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2012, 04-18 Permit App: BLD-2012-0424 Residence`J lily Fax: (509) n 3] abrspo k RESIDENTIAL CONSTRUCTION PERMIT APPLICATION J4 NEW CONSTRUCTION ❑ DECK SITEADDRESS: 13722 ❑ ADDITION/REMODEL ❑ ❑ OTHER E 10rt^ ACCESSORY BUILDING ASSESSORS PARCEL NO.: 4522LJ.GC03 Main Fluor SQ FT: 03 LEGAL DESCRIPTION: BUILDING OWNER NAME: Community Development Department (Staff Use Only) tt -IZ yZ3 Permit Center 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: TE Spokane VIA Tel (509)688-kane 003699206 PERMIT FEE: S.r or 5e ic: 5 __ `J lily Fax: (509) n 3] abrspo k RESIDENTIAL CONSTRUCTION PERMIT APPLICATION J4 NEW CONSTRUCTION ❑ DECK SITEADDRESS: 13722 ❑ ADDITION/REMODEL ❑ ❑ OTHER E 10rt^ ACCESSORY BUILDING ASSESSORS PARCEL NO.: 4522LJ.GC03 Main Fluor SQ FT: 03 LEGAL DESCRIPTION: BUILDING OWNER NAME: Finished 13inw, SQ FT: Garage. SQ. FT: ��{ V4 I'T(i.L tt -IZ yZ3 NAME: C$5 0o✓ts4f-tA Aion 6C 5. okc(e- t ( ADDRES/S�:� Z5 5 r 9r S.r or 5e ic: 5 __ CM: l�fQ�/1nC/•�tr (�es LJA zip: 9-/Dlt, PHONE: 509 -951 -til �7'I /S�TTATEE: �1 FAX: 5L)9-72q-eo2l CELL: CONTACT NAME: 5V'r C r) ryanq PHONE: .. FAX: C /y CELL: 509-95 I -av:57 CONTRACTOR NAME: MAILING STATE: zip: CONTMRORLTCENSENO.:L,5CDN>'()`Vml )EXPIRES: CITY BUSINESS LICENSE Ni DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak:Dimensions: 25' 5 L:7 x qW No. of Stories: 2. Total Nabibible Spam: 21 L1 1 Main Fluor SQ FT: 03 Upper Floor 5Q FT: '7 -q 'i Unfinished Basement SQ FT: Finished 13inw, SQ FT: Garage. SQ. FT: ��{ V4 I'T(i.L Deck/Covered ft Q Impervious Surface Area: 30% Slopes; on Property: No. of Bedrooms: 3 Construcfion Xeat Source: S.r or 5e ic: 5 TOTAL COST OF PR03ECT: $ The permitted verifies, acknowledges and agrees by Meir signature that: I) if this permit IS far conshucten or on a dwelling, the dwelling Is/will be Served by potable water. 2) Ownership of Nis City M Spokane Valley permit inure to Me property owner. 3) The signatory is Me property owner or has permission to represent the property owner in this transactlon. a) All constmctian Is to be done in full compliance with the City of Spokane Valley Developmant code. Referenced codes are available for review at Me City of Spokane Valley permit Center. 5) The City of Spokane Valley permit Is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional Information may be required to he submitted and subsequently approved before this application can be processed. P:\Community Development\02 Administration\03 Fomes - ficial Versions\Permit Center\Residential Construction Permit App 10.28.07.doc rmmdCenter #UNITS FURNACES SUSPENDED HEATERS- INSTALLATION OR RELOCATION Up toff Including 100,000 BTU s...� 11 So3 P Sprague Ave, Suite 13-3 Over 100.000 BTU PERMIT NUMBER: an p0 Spoke Valley, WA 9920600 Va��t'V (509)688-36 FAXJ509)688-0039 HEAT PUMP/AIR CONDITIONER PERMIT FEE: Commwlry DEvelepmcnt 'Ln^nhcUL'_sek alley.-unA P Residential Mechanical Permit Application ❑ Commercial SI I L ADDRESS: I3% 2Z F AIR CONDITIONER EXPIRES'. VIN: OCASH ❑ CHECK O VISA O MC CARD p,, SIGNATURE Fj t _I �IL`'ILxf ' 1 I] C t`\Cnmmunity DEVEIopmem\02 Adminlvtmtlon\03 Forms -ORdvl Versions\Perms Cemer\Mecnaniral Permit Applicatpn 04U3L9 dg -doe #UNITS FURNACES SUSPENDED HEATERS- INSTALLATION OR RELOCATION Up toff Including 100,000 BTU FURNACES SUSPENDED HEATERS -INSTALLATION OR RELOCATION Over 100.000 BTU DUCT WORK SYSTEM HEAT PUMP/AIR CONDITIONER 03 TON AIR CONDITIONER Over 315 TON AIR CONDITIONER Over 1530 TON AIR CONDITIONER Over 3050 TON AIR CONDITIONER Over 50 TON GAS WATER HEATER GAS PIPING SYSTEM each outlet GAS LOG, FIREPLACE. A GAS INSERT APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT REPAIRS OR ADDITIONS BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Oto 3M1 le 100,000 BTU or ss BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over3-15M1-1W.001to5W,000BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Ourl5-WhP 500.001to1.000,0008TU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 30M1 - 1,000.001 to1]50,ODD BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 5D hp - ever 1700000 BTU AIR HANDLER DOES NOT include I in Each unit up he 10,000 chs, splading duce AIR HANDLER DOES NOT include ductus Each unit over 10.000 dm EVAPORATIVE COOLERSother than rtables VENTILATION AND EXHAUST Each tan connected to a se, dud VENTILATION AND EXHAUST Each veeleac,s tem VENTILATION AND EXHAUST Eads hood Wiver by mechanical exhaust INCINERATORS Installation or relocation of residenlol INCINERATORS Installation or relotaton of commemel APPLIANCES Rance. Clothes Washer UNLISTED APPLIANCES Under 403,000 BTU UNLISTED APPLIANCES Over 400,000 BTU HOOD Typo,I HOOD Typell LP STORAGE TANK WOOD OR PELLET STOVE INSERT WOOD STOVE SYSTEM - FREE STANDING EXPIRES'. VIN: OCASH ❑ CHECK O VISA O MC CARD p,, SIGNATURE Fj t _I �IL`'ILxf ' 1 I] C t`\Cnmmunity DEVEIopmem\02 Adminlvtmtlon\03 Forms -ORdvl Versions\Perms Cemer\Mecnaniral Permit Applicatpn 04U3L9 dg -doe a ��p Pemsit CenlLY 11703 a Sprague Ave, Suite 11-3 Spokane Valley. �99206 � (5(509)688-0036 FAXAX:15I""'-0U3] , 9 PERMIT NUMBER: PERMIT FEE: Permit Application ❑ Commercial N Residential SITE ADDRESS: I )_7 2� _ \ Ci BuddinROa'ner Nam,: oil S - S D Phone,_92 "2 27 Fax: jw✓ttC Address: -Z — City 1. 5 Sate: zip: Conmaamr Name: Phone Pax: Address: City- Suite Zip: Gmnse No'. CSCo if �Z. City Bunnss Lie: Conta,UPmjact Manager: Na.,_ V Phone. _ (� I _ ti,:S MOF UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS SPerUa SINKS Lav/Basins. Bar, Floor, Kitchen, laundry. Utilo. Janitor, Phone Xray, Fob, Prop/Culicarry Meat DISHWASHER CLOTHES WASHER 1 GARBAGE DISPOSAL WATERSOFTNER FLOOR DEAN Area. Case, Coil, Trench, Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPINGIDPoUN-IN WASTE Installation, Nacreous, Rdin Reversals WATER USING DEVICE Ice and/or Coffee maker, hose bib, steamer procefer, wNonator, saarrip molar PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas, See Mechanical INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including traps, vents exce t kochen ty,a greasse lntAuv is funclannet as fixture WVPV REPAIR OR ALTERATION Water piping. drain vent piping ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE OMer than atmoshericl um breakers MEDICAL GAS INCEPTORS []CASH ❑ CHECK [)VISA ❑ MC EXPIRES: CdMp VIN: SIGNATURE'. 11 : c y Po\C ommunny Development\02 Administranonxo3 Forms -Official VuvsionsTerain CenterTlumbing Permit Applienyon W 03-09 dg.dac