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2004, 06-30 Permit App: BLD-04-04809 Residence BUILDIN - -MIT APPLICATION WORKSHEET rim a-s 4101\1111%, City of Spokane alley Co •munity Development Department .4 BuildingDivision- 117'7 E. S ra ue Avenue 40.000-Val vpoliane ,.. is � p g , Suite 106 \ -4 \ Spokane Valley, LVA 99206 Pho =, 509) 688-0036;Fax: (509) 688-0 37 RE g 'RED SI - ORMATION Street Address: /'-F o a 9 E - `ham Assessor's Tax Parcel Number(s): y S23 Z 9- ISS 00(6° Su Description: Z�-2 -�`t `D'z �'�`` Legal ,f), ' S P. cu - a PERMIT DESCRIPTION: ,s`O2 -5 Building Permit ❑ Change in Use ❑ Grading 0 Manufactured.Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORI111�ATION , ` E ❑ Owner: 1--�-c4-c iViL px�t�-c by O iR A jcant: 1-E7CR► �(� Phone: r,-(i 53s' Fax: GI22 ► 3b tuN 3 0 2004 Ph• 'e: 6' y9os I Fax: Address: o go\r s Ar ss: i 3s i( E s City State ID \ \ D ► I' y'W' State Zip Code ❑ Contractor: SKI t-q M4-3 a& ❑ Architect: R6-�,4� ;' Phone: Fax: Phone: • ft..wFOf:' Address: Address: F''r' Iq -'9Q. City State Zip Code City ' p.p:' ',. s/oN WA State Contractor License #: -NTy -/r4 OL'U 2-13 Contact: ILI-0 7 C»417 4 PERMIT/BUILDING INFORMATION v HEIGHT TO PEAK: i t, DIMENSIONS: , x #OF STORIES: / MAIN FLOORTO SQ. FTG: ��� 2"u FLOOR SQ. FTG: Nle} ' UNFIN BASEMENT SQ. FTG: Cype) FINISHED BASEMENT SQ. FTG: © GARAGE SQ. FTG: , ' DECK/COV. PATIO SQ. FTG: sc, OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: . i-Dgc ) i #OF BEDROOMS: ' 3 TOTAL HABITABLE SPACE:,; PACE:y� . IMPERVIOUS SURFACE AREA: COST OF PROJECT: 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC i� o v SYSTEM? styra-.c- MANUFACTURED HOME Width: Length: Year: Pit Set: Manufacturer: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth: Tent: Fireworks Display: Blasting: Date/Time: Valuation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: •Phone: Fax: Address: City State Zip Inspector: Phone: Fax: - Address: City State Zip SPECIAL INSPECTIONS ❑ BOLTING 0:00fiNCRETE ❑ REINFORCEMENT El WELDING Firm Name: Phone: Fax: Inspector(s): DISCLAIMER The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling,the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a,permit or approval for any violation of federal, state or local laws, codes or ordinances. Ownership of resulting development rights granted by any issued per ..ure t' troperty owner. Print Name J CJttr CSignature c� Method of Payment: (Faxed permit applications will only b- _ -. -d with major bankcard) ❑ Cash ❑ Check ❑ Mastercard 0 VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: PLUMBING PERMIT APPLICATION *lane01/\ City of Spokane Valley Community Development Department rte'"/ BuildingDivision leY 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 „„,,,Val Phone: (509)688-0036;Fax: (509)688-0037 FOR INSPECTIONS, CALL(509)688-0054 Project Address: f`ll D C- b Permit Use: 4ou-&Cr" Owner: Ltr,0 h,- -il_- Dt-Vneetc, ( I C I�►-� Phone (Daytime Contact): 866 - 4( 'as Mailing Address: �i 1- &,./1- &,./ bScsS vtX%r'i qtr c`/6 i 5) qty State Zip Code Contractor: +,U'C-9-- License#: 11L74kOL'(CZ.L3 Phone#: 56:8' Ycia S Mailing Address: City State Zip Code #OF TOTAL _DESCRIPTION OF WORK UNITS X COST • AMOUNT 1 TOILETS WATER CLOSET,BIDETS 3 X $6.00 = , 16,c,o 2 URINALSX $6.00 = j 3 TUBS I ,X $6.00 = Co 'v" 4 SHOWERS(PER TRAP) BATH,STALL ON-SITE BUILT 3 X $6.00 = 18 ,o o 5 SINKS LAVS/BASINS,BAR,FLOOR, KITCHEN,LAUNDRY,UTILITY, X $6.00 = ?J -op JANITOR,PHOTO,X-RAY,FOOD, PREP/CULINARY/MEAT 6 DISHWASHER } X $6.00 = p�.Lq 7 CLOTHES WASHER f X $6.00 = co `�0 / 8 GARBAGE DISPOSAL I X $6.00 = 'U0 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH, X $6.00 = L -bo CONDENSATE - 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION, X $6.00 = VENT, PLUMBING,REVERSAL REPAIR,REVERSALS 15 SEWAGE EJECTOR GRINDER,SUMP PUMP ( X $6.00 = ( . 00 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB,STEAMER,PROOFER, X $6.00 = CARBONATOR,SWAMP COOLER 17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND R.P.B.P.D_FOR: X $6.00 = VATS,TANKS,BOILERS 18 INTERCEPTORS GREASE TRAP,SAND TRAP, X $6.00 = CHEMICAL HOLDING TANK 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 = _20 MISCELLANEOUS PLUMBING FIXTURE X_ $6.00 = METHOD OF PAYMENT: SUBTOTAL I 0 2 .L.,:..) 0 CASH 0 CHECK 0 VISA 0 MASTERCARD PROCESSING FEE $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: }31 ‘00 BANKCARD NUMBER: AUTHORIZED SIGNATURE: MECHANICAL PERMIT APPLICATION San otee City of Spokane Valley Community Development Department BuildingDivision �1'N"1 � Valle37 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509)688-0036;Fax: (509)688-0037 ' ii FOR INSPECTIONS, CALL(509)688-0054 (`T Project Address: Ot 9 (.-, 8t*( Permit Use: -110 4 SC Owner: 514 t4,44-g-- OEUeLa4'A-6 Li_ C Phone (Daytime Contact): EI'6a- Y 10 s Mailing Address: Po goe 305 LCIEYW\Lor -e D City State Zip Code Contractor: (w 0 Eca-- License#: I- G-1-(►- 0 L ct 62-L3 Phone#: (�ti /' 0 r Mailing Address: City State Zip Code #OF TOTAL _DESCRIPTION OF WORK UNITS X COST = AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $15.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $19.00 = 3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 , = USED APPLIANCE(WSEC min.AFUE 5 rating) Equal to or less than 400,000 X $50.00 = USED APPLIANCE(WSEC min.AFUE 6 rating) More than 400,000 , X $100.00 = 7 BOILER/REFRIGERATION 1-100M BTU , X $15.00 = 8 BOILER/REFRIGERATION 101-500M BTU X $28.00 = 9 BOILER/REFRIGERATION 501-1,000M BTU X $39.00 = 10 BOILER/REFRIGERATION 1,001-1,750M BTU X $57.00 = 11 BOILER/REFRIGERATION . More than 1,750M BTU X $95.00 = 12 GAS LOG,GAS INSERT,GAS FIREPLACE 1 X $10.00 = 10'(Jo 13 RANGE I X $10.00 = (0.eQ 14 DRYER X $10.00 = I 15 FUEL BURNING WATER HEATER I X $10.00 = 1 U-vim 16 MISC.FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING(each outlet) 3 X $1.00 = 5 O 18 I DUCT SYSTEMS ,,(II X $10.00 = 10. C 19 VENTILATING FANS "i X $10.00 = 40 0o 20 AIR HANDLER(DOES NOT indude ducting) _ Equal to or less than 10,000 CFM X $12.00 = , 21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X $19.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE t HOOD _ X _ $50.00 = 24 TYPE II HOOD II X $10.00 = 10 u`' 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = II-00 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER _ More than 50 TON _X $60.00 = 30 LPG STORAGE TANK _ X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE-FREE STANDING X $25.00 = METHOD OF PAYMENT: SUBTOTAL (Dc-k);) 0 CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE: 1‘10,t.0 AUTHORIZED SIGNATURE: A - i 1 • I I 1 , 1 i , , t _ , I Ii _ ,,,,, _ 009 ‘.._ 8 al 1\ _ - 1 1 , 1 , 1 Fr. , 1 t + , , 1 5 , t Stet LE VI , 1 ( -4 .11,... ai 3 , I (--100, .•:., ciiii ,---___ 1 _ . 'Q . PLANNING DEPT.APPROVED , Sk-fS11-1 BY:r-V/ -4--*-e:ic't eL-4--e- I 30 I la•••••••.••=6 I f , . ' -.1--- DATE: Ze/-354 gt) IA u F ./-414 VID 1 6A-SrIAENT- _ f_ -------4 5 1 poizo-i , T ..... , 4. if i ._,.........". 1 1- 1 i C \--il1 1 I I ,-4- -- I , 1 1-- MI -4 I 4- i