2003, 06-27 Permit App: BD03-715 Residence City o f Phone 688-0036
SPOKANE VALLEY FAX 688-0037
Inspection 688-0054
PERMIT #
---� BUILDING PERMIT APPLICATION 4/5-0i
Box 1 OWNER N- AI Sia Per-615(x) LOCATION S. Un Rod/-
OWNER'S ADDRESS 11'-(ZZ E l`! CITY Seo Ecuc ST. (AM PHONE 7Z1 -07a
DESCRIBE JOB Ak,u S,h4 (cs,'dt
THIS PROPERTY IS OWNED BY: SINGLE/ ARRIEJ PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME Ba„ PETEesuK, C . PHONE q7-)- 10-7
CONTRACTOR'S ADDRESS I I'(Z. C I`t CITY Sp,
CONTRACTOR'S REG.# 1J<NPCC Je 0Z2 L.9 EXPIRATION DATE 7- i/- OS
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX 3 CONTACT PERSON OF PROJECT (k,,, PE IEP_5G).) PHONE 9'7,-7-/67Z
ADDRESS Ma C. r14L` CITY c;ckc�c- ZIP 9 .7.,G
BOX 4 SEWER AVAILABILITY 5r pl-Tc. WATER AVAILABILITY Pvplic
BOX 5 ESTIMATED PROJECT COST$ IS`I,(th EXISTING BLDG. VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER 5p a 13 — 2
LEGAL DESCRIPTION
— 1-4' � '/os1 . 9) 1X7
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing/proposed) 1ST FLOOR al) / 2ND FLOOR
3RD FLOOR /_ OTHER / BASEMENT FINISHED /
BASEMENT UNFINISHED I'vO / DECK / GARAGE 7 cxJ /
CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING is- FT.
BOX 8 (<') SINGLE FAMILY (X) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY a5,/i30 SQ. FT.
( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE- SQ. FT.
BOX 9 PLUMBING FIXTURES (Including rough-ins) MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED PLUMBING/MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS,WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL.
BOX 10 Water Service meter size(if known) 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 PERF RM THE WORK FOR WHICH THE APPLICATION IS MADE.
OWNER/AGENT/ DATE Z7"03 (OVER)
s-vappbp 4-16-03
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
DO NOT PLACE ANY BUILDING UNDER POWER LINES OR OVER INCOMING GAS LINES.
OFFICE USE ONLY- PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND.ADD/ALT
NEW COMMERCIAL COMM.ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORIES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NUMBER
PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE
OTHER CHARGES AMOUNT DUE
BUILDING DEPARTMENT APPROVAL BY
DATE
ASSIGNED ADDRESS
Received
)Okfle 11707 E. SPRAGUE, STE 106
valley SPOKANE VALLEY, WA 99206
(509)688-0036 FAX(509)688-0037 PROJECT TRANSMITTAL:
TRANSMITTAL DA 1'E:
SITE INFORMATION • PERMIT INFORMATION •
Site Address:
' soy 5 U A,✓� Permit Number: 03 s
Issue Date:
. . Permit
Permit Use: 2.6.,
st ijeyl
Parcel Number: ,, rr4 9 ) (0-.) Applicant: ecir
Subdivision: S`7 -2 t3 r
Block: Lot: D Phone:
Zoning: (AE 7 Water Dist: Contact:
Owner: p.dS@y.\ Phone: a--2- 107
2
Address: Contractor:
Building Inspector: K.e ' Setbacks-Front: Left: Right: ' Rear:
APPROVALS
BUILDINGS:
. •
PLANNING: C)kpSc)\ . t�1. L l C 7 in
ENGINEERS: - , •
cHEA., LT rii Q 07/4_3
� �IS1 .
APPROVALS
WATER DIST: _.
STORMWATER:
OTHER:
) Oo (S) ‘)-3O 12tcsoo 3
LQ07,P.0- e0
7°0
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Wane 11707 E. SPRAGUE, STE 106
00 VaU eySPOIcANE VALLEY, WA 99206
(509)688-0036 FAX(509)688-0037 PROJECT TRANSMITTAL:
TRANSMITTAL DA i'E:
•
SITE INFORMATION PERMIT INFORMATION
Site Address: Permit Number: Issue Date:
• 1450 s . U cty, IACA ze 43--7 S
Permit Use:
esu kot.avrecle�
Parcel Number: qiicts1.9 1 cQ"7 Applicant: 3 fedtroc3-e-y s
Subdivision: S p —213
Block: Lot: D Phone:
Zoning: ut 7 Water Dist: Contact:
Owner: P,.e-!�scan Phone:
&ddress: Contractor:
3uilding Inspector: J ' Setbacks—Front: .Left: Right: Rear:
Ke
APPROVALS
3UILDINGS:
'LANNING: f1Qy 14 . IJLL_ C, /,1-7 /03
,NGINEERS: a O ��'t� ��.�`-�'
�o)
SOME'.
s zM
ZEAL :41 7 fat SEuifr;3N's3d ��
• r
IS„ •
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Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
Sfilikane
40,,Vey
DEPARTMENT OF PUBLIC WORKS
Anticipated start date k°5 Permit # PW D-3- i4I:
APPROACH PERMIT
APPLICATION
Location of property //oy S. g/w
(Address/Parcel #, if available)
Applicant Name 4-AZ 147 -,l
•
Address �/S® ' 1; 1 Phone 9z7/d7z
Contractor's Name /s'ro,grow 41,
Address //tLZ /f-d Phone ?z? -/'7Z
Contractor's Reg# £,..,. c ,7 oz2L9 Expires 2—//- OS
PROJECT DESCRIPTION (Provide site sketch)
r Residential Driveway Commercial/Industrial Driveway
1 Existing Curb & Gutter Rural Road Section
II Culvert Installation Sidewalk Repair/Construction
Other conditions
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
•
PERMIT FEE $ Inspection Fee$
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$ <i Date ..t Q3 !nit -
Excerpts from Spokane Valley Standards (3.24, and details A8 and A-8a):
• Every driveway approach must provide access to an off road parking area located
on private property. The driveway shall be of sufficient length so a vehicle in the
driveway does not project into the road right of way, sidewalk, or pathway.
• Public or private driveways in industrial, commercial, multiple family, church or
any like use shall be constructed to allow vehicles to exit without backing onto a
public road.
• Driveway approaches shall be constructed to avoid interference with existing
drainage inlets, culverts, road lighting standards, utility poles,traffic regulating
devices,fire hydrants or other public utilities. The applicant shall bear the cost of
relocating any such public facility.
• Driveway approach grades within the right of way shall not exceed 8% In urban
area, or 2% in rural areas. Driveway grades shall not exceed 10%within ten feet of
a city right of way.
See Standards for a more complete listing of requirements.
•
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Snr�tr 4 � 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone
P�okalle Spokane Valley,WA 99206 509-688-0037-Fax
,,,,. Valley For Inspections, call 509-688-0054
Plumbing Permit Application
PROJECT11 PERMIT
ADDRESS: 9500 S. VAil t,,�VVl/��2TL-R USE: )j g LA) GoasTfAx-r 00
OWNER: 8
E0 # Aiy6,a PE7ERSoN PHONE(Daytime Contact): 9194 774
MAILING ADDRESS: /
tI%2Z ( 1944 Spoh..., /<tL Ll4 19lac
(street) f (city/state)/ (ZIP)
CONTRACTOR: ndiorfoAl n LICENSE#: 6A/P6C f O22L 9
MAILING ADDRESS: PHONE#: 91'y ^7056
11122 E 19 4 5PI k VA/mEy Ui 1.17BG
(street) (city/state) (ZIP) .
PLUMBING FIXTURES
DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT
1 TOILETS WATER CLOSET,BIDETS a X $6 - 11-•
2 URINALS X $6 =
3 TUBS Z X $6 - 2-
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 1 X $6 - 6-
5 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN,
LAUNDRY,UTILITY,JANITOR,PHOTO,X- 6 X $6 - 34-
RAY,FOOD,PREP/CULINARY/MEAT
6 DISHWASHER 1 X $6 = 4
7 CLOTHES WASHER I X $6 - 4-
8 GARBAGE DISPOSAL X $6 =
9 WATER SOFTENER 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 X $6 -
13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR,
WASTE,VENT,PLUMBING REVERSALS X $6 -
REVERSAL
14 SEWAGE EJECTOR GRINDER,SUMP PUMP I X $6 - `-
15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB,
STEAMER,PROOFER,CARBONATOR, 2 X $6 - 1 1_,..
SWAMP COOLER
16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND X $6 -
R.P.B.P.D.FOR:VATS,TANKS,BOILERS
17 SPRINKLER SYSTEM X $25 =
18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL
X $6 -
HOLDING TANK
19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6
20 MISC.PLUMBING FIXTURE X $6 =
SUBTOTAL: t94,
METHOD OF PAYMENT
VISA Mas P PLUS PROCESSING FEE $35.0
0 CASH 0 CHECK 0 an= 0 !.__...7_,..
TOTAL PERMIT FEE DUE: ix 00
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Sc3Tt oI 11707 East Sprague,Avenue,Suite 106 509-688-0036-Phone
pokane Spokane Valley, WA"99206 509-688-0037-Fax
doosoValley For Inspections, call 509-688-0054
Mechanical Permit Application
PROJECT PERMIT
ADDRESS: USE:
OWNER: PHONE(Daytime Contact):
MAILING ADDRESS:
(street) (city/state) (ZIP)
CONTRACTOR: LICENSE#:
MAILING ADDRESS: PHONE#:
(street) (city/state) (ZIP)
DESCRIPTION OF WORK 9 OF UNITS X COST EQUALS AMOUNT
1 FUEL BURNING APPLIANCE =OR<100,000 X $15 = I b,
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 $50 =
6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X $100 =
7 BOILER/REFRIGERATION 1-100M BTU X $15 =
8 BOILER/REFRIGERATION 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 = Jo
13 RANGE - X $10 =
14 DRYER - X $10 - (
15 FUEL BURNING WATER HEATER -- X $10 = jr?
16 MISC FUEL BURNING APPL. - X $10 =
17 GAS PIPING(ea.Outlet) - X $1 =
18 DUCT SYSTEMS - X $10 =
19 VENTILATING FANS - '3 X $10 = -'2-0
20 AIR HANDLER(DOES NOT indude 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 = /C
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 = 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 =
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 $25 -
SUBTOTAL: j a/
METHOD OF PAYMENT PLUS PROCESSING FEE: ,j1,3$,88-----
IMM I -%" Z
10154 ilfas ' TOTAL PERMIT FEE DUE:
;
❑ CASH ❑ CHECK ❑ aiMen ❑ '___.•:::±'
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
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