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2005, 08-10 Permit App: 05002869 Addition Project Number: 05002869 Inv: 1 Application Date: 08/10/2005 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: �.. Permit Use: 12 X 23.5 RESIDENTIAL 2-STORY ADDITION Contact: WILLIAMS,GUY Address: 3411 S SUNDOWN DR C-S-Z: SPOKANE VALLEY,WA 99206 Setbacks:Front Left: Right: Rear: Phone: (509)926-1875 Group Name: Site In formation: Project Name: Plat Key: CONV Name: BROADMOOR EST District: Sout Parcel Number: 45321.1409 Block: Lot: SiteAddress: 3411 S SUNDOWN DR Owner:Name: WILLIAMS,GUY Address: 3411 S SUNDOWN DR Location::CSV SPOKANE VALLEY,WA 99206 Zoning: SFR Water District: Hold: ❑ Area: ,250.00 Acres Width: 90 Depth: 125 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: - Review Site Plan Review Released By; Originally Released: 08/10/2005 By: mturbak Plan Review Released By: Originally Released: 08/08/2005 By: TMELBOU Sewer Review [Released By: SEWER PERMIT#94001366 Originally Released: 08/10/2005 By: mturbak Permits: 1,0 ., --smsegineagmcd.,- ttnnt, ... _v.AMI172L4 r. m�_. _ ,A,NAMW4W24444,4.:mpra Operator: MT Printed By: MT Print Date: 08/10/2005 Project Number: 05002869 Inv: 1 Application Date: 08/10/2005 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Building Characteristics Total Area 552 Building Height 21 Stories 2 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VB MAIN 276 $20,611.68 276 $20,611.68 FLOOR ADDITION RES ADD 2F R-3 VB 2ND 276 $20,611.68 276 $20,611.68 FLOOR ADDITION Totals: 552 $41,223.36 552 $41,223.36 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $562.95 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $225.18 Permit Total Fees: $792.63 Mechanical Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount VENTILATING FANS 1 NUMBER OF $10.00 Permit Total Fees: $10.00 Plumbing Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 1 NUMBER OF $6.00 SHOWERS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 Permit Total Fees: $18.00 Operator: MT Printed By: MT Print Date: 08/10/2005 Project Number: 05002869 Inv: 1 Application Date: 08/10/2005 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: s v ...r,rro,„ • • ...� ,•• Conditions of approval exist for lots served by Ponderosa Ln. A habitat management plan is on file. See file for Ponderosa Ln. -jforry Pa ment Summa Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $792.63 $792.63 $0.00 $792.63 Mechanical Permit $10.00 $10.00 $0.00 $10.00 Plumbing Permit $18.00 $18.00 $0.00 $18.00 $820.63 $820.63 $0.00 $820.63 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: MT Printed By: MT Print Date: 08/10/2005 °;w. BUILDING PERMIT APPLICATION WORKSHEET Sp -. City of Spokane Valley Community Development Department pOliane Building Division 11707 E. Sprague Avenue, Suite 106 „ 801Valle Spokane Valley, WA 99206 RE C IF A V C hone: (509) 688-0036, Fax: (509) 688-0037 L(53�I . Ho ' EQUJRED'SITE IORMATION Street Address: 3Lin Ur4M�, .Ji)o ►, Y'"4- `'l9 Z.4, (, Assessor's Tax Parcel Number(s): 0S- o" " 't Legal Description: 6�'o`4OM ow_ ,sLal 6 3 g-.90. (0 PERMIT DESCRIPTION: NAi ek, rt..( X 2 3001( Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION "Owner. (a u1 izg.,\lr iv S 0 Applicant: Sic)-rn Phone: (73-iv' Fax: lir.'NW Phone: Fax: Address: J,'-v'- c.. Address: City State Zip Code City State Zip Code ❑ Contractor: sft-►'ti'' ❑ Architect: J1/-1 Phone: Fax: Phone: Fax: Address: Address: City State Zip Code City State Zip Code WA State Contractor License #: Contact: Spokane Valley Bus. Liscense #: Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: #OF STIES: A-i2' L3' G'' OR MAIN FLOQ JO,SQ. FTG: 2""FLOOf},SQ_ FT� G; UNFIN BASEMENT SQ. FTG: et � t /J �[. `Q FINISHED BA T SQ. FTG: GARAGE SQ. DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONST,$LJCTlON TYPE: HEAT SOURCE: ) )-,tel 1-1-7)01-) __ 25rt~d S #OF BEDROOMS: TOTAL HABITSPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? .See,y' MANUFACTURED HOME Width: Length: Year: Pit Set: Manufacturer: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler. # of Heads: Fire Alarm: Paint Booth: Tent: Fireworks Display: Blasting: Date/Time: Valuation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Phone: Fax: Address: City State Zip Inspector. Phone: Fax: Address: City State Zip SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING Firm Name: Phone: Fax: Inspector(s): 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 resulting development rights granted by any issued permit inure to the property owner. Print Name �,U( Ir J 11 11)".j Signature Method of Payment: (Fax d pen-nit applications will only be accepted with major bankcard) ❑ Cash Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: PLUMBING PERMIT APPLICATION Community Development Department Building Division Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106 For Inspections, Call (509) 688-00554 Spokane Valley, WA 99206 siValky Project Address: _Nil .1v1/4— Permit Use: Owner: Ct Phone(Daytime Contact): "95- a-)"--) Mailing Address: SyI? ,S ,fvnIttne•A'. 'h S� ��Ch vVV4 4 City State Zip Code Contractor: 0 w - w License it: Phone#: 3-6IV7'? Mailing Address: City State Zip Code DESCRIPTION OF WORK #OF UNITS X COST . = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS ( X $6.00 = �- 0 O 2 URINALS ----.1._-- X $6.00 = 3 TUBS 1 X $6.00 = l Y-00 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT I X $6.00 = IC)-v�/1 LAVS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = X-RAY,FOOD,PREP/CULINARY MEAT 6 DISHWASHER X $6.00 = 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 = ROOF DRAINS/OVERFLOW 12 DRAINS X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 = WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = ICE AN/OR COFFEE MAKER,HOSE BIB, 16 WATER USING DEVICE STEAMER X $6.00 = PROOFER,CARBONATOR,SWAMP COOLER VACUUM BREAKER,CHECK VALVE, 17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR: VATS,TANKS,BOILERS X $6.00 = GREASE TRAP,SAND TRAP, 18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 = MISCELLANEOUS PLUMBING 2D FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = INDUSTRIAL WASTE 22 INTERCEPTOR X $15.00 = SUBTOTAL METHOD OF PAYMENT: 0 CASH CHECK ❑ VISA 0 MASTERCARD PROCESSING FEE $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: MECHANICAL PERMIT APPLICATION Community Development Department • Sane Building Division I' Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106 For Inspections, Call (509) 68$-004 Spokane Valley, WA 99206 Project Address: Permit Use: Owner. Phone (Daytime Contact): Mailing Address: City State Zip Code Contractor. License#: Phone#: Mailing Address: City State Zip Code DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 = 3 UNLISTED APPLIANCE(Additional Feed 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 400,00D X $50.00 = 6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1-1O0MJl 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 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 SYSTEMS4-0X $10.00 = J 19 VENTILATING FANS X $10.00 = 10. 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 $50.00 = 24 TYPE II HOOD X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 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&ADDITIONSX $15.00 = 34 VENTILATION SYSTEMS' X $12.00 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR-RESIDENCEX $19.00 = 37 INCINERATOR-COMMERCIAL X $22.00 = METHOD OF PAYMENT: SUBTOTAL IDCASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE _ $35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: f P I �� 6 • 96 a.4/�Ci‘ 1 ro a A._ II ike..„. , . . \ . , 01 .. • . .. , . .. . . >..‘, .... _ ... .. .. .. .. ... 1 c.i._ , v . j submitted for the pure°5e ©t This site Plan is being mit and is a true and correct • a building p: mit All known property representation of the err i,n�rop V curb ine5 structures a ,,t,tr„t, Iinesldi eensiaentitled. Also Indicated a'u' have been or other ciit".'t1 ;jru:ra. bodies of water, sta���► Signed: At_ l'Arir Date: r 44 Y fr,f, /oily