2006, 08-28 Permit App: 06002423 Addition Project Number: 06003423 Inv: I Application Date: 8/28/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit t p�
Project Information: �$\
m, ..o'..,� i: s. ».a a
Permit Use: ADD NEW KITCHEN,2 BATHS/LAUNDRY TO Contact: RENOVATIONS BY DAVE COLLVILLE
HOME Address: 14420 E 20TH CT
C-S-Z: VERADALE,WA 99037
Setbacks: Front Left: Right: Rear: Phone:
Group Name:
Site Information Project Name:
Plat Key: Name: Range District: Sout
Parcel Number: 45214.1408 Block: Lot:
SiteAddress: 1411 S WILBUR RD Owner:Name: CORCORAN,MICHAEL D&DIAN
Address: 1411 S WILBUR RD
Location::CSV SPOKANE valley,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 14,297 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
.�.�a^ a..� `.. u+ znm;;.a,r.a�"�-- .. :, '_.rte�,.�_� •�..�, .�-�ar
Review
Building Plan Review Released By: 'TK ' ( a 6
Driveway/Approach Released By:
Landuse/Zoning/HE Conditions Released Bt/
y:
Sewer Review Released By:
Operator: AMB Printed By: AMB Print Date: 8/28/2006
��,� Permit Center f-----,
I
( ka e 11707 E Sprague Ave, Suit i 0t ,�� L PERMIT NUMBER:3
Valle Spokane Valey,WA 9920 I , PERMIT FEE:
(509)688-0036 FAX: (509)688=0037Aili
Community Development www.spokanevalley.ora..co --`i ()
Residential Construction —�?1 U lieu ' .i si u' '^ o Accessory Bldg
Permit Application AAddition/Remodel o Deck
❑ Other:
SITE ADDRESS /1!/( S 1.../f 4. 540g. Qc.o.1,
ASSESSORS PARCEL NO: L1 S ak4-4.Nb LEGAL DESCRIPTION:
Building owner Contractor_
Name: MIKE s baa,V c doz Coz.AA) Name: 7-2ENov, r7a0►s ay CiesoF e /4
ova iNC,
Address: /4/// S . 'v.1/G.8.6R_ tZae,‘i Address: /W20 E Zo, lI cf
City: 5 Go ua l c,cy Zip: '53`3 t o G City: VExM.4,'E ,,,. Zip: ?lo 37
Phone: V z s-`723 Fax: Phone: 8 9/-6(g( Fax: 89/-557 Z.
Lic No:V.EW0vOC9Cee f3 Exp.Date: 9/O'la e
Contact Person, City Business Lic No:
Name:
Phone:
Describe the scope of work in detail: Cost of Project: $
72ev ebb— A.A./3 A% %is 77, -- -(t-t-eA ^!E1-3 K 12d-!£1•) / Z—15r715 A.,..4) C..4•c_w.3
ee, s
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: / TOTAL HABITABLE SPACE:
tc-of' S'/ x 1 O 4.`" 96-13 y?y9
MAIN FLOOR TO SQ. 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: qv/ 4 �K e----- AREA:e.------
FINISHED BAS NR GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES O -
SQ. FTG: ff r--- PROP,RRTY:
#OF BED CONSTRUCTION TYPE: HEAT SOURCE: E OR SEPTIC?
ST�.Mbw i-.cdi:e
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) All construction is to be done
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 of Spokane Valley Permit is not a permit or approval for any violation of federal,state or
local laws, codes or ordinances.6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signat I / Date �A /c)4
Method of Payment: (Fax•d permit applications will only be accepted with major bankcard)
0 Cash • Check 0 Mastercard 0 VISA ❑ Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
Sfinteitie ..
Valley
11707 E Sprague Ave Suite 106 • Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 • cityhall@spokanevalley.org
Residential Plan Submittal Minimums
❑ Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One-hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
O Roof framing plan and details
❑ Furnace and hot water heater location.
O All header locations: type, size, and connections
❑ Foundation plan
0 Insulation information
rerr nt t enter
S� ne 11707 E Sprague Ave,Suite 106
SV ey Spokane Valley,WA 99206 PERMIT NUMBER:® (509)688-0036 FAX:(509)65E-0037
Community Development u�ntiv.snokanevaliev.ore PERMIT FEE:
Mechanical Permit Application ❑.Commercical £Residential
SITE ADDRESS: / 7/( S • Not//G e U�- t'-ss+.0 .
Building Opvger 4e' �_ e a <tGOe
Name: Phone: Fax:
Address: City: State: Zip:
Contractor / a i •- 7? /.-
Name: G�/4i,UJ C4'`>� Phone: 4C '7.y000 Fax. c/6 9-Ve 0 S"
Address: City: State: Zip:
License No: City Business Lic:
Contact - .:.:
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 =
2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 =
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 =
5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 X $50.00 =
6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,00D • X $100.00 =
7 BOILER/REFRIGERATION 1-1DOM BTU X $12.00 =
B _ BOILER/REFRIGERATION 101-50DM BTU X $20.00 =
9 BOILER/REFRIGERATION 501-1,000M BTU • X $25.00 =
10 BOILER/REFRIGERATION 1,001-1,750M BTU X $35.00 =
11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = ,
12 GAS LOG,GAS INSERT,GAS FIREPLACE X $10.00 =
13 RANGE X $10.00 = (d
14 DRYER ( X $10.00 = / 0
15 FUEL BURNING WATER HEATER X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) X $1.00 = ,
18 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS LI X $10.00 = CCU --
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 $15.00 =
22 EVAPORATIVE COOLERS X $10.00 =
23 TYPE I HOOD X $50.00 =
24 TYPE II HOOD ( X $10.00 = / CT
25 HEAT PUMP/AIR CONDITIONER 0-3 TON ( X $12.00 = I -Z-
26 AIR CONDITIONER 3-15 TON X $20.00 =
27 AIR CONDITIONER 15-30 TON X $25.00 =
28 AIR CONDITIONER 30-50 TON X $35.00 =
29 AIR CONDITIONER More than 5D TON X $60.00 =
3D LPG STORAGE TANK X $10.00 =
31 WOOD OR PELLET STOVE/INSERT _ X $10.00 =
32 WOOD STOVE-FREE STANDING X $25.00 =
33 REPAIR&ADDITIONS X $15.00 =
34 VENTILATION SYSTEMS X $12.00 =
35 VENTILATION MECHANICAL EXHAUST X $12.00 =
36 INCINERATOR-RESIDENCE X $19.00 =
37 INCINERATOR-COMMERCIAL X $22.00 =
METHOD OF PAYMENT: SUBTOTAL 'S 2
OCASH 0 CHECK 0 VISA 0 MC EXPIRES: PROCESSING FEE $35.00
CARD#: VIN: TOTAL PERMIT FEE DUE: 1 1 7 '6
AUTHORIZED SIGNATURE:
REVISED 6I26/O5
�°� Permit Center
S okane 11707 E Sprague Ave,Suite 1D6 •
PERMIT NUMBER
Valley Spokane Valley,WA 99206
.0001.10 (509)688-0036 FAX:(509)688-0037 -:
Community Development ww.sookanevallev.ore PERMIT FEE:
a ,. .
Plumbing Permit Application ❑ Commercial AResidential
SITE ADDRESS: — 1 i! S. \.4#f( 7 c/7... `Z 12—1�
Building Owner Nu,C .`tssLl+� �C/RC04. 40 '
Name: Phone: Fax:
Address: /5/j/ S , \A/iCISCO( City: S P0/ ,E: 1,44-7. state: lam./ Zip: 179..z04
Contractor 1,4.7--c)
.
Name: R.!C./•C.. ArZe4 a Phone: G,(v 7_ y o,A Fax: q 7- qOo
Address: City. State: Zip:
License No: City Business Lie:
Contac - _ _ ..
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS 1. X $6.00 = /Z
2 URINALS X $6.00 =
3 TUBS ( X $6.00 = Cm
4 SHOWERS(PER TRAP) BATH,STALL ON-SITE BUILT I X $6.00 = C
LAVS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, [J X $6.00 = 2
Li
X-RAY,FOOD,PREP/CULINARY MEAT
6 DISHWASHER I X $6.00 = /cm
7 CLOTHES WASHER / X $6.00 =
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 =
AREA,CASE,COIL TRENCH,
11 FLOOR DRAINS CONDENSATE X $6.00 =
12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.DD =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 =
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER 'Z X $6.00
PROOFER,CARBONATOR,SWAMP / Z
COOLER
VACUUM BREAKER,CHECK VALVE,
AND R.P.B_P.D.FOR: VATS,TANKS,
17 CROSS CONNECTION DEVICE BOILERS X $6.00 =
GREASE TRAP,SAND TRAP,
18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 =
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 =
20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = _
21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 =
22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 =
METHOD OF PAYMENT:
SUBTOTAL '7
PROCESSING FEE
❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE: 1 13
AUTHORIZED SIGNATURE:
REVISED 8126/65
L177 STATE OF WASHINGTON
l� Deyarhn<nt of
l'� 762874
�1 S��G DATE ,/....../,‘,1 6"'"ervf A
(8,0
rNa eREEIVED FROM _Vj� I�g-,'� av �(! Vt�/In co cr y2Z SZ7
1/ / �,x _- 4 /`�' ed Business Identifier(UBI)
$� �f IICUUU DOLLAR'
�.-�'�C,/e� � �v` :ral Employer Identification Number(FEIN)
FOR / 14
For Validation-Office Use Only
REVENUE ACC'T CODE /
HOW PAID
❑ CASH
gCHECK #
El MONEY ORDER 01P-400-925-0003
rllrBMMIMIItIIIIMII
BY ��M.�/r1Ij��- n V 1
DOL-20.084 RECE-T BOOK IR/8/9D1 CUSTI.�' ERR'S COPY
,ns
❑ Change Ownership U !-illy i_p„r,.,,., — Under Age 18
complete sections 2, 3, (4 if you have employees)and 5 complete all sections
Add License/Registration to Existing Location ❑ Hire Persons to Work in or Around Your Home
complete sections 2, 3 and 5 complete sections 2, 3c, 4 and 5(no application fee)
❑ Register Trade Name 0 Other
complete sections 2, 3 and 5 complete all sections
❑ Change Trade Name -complete sections 2, 3 and 5
indicate name to be cancelled:
❑ Change or Open Location - complete sections 2, 3a, 3b, 3c and 5
indicate old address to be closed:
2
•
2. Licenses and Fees
Use the License Fee Sheet for the information needed to complete this list
Indicate Registrations Needed Fees Due
❑Tax Registration — Do you want a separate tax return for each business/trade name? 0 Yes No No Fee
❑ Industrial Insurance (Workers'Compensation)— Needed if you will have employees. No Fee
❑ Unemployment Insurance— Needed if you will have employees. No Fee
❑ Minor Work Permit—Needed if you will have employees under age 18. No Fee
❑ New Trade Name (Doing Business As): $5.00
Indicate Other Licenses (such as Lottery Retailer)or additional Trade Names ($5 each name):
(see License Fee Sheet for more information.)
$
Enclose check for total amount due, including the Application Fee $ 15.00
Application Fee, which MUST be submitted with this form
?Make check payable to the WASHINGTON STATE TREASURER. Total Amount Due $ a.C',QL
If you need assistance through the telecommunications device for the deaf,please call•TTY(360)664-8885.
BLS-700-028 MBA(FL'07/03)OR/W Page 1 of 4
To request this document in an alternate format for the visually impaired, call(360)664-1400.