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2005, 03-07 Permit App: 05000697 Finish Basement
Project Number: 05000697 Inv: 1 Application Date: 03/07/2005 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: FINISH BASEMENT-FAMILY RM,BEDRM& Contact: ARMSTRONG,JACOB BATH(PELLET STOVE INCL) Address: 18309 E 9TH AVE C-S-Z: GREENACRES,WA 99016 Setbacks:Front Left: Right: Rear: Phone: (509)928-2493 Group Name: Site Information: Project Name: Plat Key: 005979 Name: TURTLE CREEK 02ND ADD District: East Parcel Number: 55194.0401 Block: 1 Lot: 1 SiteAddress: 18309 E 9TH AVE Owner:Name: ARMSTRONG,JACOB Address: 18309 E 9TH AVE Location::GRE GREENACRES,WA 99016 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 464.00 Acres Width: 98 Depth: 105 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review In formation: 4E* _ - —NW = .. .- gym__. t..� . Review �( Plan Review Released By: L # �,d} Permits: tr gun _, m Building Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT R R-3 VB 490 $2,450.00 490 $2,450.00 Totals: 490 $2,450.00 490 $2,450.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $83.25 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $33.30 Permit Total Fees: $121.05 Operator: K_C Printed By: K_C Print Date: 03/07/2005 Project Number: 05000697 Inv: 1 Applicatift Date: 03/07/2005 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Mechanical Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount WOOD/PELLET STOVE/INSERT 1 NUMBER OF $10.00 Permit Total Fees: $10.00 See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements Payment Summary: cwiim. ',MEM— - 0Z".a . _ < .. Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $121.05 $121.05 $0.00 $121.05 Mechanical Permit $10.00 $10.00 $0.00 $10.00 $131.05 $131.05 $0.00 $131.05 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: K_C Printed By: K_C Print Date: 03/07/2005 { 4- ;,,, -:, BUILDING PERMIT APPLICATION WORKSHEET �c II �x,,.A nes '" City of Spokane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 4Vable Spokane Valley, WA 99206 Y Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION 1 Street Address: (g30'1 E Da- Assessor's Tax Parcel Number(s): 56 (Cj L(• , ( L 0 Legal Description: Tu,(`}-\Q, Cfrsk grk& A-cl(r r 1`i©r Li- 1 bik I PERMIT DESCRIPTION: Poi\5k c,k.5eviAst4 cl- 6A-k MO f-A- Building Permit ' ( I Change in Use n Grading n Manufactured Home Relocation Tenant Improvement n Fire Safety n Other OWNER/APPLICANT INFORMATION gOwner: jaco6 Ar n Applicant: ,SetvAQ, Phone: 9,98- 4q.23 Fax Phone: Fax: Address: IA3O01 E g311‘. Address: . ' GreeiGc tS INtt Gigol b City State Zip Code City State Zip Code n Contractor: n Architect: Phone: Fax: Phone: Fax: Address: Address: City State Zip Code City State Zip Code WA State Contractor License #: Contact: PERMIT/BUILDING INFORMATION • HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: MAIN FLOOR TO SQ. FTG: 2ND FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FIN/ 111E BASEMENT SQ. FTG: GARAGE SQ. FTG: . DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: # OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OAF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC . a6OV SYSTEM? 5ewe,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 n BOLTING CONCRETE n 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 developmentnnrights granted by any issued per it .•ur:�..`the property owner. Print Name c\ chD f\-( MS Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: _ VIN#: Authorized Signature: t . t . /� MECHANICAL PERMIT APPLICATION Community Development Department sokaneP \ Building Division Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106 For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206 Project Address: ill V ° 91-1,. Permit Use: Owner: .. _,;' . h.AAA,... ..,t4 Phone (Daytime Confact): - 4 Mailing Address: t$wici t_ G,Pp_e11actts °moat City State Zip Code Contractor: License#: Phone#: Mailing Address: City State Zip Code DESCRIPTION OF WORK #OF UNITS X COST = TOTAL.AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $1'2.00 = 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 FIREPLACEX $10.00 13 RANGEX $10.00 14 DRYERX $10.00 M • 15 FUEL BURNING WATER HEATER X $10.00 111 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 X $10.00 Ill 20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 M 21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X $15.00 III 22 EVAPORATIVE COOLERS X $10.00 111 23 TYPE I HOOD X $50.00 111 24 TYPE II HOOD X $10.00 Ell 25 HEAT PUMP/AIR CONDITIONER 0-3 TON • X $12.00 M 26 .AIR CONDITIONER 3-15 TON X $20.00 27 AIR CONDITIONER . 15-30 TON X $25.00 111 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 Er 31 WOOD OR PELLET STOVE/INSERT I X $10.00 MAjililfflie •: _32 WOOD STOVE-FREE STANDING X $25.00 RE--- 33 REPAIR&ADDITIONS • X $15.00 = 1 34 VENTILATION SYSTEMS X $12.00 = I 35 VENTILATION MECHANICAL EXHAUST X $12.00 36 INCINERATOR-RESIDENCE X $19.00 = 37 INCINERATOR-COMMERCIAL X $22.00 = pp METHOD OF PAYMENT: SUBTOTAL EN 100 0 CASH ❑CHECK 0 VISA ❑MC DATE: PROCESSING FEE CARD#: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: j • l PLUMBING PERMIT APPLICATION Community Development Department � °'r" 01/:\b‘ Building Division UK Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106 de/Valley For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206 Project Address: t830 01 L. cit...-- Permit Use: Owner: c)G.Gc)b ti $j r Phone (Daytime Contact): /016-D-q 3 Mailing Address: lg3©c co-i, Gi'et►tacreS VI'It frrp/4, City State Zip Code Contractor: License#: Phone#: Mailing Address: City State Zip Code DESCRIPTION OF WORK • #OF UNITS X COST = TOT L U T h 1 TOILETS WATER CLOSET,BIDETS' I X • $6.00 =/(t9•• 2 URINALS X $6. 0 _ ttt 3 TUBS X $6. 0 4 SHOWERS(PER TRAP) BATH,STALL,ONSITE BUILT X $ .00 - 1 ,©O • LAVS/BASINS,BAR,FLOOR,KITCHEN, t 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, $6.00 - X-RAY,FOOD, PREP/CULINARY MEAT 6 -00 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, 14 VENT,PLUMBING,REVERSAL REVERSALS _ X $6.00 = • 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 DISPOSAL/SYS X $20.00 = INDUSTRIAL WASTE 22 INTERCEPTOR X $15.00 = METHOD OF PAYMENT: SUBTOTAL %`OCA PROCESSING FEE 0 CASH 0 CHECK 0 VISA 0 MASTERCARD _ . $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: 53,00 BANKCARD NUMBER: AUTHORIZED SIGNATURE: bile. 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