2003, 12-11 Permit App: BLD-03-03246 Residence sin' ��
e
.000Valley
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
- --- --- ___-- Phone: 509 688-0036 Fax: 509 688-0037
REQUIRED SITE INFORMATION - --- I
STREET ADDRESS:4/"/-- //]i
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION: 1 3 11 f11,
PERMIT DESCRIPTION:__2R-
ILDING PERMIT ❑CHANGE IN USE ❑GRADING
DRELOCATION 0-SIGN TENANT ❑OTHERACT URED HOME
_ CI-OBER
• OWNER / APPLICANT INFORMATION
LINDSEY CONSTRUCTION
❑ OWNER: P.O. BOX 30792 � INC.
"A 99223 APPLICANT:
PHONE: FAX:
PHONE: FAX:
ADDRESS:
CITY,STATE,ZIP ADDRESS:
CICONTRACTCLINDSEY CONSTRUCTION CITY,STATE,ZIP
� , INC ❑
A��� r ARCHITECT:
PHONE:_ SPOKANE, WA 99 a FAX: 14 LI D/
^ PHONE: FAX:
ADDRESS: /�— YJ
CITY,STATE,ZIP ADDRESS:
WA ST CONTRACTOR LICENSE# �I CITY,STATE,ZIP
�SL6 01- CONTACT: 662
IfPERMIT/BUILDING INFORMATION
COST OF PROJECT: 30%SLOPES ON PROPERTY: IJ
MAIN FLOOR SQ FT: 70
BUILDING HEIGHT TO PEAK: OCCUPANCY GROUP:.
�� 2ND FLOOR SQ FT:
BUILDING DIMENSIONS;, �' CONSTRUCTION TYPE:
UNFIN BASEMENT: V76
NUMBER OF STORIES: I STRUCTURES ON PROPERTY:
FINISHED BASEMENT:
NUMBER of BEDROOMS: CRITICAL AREAS: .�f?-a
GARAGE:
FLANKING SETBACK: CURRENT PROPERTY SIZE: )�).��
COVERED DECK:
FRONT SETBACK: CURRENT PROPERTY USE:
DECK:
REAR SETBACK: 40( CURRENT SEPTIC USE:
LEFT SETBACK: 7 CURRENT WELL USE:
RIGHT SETBACK: IMPERVIOUS SURFACE AREA:
Oil"\
Sc, kane 11707 East Sprague Avenue, Suite 106
Spokane Valley,WA 99206 509-688-0036 - Phone
Spo
.Valley For Inspections, call 509-688-0054 509-688-0037- Fax
Plumbing Permit Application
PROJECT P i
ADDRESS -1±li 9 Jc / ? UEEMIT
Ce / USE:
OWNER.L.IIIoSec� C�175r or_ PHONE(Daytime Contact): �' �i��
MAILING ADDRESS. /7 az
1 Pcfro.2( 30)92 S�jgne cell- 99zz 3
(street) (city/state) (ZIP)
CO:ti- ICUi-C gr� res
LICENSE#:
MAILING ADq�/G 93l PHONE d:
p� c/ 7
Q 940?7
(street) (city/state)
(ZIP)
PLUMBING FIXTURES
j DESCRIPTION DETAILS #OF UNITS X
: jOOILETSCOST EQUALS AMOILVT
WATER CLOSET,BIDETS
2. X
2 URINALS G
3 TUBS
X $6
•2- X $6
a BATH,STALL,ON-SITE BUILT
5 S LN'KS X 56 •
LAVSBASINS,BAR FLOOR KITCHEN,
LAUNDRY,UTILITY,JANITOR,PHOTO,X-
3 x $6
RAY,FOOD,PREP/CULINARY/MEAT
5 DISHWASHER /
7 CLOTHES WASHER ( X
9 GARBAGE DISPOSAL rp X $6
, 9 WATER SOFTENER / X 56
10 ELECT HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL X $6 •
(FLOOR DRAIN'S X $6
AREA,CASE,COIL,TRENCH,CONDENSATE r X
12 jFOUN-TAINS,DRINKING
X $6 -
3 - I
WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR,
H,=. VENT?' PLUMBING REVERSALS
(REVERSAL X $6
.9 SE'w ACE EJECTOR GRINDER,SUMP PUMP
115 j WATER USING DEVICE X b6
ICE AND/OR COFFEE MAKER,HOSE BIB,
SI tAMER,PROOFER,CARBONATORX $6 _
SWAMP COOLER
15 CROSS CONNECTION DEVICE VACUUM BREAKER CHECK VALVE,AND 1
R.P.B.P.D.FOR:VATS,TANKS,BOILERS X -
17 SPRINKLER SYSTEM
;5 [INTERCEPTORS X $25
I GREASE TRAP,SAND TRAP,CHEMICAL
HOLDING TANK X $6
19 MEDICAL GA5 per outlet NITROUS,OXYGEN X
20 MIKPLUMBING FIXTURE $6
•X $6
ME LH�:)n OF P.AYN[1ENl' SUBTOTAL:
CHECK W.
PLUS PROCESSING FEE: $35 00
TOTAL PERMIT FEE DUE.j
= EXPIRES:
.1 .. ,.f5ER
Spokane 11707 East Sprague Avenue, Suite 106
Spokane Valley, WA'99206 509-688-0036 - Phone
Va11ey For Inspections, call 509-688-005509-688-0037 Fax
4
Mechanical Permit Application
it. u
PROJECT
s. PERMIT-.fSs { 5 USE:
OWNER !i • , /fiS
PI C PHONE(Daytime Contact):
o
MAILING ADDRESS: 29 '3 y
'1 P• 30701 Z /d - e
4a
(street)
(city/state) (ZIP)
CONTRACTOR:
LICENSE I:
MAILING ADDRESS:
PHONE 1:
(street) (city/state)
(ZIP)
DESCRIPTION OF WORK I OF UNITS X
1 FUEL BURNING APPLIANCE •OR COST EQUALS AMOUNT 100,OOp
2 FUEL BURNING APPLIANCE >100,000
3 UNLISTED APPLIANCE(ADDMONAL FEE) •OR c 400,000 X 519 •
X 550 •
4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000
X 5100 •
5 USED APPLIANCE(WSEC min.AFUE rating) •or c 400,000 X 550
6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 •
X 51
7 BOILER/REFRIGERATION •
1•100M BTU X f155
8 BOILER/REFRIGERATION 101•500M BTU •
•
9 BOILER/REFRICERATION X $28 •
SOl•1,000M BTU X 539
10 BOILER/REFRIGERATION 1001-1,750M BTU •
•
11 BOILER/REFRIGERATION X 595 •
•1750M BTU X 595
12 GAS LOG,GAS INSERT,GAS FIREPLACE •
13 RANGE — X $10 •
14 DRYER X 510 •
15 FUEL BURNING WATER HEATER X $10 •
16 MISC FUEL BURNING APPL. _— X $10 •
17 GAS PIPING(ea.Outlet) _ X $10
18 DUCT SYSTEMS
19 VENTILATING FANS X $10
20 AIR HANDLER(DOES NOT include ducting) •OR c 10,000CFM X 510 •
X 512 •
21 AIR HANDLER(DOES NOT Include ducting) >10,000 CFM
X 519 •
22 EVAPORATIVE COOLERS
23 TYPE I HOOD
—
•
X 510
•
24 TYPE U HOOD — X X $10
25 HEAT PUMP/AIR CONDITIONER 43 TON
$12
X S12 • '
26 AIR CONDITIONER 3.15 TON
27 AIR CONDITIONER 15-30
$20 •
1530 TON X 525
Z8 AIR CONDITIONER 30.50 TON •
•
•
29 AIR CONDITIONER X $35
.50 TON X 560
30 LPC STORAGE TANK — •
31 WOOD OR PELLET STOVE/INSERT X $10 •
32 WOOD STOVE•FREE STANDING X X 52
•
25 •
SUBTOTAL:
PLUS PROCESSING
'v1ETHOD OF PAYMENT FEE:
$35.00
tk"..S&- t TOTAL PERMIT FEE DUE:
PISA ❑ _ • .2:—-
❑ CASH ❑ CHECK ❑ ! ,
:-_,''.."7.-_ EXPIRES:
a/-KCA..RD NUMBER:
;.- HORIZF D S)GNATURE:
. . .
Proposed Plot Plan
4614 East 13th Avenue
City of Spokane Valley
County of Spokane,State of Washington
LOT 3, BLOCK 11, WOODLAND TERRACE
SCALE 1:20 SEWER&WATER PROVIDED BY CITY OF SPOKANE
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PLANNING DEPT. APPROVED
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DATE: 1�t 11 ,�� ae�`
£0'30tid £T0T+217b 60S 6S:80 200E PT 0al
Proposed Plot Plan
(nuvived 17 December 2003)
4614 East 13th Avenue
City of Spokane Valley
County of Spokane,State of Washington
LOT 3, BLOCK 11, WOODLAND TERRACE
SCALE 1:2() I SEWER k WATER PROVIDED BY CITY OF SPOKANE
5 1. 10
m
Io.
00
N
X
< lb
SI.10
I '3
cd Wti6S:60 200? LT '3aQ £tOT+£bb 60S: 'ON Aid : WOeld