (street) (city/state) (ZIP) 2 CONTRACTOR: > 100,000 LICENSE #: X MAILING ADDRESS: • PHONE #: 3 UNLISTED APPLIANCE (ADDITIONAL FEE) • OR < 400,000 (street) (city/state) (ZIP) 550 METHOD OF PA ❑ CASH ❑ C DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE • OR < 100,000 X 515 • 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 528 • 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $39 = 10 BOILER/REFRIGERATION 1001 - 1,750M BTU X $57 • 11 BOILER/REFRIGERATION +1750M BTU X 595 • 12 GAS LOG, GAS INSERT, GAS FIREPLACE - X 510 • 13 RANGE - X 510 • 14 DRYER - X 510 • 15 FUEL BURNING WATER HEATER - X 510 • 16 MISC. FUEL BURNING APPL. - X 510 • 17 GAS PIPING (ea. Outlet) - X 51 • 18 DUCT SYSTEMS - X 510 • 19 VENTILATING FANS - X 510 • 20 AIR HANDLER (DOES NOT include ducting) • OR < 10,000CFM X 512 • 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X 519 • 22 EVAPORATIVE COOLERS - X 510 - 23 TYPE I HOOD - X 550 • 24 TYPE II HOOD - X 510 • 25 HEAT PUMP/AIR CONDmONER 0-3 TON X 512 • 26 AIR CONDITIONER 3-15 TON X 520 • 27 AIR CONDITIONER 15-30 TON X 525 • 28 AIR CONDITIONER 30-50 TON X $35 • 29 AIR CONDITIONER +50 TON X 560 • 30 LPG STORAGE TANK - X 510 • 31 WOOD OR PELLET STOVE/INSERT - X 510 • 32 WOOD STOVE - FREE STANDING - X 525 • 'LENT IMMOMM VISA' 'iwSf'TrFL�. rcry r1 11111=111111111111r -t i —... . SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: 510' J y APPROVED BY GtA GGt,a.rr— kdi 3 8' r(5,)STS (r \-ko05E 3c' 1 5' 26 00 f1 0 131 syRe-e-r- Lor a1w 08/28/2003 08:50 5093241567 SRHD EHS FINAL AS -BUILT INSTALLAflON • DIE VOCATION OF THE ON-SITE..SSEEWWA % aWRESE$TED BY DME. • 6 Wr10 .$E• coMStTUED AS Aid t . un OF. DIE' SYSTEM' NORM. REMARKS (continued): logo.. l"'. -4e} 3/)A • H. AUG 25 2003 08:52 5093241567 PAGE.01