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2004, 10-15 Permit App: BLD-04-07926 Residence
BUILDING PERMIT APPLICATION WORKSHEET CIT'� 1011111"14%141110111*kan 0` City of Spokane Valley Community Development Department Building. po - e z c Division Q w19707 E. Sprague Avenue, Suite 106 V l 8 . (it 7 n •• • Spokane Valley, WA 99206 2004- Phone: (509) 688=0036;Fax: (509) 688-0037 REQ&1014FORM-ATION-4 -•• . Street Address: 45// 9asi-f • . 3 h Assessor's Tax Parcel Number(s): • - . Legal Description: .. ` PERMIT DESCRIPTION: /I4jd J/2/1Co • - ❑ Building Permit D Change in Use • ❑ Grading ❑ Manufactured Home D Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION - ❑ Owner: Aid/( e�Sy- ❑ Applicant: �� • Phone: g- Fa ' Y —/D l • Phone: Fax: Address: "?.0 '9 2_ - Address: 4" t /,� qzz City Sat Zip Code City • .State Zip Code ❑ Contractor: •❑ Architect: Phone: Fax: Phone: Fax: • . Address: Address.: City • State j ' Zip Code City' • State Zip Code WA State Contractor License.#:L7 O5C lD(,lpd ail Contact: Oil,P`? - .. PERMITIBUILDING INFORMATION HEIGHT TO PEAK • DIMENSIONS: q #OF STORIES:.. t MAIN FLOOR TO SQ. FTG q 2 :FLOOR SQ.FIG: UNFII4 BASEMENT SQ. FTG:o FINISHED BASEMENT SQ. FT,C4, GARAGE SQ: FTG: : 66 DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: . HEAT SOURCE: f 6/S #OF BEDROOMS: TOTAL HABITABLE SPACE: , IMPERVIOUS SURFACE Al COST OF PROJECT: • • • 30%SLOPES ON PROPERTY: 'SEWER OR ON-SITEIC SYSTEM? ,�/ I • '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 • Q BOLTING 0 CONCRETE • 0 REINFORCEMENT ❑ -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 clone 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:Spbkane 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 inure to the property owner. Print Name Signature • • • . Method of Payment: (Faxed permit applications will only be accepted with major bankcard). ❑ Cash 0 Check 0 Mastercard . • • ❑ VISA • 0 Other • Bankcard#: Expires: • • .VIN#• • Authorized Signature: - • MECHANICAL PERMIT APPLICATION emmymvoill,1\144 6110-lianCity of Spokane Valley Community Development Department e BuildingDivision 1 'Eill`y 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509)688-0036;Fax: (509) 688-0037 FOR INSPECTIONS, CALL(509) 688-0054 Project Address: Permit Use: Owner: Phone(Daytime Contact): Mailing Address: City State Zip Code Contractor. License#: Phone#: Mailing Address: City State Zip Code #OF TOTAL DESCRIPTION OF WORK UjNITS X COST = AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 I -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 BOILERIREFRIGERATION 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 ( 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) 3 X $1.00 = 18 DUCT SYSTEMS / X $10.00 19 VENTILATING FANS j X $10.00 = 20 AIR HANDLER(DOES NOT include 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 I HOOD X $50.00 = 24 TYPE II HOOD X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON I 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 = METHOD OF PAYMENT: SUBTOTAL ❑CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00 CARD#: EXPIRES: TOTAL.PERMIT FEE DUE: AUTHORIZED SIGNATURE: • PLUMBING PERMIT APPLICATION *�� City of Spokane Valley Community Development Department \1illey 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 4,000 Phone: (509)688-0036;Fax: (509)688-0037 FOR INSPECTIONS, CALL(509)688-0054 Project Address: f�11Permit Use: Owner: Phone (Daytime Contact): Mailing Address: City State Zip Code Contractor: tfr2,O / 'T2 License#: Phone#: Mailing Address: City State Zip Code #OF TOTAL DESCRIPTION OF WORK UNITS X COST - AMOUNT 1 TOILETS WATER CLOSET,BIDETS 3 X $6.00 = 2 URINALS X $6.00 = 3 TUBS X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 = 5 SINKS LAVS/BASINS,BAR,FLOOR, KITCHEN,LAUNDRY,UTILITY, X $6.00 = JANITOR.PHOTO,X-RAY,FOOD, s 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, X $6.00 = 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 = 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 0 CASH 0 CHECK 0 VISA ❑ MASTERCARD PROCESSING FEE $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: Inspections performed 10 days after scheduled completion to schedule call Sp n, (509)688-0195 or Fax(509)688-0037. Any re- uo inspection will incur an additional$25.00 necharge. 11707 E Sprague Ave, Suite 106 400000111;Val y Spokane Valley,WA 99206 ir ROW Construction Permit Permit # ROW 04-812 Issue Date 10/15/2004 Account# Completion Date Issued by Kcummings Construction Utility El El Location of Property Project Description 4514E 13TH driveway Comments NEW DRIVEWAY APPROACH I Trench Dimensions AC Cut Required Applicant/Contractor Name Licence # Individual Name Lindsey Construction Address Contractor Phone # P.O. Box 30792 509-879-3420 Spokane WA 99223- Account# Permit Fee Inspection Fee Total Fees Collected $25.00 $25.00 $50.00 Ib Permittee Signature Approved C ) Date I D 0 Lf I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Credit Card# Expiration Date Name of Holder Signature In addition to the permit application fee of$16.00(utility)or$25.00(construction),inspection on each permit will be billed to the permittee at a rate of$50.00 per hour with a$25.00(1/2 hour) minimum. Permittee signature constitutes an agreement to these terms and provisions. Work completed satisfactorily(signed) Date PERMIT MUST BE KEPT ON SITE ftJ\l \ 0) \ \-- L'\* 9- U c..1\ cm-©F ► o .ane .000 \7alky 11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206 509.921.1000 ♦ Fax: 509.921.1008 • cityhall®spokanevalley.org Fax _._._._.____--- ToA` From: Anita Blake Pages: Fax: 4 _t.---40_1 Date: Q--/ �Db Phone: 4 1 _ 1_ 3 CC: Re: A/L eThc, limns J — . i't(' +(:=. PirD C1s2-)1 rQ- 3. vzu Ci r- (9rd 440 5 6 y -r �o 1�.�� r LiihaArt U AUG 22,2006 08:51 FOREVER GREEN SPRINKLERS 1509-489-5678 . . ., Page 1 40"\ftegt. sokane ..... Valley ,,,707 r ,rzlilue Ave',int,. 106 * Spokane V4Ucy WA".)9206 509.921.10M• Fax! 1)09,W1.1(03• otyhallrvpokiinevz,lley.arg medinim.miuromemommemoiew Fax , ... ....i...•••••••••1111111••••••••=•••• •• ••• From: Mita Blake ‘Ir •••••••••1•••• •••••••:•••• • ......... Fax: 4/€1 ,. _5( l';'4gew. i —...-----------....---- nom 4 - 41.a :112,Z_________ 12,6111.1,:=1, CC: ‘,. . , •• •••••••• •!... ............ • •••11•111...... t'Y ItYnt XL\ • • Ty 1 . . racy rym_k_.i., . . , k..401.A.6‘1.1/4-w y It.1.6- 4 I CI-,.i. el. .i—ci e"4..‘..k t . LL \k-V\s- . .... - L '-f r1LA_J-Y\Fig r", (...)4_)‘,0•Lk. i...) \ (( c\\ 0 pre)QA.4. b-%.c.) (,) .k-C.) Q. U t.AC.A..L. `441. .. t..fru c..kirk.tz.\--k:. \,...-,e.):4.. r\l'.• 0.1.n.D.1.1-,C.1". t:•-i-- CI a;313LL.4.1.i tve4 „..,.., !.... u_k. . ( ) (oVr6 , , .'..*;(0 0....) 1 401 1,r -e_tvy t.l..L.LL t".17-1A.)C4'NLO in.e-C, L-...111)-1(14n, k.:. .. L. Ot..k. ..... OCA1A----- ......4.....\i ) ZL X\A-krC\\kir 0A/L,0 733 ThNota.1(_.s. , , ...\\,.,),...6. 11.1118 118 J AUG 22 2006 09:02 1509-489-5678 PAGE.01 • • SEP-15-04 WED 11 :56 AM W!NC 1ERE WALL . . . FAX NO. 2621 P, 15 _.._....... J.. - Proposed Plot.Plan ..�._— ---- M.�. 4514 East 13th Avenue City of Spokane Valley County of Spokane,State of Wat hing,ton LOTS 10, BLOCK 10 WOODLAND TERRACE sc'A11:1:20 j SE+WFJ.&WATER PROVIDED DY CITY OF S1'OKANI-. AI) ..........�_�.—--- ZONE:(JR 1.5 ROAD WIDTH:60 FRONT:______F1.ANKINC—_— COMMENTS: ----. .. . Kt :.WED BY: PLA ING DEPT. APPROVED BY DA E:/34 ` s r T „ n r` ftL • J7 V 1 V ' l he Hite�L�n i6 bein ubmitterl for the purPu.e of ObtaininS:j building p rmit and ir.a Inrr And correct Feprr.6cntatinn of the: o,o6.,1. All knnwi,property 1,ine6/dimnnainna,curb li co,ctniclurc6 nnil cnscnrcnlo have been idci.tific Alco indictcrl.ire wctl,rnrl a, ---- • • lopc6 or other crltic.rl:r rg) . /do) Lindic y Cr.naruction, Inc.