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2003, 04-04 Permit App: BD03-032 Finish Basement City of SPOKANE VALLEY PERMIT # )3 -(R2 BUILDING PERMIT APPLICATION Box 1 OWNER ©��J `�j,�yr/6 r JOB LOCATION /62./11 T to Ty OWNER'S ADDRESS SA-ti,,.s- CITY PHONE DESCRIBE JOB ,/,v/5-4/6-6 I .SFA7t 4iY THIS PROPERTY IS OWNED BY: SINGLE/MARRIED / PARTNERSHIP CORP. BOX 2 CONTRACTOR'S NAME NA PHONE CONTRACTOR'S ADDRESS CITY CONTRACTOR'S REG.# EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT T2 I l :S.�y� f. PHONE qZ1- 9735 ADDRESS 3A-14 CITY ZIP BOX 4 SEWER AVAILABILITY YE5 WATER AVAILABILITY 7E BOX 5 ESTIMATED PROJECT COST$ $ ,CDD EXISTING BLDG. VALUATION $ "% 'I/S, Dock BOX 6 PROPERTY TAX ACCOUNT NUMBER 4.-232. 1 O ? LEGAL DESCRIPTION Kc4.I 5 Add - vV (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOT NUMBER BOX 7 BUILDING SQUARE FOOTAGE (Existing/proposed) 1ST FLOOR 'is° / It 2ND FLOOR 3RD FLOOR -----t--- OTHER ---I-- BASEMENT FINISHED 0 / 1o6 BASEMENT UNFINISHED / DECK - / GARAGE ' / s.a44g-%.ro c N-f•lic C CARPORT ---I- TOTAL / HEIGHT TO PEAK OF BUILDING FT. BOX 8 ( ,/) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY 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 TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE. OWNER/AGENT DATE (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 AMOUNT DUE BUILDING DEPARTMENT APPROVAL BY DATE ASSIGNED ADDRESS 3` "` CITY OF SPOKANE VALLEY 000 Valley11707 E. SPRAGUE, S 1'E 106 SPOKANE VALLEY,WA 99206 PROJECT TRANSMITTAL: TRANSMITTAL DATE: 7//7/0 3 SITE INFORMATION PROJECT INFORMATION Site Address: /3 C4 £ "P-'r'eriect Number: a 3-03 Z_Issue Date: Permit Use: 10, cua.5 elm -�- �� n 1 Parcel Number: i..f 5-2 32 Subdivision: Kc{i las Ads Applicant: DUD 'me v Block: Lot: Zoning: L e. 3 Water Dist: Phone: 921_,73y? Owner: S n 9 ot`e r/ T©d& Contact: Address: Is- ,y (Q. Phone: Building Inspector: K e()iv.) ,,k ASetbacks-Front: Left: Right: Rear: APPROVALS BUILDINGS: _ rk '?zz V- PLA 1.011G: ENG RS: SEWER/ PTIC: F 1' DIST.#1: OTHE ' : r ()Nap 5.5 Z) c 06cp 0, 25 22z cc-i• PlutA4A-/L � D M ei d.TV of o :�e ley MECHANICAL PERMIT APPLICATION PROJECT !S Z/i-/ F, 6" H PERMIT ADDRESS: USE: OWNER: TO U U SAi ,p E=2 PHONE(Daytime Contact): eI Z/ q 7 3 e "MAILING ADDRESS: SAF [street) (city/state) (zip) CONTRACTOR: " LICENSE#: MAILING ADDRESS: 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 >100,000 X $19 = 3 UNLISTED APPLIANCE(ADDITIONAL FEE) =0R<400,000 X $50 = 4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 = 5 USED APPLIANCE(WSEC min.AFUE rating) =0R<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 - X $10 = w 13 RANGE - X $10 = 14 DRYER - X $10 = 15 FUEL BURNING WATER HEATER - X $10 = - J 16 MISCELLANEOUS FUEL BURNING APPL - X $10 = 17 GAS PIPING(ea.Outlet) - X $1 = 18 DUCT SYSTEMS - X $10 = 19 VENTILATING FANS - ' X $10 = /D 20 AIR HANDLER(DOES NOT include ducting) =0R<10,000CFM X $12 = 21 AIR HANDLER(DOES NOT Include ducting) >10,000CFM X $19 = 22 EVAPORATIVE COOLERS - X $10 -- 23 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 X $20 = 27 AIR CONDITIONER 15-30 TON X $25 = 28 AIR CONDITIONER 30-50 TON X $35 = 29 AIR CONDITIONER +50TON X $60 = 30 LPG STORAGE TANK - X $10 = 31 WOOD OR PELLET STOVE/INSERT - _ X $10 = 32 WOOD STOVE-FREE STANDING - X $25 . = �".,,,"� - I SUBTOTAL / 0 CASH 0 CHECK 0 Mini 0 -_ PLUS PROCESSING FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT $35.00 OF A MAJOR CREDIT CARD FEE TOTAL PERMIT FEE DUE DATE: EXPIRES: - BANKCARD NUMBER: • AUTHORIZED SIGNATURE: SM. ,. 4000 V ]ey PLUMBING PERMIT APPLICATION PROJECT PERMIT ADDRESS: i`' Zi" E. 62 77/ USE: OWNER: p;J S.vyJ E2 PHONE(Daytime Contact): ejz/ - C7 3 Li MAILING ADDRESS: i5'2-/41 E- 6 rH y 15/70/44-t:E- 1/4 t Ley , 9 to 3 4 (street) (city/state) (zip) CONTRACTOR: LICENSE#: MAILING ADDRESS: PHONE#: (street) (city/state) (zip) PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS / X $6 = 2 URINALS • X $6 = 3 TUBS X $6 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 1 X $6 = - Cj 5 SINKS LAVS/BASINS,BAR,FLOOR, X $6 KITCHEN,LAUNDRY,UTILITY, JANITOR,PHOTO,X-RAY,FOOD, PREP/CULINARY/MEAT _ 6 DISHWASHER X $6 = 7 CLOTHES WASHER X $6 = 8 GARBAGE DISPOSAL X $6 = 9 WATER SOFTENER X $6 = 10 ELEC HOT WATER TANK NOTE:IF GAS SEE MECHANICAL X $6 = 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH, $6 CONDENSATE X = 12 FOUNTAINS,DRINKING X $6 = 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION, r X $6 WASTE,VENT, REPAIR,REVERSALS PLUMBING REVERSAL = 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 = 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, X $6 HOSE BIB,STEAMER,PROOFER, CARBONATOR,SWAMP COOLER = 16 CROSS CONNECTION VACUUM BREAKER,CHECK X ' $6 DEVICE VALVE,AND R.P.B.P.D.FOR: VATS,SUMPS,TANKS,BOILERS = 17 SPRINKLER SYSTEM X $25 18 INTERCEPTORS GREASE TRAP,SAND TRAP, $6 CHEMICAL HOLDING TANK X = 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 20 MISC PLUMBING FIXTURE X $6 = - • - - SUBTOTAL • e Ib ❑ CASH Q CHECK 0 . El , PLUS PROCESSING FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD FEE TOTAL PERMIT FEE DUE DATE: EXPIRES: . BANKCARD NUMBER: AUTHORIZED SIGNATURE: AP•ROVED 50'-0" 13'-4 7/8" - - 6'-6 1/2"— 91_5,, W ..'A.,„ i _ A Y--V-Z/ - 15'-6" n `—1 1 i i`e S Closet ���``-- o Storage ' ��&U..) Bathroom rn j p I `—� - 10'-6" `� N Bedroom M 6)9+i,t_<,\ X15 65 ‘' --�1- bokiem `4)per°v N M 0 I4.________,. ..---_______ s.___ e re I N, BA.-ei Lk, 6.-FS m . -. S)\-; 4 ` " Family Room P J ' Craft Room y , u� ��1�G M C�. `0 C� N Closet Closet 01) , - 17'-10 3/4" —5'-8 3/4"---3'-8 3/4" 12'-1 3/4"