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2004, 05-17 Permit App: BLD-04-04383 Duplex
• • soliclis,,.., , . ' . 4•••IrValley PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITYDEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone; 509688-0036 Fax: 509 - : 0037 L .. REQUIRED SITE INFORMATION STREET ADDRESS: 0 r r , .I! ,S - ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DISCRIPTION: L-40-1- 0? A 1) -(,j PERMIT DESCRIPTION: ac-UILINING PERwirr a CHANGE IST USE -aGRADING a MA.Ntrp'ACTTTRED mom DRELOCATK)NN DSIGN D TENANT DOER ©WIVE/APPLICANT INFORMATION rSI 'OWNER: 'i _C t! -_AdLga L(. ' ' ® APPLICANT: PHONE:-RIZ, 11 FAX:______1 i PHONE: - - FAX: ADDRESS:A-3 2i E.f 141i-'5"5:o 17 g�k Jc� #Ia fe f ADDRESS: CI ,STATE,ZIP G CITY,STATE,LP CONTRACTOR: ARCHITECT: PHONE: --._ FAX: PHONE: FAX: ADDRESS: ADDRESS: CITY.,STATE,ZIP - CITY,STATE,TIP WA ST CONTRACTOR LICENSE 0 CONTACT: n"Illir._._ _ _ . . .. . . _ . PERMIT/BUILDING INFORMATION COST OF PROJECT: VC/000,erj 330%SLOPES ON PROPERTY:/)() MAIN FLOOR SQ FY:G2 7 BUILDING HEIGHT TO PEAK:„ i CXCCUPANCY GROUP:_, _ 2N0 FLOOR SQ FT: , -- BUILDING DIMENSIONS: , QX 04 1 CONSTRUCTION TYPE: UNFIN BASEMENT: NUMBER OF STORIES: I STRUCTURES ON PROPERTY: 00 FINISHED BASEMENT: NUMBER of BEDROOMS: CRITICAL.AREAS: jUen . _ GARAGE: g C'' -.. DATE: _- - - - - - iiiiiimistimm.. iusa METHOD OF PAYMENT: CASH CHECK ___ BANKOARDaT EXPIRES; VIN AUTHORIZED SIGNATURE; S0«0'd 176089E6 01 ad TO:Lti 200E OE dSS • • • SPikartis.°17446114k. 11707 East Sprague Avenue,Suite 106 509-688-0036 Phone Spokane Valley,WA 99206 S09-688-0037-Fax Plumbing Permit Application • PROJECT PERMIT — --- / I '' � � —^ ADDRESS: ff) zt)' g 1✓e i Lim • ' OWNER. T 4.. 4, w' eilliPHONE(Daytime Contact): MAILING ADDRESS: --.. /5'32/ ~1 .io �d '7 a, tat L 4.,0.- (street) (Qty/-tate) (e) GONITRACTOR `. • ,, 1 0-4�, LICENSE I: . i AIMAILING ADDRESS: • PHONE#: — (street) (city/state) CTS'). • PLUMBING FIX JRES DESCRIPI70N DETAILS I OF UMTS I COST EQUALS AMOUNT El TOILETS WATER CLOSET,BIDETS NI. Xin S6 URINAL ' f, liTUBS SHOWERS(PER TRAP) BATH,STALL„ON-SITE BUILT ,1 • SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, - _ /� LAUNDRY,UTILTIY,JANITOR,PHOTO,x- 4-_ 11111 . $6 - 3 6 RAY,FOOD:PREP/CULINARY/M$AT �` miDISHWASHER $6 - 2 flaz 'i ^ASci• IIWAIIIIMEIII $6 fl GARBAGE DISPOSAL "A * 4•FTENER . 11111:31 : 1111.1 111 ELECT.HOT WATER TANK NOTE;IF GAS,Sr.!MECHANICAL Mal X $6 n FLOOR DRAINS AREA,CASE,COIL.TRENCH,CONDENSATE 11E111 s4 EMI Ell FOUNTAINS,DRINKING ' X $6 I/ I WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, WASTE,VENT PLUMBING REVERSALS. X $6 REVERSAL SEWAGE EJECTOR GRINDER,SUMP PUbLP X $6 Il . $6. WATER USING DEVICE IC 6 AND/OR COFFEE MAKER,ROSH BID, STEAMER,PROOFER,CARBONATOII, X SWAMPCOOLER W CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND R.P.B.P.D.POR:VATS,TANKS,ROLLERS X • E3 spR NKl ERSYSTEM X a� �'�� WTERCF.PtORB TRiii AP,IR ,t.'HP1vQCAL Es - HOLD 11111111111$6 HOLDING TANK IMI MEDICAL GAS per outlet NITROUS,OXYGEN X S6 " 1111111111111 20 MISS PLUMBING FIXTURE IIIIIM. X $6 Oa HODOF•PAYMENT �, SUBTOTAL: �. ` 11.51-1 ❑ CHECK ❑ ❑ .1-—,, PLUS PROCESSING 535.00 TOTAL PERMIT PEE DUE:MIS EXPIRES • CARD NUMBER:. ORI ED SIGNATURE; - ..._— S0ib0'd b6089Z6 01 eld TO:LT 200E OE d9S ' ** S0'39Ud 14101 ** sm 11707 East Sprague Avenue,Suite 106 S09 -688-0036-Phone e�.7�11Spokane Valley,WA 99206 509-688-0037-Fax vapey: •Mechanical Pennit Application PROJECT PERMIT ADDRESS: .�" • ' . �' USE: OWNER ' I PHONE(Daytime Contact): MAILING ADDRESS: • (city/state) (ZIP) CONTRACTOR: LICENSE : MAILING ADDRESS: • - PHONE rt: . (street) (city/state) DESCRIPTION OF WOR I OF UNITSIra COST EQUALS AMOLIIVT Lt FUEL BURNING APPLIANCE OR a 100.000 X • $1,5 ' 2 FUEL BURNING APPLIANCE >100,000 - 9 • • 3 UNLsrED APPLIANCE(ADDrTIONAL PFS) -OR e X ssa - i �� X No - • 4 UNLISTED APPLIANCE(ADorric NAL FEE) 3..00,000 X ' 3100 5 USED APPLIANCE(WOEC ma AFUt ring) +or t 400300 • X • 550 6 iJBED APPLIANCE(WSW thin.ARM ming) >400,000 X 5100 7 BOILERJI4EFRIGERAT7QN 1-200M ant ' X $25 • e BO1LER/REFRIGERATION 101-$00M BTU X as - —I 9 ,BOU.ER/REFRJCERAIION 501-1.000M WFU X $10 10 BOILER/REFRICBRA noN 7001 I,750M B7 GI X 557 11 BOILER/RHFWGfiRA7TpN _ +175U7d BTUs — x $ - • �— J 12 GAS LOG,GAS INSERT.GAS FLIMFLAM - X 370 - . r 13 RANGE - X $10 f) • e 14 DRYER _ HE - '• X $10 — . 13 FUEL BURNING WATER MATER X $10 1111! 0 16 MLSC FUEL.BURNING APPL. - - X 3.10 - 19 GAS PIPING(.. outfit) inemm,, X 3.i 78 DUCT s'$rEh15 - X $10 29 vEW n.ATING FANS - 4j X - #10 - di-,s`) 20 Am HANDLER fPC1ES Nor Induce dueling) .OR c 10,000C'FM X S12 - • 21 AIR HANDLER(DOES NOT Include dw51n, >10,000 CFM X sly xx EVAPORATIVE COoiERS _ • X $10 HO ' - 23 TYPE! OD X $50 w 24 EVEIIHOOD - — -.• X $10 f 2$ HEAT PAPP/AJR CONDMONER _ 0.3 TDN X $12 . 26 Apt CONDITIONER 3-IS TON X 320 27 AIR CONDITIONER 1540 TON X 4EIS .- 28 AIR CONDITIONER 30-54 TON X 330 . 29 AIR CONDr1IOMNER 450 TON __ X _ 360 - LPG slOfiACE TANK - X $10 - 31WQ ODORPram T3?OVM ssrr - X • $10 - 32 WOOD STOVE.FREE STANDING ,. X T25 ■ — S1J8'rl7TAL J�y.CZ2 METHOD OP PAYMENT PLUS PROCESSING FEE $35.00 wiffir up TOTAL PERMIT FEE DUE: d CASH 0 CHHCx 0 0 • DATE: EXPIRES: BANKCARLI NUMBPJU — AUTHORIZED SIGNATURE: SO/90'd P6089C6 01 dd TO:LT 200E OE d9S Call 24 hours before inspection required Phone 509.688-0195 Fax 509.688-0037 Sókane Milley DEPARTMENT OF PUBLIC WORKS Anticipated start date Permit# 04-328 Account# ROW CONSTRUCTION PERMIT Location of property 918 N. University Rd. (Address/Parcel#, if available) Applicant Name Diamond Rock Construction Inc Fax Address 15321 E. Mission Ave. Spokane Valley,Wa. 99037 Phone 509-924-8964 Contractor's Name Address Phone Contractor's Reg.# DIAMORC032OQ Expires 8-12-2004 PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity) 7 Sewer Connection ■ Driveway I I Curb & Gutter Gas Installation/Repair El Cable/Conduit/Pole ❑ Sidewalk Repair/Construction El Water Installation/Repair Other Pavement Cut Dimensions Bond/insurance certification must be on file with the City. Bond# SPECIAL CONDITIONS: Construct driveway approach per Spokane County Standards as adopted by the City of Spokane Valley. See attached Provisions Permittee Signature Approved Date 5 I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Card# Expiration Date Name of Holder Signature Fees Paid$ 25.00 25.00 Date !nit (Application) (Inspection) In addition to the permit application fee of$16.00(utility)or$25.00(construction), inspection on each permit will be billed to the permittee at a rate of$50.00 per hour with a$25.00(1/2 hour) minimum. Permittee signature constitutes an agreement to these terms and provisions. Work completed satisfactorily(Signed) Date Permit not valid until One-Call Notification Ticket#entered here PERMIT MUST BE KEPT ON SITE 4 Z /O©. ©0 P ADDRESS,if„ a1,...1./....4- J a`a \ //1° , ZONE - ROAD WIDTH f`'� FRONT FLANKING COMMENTS W REVIEWED BY Ak.,� \ " � -Z. Oci 800 0. ,I -C lo' l of 9,2.0 9 1 g 1 . Foi*IIMMOPPM4. • 7 This site plan is being sub�fiitted for the purpose of W obtaining a building permit. • is a true and ooKeCt representation of the pr. • /Ii k lines/dimensions, have been ;+,.,,,;, . _m.�. •o.ies o w n•s � !. OQ fkO critic&! areas. , s Intel__ ,,d,' ...., 7 _ _ _ 91N 0V11v - - S ► ` -- Lo-E 02 SP- II - o3 III= 2o'