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2004, 05-17 Permit App: BLD-04-04380 Duplex S176kAane' ‘114.°1°14 '4111' , ley PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING D/VTS/ON 11707 East Sprague Ave Ste 906 Spokane Valley, Wq 99206 Ph .oneatimmimmoisiasigiawamm509 629$-0036)Fax: 509 688-9(137 7 REQUIRED SITE INFORMATION STREET ADDRESS: 4 14,-,4 l' - - _ Je , ASSESSOR'S TAX PARCEL NUM`BER(S):_ _. LEGAL DISCRIPTION: -/ I 0 PERMIT DESCRIPTION: 01, ,- - -- - arI UJLD1NG PRMFT • a MANGE IN USE CI-GRADING a MA.N TFACTURED ROME DRELOCATiON riSIGN QIENIk,NT DOITIER OWNER /APPLICANT INFORMATIONA_ Er WNER; p1A? 0NPROCK CONSTRUCTION ® A L 1b;2 r€.lILEIt N AVE PP (CANT: YERAOALE,WA g9O37 : PHONE (509)321.1961 PHONE: FAX: ADDRESS: ADDRESS: - CITY,STATE,ZIP CITY,STATE,ZIP CONTRACTOR: ARCHITECT: PHONE: _ . FAX: PHONE: FAX: ADDRESS; ADDRESS: __ _ . CITY,,STATE,ZIP CITY,STATE,ZIP WA ST CONTRACTOR LICENSE# CONTACT: PERMIT/BUILDING INFORMATION ste,,,,,, f COST OF PROJECT_ C!ci j Vis-) „ • 30%o SLOPES ON PROPERTY: / C) ^ MAIN FLOOR SQ FT:j9?O BUILDING HEIGHT TO PEAK:_Q'' OCCUPANCY GROUP:. 2ND FLOOR SO FT: 9 . BUILDING DIMENSIONS:�S X 7, CONSTRUCTION TYPE: UNFIN BASEMENT: NUMBER OF STORIES: I STRUCTURES ON PROPERTY: A)P1 FINISHED BASEMENT:p co r NUMBER of BEDROOMS:... 4 . CRITICAL.AREAS: to. .. GARAGE:, -7 • -- - __ _... _.. DATE: STAFF: _._ . . ._.. j METHOD OFPAYMENT' – – — CASH CHECK _ __ Mew BANKCARDA; -_ EX'PIRES: _... _�. V/N# AUTHORIZED SIGNATURE' SOi20'd t'6089E6 01 H-I TR:l.t SOOE OE dSS Sr 11707 East Sprague Avenue,' Suite 106 509-688-0036 r Phone . e Spokane valley,WA 99206 509-6$8-0037-Fax 1 M )ler Plumbing Permit Application 7131ECT l'� � /V,/ (1/ PERMIT ' ADDRESS: / ie 01 ,,- - { USE: OWNER I «. ... 5 . PHONE(Daytime Contact): MAILING ADDRESS: 5-3 z 1 e . ill's .,ay-► St. k .f_ a :e. tc)rte • `7cn . (street) (city/state) (ZIP h-CrON'IRACTOR PioLICENSE': MAILING ADDRESS: PHONE$: (street) (Qty/ate) (231)' PLUMBING FIXTURES in DESCPJflION DETAILS I OF MTS. X COST EQUALS AMOUNT 0 TOILETS WATER CLOSET,BIDETS 111M1111 X 111011 - in IMI113111 r4 INC1111111111111111 IVESURINALS Tues X $6 SHOWERS(PER TRAP) SINKS BATH,STALL,ON-SITE BUILT "'� X eI t.AVS(BASII4,BAR FLOOR,IetreHSly, LAUNDRY,IJ'CILPPY,TANI POR PHOTO,7f- "C J Ct RAY,FOOD;PREP/CULINARY/MEATC' DISHWASHER 11111 - _ 12 flCLOTHES WASHER 12 fl GARBAGE DISPOSALEIIIIIIIII 9 WATER SOFTENER 10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICALss _ - - 111 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATEW MI 1gt FOUNTAINS,DRINKING ' I WATER PIPING/DRAIN-IN INSTALLATION,ALTERATIQN,REPAIR, WASTE,VENT,PLUMBING REVERSALS. X Mall - REVERSAL SEWAGE EJECTOR GRINDER,SUMP PUMP X - WATER USING DEVICE ICE AND/OR COFFEE MAK HOSE BIB, STEAMER,?ROOFER,CARBONATOR, IN' X .. /. SWAMP COOLER liCROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND 'x $6 R.P.B.P.D.FOR:VATS,TANKS,BOILERS In SPRINKLER SYSTEM X NINTERCEPTORS GRE ASE'1RAP,SAND TRAP,CHEMICAL HOLDING TANK - MEDICAL GAS per outlet NITROUS,OXYGEN 11111.111 X lil - 20 MSC.PLUMBING PTXISTRE X s - SUBTOTAL: / HOD OF PAYMENTanr. l Z° ,. 4 t PLUS PROCESSING FEB: 535.00 '.SH 0 C1-IECK 0 CI ----... TOTAL PERMIT FEE DUE: / , 1' • - EXPIRES: CARD NUMBER ORIZED SIGNATURE; a..rrann�r n i N-1 Tfil:J.T. cG1C/lF Gly dRS ** SO°39dd ld101 ** ' 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone : Spokane Valley,WA 99206 509-688-0037-Fax Mechanical Permit Application PROJECTPERMIT -- `IV ,, � ADDRESS: Cf/ I\! F V c{Fr /a(. .e.r USE: . OWNERlb 1 ' PHONE a`,w ••• _ ,,c .. �r c- .=7`J/ >, (Daytime Contact): MAILING ADDRESS: (street) I (city/state) ( �I CONTRACTOR: 1y T LICENSE R: AA ...r.v Ad- MAILING ADDRESS: -• PHONE I: • (street) '(city/state) (fit') IDESCRIPTION OF WORK 3 OF UI COST EQUALS AMOUNT NITS FUEL BURNING APPLIANCE .OR<700,00. -a • x SIS FUEL BURNING APPLIANCE >100,000 Q UNLISTED APPLIANCE(ADDrrjONAL F� -OR«00,000 X X $19S UNLISTED APPLIANCE(ADDITIONAL FEE) >X000 X , SIM USED APPLIANCE(WSEC min.AF IE fang) .of<400,000 X • $50 USED APPLIANCE(MSEC min AFUE rating) >400,000 X ¢100 BOILER/REFRIGERATION 1-10piv(BTU X $15 • )3OILERIRSFRiGHRATlON 101•300M BTU Ell X =I 11111' SOILER/REFRLGEkATION 501-7,.00M Bit) )( I OILEFUREFRIGERAym 1001.1,7506f BTI I X . $57 OILE /REFRIGERATION +1750M BTU X 35S AS LOC,GAS INSERT.GAS FIREPLACE �- c X 10 INUANGE X 510 40, e® DRYER - X SIO FUEL BURNING WATER HEATER "-- • X $10 4:? '• 0 C FUEL BURNING APPL X 110 tMIIS GAS PIPING(ea Outlet) X SI 1113 QucrsYsTEMS _ T X S10 El YENIILATING FANS - r+ X 00 0 F HANDLER(DOES NOT mud•dcting) •OR c 10,.0.CFM X 512 HANDLER(DOES NOT Include dud n8) >10,...DFM X319PORATIVE Cl7pLERS - _ X 310 _E 111000 - III X Ise E3 TYPE IIHOOD .X 110 mux Q HEAT PUMPJAIR CONDITIONER 0-3 TON .. X $11 HAIR-CONDITIONER 3.15 TON X S20 . AIR CONDITIONER 15.30 TON X $25 E3 AIR CONDITIONER 30.50 TON X SIS 0 AIR CONDITIONER +50 TON X SW 30 LPG STORAGE TANK - X $10 WOOD OR PELLETSTOvP. 5ERT X $10 WOOD STOVE•FREE STANDING -. X ~ SUBTOTAL: , qc ezio Kenion OP PAYMENT PLUS PROCESSING FEE moo YI. 3�A'. ..0r - .,..t :.;>^r rcc1: TOTAL PERMIT IEE DUE: 0207,CASH 0 LI CK 0 © L T .1 DATE: „, EXPIRES: BANKCARD NUMBEIU — AUTHORIZD SIGNATURE: - gRigA.rl bFiG)FS9`F fl I a i a rra• r crnaP cis ..-Mg is being s�wn"itei lel the rag** °I� woo*ad CAtc•ct 'Tilts site pian �Q O . Q© ' ,. am ,,,`jjg5e��lation curb lines, � areas. u �s dimensions. .. SSereP7 died• 'of or other critic h.wc, he $ I �ir�lleS `ir � _...„. gigned: Date: .,iiir� t T r� . AmassI atm -� ZONE ROAD WIDTH 9 C oC1 FRONT 3 —F w COMMENTS avantT' j.�► . REVIEWED 8 ... � 1 s ,V 9 t i 13 dap .....___L W u3 0 °!o, oo ' 9 li N . Vale\ pel 5P— i I — 03 1'' - ' 2o