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2004, 04-05 Permit App: BLD-04-03971 Addition
BUILDING PERMIT APPLICATION WORKSHEET CITY t City of Spokane Valley Community Development Department Okane Building Division eY 11707 E. Sprague Avenue, Suite 106 401,Va �� ra P 9 Spokane Valley, WA 99206 Phone: (509) 688-0036;Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: f/ ( 7 A./. cuoo 40 AvCi 5 ,0olc0-r-icx (1 r-- LL cE y Assessor's Tax Parcel Number(s): 2 i /' 3 y ) Legal Description: PERMIT DESCRIPTION: i - /0 D o A.t 2 i P A_, A/5 Roof= E -, % Pcoie c ///f l/Qy ti- 7 Building Permit n Change Use 1 1 Grading n Manufactured Home F7 Relocation ❑ Tenant Improvement Fire Safety n Other OWNER/APPLICANT INFORMATION n Owner: � i $4,/ i3 %ate-Y /rig(06(2 U Applicant: 0 w M/=i Phone: 2--wS_3-3/y Fax: Phone: Fax: Address: 13 16 E ,•itY tit ez Address: 5 ' / Lo` 1-e_44- q Tr , / City State Zip Code City State Zip Code Contractor: n Architect: Phone: Fax: Phone: Fax: Address: Address: City State Zip Code City State Zip Code WA State Contractor License #: Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: / 1 ' '2-e X Y6 / MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: (o 40 A4 /A FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPA ICY GROUP: r CONSTRUCTION TYPE: HEAT SOURCE: 5, Z-41--- /�rr-/.-,•Ly /9AP,, ,`o ti �. l q/45 / I (`= C #OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: 1 C '(Q S Q !'[. COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC 6, Cc c9 ntc SYSTEM? lam(r w 5 e '.(,2 r l MANUFACTURED HOME Width: Length: Year: Pit Set: Manufacturer: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth: Tent: Fireworks Display: Blasting: Date/Time: 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 SPECIAL INSPECTIONS BOLTING I-I CONCRETE REINFORCEMENT _l 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) 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. Ownership of resulting development rights granted by any issued permit inure to the property owner. Print Name MA.A. 6th, to ce_s Signature '(7cy- p Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash IX1 Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: 20 � - .w— E/ - 3 - o Lf PLUMBING PERMIT APPLICATION Sanori _ • -,. poKane City of Spokane Valley Community Development Department BuildingDivision 7 1 11707 E. Sprague Avenue, Suite 106 4, \!'kAl Spokane Valley, WA 99206 Phone: (509) 688-0036;Fax: (509) 688-0037 FOR INSPECTIONS, CALL(509) 688-0054 Project Address: 1 117 M Iv o©f' a u 1( Permit Use: P "/LA -i-' Owner: Tv- T 5 Pa/<,* i/= / To c - t3+l-v4-L u Phone (Daytime Contact): '1' `I-o'' 7 > Mailing Address: 13 t ce !E ?,,Adc. y f 1f !F 5/°/4-rt ` w A- City State Zip Code Contractor: License #: Phone#: z Y'7=3 3 / Lf Mailing Address: City State Zip Code #OF TOTAL DESCRIPTION OF WORK _ UNITS X COST = AMOUNT ®o 1 TOILETS WATER CLOSET,BIDETS 'Z, X $6.00 = / 'I 2 URINALS X $6.00 = 3 TUBS X $6.00 = Co 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 = / 2- 5 SINKS LAYS/BASINS,BAR,FLOOR, KITCHEN,LAUNDRY,UTILITY, X $6.00 = JANITOR,PHOTO,X-RAY,FOOD, 3 / ? °° PREP/CULINARY/MEAT _ �o 6 DISHWASHER I X $6.00 , = (p b=0 7 CLOTHES WASHER / X $6.00 = b 8 GARBAGE DISPOSAL • X $6.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL I ' X $6.00 = 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH, X $6.00 = CONDENSATE , 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION, X $6.00 = VENT, PLUMBING,REVERSAL REPAIR,REVERSALS , 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB,STEAMER,PROOFER, X $6.00 = CARBONATOR,SWAMP COOLER 17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND R.P.B.P.D.FOR: X $6.00 = 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 = o� METHOD OF PAYMENT: SUBTOTAL 6 O 0 CASH gf CHECK 0 VISA 0 MASTERCARD PROCESSING FEE _ DATE: ti -" 5- — 0 c/ EXPIRES: TOTAL PERMIT FEE DUE: CI 5 BANKCARD NUMBER: AUTHORIZED SIGNATURE: a7„!! f G„--4_,'CN—. Stapoor,, - nllle MECHANICAL PERMIT APPLICATION City of Spokane Valley Community Development Department ,,,,s alley Buue, Suitei 106 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: / l 17 M 14. e , O /?v Fr- Permit Use: -- Owner: 7-� i 5AIi c�rrrF / c'd�r, /17 Alit to " . Phone °l/7-5 cG� Mailing Address: / 3 (P r �,; (Daytime Contact): `_/f r� r.!' S �/-t'Ai !f/= t•-`Li % 9 Contractor: City State Zip Code Mailing Address: License#: Phone#: City State Zip Code DESCRIPTION OF WORK #OF TOTAL UNITS X COST = AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $15.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $19.00 = 3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 USED APPLIANCE(WSEC min.AFUE X $100.00 = 5 rating) Equal to or fess than 400,000 USED APPLIANCE(WSEC min.AFUE X $50.00 = 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 - 11 BOILER/REFRIGERATION More than 1,750M BTU X $95.00 = 12 GAS LOG,GAS INSERT,GAS FIREPLACE 13 RANGE x $10.00 = I . oQ X $10.00 = 14 DRYER X $10.00 = 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 X $10.00 - 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 II HOOD 25 HEAT PUMP/AIR CONDITIONER X $10.00 0-3 TON X $12.00 - 26 AIR CONDITIONER 3-15 TON X $20.00 - 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON 29 AIR CONDITIONER X $35.00 = More than 50 TON X $60.00 - 30 LPG STORAGE TANK 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE-FREE STANDING X $10.00 = METHOD OF PAYMENT: X $25.00 = 0 CASH CHECKDATE: L/ -S - D `-7 SUBTOTAL 0 VISA 0 MC ! PROCESSING FEE CARD#: EXPIRES: $35.00 TOTAL PERMIT FEE DUE: `7i Jr D AUTHORIZED SIGNATURE: ��C/-YiC9 ,----- PROVIDE DIAGRAMS ANO ENGINEERING LAYOUTS FOR ROOF TRUSSES, BEAMS AND FLOOR SYSTEMS PRIOR TO FRAMING INSPECTIONS Attic Vent S4 Ft of space 1 Sq Ft per every y�,in the uppet ventilated with at feast 50 portion of roof area. Nle- 7------ iq v 5 5 _,6 pct), � 1tx , /r 1 1r' Xto' 2- If OG ,j ,A)4tAl'aji— Ll x 874 t o t c" "-o c u al xu1 15 ,77,511 to II 4/ 1'. '4 G O G it. 6 r4r_6 Ln, 1-7i r-:,14 7-E 6 12-" elm ° tSq Ft Pee aea•t Ve' ae n in91under Fr50or .qVntti°latuo'nrsto eIV door st�9�tot acil oOdmaferia. bsha1ibe covered Wap ith Under floor accessible ; . by-18" x 24" EMERGENCY EGRESS RE61/IREMENTS FROM SLEEPING ROOMS I)NET CLEAR OPENING: 5.7 SQUARE FEET GRADE FLOOR OPENING(MAX 441 5.0 SQUARE FEET 2)NET CLEAR OPENING HEIGHT 24.INCHES 3)NET CLEAR OPENING WIDTH 20 INCHES 4 MAX FINISHED SILL I IC$GI4T 4`•A8O'C fUR �----�— -E71.ERCENCYfStRi t&RESOPE SHALL SE OPERATIONAL FROM THE INS THE ROOM WITHOUT THE USE OF KEYS OR TOOLS . it)3001-LF ' • 1Ei 3ill SMOKE - is. �I DETECTOR _ ,....._.4 4p Lc,/„._ (3 e � E • ,..„ . (0, .. E.,„ O • . L V v ..... . ,. 'IS -I CD 1 VW 1 (( 0 \ g \ C:5 1 wftsN � DSHI r 0 /\-/ t r • t REF, l - MIL TOµ (3) n ( s1 I a. Lt 5—3 3 141 N i Q d31, 3 � L _ (3o© n� C rc.0ANFR r 3 This site obtaining�� is bei I _ R9 subm;� the L lines se 9atron,oi m W► it and is a tr I /Tmensio Proposal All the and eery 1 o r A P POO "'M' S have bea ns,curh bnes, knownPrOPertect 1 q p , T (`o tit bodies otntitieU. Also structures arrdeasementsy 1.�,�. ._. N 8i r, steep slopes or . , ane AOOAESS . I 5:1-1(714:: 5TU )1 I 1 fined: / `Ili** . _ Date: ROAD WID t FERNS I s— c ._ FRONT I `1�ct r COMMENTS G REVIEWED 1 -4) Q a / 1 /7 IVoR7l-/ woo/JRuFr 0 `0 � q , ( ARCFC. 44 2 , 135- 7 P si 11 i ■ r s I I 1 ),' I 3 ° o. / r` r / _ �94 - o / \ c6 v rR r 0 \ PoRLH C r-- 12 in 1\ �'i i) y8 SCALE 5C- 1) i" \. ' 2 2 Po s i —35 , /4/ , AR.`vo ,,� pi II; b G /9-R A9 � " - OP