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2003, 10-14 Permit App: BLD-03-02772 Residence
SEP 13 2003 16:26 FR TO 7477608 P.02/06 • ane `'� � PERMIT APPLItdATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT' BUILDING DIVISION 11707 East Sprague Avis BM 106 Spokane Valley, WA 90,206 Phone: 609 688.0036 Fax 509 668-0037 REQUIRED SITE INFORMATION STREET ADDRESS: 1 1 O e.. LI'4'!'' S_fo kA", we. ej R2+ote ASSESSOR'S TAX PARCEL NUTABER(S) % - LEGALDISCRIPTION: 14QQR A-1 a..,,,, a - t Apr) Lot I St w. 2- PERMIT DESCRIPTION: S nci lk .Farr.: t1 Ma I' n PERMIT DCUA GE IN USE 0 GRADING 1-.3 MANUFACTURED HOME 12 RELOCATION D SIGN D TENANT MOTHER i l .. OWNER I APPLICANT INFORMATION .......wwwwww•mismanimmomaii.minamme....0111111111111111•111M OWNER; SGML ag 4,_._.. o w 0 APPLICANT:__ .. _ — -- PHONE: FAX: PHONE: ADDRESS; .-. ADDRESS: CITY,STATE,ZIP CITY,STATE ZIP \k‘ relOONXRAOTOR: f;*• E:\\ CU/1 S+Ttos..• -1,./-e ARCHITECT:_ _. �..... PHONE: 2fb-1 163 !AX: 747-76,08 _ PHONE: ,PAX: ADDRESS• _I 0 13 S. ,T. V�YVVoy ST,.a AQDREss: CITY,STATE,IIP S po heM_e w q- Aq 273 CITY,STATE,ZIP WA ST CONTRACTOR MEN=:K FA rz R eL c 2. C..3 CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: SO,000. 30%SLOPES ON PROPERTY: /`if" MAIN FLOOR SQ FT: 1,090 o' i BUILDING HEIGHT TO PEAK:i y OCCUPANCY GROUP: 5A•r-li1,+t.cfrov4k1 rat FLOOR SQ FT: '49 f a BUILDING DIMENSIONS: L'16‘)( 2 6' CONSTRUCTION TYPE: 06ol. UNPIN BASEMENT: q 35 NUMBER OP STORIES: 2 STRUCTURES ON PROPERTY: -tr FINISHED BASEMENT:- -o' NUMBER of SEDROOMS: 9 CRITICAL AREAS: 1a'' GARAGE: 1/f a! -'-- L , PLANKING SETBACK: . CURRENT PROPERTY SIZE: II t)70 COVERED DECKC _ IDS ' FRONT SETBACK: 025 CURRENT PROPERTY USE:____:0___' DECK: ..0-- REAR REAR SETBACIK: 75' CURRENT SEPTIC USE: ..49."- LEFT SACK: 1$ . CURRENT WELL USE: .e` RIGHT SETBACK: S. IMPERVIOUS SURFACE AREA: SEF 13 21303 16:27 FR TO 7477605 P,05JOG �, 11707 East Sprague Avenue,Suite 106 509-688-D036-Phone 1 1 I Spokane Valley,WA 99206 509-685-0037-rax .. 11eY Plx b►iri Per ii t Application —Wail PROJECT,' 1 tot 2 C. att. -PEltnM • ADDRESS: Set)1co+1.8. L,.to� , Q A 201,, L'SE: OWNER: (<e v.'PI Pia PRA E t PHONE(Daytfase Contact): 2 1 b-1 1 103 MAILING ADDRESS: (owl S, mT, VA4norn *-t. ''a a SPoro->t via , c 127.3 (street) (dty/state) (Z' CO flJJ.CTOR /4R 6"t I- ,Ons-II-. L[CENSE 5: c„ge f,4,C. • A2.\c. hf.ATIING ADDRESS: PHONE 71: 2"0'1, `o?j (street) (city/state) (Zr) • --- PLUMBING FDCR.RRES DESCRIPTION DLTAms S OF UNXTS X COSI" E•L=MO IT IA LS AMO EM 1 =LEISwA•:a>;c:[.osET,s�e^s "? X 66 2 URINALS XWEB IVES T ) X 1110.101113111.ENIEM 4 SHOWERS(PLR TRAP) DAM STALL,ON-SITE BUILT X $6 - S alas LAVSIBAS1NS.BAR,FLOOR.KRTC1-7EN, ' . LAUNDRY,UTIUTI,JANITOR,PHOTC,X. X $6 - RAY,POOP,PREF/CULINARY/MEAT 6 DR5HWASHEB X 56 - CLOTHES WASH_R : X $6 - <-. $ GARBAGE DISPC AL X $6 - w 9 WATER SOFTENER X $6 - 1d t:L11CT,ttpT 4►'ATEF,':A.�iG NOTE:2 GAS,SEE MECHANICAL X © • - I1 FLOOR DRAINS AREA,CASE,COIL TRENCH,CON)F2 ATE 1 X a ,.- 12 FOUNTAINS,DRINKING ER X11121111111111111111 1? WATR:RFIFiNG(DRAIN•IN INSTALLATION,ALTERATION,REFMR. WASTE,v NVI;PLUMBING REVERSALS X so - REVERSAL 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 1S WATER USING DGVICE ICE AND/OR COFFEU MAKER HOU SIB, MUMS*,PROOFEE,CARSONA1OR, X 86 - SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,ANI) X . R.P.B.P.D,POR:VATS,TANKS,BOILERS 17 SNOT/CUR SYSTEM Xs - A INTERCEITORS CREASE TRAP,SAND TRAP,CHEMICAL HOLDING TANK X M 14 19 MEDICAL GAS per outlei NITROUS,OXYGEN X $6 202 14$C PL1.1413LNG FIXTURE X $6 ETHOD OF PAYMENTSUBTOTAL: ra c( PLUS PROCESSING FEE: $35.00 ❑ CHZCX CI MEM 0 SO _ TOTAL PERMIT FEE DUE: q`t', 1Ta EXPIRES:_,._„ _ '® - ,h1ICCARD NUMBER: r1HOAIZZD SIGNATURE, i SEP 13 2003 16:27 FR TO 7477508 P.04/06 SfferiS;e s x1707 East.Sprague Avenv',Suite 106............. 509-688-005.6-Pl-cne Spokane Valley,WA 99206 509-688-0037-Fax . 400010014111e2 For T spectiosas, 0x11_ 509.-658-0054 *Mechanical Permit Application Pito?SCT 11012 f..412. . F.,Aa rAn-1. v".- PERMIT ADDRESS: 4G7.0 b USE: O65R.1$R c+-Cny. A PROM E(Darius Contact): a l b--1 t b 3 MAILING ADDRESS; bot 3 S. wry,:Va.nnw,r+ s'C's .t ,t_ (street) (dty,1atate) (1 2) CONIRACTDRtaAAas 0lABP <" LICENSES: . MAILNG ADDRESS: IPHOIv'E 4; 2 i In-7!6 3 Se1w..i Aa Apv,,,rt (street) (cit}'tate) (Z2) • DESCRIPTION OF IMDRx 1111111111111 T OF WITS I COST EQUALS etbfOirsT 1 1 SAL liLigNnJG APELrANCs -OR<1 C , t X 4....,vs • - !S ©rum stiktN1NG AT71 MCE -- >lea= Min X 31s - fUNLPSTSr APPuAN cS(ADDMONAL Tag) •OR a 100,000 X 7X - 1 I UNLIiTCD A1'k'UANC$(ADDIT0 N1AL Pa, t 100,000 X 5100 num Arruk os mac mirk.Ant mint •et 4 COA00 X $0 0 USED APPUANCi(WSW min.A.FUE iatisig) ,490,137-7 x 3170 .« . 7 ,sour/R5>P>etG73u.'RQN b 1-10014 ru X� S13 • s •, ,4-v TNN 1n arm sw 'X S30 - 0P01LaRAUFRICESA770h 1G1-1OM _COW=• Is'MOILWREFIUGIRATSON mm-U5a 4 STU 1111.1.11111111 0:'.H.+ f} 14.,i .,.n r1750W 17U LOC.ISA$won' GACA PraxPLACS alliallill X $10 - a DANCE _v 1111111111 X i10 . PURL UlL 1 1 NIN GR TEA= X 710 misc.PM iURNIC YG Afl 4 XS10 : IIE d GAS PIPING(es.Ouirq) - X S7 Ell $YMT DUCT RMS - 111.111111 • X no - N�0 ssl- rs vb Yr1LATT C RANTSINIBBIO X 710 -� fl.0- Q All NANDLiR mow NOT Lndud+duxtln • .-0R<10,XOCFM MIMI X $12 - Q MX HANDLER(AOS NOT Indad41I AJ )10A0a UM X 319 . — J = BVAPORAT1VE COOL71$ - X $10 - 1 a TYPE moot X $50 Qrat aHOOD _ 1 =MN tL, Ell MAT PUMPM.n CONDITtoNsR aSrcri El Al$VON DC!Tc JEL 3-15 TON X $20 • 37 AIRLYNbrttts+to a5-30TON X 7 5 f--":- 111111111111. 20 AIRCONnetsONlwR so-la TON 111.11111 X $35 - , 29 AntcDNDmowSR .�� 4$1 TON' = X Sao - 30 :POSTORM=t NKX $10 . © 00IozP'surTorov$I1Nsr3 =111111111.11 N 7111 a ODOSTOve-FRES SIANmNC x as , 1111 . SUBTOTAL: 1111111111 METHOD OF PA tMENTPLUS PRtOCESS NG PEE: SWAGTOTAL PERMIT FIE DUE tl 0, G c.ASH Ci G�CK CQ3: CAP DATE: _ _ EXPI.Ft : �. • _. &LhKCA PM NUIA8EIL . AUTHORIZED&IONA'X'URZ! _.. Li roar.* 54.• 0 _ � L 111 j I — I j 1 1, 1 1.c , L.1 NI L zo � ' , 1 4 , 1 I _i _i . . _ , 1 % ; ot , , i I j ' 7 I , — , v(rclic 4 L � I1_1_,L4 \ 0 0 1---1 1 0 i ! ! 1 I { j w � 5 - ! + j i 4__VI { I I jI ' +— _ . + L ti —_i--- . _�_ 4_ i i c. 1 APPROVED B . / -„,.., _ 1 tAik.i. Prx-E,-<*--dAw-- 1,_,d f„,/rt_„6.,/ r__*_____ __ ,_ _ I- - -1- i- ---h tott,;,,,,,,te,i'a"-k- 4-'2e-t .1%-v-m_.4,--7*, - - i____- L . ---__ <---L r -I- -� -1- I I ti • I I I II I r L I 1 r I , j i •—; - T r IK . C n o n., Y : .-, CO) • I • 1 I { --+-- --, - ` �- i `- ---i- -- - - - - - • , ‘ , , , i : - 1 I Io- 1 • I I 1 i I , - ----... ---k-- --� - .--, ' j-- -YET'_}.. _._.- - ` -4- 1 t . ';',. . i t , .LC- • !N 11114 . • • __ ............_ .. \ i 1 1 I • 1 t 1 1 .