Loading...
2003, 10-17 Permit App: BLD-03-02809 Residence I City of Phone 688-0036 SPOKANE VALLEY FAX 688-0037 Inspection 688-0054 PERMIT # BUILDING PERMIT APPLICATION Box 1OWNER A � As 6.2:wsr-. �A/6. JOB LOCATION 64 5. tti/G8o OWNER'S ADDRESS CITY Sr PHONE DESCRIBE JOB M/6 g F3'rytl Ly 4 .5/ ry 7--ST'R<f THIS PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORP. BOX 2 CONTRACTOR'S NAME p ' s Cc,NS7`-. /NC PHONE S?58 77 CONTRACTOR'S ADDRESS 3/V- S, /Zeta[ ���� CITY S�o e. CONTRACTOR'S REG.# / EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT 1IPA /).4h&WB 7— PHONE S-15--.61.3 71 ADDRESS CITY ZIP BOX 4 SEWER AVAILABILITY Coj,4,t/ 5&e WATER AVAILABILITY Adept BOX 5 ESTIMATED PROJECT COST$ EXISTING BLDG.VALUATION $ BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION Lor' , �� ` �/ ,4 FF:. ADD/T7 " ' (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOT NUMBER BOX 7 BUILDING SQUARE FOOTAGE(Existing/proposed) 1ST FLOOR / 762- 2ND FLOOR / c76d 3RD FLOOR / OTHER / BASEMENT FINISHED / BASEMENT UNFINISHED / DECK / GARAGE / CARPORT /r-- TOTAL / 17ze HEIGHT TO PEAK OF BUILDING ZS FT. BOX 8 ( ,X) SINGLE FAMILY ( K) NEW CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY /o,/3Z 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 PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE. OWNER/AGENT DATE (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 RECD 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 aTy o `4 11707 East Sprau�,ue Avnue,Suite 106 509-688-0036-Phone • Spokane Spokane Valley,WA.99206 509-688-0037-Fax 4.001*-ValleY For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT PERMIT ADDRESS: 704 Gf, 4.)/48c-f---- USE: OWNER: PHONE(Daytime Contact): MAILING ADDRESS: • . (street) (city/state) (ZIP) CONTRACTOR: (:/s 04 co 5 LICENSE t: • MAILING ADDRESS: PHONE I: (street) (city/state) (ZIP) • PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT 1 TOILETS • WATER CLOSET,BIDETS .> X $6 - /S 2 URINALS X $6 • 3 TUBS ( X $6 . - g 4 SHOWERS(PER TRAP) BATH,SPALL,ON-SITE BUILT / X $6 6 5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- 4 X $6 - RAY,FOOD,PREP/CULINARY/MEAT 6 DISHWASHER / X $6 - ' G 7 CLOTHES WASHER / X $6 - b • 8 GARBAGE DISPOSAL ( • X $6 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 - 6 12 FOUNTAINS,DRINKINGX $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, Z X $6 - /1.. . SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND X $6 - RP.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: 40D OF PAYMENT , 11010.10 • /t.^asi l PLUS PROCESSING FEE: $35.00 .SH ❑ CHECK 0 Plifian ❑ .1 TOTAL PERMIT FEE DUE: • EXPIRES: CARD NUMBER: ORIZED SIGNATURE: clan t !R"..r 11707 East Sprague Av ue Suite 106 J �ji{� 509-688-0036-Phone Spokane Valley,WA:'99206 40000Valle3i For Inspections, 'call 509-688-0054-688-0037-Fax -Mechanical Permit Application PROJECT ADDRESS: / PERMIT OWNER O , (4I g_ USE: PHONE(Daytime Contact): • MAILING ADDRESS: (street) • (city/state) CONTRACTOR (ZIP) ELLEN at. N c LICENSE R: MAILING ADDRESS: • PHONE I: (street) (city/state) (ZIP) • • ■ DESCRIPTION OF WORK -S OF UNITS X . ©FUEL BURNING APPLIANCE •OR<100,000 i X x COST EQUALS AAMOUNT©FUEL BURNING APPLIANCE >100,000,000 ©UNLISTED APPLIANCE(ADDmONAL FEE) -OR<400,000 • X - n UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X 550. • X 5100 • . ©USED APPLIANCE(WSEC min.AFUE rating) •or - <400,000, X 1.0 • - USED APPLIANCE(WSEC min.AFUE rating) >400,000 ` BOILER/REFRIGERATION X $100 -• • 1-150BTU - X ® - 0 BOILER/REFRIGERATION 101-50 0M BTU 'X WM Ell BOILER/REFRIGERATION 501-1,000M BTU - X _ ® ] 10 BOILER/REFRIGERATION - 001-1,750M BTU X m BOILER/REFRIGERATION +1750M BTU X ® ` - • ©CAS LOG,GAS INSERT,GAS FIREPLACE IIIIIMIll X $10 MORISWIRA ©RANGE - Mina in DRYER X $10 . 1111111M1 - allall• ®FUEL BURNING WATER HEATER e X $10 - - MISC FUEL BURNINGAPPL X • $10 - Eirielli El GAS PIPING(ea.Outlet) X S10 - in DUCT SYSTEMS - 111111M1 ® - , . VENTILATING FANS X 510 - IIIIIIIIMIn 20 AIR HANDLER(DOES NOT include ducting) ..OR<10,000CFM-- 1111211111 X $10 - ®AIR HANDLER(DOES NOT Include ducting) >10,000 CFM X $12 - - ©EVAPORATIVE COOLERS - X ECM - ©TYPE I HOOD -11131 X $10 • TYPE II HOOD X $10 - - • Q 0-3TON HEAT PUMP/AIR CONDITIONERX SIO - - El X AIR CONDITIONER 3-15 TON X S20 - - ®AIR CONDITIONER AIR CONDITIONER 15-30 TON X • Q AIR CONDITIONER 30-50 TON X +50 TON' • X $1600 • - 30 LPG STORAGE TANK - 0 WOOD OR PELLET STOVE/INSERT - X $10 - ®WOOD STOVE-FREE STANDING - X 510 - • - NI SUBTOTAL: METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00 4"W.5F. F TOTAL PERMIT FEE DUE: O CASH ❑ CHECK ❑ ❑ `_._..._ -i-Lt DATE: EXPIRES: . BANKCARD NUMBER: AUTHORIZED SIGNATURE: PLOT PLAN moo' 50' w _ -0" 111-0" 20'-0" w co 0 V Ir o N G! 18' {' 0 18' o , 20'-0" • 2 > „.,„, 2 SCALE: 37' 1"=20' 5698 R 51. APPROVED BY APPRO 704 S. WILBUR COURT LOT 4, BLOCK 1, ALEFFI ADDITION 1728 SF 2-STORY MODERN WATER, COUNTY SEWER