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2003, 05-16 Permit App: BD03-447 Residence City of 003(0 SPOKANE VALLEY )( LA( 0037 PERMIT # /1J C ``3 • j ) BUILDING PERMIT APPLICATION Box 1 OWNER dAy4tm �.pe,sts -54c. JOB LOCATION V'? 2-k OWNER'S ADDRESS 324 S.I1ApA ic0I J CITY PHONE 2_11..--1-r prCrh4C res DESCRIBE JOB <Y• te F"�, r �, RV- 1oer1eC THIS PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORP. ./ BOX 2 CONTRACTOR'S NAME IT`7 pc.J apriSeS PHONE CONTRACTOR'S ADDRESS 3_,.I S. IM ,P-c.LC CITY ate CONTRACTOR'S REG.# I-IAyatb EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VEFFIED) BOX 3 CONTACT PERSON OF PROJECT j-u.o,J ('w.1 is PHONE 2.11.-r77 b Z_ ADDRESS Szik S. IpAc,:tZ, ufl CITY L-)rtenacreS ZIP 99b1 1. BOX 4 SEWER AVAILABILITY WATER AVAILABILITY BOX 5 ESTIMATED PROJECT COST$ EXISTING BLDG. VALUATION $ BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOT NUMBER • BOX 7 BUILDING SQUARE FOOTAGE (Existing/proposed) 1ST FLOOR / qq8 2ND FLOOR / 3RD FLOOR / OTHER / BASEMENT FINISHED / BASEMENT UNFINISHED / ci4 %' DECK / b GARAGE / (4& CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING ZZ FT. BOX 8 ( J)" SINGLE FAMILY ( 'NEW CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY 4.14 41> 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 TOP F.• • WORK FOR WHICH THE APPLICATION IS MADE. OWNER/AGENT ( di# DATE c/( 6/0 3 (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 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 REC'D RECEIPT NUMBER PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE OTHER CHARGES 1 AMOUNT DUE BUILDING DEPARTMENT APPROVAL BY DATE ASSIGNED ADDRESS Pocnv�* 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone ne Spokane Valley,WA 99206 509-688-0037-Fax 40. 100 Va11ey •Mechanical Permit Application PROJECT ADDRESS: i 7 (•21 F. 2.ro L.-'.-e- UERMIT ,1 USE: F� OWNER: A y(s8U Eirt.rER Pit I SSS, 71.1c..... PHONE(Daytime Contact): at V_ t-1 b-2 MAILING ADDRESS: (� %z-4 S. Ma...4oup /' G ruKat.ries 9 D 1 6 (street) (city/state) (ZIP) CONTRACTOR: ALICENSE#: �Hca LOVA-OILY CENT ILA L._ MAILING ADDRESS: ACq-t-1,.)CR PHONE#: (street) (city/state) (ZIP) DESCRIPTION OF WORK #OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE •OR<100,000 ( X $15 2 FUEL BURNING APPLIANCE > S 100,000 X $19 . 3 UNLISTED APPLIANCE(ADDITIONAL FEE) -OR<400,000 X $50 s 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 )( $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 X $95 12 GAS LOG,GAS INSERT,GAS FIREPLACE – X $10 13 RANGE – X $10 14 DRYER – X $10 . 15 FUEL BURNING WATER HEATER – D I X $10 / p 16 MISC.FUEL BURNING APPL. – X $10 17 GAS PIPING(ea.Outlet) – Z x $1 Z 18 DUCT SYSTEMS – X $10 ..-.__._a.— .,__-- -- -- 19 VENTILATING FANS – 3 X $10 . 20 AIR HANDLER(DOES NOT include ducting) • X $12 OR<10,000CFM O . 21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19 22 EVAPORATIVE COOLERS — X SIO • 23 TYPE I HOOD — X $50 • , 24 TYPE II HOOD – ' X $10 25 HEAT PUMP/AIR CONDITIONER b 03TON I X $12 . /2 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 CONDITIONER +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: Sp' • METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00-- 0 CASH � `} TOTAL PERMIT FEE DUE el *I"❑ CHECK ❑ i-_. ..::_ .. G VO DATE: EXPIRES:��� This document originally contained confidential credit card information which BANKCARD NUMBER: _ was redacted pursuant to RCW 19.255.010 and the original document destroyed AUTHORIZED SIGNATURE: ` pursuant to SOS DAN G52014-030. ©T 0.� 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone - ' SPi .ie Spokane Valley,WA 99206 509-688-0037-Fax f ...• Valley . Plumbing Permit Application PROJECT PERMIT ADDRESS: i-7 Co 2 ) E-• 2..,p . L.) . USE: OWNER: PHONE(Daytime Contact): MAILING ADDRESS: • (street) (city/state) (ZIP) CONTRACTOR AL-p 11 A P Lt,kwn et N E LICENSE#: • MAILING ADDRESS: PHONE#: (street) (city/state) (ZIP) PLUMBING FIXTURES DESCRIPTION DETAILS #OF UMTS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS Z X $6 - /1.- 2 2 URINALS X $6 - 3 TUBS X $6 - 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT Z X $6 - /1.- 5 -5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- 3 X $6 - 1 Cr RAY,FOOD,PREP/CULINARY/MEAT 6 DISHWASHERX $6 - L 7 CLOTHES WASHER I X $6 - G 8 GARBAGE DISPOSALt X $6 - L 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 1 X $6 - I: 12 FOUNTAINS,DRINKING X $6 - 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, WASTE,VENT,PLUMBING REVERSALS1 X $6 _ - (di REVERSAL 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOFER,CARBONATOR, 3 X $6 - 3 SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND X $6 - R.P.B.P.D.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL HOLDING TANK X $6 = • 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE X. $6 - SUBTOTAL: 9 a ETHOD OF PAYMENT 11111114111 �J • IM GO PLUS PROCESSING FEE $ab-96— CASH 0 CHECK [g L......._:__-_:::..1 ❑ (V �� ®P TOTAL PERMIT FEE DUE: go. LTE: s EXPIRES: . NKCARD NUMBER: _ This document originally contained FTHOR1ZED SIGNATURE: a confidential credit card information which w4D reddaed pursuant to RCW 19.255.010 and the original document destroyed pursuant to SOS DAN G52014-030. Call 24 hours before inspection required siliokane Phone 509.688-0036 Fax 509.688-0037 .00.0VaIley DEPARTMENT OF PUBLIC WORKS Anticipated start date Permit # PW D3-2)4 APPROACH PERMIT APPLICATION x� Location of property I7(, a I E Lv (Addy ss/Parcel #, if available) Applicant Name 14CitialOeASI ) Address 3D LI S /14 a i , /0-0 Phone 2 / (v-1 702, Contractor's Name Address Phone Contractor's Reg# Expires PROJECT DESCRIPTION (Provide site sketch) Residential Driveway Commercial/Industrial Driveway Existing Curb & Gutter Rural Road Section nCulvert 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$ _07 Date 5-/A, Init calCJ. 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. • • 111 • ill 11 W t _ o '14:',11 atil Z . ... , .4: Zspg MI W I� 'fly' i aS Zl 1 i . . \ J o4 I cm I a , I '� 1 �Ifi -2,t- ¢ ' 1 d g i I € I U I 1 W Y O 1 lai 1_,_.. Xem T n II II _ __- - H n I4*qp i< 1 I 1s `'y4. +g�j z I oy o ilk/ ' � ` ' 0 O 1F g vi WZI I 1:- < I� ��, �Wd WOIG SW \z21 1I 1 �. 2 113 ' II III itu I t'i_ ¢ III. 1 ll If: Ili- 1111.' 0 IGF I IIT 05/16/2003 09:26 5093230921 HAYDEN HOMES-SPOKANE PAGE 02 5 6 . 3 0 ' 4 6 , LC) SF co or APPROVED 13*-4142 . 34' O v 6.35' CN 5.55' Copperfield � 0 Maw ..0111 ILT 0 A 17. 1 'N 20.03' 10' ` C1_1 56 . CO ' _ l / 621 2nd MAY 13 2003 09:25 5093230921 PAGE.02