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2005, 01-14 Permit App: 05000149 Finish Basement o A i -hf BUILDING PERMIT APPLICATION WORKSHEET 01 City of Spokane Valley Community Development Department SCIll' kane g Buildin Division OValle 11707 E. Sprague Avenue, Suite 106 y Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: t S)i E, gill Assessor's Tax Parcel Number(s): Legal Description: • PERMIT DESCRIPTION: .f, a i S irl bck- -v i-etA- (Jii 1 s hi rtJ q 50 -4) Ni Building Permit E Change in Use n Grading n Manufactured Home Relocation n Tenant Improvement ❑ Fire Safety — Other OWNER/APPLICANT INFORMATION ❑ Owner: are V\ Gir`"`I ❑ Appjicant: (Zo b -E'F ;len b i Phone: (-a13b Fax: P one Z5 i-052.E-j- ,)ax: Address: x,025 E _ o -1.1 Ada_t .:l - 13 r-4xtc u t it!, ok,c Y't - L,0 Pt- CA w ity State Zip Code City State Zip Code Contractor: AI ) j ia,Y. ' e 0.1.t -6` �._( Architect: Phone asfro52.�- Fax: I Pr1,ie m.QvdPhone: Fax: Address: 21 i?7 w - 13r vcAcl Address: SL y s W t ct�c S Cit State Zip Code City State Zip Code WA State Contractor License #: A u__(= agei12MiContact: ?.p t 'f -tmbi�- PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: i fXOb FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: a s #OF BEDROOMS: 2 TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC if 1 ?j I bq 7 3 SYSTEM? 5e,, ='W MANUFACTURED HOME Width: Length: Year: Pit Set: Manufacturer: r 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 I I BOLTING f CONCRETE REINFORCEMENT n 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 permit i ure to the property owier. .�— Print Name r1OZCLi (1,11,%A. LE Signature - / ' �► Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash [X Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: PLUMBING PERMIT APPLICATION Community Development Department Building Division Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106 [, lley For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206 „del Project Address: I ?-)02,c3- E E. q 1-1Permit Use: Owner: Br -e*t-f -F1-e GA--e.j Phone (Daytime Contact): 6.1"-r1-7 e757 Mailing Address: ) 6 02._G S E 9 lA_M-- q`si 01 b City State Zip Code Contractor: ft I\ees,°o Ice_ g/.0..14,,, #Y1.'.Tor- It-Cense#: ( E}41'lM^( Phone#: 5/.11 2.5I `O'i2+ Mailing Address: 2 7 I i \A). BrVCcdk Seo F2ctr e ,k on2.4-/-5- City State Zip Code DESCRIPTION OF WORK X OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6 00 = 2 URINALS _X $6 00 = 3 TUBS I X $6.00 = te.2' C.1) 4 SHOWERS(PER TRAP) BATH,STALL,ONSITE BUILT X $6 00 = LAYS/BASINS,BAR, FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = X-RAY,FOOD,PREP/CULINARY MEAT 6 DISHWASHER X $6 00 = 7 CLOTHES WASHER X $6 00 = , 8 GARBAGE DISPOSAL X $6 00 = 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,CONDENSATE X $6 00 = ROOF DRAINS/OVERFLOW 12 DRAINS X $6 00 = 13 FOUNTAINS,DRINKING X $6 00 = WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, �00i 14 VENT,PLUMBING,REVERSAL REVERSALS X $6 00 = , W 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 00 = ICE AN/OR COFFEE MAKER,HOSE BIB, 16 WATER USING DEVICE STEAMER X $6 00 = PROOFER,CARBONATOR,SWAMP COOLER VACUUM BREAKER,CHECK VALVE, 17 CROSS CONNECTION DEVICE AND R P.B P.D. FOR: VATS,TANKS,BOILERS X $6 00 = GREASE TRAP,SAND TRAP, 18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6 00 MISCELLANEOUS PLUMBING 20 FIXTURE X $6 00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20 00 _ INDUSTRIAL WASTE 22 INTERCEPTOR X_ $15 00 = SUBTOTAL /, METHOD OF PAYMENT: `` 2' 00 PROCESSING FEE 0 CASH ri CHECK ❑ VISA 0 MASTERCARD $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: • /'`\ MECHANICAL PERMIT APPLICATION Community Development Department �' �L�� Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106 �d1 Building Division For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206 Project Address: Igt.)-2.:-S— Cl -fry Permit Use: Owner: Phone (Daytime Contact): _ Mailing Address: City State Zis Code Contractor: License#: Phone#: — Mailing Address: crty State ZP Code DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12 00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $15 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 , = 5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 X $50 00 = 6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X $100 00 = 7 BOILER/REFRIGERATION 1 -100M BTU X $12 00 ; = 8 BOILER/REFRIGERATION 101 -500M BTU X $20 00 = 9 BOILER/REFRIGERATION 501 -1,000M BTU X $25 00 = 10 BOILER/REFRIGERATION 1,001 -1,750M BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $60 00 = 12 GAS LOG,GAS INSERT,GAS FIREPLACE X $10 00 = 13 RANGE X $10 00 = 14 DRYER X $10 00 = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING(each outlet) X $1.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS f X $10 00 = ) 0, 00 20 AIR HANDLER(DOES NOT inciude 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 $15 00 = 22 EVAPORATIVE COOLERS X $10 00 = 23 TYPE I HOOD X $5000 = 24 TYPE II HOOD X $10 00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 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 = 33 REPAIR&ADDITIONSX $15.00 =• 34 VENTILATION SYSTEMS X $12.00 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR—RESIDENCE X $19.00 = 37 INCINERATOR—COMMERCIAL X $22.00 = 0 //�� METHOD OF PAYMENT: SUBTOTAL ( ' 00 • 0 CASH CHECK 0 VISA 0 MC DATE PROCESSING FEE $35.00 CARD# EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE. Ill it ______ A_ l 5 _ 41 r r �.....,,, ,. EMERGENCY LESS REQ�IIRE�ENTS ': •. FROM S PING ROOMS N. I s KS 1)NET CLEAR OPENING ! 5.7 SOUAREPfsC ' E2GSs 1.324-�1vd(o GRADE FLOOR OPENING(MAX 44°) � 5.0 SQUARE FEET d��.l'` 2)NET CLEAR OPENING HEIGHT 24 INCHES 3)NET CLEAR OPENING WIDTH 20 INCHES N 4)MAX FINISHED SILL HEIGHT 44'ABOVE FLOOR ?OLP,/ 5)EMERGENCY ESCAPE&RESCUE IIP,ENING SHALL BE THESE PL wt.�,l. OPERATIONAL FROM THE INSIDE 0F1 E ROOM WITHOUT qNs M . Smt4'E THE USE OF KEYS OR TOOLS Yl t; ✓ ST gE KEP F/ ON T SIT T � OB E -- c .-ti WHEN INTERIOR ALTERATIONS.REPAIRS OR ADOITIO % I I , -REOUIRING, RMIT OCCUR,OR WHEN ONE/OR MOR -....-. ____ r---- ' 1 ; i DWELLINGS.THE DWELLING DIRT SHAH DI PROVIDED ! —`' INGEXISTI (Q------\1-1- U SMOKE ALARMS SF�ALL� E.f INTERCc)NWITH SMOKE ALARMS LOCATED AS RE D FOR t I NECTED AND HARD WIFIEO 'IN SUCH A } DWELLINGS. z 2 / _ ; 1 MANNER THAT THE ACTIVATION OF ONE ,, ,��-/ ;• ALARM WILL ACTIVATE ALL ALARMS. �� V. —,. ; _ ___� (BEDROOMS. AREAS APPROACHIN ,� ,r, BEDROOMS , VAULTED CEILLN i `/ i , } WITH RISE OF 24. ON EACH FLOOR ` T.° =1I 0 ., �I7 x f T W ;-:,'. ipt Fick,),) ',/ - . ic. . ..,i „. ,,, , ,„".. t sosw 4 w ' � _ r;:' Z., ... F . ___ A ` .d. , , q 53sbk( l i VOA` �r f %;F C,,C. r • ION AND OPENINGS BETWEEN �u� 7 , ,AND PRIVATE GARAGE SHALL HAL: 1-1 `` �01c E I 4 j i r,.:,, r PROVE D FOR ONE HOUR FIRE RESISTIVE a� r �eT3rGt02 �� ' C P. ,HE GARAGE SIDE: t-� " 3 • `�P'{'� �, IAi' R! { I2cxax 4A I CrA I ti)..;t' DE NCE/ATTIC,FLOOR/CEILING) I to ��c, ..AGE AND RESIDENCE SHALL BE µ :.,. f •;(q I., ,CI l'POOR,SOLID OR HONEYCOMB ',•i ,71 SC „ r r -;yi I,ti SAN i 3;8",OR 20 MINUTE FIRE RAT a11 oct rt Irl silt S "T-� 3` D FOP '`"' _,, iIMP it l ,w-- 7 . ...S-6133 K .� � Al E �. stoNv �I �_. __.. o..� .�