2003, 05-12 Permit App: BD-03-391 Residence[QTY OF
Epo e 11707E. SPRAGUE, STE 106
;0sovd.y SPOKANE VALLEY, WA 99206 -
(509)688-0036 FAX (509)688-0037
,SITE INFORMATION
Site Address: 14��C�S F T�&f �1-e U -e e K
Parcel Number: 557i 3 J Ce
Subdivision: T,,4
Block: Lot: l
Zoning: I Water Dist:
Owner: `�� � �� G i r� �
Address:��
BuildinLy Insnector: V,o , 1.
BUILDINGS:
PLANNING:
ENGINEERS:
- C) O ( /-2,
FIRED j
PROJECT TRANSMITTAL:
TRANSMITTAL DATE:
PERMIT INFORMATION
Permit Number: $ p 0-3- Issue Date: //203
Permit Use: e a/
Applicant: 66
�WY� Fes'
Phone:
Contacts ��,� , _
�� Phone: '24 2-1 �51 5
Contractor:
Setbacks - Front:.3(�,, Left: q Right -,O Rear: ad t -
APPROVALS
APPROVALS
WA R DIST:
STO R:
F
��-dam �t�
L 5D
157-06
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City Of
SPOKANE VALLEY
PERMIT # '3- 3 °I 1
BUILDING PERMIT APPLICATION
Box I OWNER -Re 4,11�►� d6v. JOB LOCATION 4605' E I v,+lc Crcck bane
OWNER'S AD RE SYo e AJ. Besf�� CITY S a Ae PHONE
DESCRIBE JOB AJe+,v keSJfrt-l-,(a 1
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP
CORP.
BOX 2 CONTRACTOR'S NAME 410w,e gun (OA5 - rdc ,fooj PHONE 3 V.7- /S/. -
CONTRACTOR'S ADDRESS _00 f N 9-e;4 d P CITY SPOo kii pl e
W/ 2-00
CONTRACTOR'S REG.# 0 (�hm •P ['C 4_LYJd-v'�' XPIRATIO DATE
(CARD MUST BE PRESENTED AND COPIED)
------------------------------------------------------------------------------------------
-----------------------------------------
BOX 3 CONTACT PERSON OF PROJECT �R qy R- 9%n PHONE
ADDRESS S `W N. S gest- CITY S/>o kone ZIP 99'2/
----------------------------------------------------------
BOX 4 SEWER AVAILABILITY y{s WATER AVAILABILITY ye s
------------------------------------------------------------------------------------'---------------------------------
--------------------------------------------------------------
BOX 5 ESTIMATED PROJECT COST $ ZY j ael e EXISTING BLDG. VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER LOT NUMBER 16
-------------------------
-----------------------------oo
BOX 7 BUILDING SQUARE FOOTAGE (Existing/ proposed)
FLOOR
1ST FLOOR /L_2ND
/
3RD FLOOR /_ BASEMENT
00-'7 DECK d"
GARAGE 4-00 CARPORT /
TOTAL
----------------
BOX 8 �N SINGLE FAMILY
NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS )
( ) EXISTING STRUCTURE
( ) COMMERCIAL/ INDUSTRIAL TOTAL
AREA OF PROPERTY /.7 X22 SQ. FT.
( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE .2-3Fp SQ. FT.
BOX 9 PLUMBING FIXTURES (Including rough -ins)
MECHANICAL APPLIANCES
NO. 3 WATER CLOSETS - URINAL
GAS PIPING: 3 OUTLETS
Z BATHTUBS -FAUCETS
NO. / FURNACE, ELECTRIC GAS
PRIVATE SEWER SYSTEM
(BTU RATING -75; oo O )
/ SHOWERS
/ GAS HOT WATER HEATER
3 LAVATORIES
CONVERSION BURNER
j SINKS
BOILER: SIZE
/ DISHWASHERS
AIR HANDLING UNITS
ELECTRIC HOT WATER HEATER
HEAT PUMPS: SIZE
/ LAUNDRY WASHER OUTLET
UNIT HEATERS
LAWN SPRINKLER SYSTEM
AIR COOLING UNITS; SIZE
DRINKING FOUNTAINS
COMMERCIAL HOOD
SUMPS, SPRINKLER VACUUM BREAKERS
GAS APPLIANCES
/ FLOOR DRAINS�L,�
FIREPLACE INSERTS
BACKFLOW PREVENTER
4/ EXHAUST VENT FANS
VACUUM TYPE BREAKER
APPLIANCE VENT REPAIR
HOT TUBS
WOOD STOVE SYSTEM
TOTAL FIXTURES 7 TOTAL UNITS
_
_
_______==_______________-_=________
- - - - OVER
BOX 10 Water Service meter size (if known) 5/1r I 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)
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 j iiia DATE S-1,2' O 3
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
PLANNING DEPARTMENT APPROVAL
REMARKS
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
PUBLIC WORKS DEPARTMENT APPROVAL
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT
NEW COMMERCIAL COMM. ALT/ADD
MULTIFAMILY ADD/ALT TENANT IMP
OCCUPANCY
BUILDING PERMIT NO.
PERMIT FEE
BUILDING SQ. FT
BUILDING SQ. FT
BUILDING SQ. FT
BUILDING SQ. FT
TOTAL SQ. FT.
REAR HEIGHT LIMIT
DISAPPROVAL
DATE
ISAPPROVAL DATE
DISAPPROVAL DATE
NEW INDUSTRIAL IND. ADD/ALT
NEW MULTIFAMILY NO. UNITS
ROOF OTHER
TYPE OF CONSTRUCTION STORIES
TOTAL VALUATION
PLAN CHECK FEE REC'D RECEIPT NUMBER
PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE
OTHER CHARGES AMOUNT DUE
BUILDING DEPARTMENT APPROVAL
ASSIGNED ADDRESS
BY
Site Address: 18605 E TURTLE CREEK LN
SPOKANE, WA 00000
Parcel Number: 55194.1316
Subdivision:
Block:3 Lot: 16
Zoning: UR -3 Urban Residential 3.5
Owner: RIGGIN, RAY
Address: 5408 N BEST RD
SPOKANE, WA 99216
Building Inspectoje-? F.QNAu n > r 1 aaQ —
Water Dist:
Project Number: 03003197 Inv: 1 Issue Date: 5/8/2003
Permit Use: SEWER CONNECTION - TURTLE CREEK 3RD
Applicant: RIGGIN, RAY
5408 N BEST RD
SPOKANE, WA 99216
Contact: RIGGIN, RAY
5408 N BEST RD
SPOKANE, WA 99216
Setbacks - Front: Left:
Group Name:
Project Name:
Permits
Phone: (509) 342-1515
Phone: (509) 342-1515
Right: Rear:
Sewer Connection Permit Contractor: OWNER License #: OWNER
SEWER CONNECTION 1 $85.00 PROCESSINGFEE
$15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES .8.30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position'of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main sewer.
Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIORTO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including
those related to trench safety.
Payment Summary
Total Fees AmountPaid AmountOwina Tran Date Receipt # Payment Amt
$100.00 $100.00 $0.00 5/8/2003 2895 $100.00
Processed By: FORRY, JEFF PERMIT
Printed By: WENDEL, GLORIA Page 1 of 1
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.OValley
Mechanical Permit Application
PROJECT
ADDRESS:
PERMIT
USE:
OWNER:
PHONE (Daytime Contact):
MAILING ADDRESS:
(street) (city/state) (ZIP)
CONTRACTOR:
LICENSE #:
MAILING ADDRESS: PHONE #:
(street) (city/state) (ZIP)
METHOD OF PAY
DESCRIPTION OF WORK
OF UNITS
X
COST EQUALS
AMOUNT
1 FUEL BURNING APPLIANCE
- OR < 100,000
X
$15
2 FUEL BURNING APPLIANCE
> 100,000
X
S19
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
I - loom 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
$IO -
15 FUEL BURNING WATER HEATER
- j
X
$10 -
16 MISC. FUEL BURNING APPL.
-
X
$10 -
17 GAS PIPING (ea. Outlet)
-
X
$1 -
18 DUCT SYSTEMS
_
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
$50 -
24 TYPE II HOOD
- (
X
$10 -
v
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 j-
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
$75 -
�MNT
SUBTOTAL:
PLUS PROCESSING FEE:
TOTAL PERMIT FEE DUE:
$35.00
❑ CASH ❑ CHECK
DATE:
BANKCARD NUMBEIL-
AUTHORIZED SIGNATURE:
EXPIRES:
'HOD OF
ASH
[-1CITY t Qp
3-gan4
,,,;00Valley
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
Plumbing Permit Application
PLUMBING FIXTURES
,CARD NUMBEIL
IORIZED SIGNATURE: G
1�-
DESCRIPTIONI
DETAILS
ri OF UNITS
X
I COST
1EQUALS1
AMOUNT
1
ITOILETS
WATER CLOSET, BIDETS
X
$6
-
J
2
URINALS
X
-
3
TUBS
X
$6
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
'
X
_
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X -X
$6
-
RAY, FOOD, PREP/CULINARY/MEAT
,
6
DISHWASHER
-
X
$6
7
CLOTHES WASHER
X
$6
-
8
GARBAGE DISPOSAL
X
$6
-
9
WATER SOFTENER
X
$b
-
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
13
WATER PIPING/DRAIN-IN
INSTALLATION, ALTERATION, REPAIR,
$b
-
WASTE, VENT, PLUMBING
REVERSALS _
X
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
I
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
$6
-
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
-
20
MISC. PLUMBING FIXTURE
X
-
PAYMENT.
SUBTOTAL:
❑ CHECK ❑ ❑ —__ - - -..
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
EXPTRF.S-
,CARD NUMBEIL
IORIZED SIGNATURE: G
1�-
F oS �'• i yr --f lc creek 1. � e.
5 1qL(• 1 3 I Le
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