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2003, 04-21 Permit App: BD03-144 Residence
City of SPOKANE VALLEY f PERMIT # bDC�3 i`El- BUILDING PERMIT APPLICATION Box 1 OWNER Gil RT jon.)v"3 JOB LOCATION / 'U'S'L3,1,0 'FY OWNER'S ADDRESSe/6'7//epou.i4pCITY(/Z:RAM )PHONE -6 j4A DESCRIBE JOB 14)frj, 5,72— tew/z‘16--�.? THIS PROPERTY IS OWNED BY: SINGLMARRIED F 301 -/0<7 /2.- R pi PARTNERSHIP CORP. Recir BOX 2 CONTRACTOR'S NAME /VOA/6=/VOA/6= PHONE CONTRACTOR'S ADDRESS CITY CONTRACTOR'S REG.# EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT Cao P,r 1+ c>K �,, A/L L c n.t =j' PHONE �2 5-U�j 8 7E ADDRESS 6"/6 7/1 C�40ADeu�tl CITY I4L=,E/404Lr4-- id*-1, ZIP BOX 4 SEWER AVAILABILITY St T/C WATER AVAILABILITY BOX 5 ESTIMATED PROJECT COST$ 18O 000 EXISTING BLDG. VALUATION$ c2 4Qol) BOX 6 PROPERTY TAX ACCOUNT NUMBER %704C j `C�`�Q F, goy:i /-74,477- c' p93-9;,z‘,, LEGAL DESCRIPTION 5.67,,v4 .¢ ,ak0-,o,y zor deoc.K :2 7, COi?I3i/V //LW/T/o/v %o G g6417vf C A65, r y ,L--„5/7- r.' o r /a5riz,ver Al,, (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOT NUMBER55 iq II, 0535 400l ras Ra_i=*. 91¢i0}l13-5 BOX 7 BUILDING SQUARE FOOTAGE(Existing/proposed) 1ST FLOOR 1a/0D 2ND FLOOR / 3RD FLOOR / OTHER / BASEMENT FINISHED / BASEMENT UNFINISHED / DECK / fs 7 GARAGE / 060 CARPORT / TOTAL / 7©k7 HEIGHT TO PEAK OF BUILDING 5( FT. BOX 8 (>() SINGLE FAMILY ( NEW CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY i__&87 SQ. FT. ( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE_ 7( Cif 7 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 PE R =E WORK FOR WHICH THE APPLICATION IS MADE. OWNER/AGEN I DATE i/ -4_, ) (OVER) ����,�r�,�_ � ..- �� I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card: Visa MastercardExpiration__ 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. p� = 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 AMOUNT DUE BUILDING DEPARTMENT APPROVAL BY DATE ASSIGNED ADDRESS Mmr` 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone Sart cane Spokane Valley,WA 99206 509-688-0037-Fax ,,,r,,0" Valley Plumbing Permit Application PROJECT PERMIT ADDRESS: /8 4.1a 41 E 3 g 0 USE: OWNER: Ci A l2,r i.4 J L �J ��� PHONE(Daytime Contact): 9 MAILING ADDRESS: ^� EI ,iii AKcRp/,,koA / Vele40A.L WA- (3/9r 3 7 (street) (city/state) (ZIP) CONTRACTOR: NOAVG LICENSE#: MAILING ADDRESS: PHONE#: (street) (city/state) (ZIP) PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS 3 X $6 = ig 2 URINALS X $6 - 3 TUBS Z X $6 = a 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 2 X $6 = i;)- 5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 ` RAY,FOOD,PREP/CULINARY/MEAT b 6 DISHWASHER f X $6 = tD 7 CLOTHES WASHER Z X $6 a 8 GARBAGE DISPOSAL X $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,DRINKING X $6 = 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, WAS t E,VENT,PLUMBING REVERSALS X $6 = REVERSAL 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER4IOSE BIB) STEAMER,PROOFER,CARBONATOR, I X $6 = 6 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 X $6 = HOLDING TANK 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 = 20 MISC.PLUMBING FIXTURE X $6 - SUBTOTAL: vIETHOD OF PAYMENT VISA Pd' & PLUS PROCESSING FEE: $35.00 ] CASH ,CHECK ❑ ❑ TOTAL PERMIT FEE DUE:4,1 vLs' )ATE: EXPIRES: SANKCARD NUMBER: WTHORIZED SIGNATURE: ScIr1 I 41110°.°1\11111.66 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone p0 neSpokane Valley,WA 99206 509-688-0037-Fax .0.001/alley •Mechanical Permit Application PROJECT PERMIT ADDRESS:/g.9 3 b.i USE: OWNER: G4RTI4 c ..- J!(...L JUS a-3 PHONE(Daytime Contact): n MAILING ADDRESS: le,iii L� s o wx L�Wa0, u 14114. ).3 j (street) (city/state) (ZIP) CONTRACTOR: LICENSE#: MAILING ADDRESS: PHONE#: (street) (city/state) (ZIP) DESCRIPTION OF WORK 8 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE -OR<100,000 X $15 = 2 FUEL BURNING APPLIANCE >100,000 1 X $19 = Lq 3 UNLISTED APPLIANCE(ADDITIONAL FEE) =OR<400,000 X $50 1 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 X $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 - 1 X $10 - 1-0 13 RANGE - , X $10 = /0 14 DRYER - 1 X $10 - E 15 FUEL BURNING WATER HEATER - I X $10 - 1 0 16 MISC.FUEL BURNING APPL. - 3 X $10 = 3 rsl 17 GAS PIPING(ea.Outlet) - Z X $1 = 18 DUCT SYSTEMS - X $10 - 19 VENTILATING FANS - 1 X $10 - 20 AIR HANDLER(DOES NOT include ducting) =OR<10,000CFM X $12 - 21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19 = 22 EVAPORATIVE COOLERS - X $10 - 23 TYPE I HOOD - X $50 = 24 TYPE II HOOD -- X $10 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 - 26 AIR CONDITIONER 3-15 TON I X $20 - a o 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: l LII.0V 1 METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00ME Mme. TOTAL PERMIT FEE DUE: 0 CASH la CHECK 0 mow 0 !__._..:.-_.. DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: PO Box 358 • Cobert, WA 99005 - Phone (309) 710-9177 March 24, 2003 Terry Chambers Environmental Health Specialist Environmental Health Division 1101 West College Avenue Spokane,WA 99201-2095 Tel 509/324-1580 Fax 5091324-3803 Subject Jones On Wastewater Disposal System Appit 03-5014 Resideniai, 18404 E. 3'v Ave.,Greenacres Dear Terry: I have been to this site but was unable to observed its soil charactedsfics since the test pits were filed in The valley soils undoubtedly present lead me to concur with your findings that there is sufficient soils present at the site to allow a conventional gravty draintekt to be inataIed. • The system to be designed will micro dose the drainfeld with screened effluent. Scott E. Jones & Associates has been retained to perform the engineering and inspection services for the design of tis system. If you have any questions, please call me directly at(509)710-9177. Sincerely, criVt dd. Scott E. Jones, P.E. Principi En0ineer Cc Garth Jones,107111 E. Bray MeHot WA 99037 • APPROVED . , .4/170f,1-1.•;- • ,_... t i- f , 0"..- - 4,06'6- 1 I ___-- -- -7 •• e,....r- —7 f r / / , ,, 0 , , . / , . . , ._ • , 37 ik L. N. . I , ,... qC) 1 1"-- - I ‘., .. i', i '' ..,.... •,,..2.....,a....... ., , r , ......._ I , . \ 3 $ i 1 ---- \ I f , k, 1 -37 4 --I '.7 1 i 7 1 , , i gp ;(‘) , 1 1 ( 1 0 11 '':--:' > t P. i - r '''''''`,-- ----- - ,11 65 r1 es 1 0 44:4- 76 —Ei . 194 /4,1 , „ i t i So ...-... _ . i i I i 1 1 1 i . ; i -__....___----..... I ! I 1 „ - •______ f 4 3 2 '� ___ N8 "35'imm28"W I6 _ F� P1p 164.41 $.9154.55 18405 Last Third Ave, Tract " B " 4$1 AN ' t° 17.789 sq. f t to 054 , ,� i no` �- • a14�� I t� r ! 2 S 12 ..tiG4� �� M ri" $ui1119. �f N --,..,......:17. t 5 io.u,„,,„ cs.m., L.-_- ...." _ . 4 lfriCS iri 53.58 C ""C'•, . I-_r 4 IV Ln 0 N 8'0°40 06'''x' . CV s 104-.67 GPi 3r 0 _ ve. N ! .; 66 v '� .�C , 2 n • it-- ---N, !Building �� n �' W u_i 10 is Nv Sera w 5'J NIN, 0 WO ? a% Tract " CP° a. P 18404 Eosl Third Ave. Ir. 0 z • 22.687 sq. ft. !� i I`` J .. _ 154.42 I5 95 • Se 9°40'00"Er.—_____________________ 2 • - I e N }yy��{�� ray' s 89' 40' OO E 164.42' ` .. i�' 6 N I I I . DRAINAGE EASEMENT I La f . I f TYPE "A" DRYWELL b . ¢ GRATE EL. = 1988.50 iN . 0 BOTTOM OF SWALE 0 . c:), EL = 1988.00 0 �` rA ' --, N / I I �� �— �` � 30' BLDG. SETBACK A ., / A 4 \ 10' UTIL[T'f EASEMENT N :• 40' .0, w -— 4 R=15 R=15 Gt.�-' 3r a� r�hc-� — — - — ir, 3rd AVEN UE 4" g. - . 3' CURB OPENING `• EL. = 1988.75 $ , /, p W P. # 926-93 TRACT " C" 'roNAL EXPIRES 12/15/94 • HAHN FN(INFFPrN( N FAR'')-, "R'° !Ilk/Mir-1N CDntf 6N6 IA/',CulkIr TnM7 nnnnv