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2003, 06-18 Permit App: BD03-658 Residence City of (oW 003(P SPOKANE VALLEY F;()( (i(-:0037 PERMIT # /3 h - O c 1 BUILDING PERMIT APPLICATION Box.1 OWNER `��c� � o, Co�a't JOB LOCATION \��.� S \ \ . R40 L OWNERS ADDRESS CITY PHONE, DESCRIBE JOB S� •THIS PROPERTY IS OWNED BY: SINGLE/NjARRIED PARTNERSHIP CORP. �/ BOX 2 CONTRACTOR'S NAME J�.� ,� � � PHONE V\ .•0 4 5'c CONTRACTORS ADDRESS S. \� ���c �� CITY S�•��..os� �n °��10� CONTRACTOR'S REG.# �� ,c�j�cc EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VEF FIED) BOX 3 CONTACT PERSON OF PROJECT C�� 5PHONE ADDRESS CITY ZIP BOX 4 SEWER AVAILABILITY C WATER AVAILABILITY BOX 5 ESTIMATED PROJECT COST$ �y �1 �EXISTING BLDG.VALUATION$ BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) • CENSUS NUMBER I LOT NUMBER BOX 7 BUILDING SQUARE FOOTAGE (Existing/proposed) 1ST FLOOR ` ,°\j / 2ND FLOOR / 3RD FLOOR / OTHER ' / BASEMENT FINISHED f BASEMENT UNFINISHED \\ / DECK / GARAGE` \\`c / CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING A FT. 30X 8 ( ) SINGLE FAMILY ( NEW CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS ) . ( ) EXISTING STRUCTURE ( ) COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY \DC7 \ ( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE SQ. FT. • _ 11, �� SQ. FT. • 30X 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. OX 10 Water Service meter size (if known) Also see BOX 4 OX 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) OX 12 Street use may require a " Street Use Permit"for sewer, water, sidewalks, curb cuts. Contact the Public Works Department. /ERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND • DRRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE 30VE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE. ✓VNER/AGENT (' � �� �� DATE fir' \c1/4- (OVER) 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 • 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!tkPPROVAL DISAPPROVAL • DATE REMARKS PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE ----- TYPE 0 = JOB: NEW RESIDENCE RES.ADD/ALT NEW INDUSTRIAL IND.ADD/ALT NEW CC..IMERCIAL COMM.ALT/ADD NEW MULTIFAMILY NO. UNITS MULTIFAMILY ADD/ALT TENANT IMP. ROOF _OTHER OCC PA.; ,`( TYPE OF CONSTRUCTION STORIES I BUILDING SQ. FT. __ _ BUILDING SQ. FT. ___ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. TOTAL SQ. FT. TOTAL VALUATION BUILDING PERMIT NO. PLAN CHECK FEE RECD RECEIPT NUMBER • •i PERMIT- F =r. PLAN CHECK FEE PLUMBING FEE MECH. FEE TOTAL FEESWSBCC SURCHARGE • ENERGY SURCHARGE OTHER CI iA.Z' ES ;! AMOUNT DUE BUILDING DEPARTMONT APPROVAL • BY • • DATE ASSIGNED ADDRESS 1.1115.r SpokCITY( 11707 East Sprague Avenue,Suite 106 ane 509-688-0036-Phone Spokane Valley,WA 99206 509-688-0037-Fax .,..•'Valley For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT ADDRESS: \37.7„ \.,...\-,• \� PERMIT e� USE: OWNER: PHONE(Daytime Contact): MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR: LICENSE#: MAILING ADDRESS: PHONE#: (street) (city/state) (LIP) . PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQ i TOILETS WATER AMOUNT WATER CLOSET,BIDETS X $6 - c- ,a° 2 URINALS /7S 3 TUBS X $6 - 4 SHOWERS PER TRAP 1.- X y6 - /...2 `3. ) BATH,STALL,ON-SITE BUILT \ X 5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, (`� 4'c' LAUNDRY,UTILITY,JANITOR,PHOTO,X- 1 X $6 _ RAY,FOOD,PREP/CULINARY/MEAT 4/% 6 DISHWASHER 7 7 CLOTHES WASHER ' X $6 - & X 8 GARBAGE DISPOSAL 9 WATER SOFTENER X $$6 6 - 10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL X $6 - • 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 1 X $6 ..12 FOUNTAINS,DRINKING 40 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, X WASTE,VENT,PLUMBING REVERSALS REVERSAL X $6 14 SEWAGE EJECTOR GRINDER,SUMP PUMP 15 WATER USING DEVICE X ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOFER,CARBONATOR, X $6 SWAMP COOLER - 7 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND R.P.B.P.D.FOR:VATS,TANKS,BOILERS X $6 • 17 SPRINKLER SYSTEM 18 INTERCEPTORS X $25 - GREASE TRAP,SAND TRAP,CHEMICAL HOLDING TANK X $6 19 MEDICAL GAS per outlet NITROUS,OXYGEN 20 MISC.PLUMBING FIXTURE X $6 - X $6 _ QETHOD OF PAYMENT SUBTOTAL: VISA bast " CASH ❑ CHECK ❑ -''-':.''':...i PLUS PROCESSING FEE: ❑ !_._.._._ 1 TOTAL PERMIT FEE DUE: 9/ i— 'ATE: EXPIRES: (� ANKCARD NUMBER: UTHORIZED SIGNATURE: CIT'i1 /r/ �� 11707 East Sprague Avenue, Suite 106 509-688-0036-Phone ` SOOKane Spokane Valley,WA 99206 509-688-0037-Fax Valley For Inspections, call 509-688-0054 -Mechanical Permit Application PROJECTPERMIT ADDRESS: ���"� ��' ,(7:-,:\L USE: OWNER \ PHONE(Daytime Contact): MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR: LICENSE#: MAILING ADDRESS: PHONE#: (street) (city/state) (ZIP) DESCRIPTION OF WORK #OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE -OR<100,000 4 r X $15 - /.._<- 2 <-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 ,,t T X $95 - 12 GAS LOG,GAS INSERT,GAS FIREPLACE - \ X $10 - /© 13 RANGE - X $10 - 14 DRYER - X $10 - 15 FUEL BURNING WATER HEATER - ‘ X $10 - /0 16 MISC.FUEL BURNING APPL. - X $10 - 17 GAS PIPING(ea.Outlet) — 3 X Si. - 18 DUCT SYSTEMS — X $10 - 19 VENTILATING FANS — AT X $10 - e2/© 20 AIR HANDLER(DOES NOT include ducting) -OR<10,000CFM X $12 21 AIR HANDLER(DOES NOT indude ducting) >10,000 CFM X $19 - 22 EVAPORATIVE COOLERS - X $10 - 23 TYPE I HOOD - X $50 - 24 TYPE II HOOD - X $10 - 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $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 CON DMONER +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: -SCD MINIIMI 4, ` TOTAL PERMIT FEE DUE: 7C� �r yq J'2sP ; ❑ CASH ❑ CHECK ❑ MUM ❑ t------.:::.±.: DATE: EXPIRES: BANKCARD NUMBER: A.1,T1-1.n7,,7T-rl clr '-,-r, Call 24 hours before inspection required Spokane Phone 509.688-0036 Fax 509.688-0037 40AValley DEPARTMENT OF PUBLIC WORKS Anticipated start date Permit # PW �3 3 APPROACH PERMIT APPLICATION Location of property (Address/Parcel #, if available) Applicant Name Address \Z Phone ���- �t Contractor's Name Address Phone Contractor's Reg# Expires PROJECT DESCRIPTION (Provide site sketch) Residential Driveway Commercial/Industrial Driveway V Existing Curb & Gutter Rural Road Section 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$ (-2 Date /o,20 Init •i'l' 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. • • III r ®I rn I of l W �t I il?;' = 8 Z 11 ppll!"l < E; I 6e- 1 _ ,, 1,4 ail hill r, ;' �� M ` ` ` ,1r / M Q: I I o I "`5I IX a. 1 e B < l e a 4. B •N _ I I• 0. It - 1111‘g >x o -4 V K 11 kt \- ------ U C II - j- -- - -�i— > 4 4 < w € ,n 1_1111. 1 ! k S la I o la g I t i I§ 5 1 `,/, X58 ag w. 111 ¢ IN -CI II ` in: I 11-' II IF 11:" I : : k i. j t r L • A - :%. \` 11 N►.,\*4 4-. MlatR LM b . • I j , } f i ` . : : I I 4 . rt t i I I a „9� ,►,moi'' i I i 1, i Y , i