2003, 10-22 Permit App: BLD-03-02869 ResidenceSpokane
.000Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
7207 E 7TH AVE
SPOKANE VALLEY WA 99206
NEW RESIDENCE - GAS
OWNER CONTRACTOR
REMINGTON PARK BEARS
NICK PURYEAR
NICK PURYEAR
7207 E 7TH AVE
SPOKANE VALLEY, WA 99206
Lot: 7 Blk: 1
Application #:
Applied:
Issued:
Expires:
Parcel No: 35241.3707
Phone: (509) 927-3877
Phone:
Lic No:
BLD -03-02869
10/22/2003
04/19/2004
Zoning:
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
COST OF PROJECT
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
FLOOR DRAINS
SEWAGE EJECTOR
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
sfr
85000
17
36 X 24
85000.
1
2
25
15
5
19
r-3
5-n
NA
60 X 127
RESIDENCE
no
no
2
2
3
1
1
1
2
1
1
1
2
2
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOI LETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
FLOOR DRAINS
SEWAGE EJECTOR
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
355.50
888.75
4.50
12.00
12.00
18.00
6.00
6.00
6.00
12.00
15.00
10.00
10.00
2.00
20.00
1,377.75
0.00
CITY OF SPOKANE VA
APPROVED FOR SUBMITTValley
FOR CODE COMPLIANCE
VALLEY BUILD! DIVISION
/G./N/03 ub/4.
1,377.75
lniti�i �/ Y
Building 1
Planning 1/1C 6 oj
Public Works J/4
THIS IS NOT A RECEIPT
1
Sp liae��l`
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILD/NG DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (509)688-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS:
720 7 E 7'y'
ASSESSOR'S TAX PARCEL NUMBER(S): 3 £ 2y 1 . 3 7 o7
LEGAL DISCRIPTION: /1(%1-71//7q to pi f%r, 6ea¢zs
Lof 7 8Lk
PERMIT DESCRIPTION:
ypiiUH.D)NG-PERMIT .. ®CHANGE IN USE .,.0&RADING
®RELOCATION - Et SIGN QTENANT
UMANIJFAC7'URED HOME
CLOT -HER- '
OWNER / APPLICANT INFORMATION
11 OWNER: /'V / c/�
PHONE: 7-387
'7 FAX:
ADDRESS: /4/92 O
0
CONTRACTOR:
PHONE:
ADDRESS:
2 07
t 'walla 99037
CITY,STATE, ZIP
FAX:
CITY,.STATE, ZIP
APPLICANT: /17/ fr yuRYs a -.c
PHONE: 5D /'72-7 -30 7 FAX:
ADDRESS: t= /9/7-4? 2s I/ela lde- tk9s03"7
CITY, STATE, ZIP
ARCHITECT:
PHONE:
FAX:
ADDRESS:
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE # CONTACT: /V/Gk / urY84g /2.7-3(77
K
PERMIT/BUILDING INFORMATION
COST OF PROJECT: d .5)00°
BUILDING HEIGHT TO PEAK: / 7
BUILDING DIMENSIONS: 36 X 29
NUMBER OF STORIES: /
-NUMBER of BEDROOMS: 02
FLANKING SETBACK:
FRONT SETBACK:
/
REAR SETBACK:
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
STRUCTURES ON PROPERTY:
CRITICAL AREAS:
pp CURRENZPROPERTY SIZE: 6o K/27
25 'QA 5:5414CURRENT PROPERTY USE: 14VC'AfT
O
LEFT SETBACK:
5,
RIGHT SETBACK:
Iq'
CURRENT SEPTIC USE:
CURRENT WELL USE:
fir
IMPERVIOUS SURFACE AREA: 7'
MAIN FLOOR SQ FT: W6.1/
2N0 FLOOR SQ FT:-
UNFIN BASEMENT: O p
Z$
FINISHED BASEMENT: F/
GARAGE:
COVERED DECK: W
DECK: if Y /O
1
MANUFACTURED HOME • 4 SIGN
WIDTH:
YEAR:
MANUFACTURER
LENGTH:
PIT SET:
SQ FT OF SIGN:
# OF SIGNS:
TYPE OF SIGN:
HEIGHT or SIGN:
AREA OF EXIST SIGN:
RELOCATION
PREVIOUS ADDRESS:
PROPOSED USE:
FIRE SAFETY
FIRESeRINKLER: FIRE ALARM:
PAINT BOOTH: TENT:
FIREWORKS DISPLAY:
BLASTING: DATE/TIME:
1r WA STATE NON-RESIDENTIAL ENERGY CODE
PLANS EXAMINER: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
INSPECTOR: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
1 SPECIAL INSPECTIONS.
CI BOLTING
® CONCRETE
.0 REINFORCEMENT ® WELDING
FIRM NAME* PHONE: FAX:
INSPECTOR(S):
BUILDING STAFF USE ONLY
IS PUBLIC SEWER AVAILABLE:1 YES NO IF YES: *COUNTY CITY
,[
IS PUBLIC WATER AVAILABLE: / YES NO IF YES, WHICH WATER DIST/IRR:
IS PROPERTY LOCATED WITHIN DESIGNATEDSgqTORMWATER CONTROL AREA: 0 YES
¢¢ JO
IS THE PROPERTY LOCATED WITHIN ASA: 8''. YES 0 NO
FDATE: STAFF:
METHOD OF PAYMENT:
O
CASH CHECK
PSSA: ® VES fl NO
1
0 It
SANKCARD#' EXP/RES' VINIC
AUTHORIZED SIGNATURE -
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
*lime
alley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
PROJECT -tel
7g o 7
5ADDRESS:
USE., PERMIT
OWNER n//Gx par y -,4,,
PHONE (Daytime Contact):
MAILING ADDRESS:
E /'//Zo
a / c
V Ia' Ge -i'4 9 f 3 7
(street)
• OR <IOyN>
(city/state) (ZTP)
CONTRACTOR
515
-
LICENSE 1:
MAILING ADDRESS:
FUEL BURNING APPLIANCE
.> IMMO
PHONE t:
X
(street)
•
(city/state) (ZIP)
METHOD OF PA
❑ CASH ❑
❑ LWIrSailia
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
1 O uNrrs
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
• OR <IOyN>
(
X
515
-
2
FUEL BURNING APPLIANCE
.> IMMO
X
519
•
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
• OR NW,W]
X
550
4
UNLISTED APPLIANCE (ADDMONAL FEE)
Nt )400,000
X
5100
•
5
USED APPLIANCE (MEC nen APUE rating)
• or < 4Wp00
O
X
550
•
6
USED APPLIANCE (WSEC Mn. AFUE rating)
> 400,000
0
X
5100
•
7
BOILER/REFRIGERATION
1-1WM BN
X
.515
•
8
BOWEB/REPBIGERATION
10I -SLIM BN
ac
525
•
9
BOILER/REFRICERATION
501- 1,000M BTU
X
$39
-
10
BOILERMEFNCERATION
1001- 1,750M BN
X
557
•
11
BOILERR PRIGERATION
•1750M BTU
X
$95
13
GAS LOG CAS INSERT, GAS FIREPLACE
-
0
X
510
•
13
RANGE
-
ttSk
X
510
-
14
DRYER
-
/
X
510
-
15
FUEL BURNING WATER HEATER
-
/
X
510
•
16
MISC FUEL BURNING APPL
-
X
510
•
17
GAS PIPING (m Outlet)
-
a
X
5l
•
18
DUCT SYSTEMS
-
Z
X
310
-
19
VENTILATING FANS
-1S!
X
310
•
20
AIR HANDLER (Does NOT Include ducting)
•OR< 10,0C1CFM
0
X
512
•
21
AIX HANDLER (DOES NOT Include dueling)
>10,1:00 CFM
0
X
519
-
13
EVAPORATIVE COOLERS
-
0
X
510
-
D
TYPEIHOOD
_
X
g50•
24
TYPE II HOOD
-
1
X
510
•
25
HEAT PUMP/AIR CONDITIONER
03 TON
0
X
512
26
AIX CONDITIONER
3-15 TON
O
X
520
•
27
AIRCONDInONER
15-30 TON
0
X
525
•
28
AIR CONDITIONER
30-5D TON
0
X
535
•
29
AIR CONDrTIONER
•50 TON
0
X
fW
•
3B
LPG STORAGE TANK
-
0
X
110
•
31
WOOD ORPELLET STOVE/INSERT
-
0
X
510
•
32
WOOD STOVE - FREE STANDING
-
0
X
Sly
•
yTgNT
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:—
❑ LWIrSailia
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
spokan e�``�
,_#alley
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206- + 509-688-0037 - Fax
For Inspections, call 509-688-0054
ADDRESS: / e4 O /
(Zr 7'�`'
PERMIT
USE:
OWNER /ice/Gk Put 4.
PHONE (Daytime Contact):
MAILING ADDRESS:
E- I'i/2o
a/'T IVZtaca/e-
Gvli 67037
(street)
(dty/state)
. (ZIP)
CONTRACTOR
x
LICENSE t:
-
MAILING ADDRESS:
2
PHONE It:
X
(street)
(city/state)
(ZIP) •
PLUMBING FIXTURES
ETHOD 0
1 CASH
1TE:
WKCARD NUMBER:
JTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
3
TOILETS
WATER CLOSET, BIDETS
a
x
y6
-
2
URINALS
X
56
-
3
TUBS
by
X
EIS
-
4
SHOWERS (PER TRAP)
BATH, STALK, ONSITE BURT
X
$6
5
SINKS
LAVS/BASINS, BAR FLOOR, KITCHEN,
LAUNDRY, IJ ILITY, JANITOR PHOTO, X.ige
RAY, FOOD,PREP/CULINARY/MEAT
�J
l
�(
X
$6
-
6
DISHWASHER
/
X
56
-
7
CLOTHES WASHER
/
X
$6
-
B
GARBAGE DISPOSAL
0
X
56
-
9
WATER SOFTENER
0
X
$6
-
10
ELECT. HOT WATER TANK
NOTE: P GAS, SEE MECHANICAL
0
X
56
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
/
X
56
-
12
FOUNTAINS, DRINKING
X
56
-
13
WATER PIPING/DRAIN-IN
WASTE. VENT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR
REVERSALS
X
56'
-
19
SEWAGE EJECTOR
GRINDER SUMP PUMP
0
X
$6
-
15
WATER USING DEVICE
ICE AND/OR COFFEE MAILER HOSE BIB,
X
E6
-
STEAMER, ?ROOFER CARBONATOR
SWAMP COOLER I
16
CROSS CONNECTION DEVICE
VACUUM BREAKER CHECK VALVE, AND
RPBP.D. FOR VATS TANKS, BOILERS
X
-
17
SPRNKLFR SYSTEM
b
X
525
-
15
INTERCEPTORS
GREASE TRAP, SAND TRAP. CHEMICAL
HOLDING TANK
O
X
56
-
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
0
X
56
-
20
MISC. PLUMBING FLCNRE
X
$6
-
PAYMENT
'YLi!
Dcrtecx ❑ rat ❑._ :.
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
1TE:
WKCARD NUMBER:
JTHORIZED SIGNATURE:
Site Information
Project Information
Site Address: 7207 E 7TH AVE
SPOKANE, WA 99206
Parcel Number: 35241.3707
Subdivision:
Block: Lot:
Zoning: UNK Unknown
Owner: GUARDIPEE, LUE
Address: PO BOX 364
' VE.RADALE, WA 99037
Building Inspector: F PALADICHUK
Water Dist:
Sewer Connection Permit
Project Number: 03007668 Inv: 1 Issue Date: 10/22/2003
Permit Use: SEWER CONNECTION - EMPIRE HEIGHTS
Applicant: COURCHAWE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Contact: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Setbacks - Front Left: Right: Rear:
Permits
Contractor: COURCHAINE CONSTRU
SEWER CONNECTION
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTIL
Group Name:
Project Name:
Call for inspection prior to cover. ONE WORKING DAY NO
Contractor or applicant is to field locate and confirm the elevab
Sewer stubs are to be checked prior o connection to ensure that
Sewer lines should be constructed to allow for gravity flow i fr
This permit must be presented to the job site inspector fo
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19A22 REQUIRES THAT P
NOTIFIED. CALL BEFORE YOU DIG AT LEA
Spokane County Code requires the installer comp
those related to trench safety. R ,
s
-f sl rfiam
License #: COURCC+18187
$85.00 PROCESSING FEE
Total Peanut Fee:
ONDAY THRU FRIDAY
ewer stub prior to any other excavation.
ble grade and are clear and unobstructed to the main sewer.
the structure. •
ables, gas piping, water tines, etc.
$15.00
s100.00
ALL BEFORE YOU DIG" CENTER BE
09)456-8000.
to Dept of Labor and Industries, including
Total Fees AmonntFaid AmountOwinp Tran Date
$100.00 $100.00 $0.00 1022/2003
Processed By: FORAY, JEFF
Printed By: HINTZ, FAITH Page 1 of 1
Receipt n Payment Amt
6762 S100.00
PERMIT
APPROVED B
5
Peopose cP
1
60
-7 ti
5
rTh
5446