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2004, 04-01 Permit App: BLD-04-03951 Residence Sraallei#P6 40.1 Mile" PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone:(5091688-0036 Fax:(509688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: 31) I Z ve_e-La-e ASSESSOR'S TAX PARCEL NUMBER(S): n P /—/1 n LEGAL DISCRIPTION: LOT _� 11--K I t� 12(b6 L ,S r -D PERMIT DESCRIPTION: / __s (O&-i cP lf.D1NG PERMIT (.CHANGE IN USE 0 GRADING 0 MANUFACTURED HOME QRELOCATION 0-SIGN OTENANT ©-OTHER OWNER I APPLICANT INFORMATION ® OWNER: 0 APPLICANT: PHONE: FAX: PHONE: FAX: ADS" ADDRESS: CCIY,STATE,ZIP CITY,STATE,ZIF CONTRACTOR: ell S fL,r v (TZ e.07-3'-)T r3'-)T 0 ARCHITECT.: PHONE: "1 /9-� 33 FAX: V(-7 y') I PHONE: FAX: ADDRESS: /(D cZ) 6, 5 ael ADDRESS: CITY,STATE,ZIP q 37 CITY,STATE,ZIF WA ST CONTRACTOR LICENSE# eiLI FF'S C/61/[2 F CONTACT: Epineammommommillemirki .......immilimmormisomminammommommemasiimemomemippri. PERMIT/BUILDING INFORMATION COST OF PROJECT: 30%SLOPES ON PROPERTY:-0 " MAIN FLOOR SQ FT:I'4ZJ BUILDING HEIGHT TO PEAK: Z(-1h OCCUPANCY GROUP: 2ND FLOOR SQ FT: 5'7 BUILDING DIMENSIONS: ca)c I / $ CONSTRUCTION TYPE: UNFIN BASEMENT: 11-I2,1 NUMBER OF STORIES: 2 STRUCTURES ON PROPERTY: -6- FINISHED BASEMENT:-0 NUMBER of BEDROOMS: q CRITICAL AREAS: GARAGE: 113C' 1 21 FLANKING SETBACK: CURRENT PROPERTY SIZE: /(J} 6 77 . COVERED DECK:-e FRONT SETBACK: '( 01 CURRENT PROPERTY USE: 0(0E DECK: -6-- / REAR SETBACK: (0 3 f CURRENT SEPTIC USE: -b <)-e f LEFT SETBACK: 9 CURRENT WELL USE: -6-- RIGHT 6"RIGHT SETBACK: q 1 IMPERVIOUS SURFACE AREA: S�°7� �, 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone alaane Spokane Valley,WA 99206 509-688-0037-Fax 40000Va,l leY For' Inspections, call 509-688-0054 'Mechanical Permit Application PROJECT / PERMIT ADDRESS: 3r))7..., < oe CM Z USE: OWNER: PHONE(Daytime Contact): MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR A k//`JL e Am c C1,n 146 LICENSE I: MAILING ADDRESS: PHONE It: (street) (city/state) (ZIP) DESCRIPTION OF WORK I OF UNITS X COST EQUALS AMOUNT I FUEL BURNING APPLIANCE -OR<100,000 1 X $15 - 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 5100 5 USED APPLIANCE(WSEC min.AFUE rating) =or<400,000 X $50 - 6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X 5100 - 7 BOILER/REFRIGERATION 1-100M BTU X $15 - 8 BOILER/REFRIGERATION 101-50014 BTU X $28 • 9 BOILER/REFRIGERATION 501-I,000M BTU X $39 = 10 BOILER/REFRIGERATION 1001-1,750M BTU X $57 = 11 BOILER/REFRIGERATION +1750M BTU X $95 - 12 GAS LOC,GAS INSERT,GAS FIREPLACE - j X $10 - 13 RANGE - X $10 - 14 DRYER - X $10 = 15 FUEL BURNING WATER HEATER - L X $10 - 16 MISC.FUEL BURNING APDL. - X $10 - 17 GAS PIPING(ea.Outlet) - 3 X 51 - 18 DUCT SYSTEMS - X $10 - 19 VENTILATING FANS - 4 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 - 73 TYPE I HOOD - X $50 - 24 TYPE II HOOD - I X $10 - 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 = 26 AIR CONDITIONER 3-15 TON X 520 - 27 AIR CONDITIONER 15-30 TONX $25 - _ 28 AIR CONDITIONER 30-50 TON X $35 - 29 AIR CONDMONER +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 METHOD OF PAYMENT PLUS PROCESSING FEE $35.00 11111111111111 TOTAL PERMIT FEE DUE: ❑ CASH ❑ CHECK ❑ filialla 0 • __.- DATE: EXPIRES: BANKCARD NUMBER 11707 East Sprague Avenue,Suite 106 509-688-0036 Phone ► poKane Spokane Valley,WA 99206 509-688-0037-Fax ..•'` y Plumbing Permit Application PROJECT PERMIT ADDRESS: 3 < , 0 v I-,A USE: OWNER: PHONE(Daytime Contact): MAILING ADDRESS: (sheet) (city/state) (ZIP) CONTRACTOR -(l4111/1/1/41S p 1 i, ,�,,, ,Q l o 6 LICENSES: MAILING ADDRESS: �C u� PHONE 5: (street) (city/state) (ZIP) ' PLUMBING FIXTURES DESCRIPTION DETAILS S OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS 3 X $6 - 2 URINALS X $6 - 3 TUBS 2 X $6 - 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 1 X $6 = 5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, LAUNDRY,IJI1U Y,JANITOR,PHOTO,X- X $6 - RAY,FOOD,PREP/CULINARY/MEAT 6 DISHWASHER I X $6 - 7 CLOTHES WASHER ) X $6 - 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 I 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 X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOFER,CARBONATOR, 3 X $6 - 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'IRAP,SAND TRAP,CHEMICAL _ HOLDING TANK X 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE X $6 - SUBTOTAL: ',TROD OF PAYMENT 1111111111111110 r Y PLUS PROCESSING FEE: $35.00 CASH 0 CHECK 0 - 0 L. ....__...; TOTAL PERMIT FEE DUE: TE: EXPIRES: VKCARD NUMBER: THORIZED SIGNATURE: cs- SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING SPo Cowry 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 3712 S VERCLER LN Project Number: 04001630 Inv: 1 Issue Date: 3/30/2004 SPOKANE VALLEY,WA 99206 Permit Use: SEWER CONNECTION Parcel Number: 45342.2103 Subdivision: Applicant: FOLSOM EXCAVATING Block: Lot: 16701 E VALLEYWAY Zoning: LINK Unknown VERADALE WA 99037 Phone: (509)891-1232 Contact: FOLSOM EXCAVATING Owner: CLIFF SCHMITZ CONST 16701 E VALLEYWAY Address: 16520 E SECRETARIAT VERADALE WA 99037 Phone: (509)891-1232 VERADALE,WA 99037 Setbacks-Front: Left: Right: Rear: Building Inspector: BOBBY STONE Water Dist: UNKNOWN Group Name: Project Name: Permits Sewer Connection Permit Contractor: FOLSOM EXCAVATING INC License#: FOLSOEI994D0 SEWER CONNECTION 1 $85.00 PROCESSING FEE $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 PRIOR TO ANY EXCAVATION THE"CALL BEFORE YOU DIG"CENTER BE NO[DIED.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 AmountOwing Tran Date Receipt# Payment Amt $100.00 $100.00 $0.00 3/30/2004 1385 $100.00 Processed By: FORRY,JEFF PERMIT Printed By: WENDEL,GLORIA Page 1 of 1 NOTICE It is the responsibility of the applicant/permittee to see to it that the use described on the front of this permit complies with applicable codes and requirements and that required inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the applicant's/permittee's or property owner's expense. At a minimum, the following inspections ARE REQUIRED by County Code: 1. FOOTING - when forms and reinforcement are in place and prior to placement of concrete—all structures, including manufactured homes. NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning regulations.Typically, side and rear yard setbacks are measured from property lines,while setbacks for yards abutting streets are measured from the property line or the center line of the roadway right-of-way,whichever provides the greater setback from the center line of the roadway right-of- way.Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas,the County can own as much as 20 feet of right-of-way between your property and the actual improved street/curb.The responsibility to comply with applicable setback provisions lies solely with the permittee—neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the owner's/permittee's expense. 2. FOUNDATION-when forms and reinforcement are in place and prior to placement of concrete. 3. FRAMING-after all framing, bracing and blocking is in place,and prior to concealing. 4. INSULATION-prior to the installation of drywall. 5. PLUMBING-after rough-in, before covering,and final. 6. MECHANICAL-rough-in of piping, before covering, metal chimneys before concealment, and final. 7. FINAL - when complete and prior to occupancy and/or use. Please provide 24 hours notice. All permits require final inspection. NOTE:In addition to inspection of the structure,this inspection includes review of site improvements(typically depicted on the approved site plan) required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants,fire department access,on-site drainage("208 swales"), road improvements, parking,and landscaping are common requirements of a permit/site plan which must be com- pleted prior to final approval of a building or issuance of a Certificate of Occupancy. 8. MANUFACTURED HOMES-Final inspection required when complete, stairs, handrails,skirting,etc. installed,and prior to occupancy;completed inspection record card must be available on site. 9. SEWERS - prior to cover 10. RIGHT-OF-WAY/APPROACH - prior to placement of concrete, or, if gravel approach, after completion. In addition to the above,any plumbing or mechanical systems or material which would be concealed by framing,drywall,concrete,etc.,must be inspected prior to cover. Check with the department for"special inspections" in conjunction with commercial projects. FOR INSPECTIONS: TO INSURE PROMPT SERVICE, PLEASE GIVE ONE WORKING DAY/24 HOUR NOTICE . PARTS OF YOUR PROJECT MAY REQUIRE PERMITS AND INSPECTIONS FROM MORE THAN ONE AGENCY. • Building, plumbing, mechanical and fire inspections, Department • Road cuts for utilities or driveways, Division of Engineering& of Building & Planning Roads - 48-HOUR NOTICE REQUIRED 477-3675 477-3600 or State Department of Transportation • Construction in a flood plain, Division of Engineering & Roads 456-3000 477-3600 • Sewer connection, Division of Utilities • Electrical wiring, State Department of Labor and Industries 477-3604 324-2640 or City Public Works Department • 625-6300 On-site waste disposal system,Spokane Regional Health District 324-1560 PERMIT EXPIRATION AND REFUNDS Unless otherwise noted,this permit will be considered null and void by limitation if the work authorized by the permit is not commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration. At a minimum an inspection should be requested at least once every 180 days to assure the validity of the permit.A permit may be renewed within one year of the date of expiration for one-half the original fee,subject to certain limitations—please call us if you have any questions. All refund requests must be made in writing by the applicant/permittee(shown on the reverse)no later than 180 days after the date of fee payment. Refunds of not more than 80%of the permit fee paid may be authorized when no work has been done under the permit. No refunds may be authorized more than 180 days after fee payment. MISTAKE? If you think we've made an error in processing this permit or in conducting inspections pertaining to it,or find erroneous information in the permit,please bring it to our attention immediately by filing a written request for correction within 10 working days of discovery.All such requests should be directed to the Division of Building and Code Enforcement at the below address. Spokane County Department of Building&Planning 1026 West Broadway Avenue Spokane, WA 99260 Phone: (509)477-3675 Fax: (509)477-4703 TDD: (509) 477-7133 FORM 30-050202 BLDG PERMIT ‘t91 I\ \ <-a. -N.,5, ) 10 6'1'4 Fa 9P ADDRESS21 I 1. (,.Q 1,�11v A ZONE 1 `3. N ROAD WeDTH 6.CT �"FRONTFLANKING 00 '\' COMMENTS I p o REVIEWED BY . �. .,. • I N o a/w .. m II 7) U 1 1 cc ...._ .0 , c eD f 0 r- 0 ifo-,k;1 \ \<43. tfl A , . q u„,..., i mu,_ a- 0 O _ Mp "8a � x-u0 a 1'h� sits ice' is beirgpsr , is a Wee Y 2 °WainirW a of tht pr• •, , 11N amends ts �,� tspresan•—•-• curb - . We WsMlnds' — — — — — — — — Iinesldim nti,n6, . iv. coca was. — —__ _ - -- .1 — Nweb o1 • f. �/�/, Ir I of //u�%ick/.' Dat.: , -- ------ ---- ----- --- __----- ,- - a 5 9 .1 3• i / ,��\�\.`�\�� 59.73 't °� �' VERCLER LANE . • NE ROCK RIDGE 1ST ADDITION LOT 3 BLOCK 1 0 10 20 40 Founded 1946 1'.11111 .1.1.161.1.q (I5'4 impson Engineers, Inc. CIVIL ENGINEERS & LAND SURVEYORS N. 909 ARGONNE ROAD. SPOKANE WA.. 99212-2789 SEPTEMBFR 7nn-i mimic /cf... ...... ,___