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2004, 10-08 Permit App: BLD-04-07880 Duplex ���\ I• to 7CV*/ �, CL . (\.• S . 2 BUILDING P RMIT APPLICATION WORKSHEET okane Valley Community Development Department Building Division .=,/ 11707 E. Sprague Avenue Suite 106 do, vat re. .off:i 0 4 2004 • . Spokane Valley, WA 99206 i?4, h , a.. .Phone: (509) 688=9036•Fax: (509) • " MI All L ED) i N 688-0037 REQUIRED SITE INFORMATION. -. • Street Address: /y/0& b'=_ lit/-e//-cs/ey . . • . • Assessor's Tax Parcel Number(s): So%er►1 Yz d-( fierce / 9-5-0,2.2 . //q 3 Legal Description: Lo4 i ,t'. cif s p - 07 -o y • • . ` PERMIT DESCRIPTION: i(AkAi -rti divl- rGl dl✓vp/fx- CGrl,s-ki 4!cl- - • [ , Building Permit ❑ Change in Use ❑ Grading 9 ❑ Manufactured Home ❑ Tenant Improvement ❑ Fire`Safety ❑ Other � OWNER/APPLICANT INFORMATION Owner: (ZiiY g:,MI n • ❑] Applicant: • Phone: 31-1ti- as>s' Fax: • 2Y- , Phone: Fax: Address: S�dg' , 1. g-es-l•• . - Address: • pc'Enre (,JA .. 9.97t4 • City State Zip Code City ,State Zip Code ❑ Contractor: • Nit iL.v, Cor4ru4,1 wN • 0 Architect: Phone: • Fax: Phone: Fax: Address: 514ME As (3vi k1 el Address: • City State Zip Code • City State Zip Code WA State Contractor License#: k owoc it do 61,0 Contact: ) iqy le,ti/,,ii v) • • .. PERMIT/BUILDING INFORMATION • HEIGHT TO PEAK , . DIMEI SIGNS: #OF STORIES MAIN FLOOR TO SQ. FTG: ' 2'FLOOR SQ:FTG: /772 NM UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ: FTG:1/11• DECK/COV. PATIO SQ. FTG: • OVlA OCCUPANCY GROUP: CONSTRUCTION TYPE: • HEAT SOURCE: 5,�t;1t raolr1( S i/Ck. 6-n-5 roK.CeQ PI/I" . #OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: y 33 yy ti/p. COST OF PROJECT ' . • 30%SLOPES O PROPERTY: SEWER OR ON-SITE SEPTIC - 15 0 doe 1 /J� SYSTEM? 56 C • . MANUFACTURED HOME . • • • • • Width.; • Length: Year:' Pit Set: • ' • Manufacturer: • . . • • . • 'RELOCATION • • . • • • • . : Previous Address: . . • . Proposed Use: - . . • . FIRE SAFETY • .T . • Fire Sprinkler: # of Heads: Fire Alarm: Paint.Booth: Tent: • Fireworks Display: Blasting: . . Daternme: Valuation: . Above/Underground Storage Tank Size: . . WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans. Examiner: Phone: • Fax: Address: . •• • City State • Zip. Inspector: Phone: Fax: Address: •• city State Zip a ' SPECIAL INSPECTIONS O BOLTING ❑ CONCRETE • 0 REINFORCEMENT 0 WELDING • Firm Name: . . Phone:. Fax: Inspector(s): . • DISCLAIMER • The permitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to.the property owner. 3) The signatory is the property owner or has permission to represent the property owner in this transaction. 4) Ail construction is to be clone in full compliance with the City of Spokane Valley Development Code. -Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City ofSpokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. Ownership of resulting development rights granted by any issued permit inure to the property owner. Print Name A li ¢�` ' - - j Signature ,c , ;72; • . Method of Payment: (Faxed permit applications will only be accepted with major bankcard). . ❑ Cash ❑• Check . ❑ Mastercard . • • D VISA 0 Other • Bankcard#: Expires:. VIN#: • . •Authorized Signature: S MECHANICAL PERMIT APPLICATION SMP°41(an4c/ © Ci€y of Spokane Valley CommunityDevelopment Department 1�, BuildingDivision � 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509)688-0036;Fax: (509) 688-0037 FOR INSPECTIONS,.CALL(509) 688-0054 Project Address: I L!!,0 Y - Wt:tl e A l.c.-\•( Permit Use: it/eU./ rest ie., 1'4., cc4c4yil(-4:e Owner: Kiel IL,1,1..sr, Phone(Daytime Contact): 7Y1-/375 -Mailing Address: 5 I0 i A' gf5-4. C Sp k.6,-.t_ w4 99'iC State . Zip Code Contractor: ReY �w-N Ccosl-ruc15ty, License#: 4co)Ctc4a®6Lk. Phone#: 7V2-'5/5- Mailing Address: s roti c "a s a w N e.n. City State Zip Code #OF TOTAL DESCRIPTION OF WORK UNITS X COST .1 AMOUNT 1 FUEL BURNING APPLIANCE Equal to or Less than 100,000 X $15.00 = 7 0 UEL-BURN APPLIA •re:,. 3.,+"a X $18.00 = 3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 = USED APPLIANCE(WSEC mitt.AFUE 5 rating) Equal to or fess than 400,000 X $50.00 = USED APPLIANCE(WSEC min.AFUE 6 rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1-100M BTU - X $15.00 = 8 BOILER/REFRIGERATION 101-500M BTU X $28.00 = 9 BOILER/REFRIGERATION 501-1,000M BTU X $39.00 = 10 BOILER/REFRIGERATION 1,001-1,750M BTU X $57.00 = It BOILER/REFRIGERATION More than 1,750M BTU X $95.00 = 12 GAS LOG GAS INSERT,GAS FIREPLACE • X $10.00 = • 13 RANGE 7 C-10(4-f c. X $10.00 = \ 14 DRYER - P£t t C X $10.00 = 15. _FUEL BURNING WATER HEATER 2. X $10.00 = .2 0 • • 16 MISC.FUEL BURNING APPLIANCE X $10.00 = / • 17 GAS PIPING(each outlet) 6 X. $1.00 = b 18 DUCT SYSTEMS � X $10.00 = 2.0 19 VENTILATING FANS• 6 X $10.00 = d 0 20 AIR HANDLER(DOES NOT Include ducting) Equal to or less than 10,000 CFM X $12.00 = 21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X $19.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50.00 = _ 24 TYPE It HOOD 1. X $10.00 27 0 25 HEAT PUMP/AIR CONDITIONER • 0-3 TON 2 X $12.00 = +2 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 AIR CONDITIONER 15-30 TON 11 $25.00 = 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER More than 50 TON X $60.00 = _ 30 LPG STORAGE TANK • X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 W000STOVE-FREE STANDING X $25.00 = METHOD OF PAYMENT: SUBTOTAL 0 CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE • AUTHORIZED SIGNATURE: PLUMBING PERMIT APPLICATION 00000\014 SIDWOrkalle , City of Spokane Valley Community Development Department BuildingDivision E.Sprague Avenue, Suite 106 Valley t 1707 Spokane Valley, WA 99206 Phone: (509)688-0036;Fax: (509)688-0037 FOR INSPECTIONS, CALL(509)688-0054 Project Address: 5144wIr AS oT)40Z- 5) ( 6 Permit Use: Owner: Phone (Daytime Contact): Mailing Address: \i/ City State Zip Code Contractor: License#: Phone#: Mailing Address: City State Zip Code #OF TOTAL. DESCRIPTION OF WORK UNITS X COST NgAMOUNT U 1 TOILETS WATER CLOSET,BIDETS / X $6.00 = 7 y 2 URINALS X $6.00 = 3 TUBS 2 x $6.00 = /Z ' 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT _ X X $6.00 = /Z 5 SINKS LAVS/BASINS,BAR,FLOOR, KITCHEN,LAUNDRY,UTILITY, 6 X $6.00 = 3 JANITOR.PHOTO,X-RAY,FOOD. 6 PREP/CULINARY/MEAT 6 DISHWASHER 2-. x $6.00 = /2 7 CLOTHES WASHER 2 X $6.00 = /2 _ 8 GARBAGE DISPOSAL X $6.00 = . 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,. X $6.00 = / ix CONDENSATE 12 ROOF DRAINS/OVERFLOW DRAINS X $8.00 = t 13 FOUNTAINS,DRINKING X $6,00 = • 14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION, X $6.00 = y VENT, PLUMBING,REVERSAL REPAIR,REVERSALS 15 SEWAGE EJECTOR GRINDER,SUMP PUMP z X $6.00 = / 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB,STEAMER,PROOFER, Z X $6.00 = / CARBONATOR,SWAMP COOLER 17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK ' ' j VALVE,ANDRP.B.P.D.FOR: X $6.00 = 1 VATS,TANKS,BOILERS 18 INTERCEPTORS GREASE TRAP,SAND TRAP, X $6.00 = CHEMICAL HOLDING TANK 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = • METHOD OF PAYMENT: SUBTOTAL ❑ CASH ❑ CHECK ❑ VISA Q MASTERCARD PROCESSING FEE $35.00 DATE: EXPIRES: • TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: s � �( 1 g--0 s q.�C'( 1 401--- � -c A1';=i. i''""� II , - ti..........5 CALU I :: 0:2) g u;1 et v5 G eca5�. = t o %v L I)P 1 F ��� ,7_ d 4. cu . 0", - 01i t •-..,‘ \ Sa„firm `kC a{ poi Cf y5-027.1151 1 1 r 1 hOORe ` ,Gn�u� I r ZO p �-) _�—" This s� plan is being submitted for the purpose of I'r',r a�'t (l r"v2 ROA iJQ�;,,. obtaining a building permit and is a true and correct COME representation of Vie proposal. NI known property lines/dimensions,curb lines,Oman*and easements pEV%EV4EO 8Y have been identified. Also indielled an wetlands. bodies of water, steep sio or other critical areas. Date: /� P 07 i • 1 T ' _ ii‘ 1 4,7�-. f G�G�1 j lIf J �jf75 sqF+ i 1 t1l•eye1\11 1 ��n4t1�o7�'6,r �i P fag 0r rtt t 1 r—� I I i 1 i • „, __IE PLUS Permits Land Use System min 0 tai � 1 f 6"' ii„,,ii, �rkat @aeoccis ��oq, ��� tier � -. r� a ' t 1 a A E �/ � L. ` 1#'ro iib ,''t `a' '� ..iraM =v� .-...M+.e.. xzw----=�w`a El.: -..«_ e. A � -� ^ • ap Site IM ► Sites m . „ .i 8 i 2 krik c`,'1i 49 ``V v X1 ,d `q T`' Site Name: - Inspector District H - Go To Site Number: 28015 Parcels l Ste Info I Protects 1 Plat Notes i Bldg Info i Compliance Images I Other I . lct` I ts2,...:1,•i 1�0i Irl— � Parcel Nbr Nbr Dir Name Type Apt W .022.1103 014104 E jWELLESLEY AVE_LI ors 7 Loc City St Cntry Zip Code ei) 112os Do 0t3 SPO SPOKANE WA� 99216 o ( SCORE ( 1-01E ,J O tner[>l Stati=firs I GIS 1 Legal Desc I1------ ,Alellecle f. Owner }x{ OLSEIN,BOB Phone:(509)891-2504 «< rktxlf, 1121 xx< x. FAX: x ' 14111 14104 E CEMENT �vf�� T 4 11122 =` SPOKANE,WA 99206 BOB: X V'tix f +f''' ' '14*. > >:: 11206 1111111 , E-Mail u002 11000 %¢ x • ti . Occupant hK Phone: > trY PAX: } k f DOB: imaiiiiii--{x< E-Mail 1613 Record: 11 I H 1 1 FI ►;td of 1 MIMI - New Site Display Notes I i— Auto Find Site j9{ 1602 1r Zoom to Site Find Site on Map 1 I— Map Tips �t ontoii c:_7 I1101-..11111^ 1n23"�"r'-.11 777 VIII ....... � "r`1CAPS r— AH1ht- Ready , Friday,Oct 08,2004 08:08 AM