2005, 04-21 Permit App: 05001284 RemodelProject Number: 05001284 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/21/2005 Page 1 of 2
Project Information:
Permit Use: REMOD ATT GAR TO ADD NS1 BEDRM, FAM
RM & BATH - LLC FACILITY
Setbacks: Front
Site Information:
Plat Key: 001223 Name: HILLCREST ACRES 02ND ADD
Left: Right: Rear:
Contact: CORDERO, HOLLY
Address: 13224 E TALLTREE RD
C - S - Z: SPOKANE VALLEY, WA 99216
Phone: (509) 924-1506
Group Name:
Project Name:
District: Sout
Parcel Number: 45274.1305
Block:
SiteAddress: 13224 E TALL TREE RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: CORDERO, HOLLY
Address: 13224 E TALLTREE RD
SPOKANE VALLEY, WA 99216
Hold: ❑
Area: .00 Acres Width: 116 Depth: 119 Right Of Way (ft): 50
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Plan Review
Permits:
Released By:
Contractor: OWNER
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Ty a Notes Sq Ft Valuation Sq Ft Valuation
RESIDENCE R-3 VB REMODEL 0 $10,000.00 0 $10,000.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
GARAGE
TO LIVING
SPACE
Totals: 0 $10,000.00 0 $10,000.00
Units Unit Desc Fee Amount
1 SELECT $181.25
1 SELECT $4.50
1 SELECT $72.50
Permit Total Fees: $258.25
Operator: K_C Printed By: K_C Print Date: 04/21/2005
Projtct Number: 05001284 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/21/2005 Page 2 of 2
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 1 NUMBER OF $10.00
Contractor: OWNER
Item Description
SHOWERS
WATER PIPING - DWV
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Permit Total Fees: $10.00
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Fee Amount
$258.25
$10.00
$12.00
Permit Total Fees:
Invoice Amount
$258.25
$10.00
$12.00
Fee Amount
$6.00
$6.00
Amount Paid
$0.00
$0.00
$0.00
$12.00
Amount Owing
$258.25
$10.00
$12.00
$280.25 $280.25 $0.00 $280.25
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: K_C Printed By: K_C Print Date: 04/21/2005
Spokane
jUalley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
1
REQUIRED SITE INFORMATION
Street Address: 3:))Y
F kill 1:0e -e
Assessor's Tax Parcel Number(s):
se;:Y-
Legal Description:
PERMIT DESCRIPTIO(
$uilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
1
OWNER/APPLICANT INFORMATION
a
Owner: de.)11/ r� k o
Phone:9'g4-1S6 Fax:
Address: 1322.`1 ii T -e -c, ,/q-
Sp,
q-
S ,kA Lip i 921
Citj State Zip Code
❑ Contractor: t-io)lk Corcji12o
Phone: 9..)LI-Soy Fax:
dress:i33-3y f X21► 12 e of
`9'i
State Zip Code
WA State Contractor License #:
Spokane Valley Bus. Liscense #:
❑ Applicant: )/Iyy 12 r:er�
Phone: gay- i- l c,�67 Fax:
Address: 13 2 f' Ill -7-(e47
S\crK4.v-e (AA 619,240
Ci State Zip Code
❑ Architect: Jody e G3,/,,y2,0
Phone: ?a /so6 Fax:
Address: /3)2 y E 7 // 'Th' -e
A-7it, e bin 290/(0
State Zip Code
Ci
Contact:
Contact:
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
MAIN FLOOR T0pQ. FTG:
2ND FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OFIOJECT: '! \
r; l (
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
i
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 State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING El CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
I nspector(s):
Fax:
❑ 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 resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
PLUMBING PERMIT APPLICATION
ne Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, CaII (509) 688-0054
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
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
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
56.00
=
2
URINALS
X
56.00
=
3
TUBS
X
56.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
1
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
=
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
X
56.00
=
8
GARBAGE DISPOSAL
X
56.00
=
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
56.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
56.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
56.00
=
13
FOUNTAINS, DRINKING
X
56.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
t
X
56.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56.00
=
18
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
56.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
56.00
=
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 DISPOSAL/SYS
X
520.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
515.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
DATE
SUBTOTAL
0 VISA 0 MASTERCARD
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Project Address:
Owner:
Mailing Address:
Contractor:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Community Development Department
Building Diuision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206'
Permit Use:
Phone (Daytime Contact):
Mailing Address:
License #:
City
State
Phone #:
Zip Code
AUTHORIZED SIGNATURE:
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 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
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
N
X
$10.00
=
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 & ADDITIONS
X
$15.00
=
34
VENTILATION SYSTEMS
X
$12.00
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MC
CARD #.
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
\ ) +i R -IX insulation added to this wall.
rug
1 w
0)
I0
This wall new with R -
Built inside exist wall
EMF'Rr:FNr'v FGRE S RFOUnHEMENTS )
-N„ F "401 ROOMS
1) NET C1 L^4). 5 7 SQUARE FEET
GRACE • • :ANG IMAX 44") 5 0 SQUARE FEET
2) NET CI ! . ; HEI;, -41 24 INCHES
3) NET r; . .. , • ',4.'.J6 4vil,',1 20 INCHES
4)MA•: .i ; i; „0 T 4 V ABOVE FLOOR
S) EM! •„ . ,E I'ENING SHALL BE
OPERA' ' T. •,:;IUE OF THE ROOM WITHOUT
THE USE Jr n; • _ „r\ TOOLS
Remove existing garage
doors.New egress
windows here.
25'-0"
New exterior insulated door.
Qik
BEDROOM
14'-3" x 12'-1"
SD
STORAGE
4'-7" x 9'-11"
3' 6,.
/3 3
FAMILY
13'-4" x 13'-10"
(( o
UST ifAtys
it
1 GFS
I
r
insulation.
10'-4 3/4" 1
1 ( 1
Rework exist plumbing here to This wall new with R -')insulation.
move fixtures and add shower. Built inside of exist. wall.
300 Sq Ft of space
50% in the upper
u
(5
c,5)
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