2003, 09-09 Permit App: BLD-03-02423 AdditionSiSokan
do•OValley
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BU/LD/NG DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (509)688-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS:
n r 2 3 , C, /0 le) IJ N' /C// ->JC=
ASSESSOR'S TAX PARCEL NUMBER(S): `
LEGAL DISCRIPTION:
PERMIT DESCRIPTION: •4 D /l /C'iJ --f ' s
D BUILDING PERMIT 0 CHANGE IN USE 0 GRADING
['RELOCATION
D SIGN Q TENANT
r
. L/l /// /
C� MANUFACTURED HOME
D OTHER
_41
OWNER / APPLICANT INFORMATION
OWNER: / / 1 e. L /�
� APPLICANT:
�7
PHONE: J l -//?%"." FAX: �}- PHONE: FAX:
ADDRESS: "<(,, e L7 tiJ it A-) SP ° Gc-A `f ADDRESS:
CITY,STATE, ZIP
l plc o
ARCHITECT:
0 CONTRACTOR: 6(}0 N 9—
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE #
CITY, STATE, ZIP
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT:
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS:
NUMBER OF STORIES:
NUMBER of BEDROOMS:
1
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:
RIGHT SETBACK:
30% SLOPES ON PROPERTY:
l7CCUPANCY GROUP:
CONSTRUCTION TYPE:
MAIN FLOOR SQ FT:
2ND FLOOR SQ FT:
UNFIN BASEMENT:
STRUCTURES ON PROPERTY: FINISHED BASEMENT:
CRITICAL AREAS: GARAGE:
CURRENT PROPERTY SIZE: COVERED DECK:
CURRENT PROPERTY USE: DECK:
CURRENT SEPTIC USE:
CURRENT WELL USE:
IMPERVIOUS SURFACE AREA:
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
l
PREVIOUS ADDRESS:
PROPOSED USE:
FIRE SPRINKLER: FIRE ALARM:
PAINT BOOTH: TENT:
FIREWORKS DISPLAY:
BLASTING: DATE/TIME:
WA STATE NON-RESIDENTIAL ENERGY CODE
PLANS EXAMINER:
ADDRESS:
-
PHONE: FAX:
CITY, STATE, ZIP
INSPECTOR: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
1 SPECIAL INSPECTIONS
0 BOLTING
FIRM NAME:
INSPECTOR(S):
®CONCRETE
0 REINFORCEMENT
PHONE:
WELDING
FAX:
BUILDING STAFF USE ONLY
IS PUBLIC SEWER AVAILABLE: 0 YES 0 NO IF YES: 0 COUNTY 0 CITY
0 0
IS PUBLIC WATER AVAILABLE: 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
1
DATE: I STAFF:
1
METHOD OF PAYMENT:
0
CASH CHECK
0
BANKCARD#; EXPIRES: VIN#
AUTHORIZED SIGNATURE:
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
ETHOD 0
CASH
ATE:
jioklle\'S
,,,,.'Valley
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 Phone
Spokane Valley, WA 99206
509-688-0037 - Fax
/J/ D,0 r '
ADDRESS: PROJECT /2 2 E.
USE: PERMIT
DETAILS
# OF UNITS
OWNER: 6 IZV; 4, c:. I=
20 /6 /14 /C ,6 /..,/2A)
PHONE (Daytime Contact):
MAILING ADDRESS: $ O 2_
S' P 0,l_ -,J
S U /0 Al f CA ,
E.. c,, ,1-J'/7- 9' 9
2-0
‘
(street)
(city/state)
$6
(ZIP)
CONTRACTOR: a6.),0
2
LICENSE #:
MAILING ADDRESS:
$6
PHONE #:
3
TUBS
IF
(street)
(city/state)
-
(ZIP) .
PLUMBING FIXTURES
,NKCARD NUMBER
1THORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
'2
X
$6
-
citj-
/ 2
2
URINALS
X
$6
3
TUBS
IF
X
$6
-
f P-
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6
-
/ Z pd
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
q
X
$6
-
Z 9 c6
6
DISHWASHER
X
$6
-
7
CLOTHES WASHER
$6
-
8
GARBAGE DISPOSAL
/%J
x$6
9
WATER SOFTENER
/jam
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
of
(�
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
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
3 CHECK
VISA
'.i4,ast rCzd
`. -._.__ . _
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
• ■
TOTAL PERMIT FEE DUE:
,NKCARD NUMBER
1THORIZED SIGNATURE:
S iokane
,r 00Valley
Mechanical Permit Application
11707 East Sprague Avenue{ Suite 106 509-688-0036 - Phone
509-688-0037 - Fax
Spokane Valley, WA 99206
METHOD OF PA
❑ CASH ❑ C
DESCRIPTION OF WORK
8 OF UNITS
PROJECT _
ADDRESS:
f L
,---- '
AMOUNT
PERMIT
USE:
FUEL BURNING APPLIANCE
OWNER:
N
X
$15
PHONE (Daytime Contact):
MAILING ADDRESS:
2
FUEL BURNING APPLIANCE
> 100,000
(street)
X
$19
(city/state) (ZIP)
CONTRACTOR:
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR < 400,000
LICENSE #:
MAILING ADDRESS:
$50
-
PHONE #:
UNLISTED APPLIANCE (ADDITIONAL FEE)
(street)
X
(city/state) (ZIP)
METHOD OF PA
❑ CASH ❑ C
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
8 OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
- OR < 100,000
N
X
$15
f S-- on
2
FUEL BURNING APPLIANCE
> 100,000
X
$19
-
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
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
$95
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
$10
-
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)
-
j
X
$1
9Gf
18
DUCT SYSTEMS
-
/
X
$10
=
19
VENTILATING FANS
-
Z
X
510-
- 0 21
20
AIR HANDLER (DOES NOT indude ducting)
= OR < 10,000CFM
X
512
21
AIR HANDLER (DOES NOT indude 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 CONDITIONER
0-3 TON
l"
X
512
/ Z CC -3"
26
AIR CONDITIONER
3-15 TON
X
520
27
AIR CONDITIONER
15-30 TON
X
525
-
28
AIR CONDITIONER
30-50 TON
X
535
.
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
-
dENT
ftp; '
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
r
single
plate
double
1/2" solid
sheeting
Composition
roofing
bottom
top plate
1/2" sheetrock
R-28 insulation in 2x6 walls
vapor barrier
over 1/2" CDX
sheeting
all wood in contact
with concrete shall
be treated
10 stndrd
and better
kiln dried
Pre -manufactured
30
insulation in
celing
5/8" sheet
/rock
Building section
8" anchor bolts
6'OC
2 #4 rebar
in footing
6mil vap(
barrier
Floor Framing and sheeting Plan
E. co i
ea
V t0 'C
vi Q.W Ts.eu C 'O A
r OM % V > 4 1w
At 8 ifievl Biz
a Lffig ea 0cl
4, R t .01.fac 0
wil_ei
®►Hu aE Z is
x • PI— 51z u di aet d
N• mNatDvii NVt�MC
Foundation and roof framing plan:
Notes:
Pre-engineered, premanufactured
trusses to meet local and state
load specifications
Trusses placed 24"on center
7116" OSB sheathing Typ.
301b felt Typ.
Composition Roof
Venting to meet all local and state
building specifications
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