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2005, 08-29 Permit App: 05003119 Addition Project Number: 05003119 Inv: 1 Application Date: 08/29/2005 Page 1 of 2 THIS IS NOT.A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: ADDITION TO RESIDENCE Contact: ZACHAU,PENNY&JIM Address: 1506 S WOODLAWN RD C-S-Z: SPOKANE VALLEY,WA 99216 Setbacks: Front 40 Left: 30 Right: 10 Rear: 10 Phone: (509)924-2680 Group Name: Site Information: Project Name: Plat Key: 001842 Name: OPPORTUNITY TERRACE,01ST ADD District: F Parcel Number: 45272.2210 Block: Lot: SiteAddress: 1506 S WOODLAWN RD Owner:Name: ZACHAU,PENNY&JIM Address: 1506 S WOODLAWN RD Location::CSV SPOKANE VALLEY,WA 99216 Zoning: AGSUB Water District: Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review ReleasedBy: , ` '; °,- Originally Released: 08/26/2005 By: cjjanssen Plan Review Released By. r , , k Originally Released: 08/29/2005 By: TMELBOU Sewer Review Released By: PER COUNTY UTILITIES Originally Released: 08/26/2005 By: cjjanssen Permits: fl ^r.a c<. t # ,. ,., ., :, g, z ,,z Operator: CJJ Printed By: CJJ Print Date: 08/29/2005 Project Number: 05003119 Inv: 1 Application Date: 08/29/2005 Page 2 of 2 THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VB 212 $15,832.16 212 $15,832.16 Totals: 212 515,832.16 212 515,832.16 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $265.25 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $106.10 Permit Total Fees: $375.85 Payment Summary: to.axwmarsognmergra uimatz aa _a,.,�. .rs€ Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $375.85 $375.85 $0.00 $375.85 $375.85 $375.85 $0.00 $375.85 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: CJJ Printed By: CJJ Print Date: 08/29/2005 BUILDING PERMIT APPLICATION WORKSHEE t '.Sp `" - City of kane Valley Community Development Depa trneni e `\', (jC- Building Division _ ��� �� 1 `, J '11707 E. Sprague Avenue, Suite 106 :3 r -, ig ���� � � �` Spokane Valley, WA 99206 r ( Phone: (5 0) 688-0036; Fax: (509) 633-0037 *9viliE4AitE INFORMATION Street Address: /5-6 6 S, (l?U©DLA-G4'v Assessors Tax Parcel Number(s): -i' 22- Legal Description: O p p°i ttJ V t`1 \( (Eek- Cry SSrn4TIS C-1 O -gc C_. PERMIT DESCRIPTION: Pl J\O L (r Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION _Owner. dkVIA 4 ?tufty fzV 4tts ❑ Applicant: • Phone:cexy -alow Fax: Phone: Fax: Address: tso4, c 4 U�OODLA WO Address: City State Zip Code City State Zip Code ❑ Contractor. ❑ Architect: Phone: Fax: Phone: Fax: Address: Address: City State Zip Code City State Zip Code " WA State Contractor License#: Contact: Spokane Valley Bus. Liscense#: Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: 7' x 24 0(b+r #OF STORIES: ,A MAIN FLOOR TO SQ. FTG: OD 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: 212,SF FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: #OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: ,- ,nJ 30%SLOPES ON PROPERTY: KTERIOR ON-SITE SEPTIC l / ii°°(��'' S SJhM? MANUFACTURED HOME Vidth: Length: Year: Pit Set: /lanufacturer. . RELOCATION - 'revious Address: • >roposed Use: FIRE SAFETY . 'ire Sprinkler: # of Heads: Fire Alarm: Paint Booth: -ent: Fireworks Display: Blasting: Date/Time: taluation: Above/Underground Storage Tank Size: • WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE J 'fans Examiner: Phone: Fax: iddress: City State Zip 1Spector. Phone: Fax: ddress: • City State Zip SPECIAL INSPECTIONS ] BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING •irm Name: Phone: . Fax: ispector(s): ISCLAIMER he pen-nitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a welling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the roperty owner. 3) The signatory is the property owner or has permission to represent the property owner in this ansaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code. eferenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley ermit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. wnership of r Iting developmentCrights granted by any issued per it inur- to the pr••- •- owner. r\--e( rint Nemec `� (1r J" ` Signature l AA-, rethod of Payment: (Faxed permit applications will only be accepted with major bankcard) ] Cash ❑ Check ❑ Mastercard ❑ ViSA ❑ Other ankcard#: Expires: VIN#: uthorized Signature: PLUMBING PERMIT APPLICATION Community Development Department ru °\, Building Division ne Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106 For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206 do/Valley Project Address: /co S < W 00 DLf tUVt Permit Use: Owner. Jt Vvk u,k(k\( T lion tS Phone(Daytime Contact): 9 —Z(Qk'O Mailing Address: /SG(o S /,IvUGcdC.AWvl ` OKVkYt(L fIPP6Jf 99 A ( City State Zip Code Contractor. License#: Phone#: Mailing Address: City State Zip Code DESCRIPTION OF WORK #OF UNITS X COST . = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6.00 ,= 2 URINALS X $6.00 = 3 TUBS X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ONSITE BUILT X $6.00 = LAVS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, / X $6.00 = X-RAY,FOOD,PREP/CULINARY MEAT 6 DISHWASHER X $6.00 = 7 CLOTHES WASHER X $6.00 = B 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,CONDENSATE X $6.00 = ROOF DRAINS/OVERFLOW 12 DRAINS X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 = WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER SUMP PUMP X $6.DD = ICE AN/OR COFFEE MAKER,HOSE BIB, 16 WATER USING DEVICE STEAMER X $6.00 = PROOFER,CARBONATOR,SWAMP COOLER VACUUM BREAKER,CHECK VALVE, 17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR: VATS,TANKS,BOILERS X $6.00 = GREASE TRAP,SAND TRAP, 16 INTERCEPTORS CHEMICAL HOLDING TANK X $5.D0 = 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 = MISCELLANEOUS PLUMBING 20 FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = INDUSTRIAL WASTE 22 INTERCEPTOR X $15.00 = SUBTOTAL METHOD OF PAYMENT: PROCESSING FEE ❑ CASH ` 0 CHECK 0 VISA 0 MASTERCARD $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: