2003, 05-06 Permit App: BD03-348 Residence City of 6,W- 003p
SPOKANE VALLEY foX (pct- 0o37
PERMIT #
BUILDING PERMIT APPLICATION
N
Box 1 OWNER Heal 1...7 . yelevt JOB LOCATION 2S 0) 5. S' 'eU
OWNER'S ADDRESS 13Jiv e /41,i5•c.r� CITY yukdete PHONE s's z 6`tai
f 9s-
DESCRIBE
SDESCRIBE JOB (d14$f-1q .t-17 ek I {ff S i de w,1zJ 4 'Ince.
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED X t
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME PHONE
CONTRACTOR'S ADDRESS CITY
CONTRACTOR'S REG.# EXPIRATION DATE
(CARD MUST BE PRESENTED AND COPIED OR VER!IFIED)
BOX 3 CONTACT PERSON OF PROJECT Flit Ld t.,det., PHONE 4'75--/6 Ii2
ADDRESS /3310 C /ficctuit /fire. l q5 CITY 5pc:kd fr-e ZIP 9 2(/,
BOX 4 SEWER AVAILABILITY 5pblkaw2 Uzi Y wn- WATER AVAILABILITY Vera IdetfeV
BOX 5 ESTIMATED PROJECT COST$$ ;So opt)
EXISTING BLDG.VALUATION$ �,
BOX 6 PROPERTY TAX ACCOUNT NUMBER Fa rce( 0 LIS 2S I.O Off Tac 1 0cQ2 p j 'fcf
LEGAL DESCRIPTION
P d cle yVl ovvf Es-fes . 3 1_6 r h( Block 2
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing/proposed) 1ST FLOOR ;Ole / 5f,a 2ND FLOOR 59 S / 5-7 ff.-
3RD FLOOR / OTHER / ® BASEMENT FINISHED
I5oa 1-oh.-
BASEMENT UNFINISHED / DECK !07 / 57/ef- GARAGE /Mg / 51
CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING (96ABN FT.
BOX 8 (X) SINGLE FAMILY (X) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY 1 7 5O SQ. FT.
( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE_30/0 ' ' ' SQ. FT.
BOX 9 PLUMBING FIXTURES (Including rough-ins) MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED PLUMBING/MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS,WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL.
BOX 10 Water Service meter size(if known) 1 inch Also see BOX 4
BOX 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)
S p a lc a vt e Cd+i 5--e t,.(e.r-
BOX 12 Street use may require a" Street Use Permit"for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE.
OWNER/AGENT /4J [ DATE 5/6(0 3 (OVER)
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard __ Expiration Date
Print the name of the Holder Signature
OFFICE USE ONLY- PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE
TYPE OF JOB: NEW 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. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING PERMIT NQ. PLAN CHECK FEE RECD RECEIPT NUMBER
PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE
OTHER CHARGES I AMOUNT DUE
BUILDING DEPARTMENT APPROVAL BY
DATE
ASSIGNED ADDRESS
•
Call 24 hours before inspection required
csrr Phone 509.688-0036 Fax 509.688-0037
SPPlane
Valley DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW 03— /5-0
APPROACH PERMIT
APPLICATION
Location of property . -3(31 S S 1'-e e•v-
(Adjlress/Parcel #, if available)
Applicant Name V ts.,J. it--Ct-. Lta
Address 13? i r, F t-A(s ay-. `15 Phone 4 )c- /t4 Z
Contractor's Name .7\n'e/✓
Address Phone
Contractor's Reg# Expires
PROJECT DESCRIPTION (Provide site sketch)
X.NResidential Driveway Commercial/Industrial Driveway
Existing Curb & Gutter Rural Road Section
Culvert Installation Sidewalk Repair/Construction
Other conditions
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 Si nature -��
Fees Paid$ -5 O Date s---/7/0 3 !nit : ,tfi
{NOT`, 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone
1J �. ne Spokane Valley,'WA 9906 509-688-0037-Fax
_. 0Valley For Inspections, call 509-688-0054
Mechanical Permit Application
PROJECT PERMIT
ADDRESS: USE:
OWNER PHONE(Daytime Contact):
MAILING ADDRESS:
(street) (city/state) (ZIP)
CONTRACTOR: LICENSE IT:
MAILING ADDRESS: PHONE#:
(street) (city/state) (ZIP)
DESCRIPTION OF WORK 8 OF UNITS X COST EQUALS AMOUNT
1 FUEL BURNING APPLIANCE =OR<100,000 X $15 =
2 FUEL BURNING APPLIANCE >100,000 X $19 = 11.
3 UNLISTED APPLIANCE(ADDITIONAL FEE) =OR<400,000 X $50 =
4 UNLISTED APPLIANCE(ADDITIONAL FEE) >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 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 - I 0
13 RANGE — X $10 = I
14 DRYER — X $10 - 0
15 FUEL BURNING WATER HEATER -- X $10 = 40
16 MISC.FUEL BURNING APPL. — X $10 =
17 GAS PIPING(ea.Outlet) — X $1 = CO
18 DUCT SYSTEMS — X $10 =
19 VENTILATING FANS — LD 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 $50 =
24 TYPE II HOOD — X $10 = )0
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 = J ,+-1
26 AIR CONDITIONER 3-15 TON X $20 = G-
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 WOOD OR PELLET STOVE/INSERT — X _ $10 =
32 WOOD STOVE-FREE STANDING — X $25 =
SUBTOTAL:
METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00
-'4,-.„` TOTAL PERMIT FEE DUE:
VISA •
'tea'
0 CASH 0 CHECK 0 ran= 0 L- ..=±
DATE: EXPIRES: J
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
01111°.\ft
*Wane
� 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone
Spokane Valley,WA*99206 509-688-0037-Fax
4w...0VdlleY For Inspections, call 509-688-0054
Plumbing Permit Application
PROJECT PERMIT
ADDRESS: USE:
OWNER: /(`e:,,1 % PHONE(Daytime Contact):
MAILING ADDRESS:'/L`,,�
(street) (city/state) (ZIP)
CONTRACTOR: LICENSE it:
MAILING ADDRESS: PHONE it:
(street) (city/state) (ZIP)
PLUMBING FIXTURES
DESCRIPTION DETAILS It OF UNITS X COST EQUALS AMOUNT
1 TOILETS WATER CLOSET,BIDETS C X $6 = -3
2 URINALS X $6 -
3 TUBS 4 X $6 -
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 2- X $6 - ( L.
5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN,
LAUNDRY,UTILITY,JANITOR,PHOTO,X- II X $6 = i �
RAY,FOOD,PREP/CULINARY/MEAT '.E (
6 DISHWASHER IX $6 -
te
7 CLOTHES WASHER ( X $6 - (c
8 GARBAGE DISPOSAL 2- X $6 - 1'1.-
9 WATER SOFTENER 0 X $6 -
10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL 0 X $6 -
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 -
12 FOUNTAINS,DRINKING X $6 =
13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR,
WASTE,VENT,PLUMBING REVERSALS X $6 -
REVERSAL
14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 =
15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB,
STEAMER,PROOFER,CARBONATOR X $6 -
SWAMP COOLER xv
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 X
HOLDING TANK ..
19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 =
20 MISC.PLUMBING FIXTURE X $6 -
METHOD OF PAYMENT SUBTOTAL:
A gas PLUS PROCESSING FEE: $35.00
0 CASH 0 CHECK 0 MEM 0 L_--.__::-
TOTAL PERMIT FEE DUE:
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: n
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10'
Sevier and
Dra nage
Easement
13.5
PROPERTY UNE
1
1
1
1
.{ t ---11b,
ucarnage
Easement 10'
Plot Plan for
Ridgernont
Estates, #3,
Lot 4, Block:2
2301 South
Steen
Kent and Julie
Layden
W-0"
few
ProposedDwelling
--1o=o.—
Site Considerations
1. House to be constructed as far
as lot will allow to the north, due to
flowing water in easement, and
issues related to keep pg
basement dry. (Ica
2. House set back 45 -feet from
curb to allow less slope on
driveway due to the need to lift
basement above water table.
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n'1
Soud'h S-(-eevi .
Cr,
Garage