2007, 10-12 Permit App: 07004083 Remodel Project Number: 07004083 Inv: 1 Application Date: 10/12/2007 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: CHANGE PANTRY AREA INTO 2ND BATHROOM Contact: CLARK,BRIAN
Address: 15405 E 12TH AVE
C-S-Z: SPOKANE VALLEY,WA 99037
Setbacks:Front Left: Right: Rear: Phone: (509)892-7674
Group Name:
Site Information
Project Name:
Plat Key: 003120 Name: CASTLE COURT District: East
Parcel Number: 45234.4001 Block: Lot:
SiteAddress: 15405 E 12TH AVE Owner:Name: CLARK,BRIAN
Address: 15405 E 12TH AVE
Location::CSV SPOKANE VALLEY,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: 010 VERA Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review Released By:
Originally Released: 10/11/2007 By: tmelbourn
Permits:
Building Permit —
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
I&2 FAMILY R-3 VB BATHROO 0 $4,000.00 0 $4,000.00
M
REMODEL
Totals: 0 $4,000.00 0 $4,000.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $97.25
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $38.90
Permit Total Fees: $140.65
Operator: jmm Printed By: JD Print Date: 10/12/2007
' Project Number: 07004083 Inv: I Application Date: 10/12/2007 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
SHOWERS 1 NUMBER OF $6.00
Permit Total Fees: $18.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $140.65 $140.65 $0.00 $140.65
Plumbing Permit $18.00 $18.00 $0.00 $18.00
$158.65 $158.65 $0.00 $158.65
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: jmm Printed By: JD Print Date: 10/12/2007
Permit Center
OF RECEIVED PERMIT NUMBER: yL ;
S c�Tvokane 11703 E Sprague Ave, Suite B-3 CITY OF sPOKAN BY
Spokane Valley,WA 99206 E VALL
��Valley. (509)688-0036 FAX:(509)688-0037 OCT 11 $�`RMIT FEE:
www.spokanevalley.org 200r
Community Development syc, ERMIT CENT
Residential Construction ( onstrurionAccessory Bldg
�
Permit Application n ddition/Remo a Deck
Other:
SITE ADDRESS: /5 i i Q ) T , 1 a A 1/&_
ASSESSORS PARCEL NO: 1/5.,z -31-1, 4001 LEGAL DESCRIPTION: iJ9-[` .re f-
Building Owner: Contractor:
Name: 6 s ;a n C i a ck Name:
Address: i 5 y CSS- l al_ /l4 Address:
City: d Cei' Pv /r y State: W Zip: 91037 City: State: Zip:
Phone: -r----",,,N ?Co?
CT/ Fax: Phone: Fax:
Contractor Lic No: Exp Date:
Contact Person City Business Lic.No:
Name: 0 c ‘‘ Ce--y-\ C (ct rK
Phone: <--;--C... - ?-!r2q'-24,7(i ce//t 9d -&/U
O.0d al`
Describe the scope of work in detail: / Cost of Project: $ y;./.
C L hr
f o--y,, -7 "1_,---e_eA o r lx/,d1c (.O' ( f LG^iYt S!) 1- 4'1%, 1.7--,`a
Proposed Use: G c t.° r,i ,
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ. 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: AREA:
FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: PROPERTY:
#OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC?
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.6) Plans or additional information may be required to be submitted,and subsequently approved before
this application can be processed.
SIGNATURE: 7 ' DATE: /O - /1- O 7
Method of Payment:
0 Cash ❑ Check 0 Mastercard ❑ VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 2/15/07
Permit Center
S""` e� 11707 E Sprague Ave,Suite 106 PERMIT NUMBER:
Valley
ey Spokane Valley,WA 99206
�/ /•�`� (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development www.spokanevallev.or>
Plumbing Permit Applications Commercial ,Residential
SITE ADDRESS: - /, T us ( L /'��
Building Owner gc\;„„ C d ee(t<
Name: Phone: Fax:
6 }' � c (�-rte ey)
Address: I C-44
! os City: /16e/(.4i State: /j�t r Zip:990_57
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
ii
1 TOILETS WATER CLOSET,BIDETS l X $6.00 _ = COeoC)
2 URINALS X $6.00 =
3 TUBS X $6.00 =
cp
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT ( X $6.00 = Co•
LAYS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, f X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT I lD. 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 =
AREA,CASE,COIL,TRENCH,
11 FLOOR DRAINS CONDENSATE X $6.00 =
12 ROOF DRAINS/OVERFLOW 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,
AND R.P.B.P.D.FOR: VATS,TANKS,
17 CROSS CONNECTION DEVICE 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 =
20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 =
22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
DCASH 0 CHECK 0 VISA 0 MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
�> SMOKE ALARMS SHALL SE INTERCON WHEN INTERIOR ALTERATIONS,REPAIRS OR ADDITIONS
AM''"�A S NECTED AND HARD WIRED IN SUCH A REQUIRING A PERMIT OCCUR,OR WHEN ONE OR MORE
; lititg en MANNER THAT THE ACTIVATION'OF ONE SLEEPING ROJMS ARE ADDED OR CREATED IN EXISTING
+ ALARIUI WILL ACTIVATE ALL ALARMS. DWELLINGS, THE DWELLING UNIT SHALL BE PROVIDED
SO `b1 f 0I1S. BEDROOMS ARAAS APPROEILI NG WITH SMOKE ALARMS LOCATED AS REQUIRED FOR NEW
�� BEDROOMS, VAULTED CEILING
&'�Sti ''J 4N WITH RISE OF 24'&ON EACH FLOOR) DWELLINGS.
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PROVIDE DIAGRAMS AND
ENGINEERING LAYOUTS FOR
ROOF TRUSSES, BEAMS AND
FLOOR SYSTEMS PRIOR TO FRAMING
INSPECTIONS
CITY COPY
THIS BUILDING SUBJECT
TO FIELD INSPECTION CORRECTION
%, il
REVIEWED F1 4, j ,��if uANcF
SPOKANE i 3el.,
i M (O r9