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2004, 05-10 Permit App: BLD-04-04313 Residence t • _'l , -` s ,, BUILDING PERMIT APPLICATION WORKSHEET SCITYent Department City of Spokane Valley Community Development o] ,ne 1111114k Building Division 4.00Va14tj ue 11707 E. Sprague Avenue, Suite 106 p g Spokane Valley, WA 99206 �J Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: 417 1;7.4,i_ /3 .141 Assessor's Tax Parcel Number(s): Legal Description: // 0.9 ' PERMIT DESCRIPTION: [ZBuilding Permit ❑ Change in Use n Grading E Manufactured Home (1 Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION r Owner: �� r4 6- KAI— ❑ Applicant: Phone: 7,7g-14 1 3 Fax: (-y3- /UI 3 Phone: Fax: Address: Po Alm 36792- Address: -140,z1.4/1-t_ tad q -3 City State Zip Code City State Zip Code ❑ Contractor: /U/ ❑ 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.n 2 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: 8.4/0 FINISHED BASEMENT SQ. FT© GARAGE SQ. FTG: 18� DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: 6 tvs #OF BEDROOMS: TOTAL HABITABLE SPACE: 73,d IMPERVIOUS SURFACE AREA: COST OF PROJECT: 30% SLOPES ON PROPERTY: delgt OR ON-SITE SEPTIC 0 EM? * f • 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 ❑ BOLTING [1 CONCRETE ❑ 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 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 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 ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: , 'r t. .A N MECHANICAL PERMIT APPLICATION OknCity of Spokane Valley Community Development Department ane BuildingDivision Valley 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 4000 Phone: (509) 688-0036;Fax: (509) 688-0037 -t-/6/ �j FOR INSPECTIONS, CALL(509) 688-0054 Project Address: '/('p/7 f I. Permit Use: Owner: Phone (Daytime Contact): Mailing Address: City State Zip Code Contractor: Je,aetn_ ( ,/44&A1 License#: Phone#: Mailing Address: City State Zip Code #OF TOTAL DESCRIPTION OF WORK UNITS X COST = AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 / 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 BOILER/REFRIGERATION 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) X $1.00 = 18 DUCT SYSTEMS I X $10.00 = 19 VENTILATING FANS 1/ 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 / 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 0 CASH 0 CHECK 0 VISA ❑MC DATE: PROCESSING FEE $35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: -16 F PLUMBING PERMIT APPLICATION SCITY City of Spokane Valley Community Development Department p0 ne BuildingDivision Dalley 11707 E. Sprague Avenue, Suite 106 . 0Spokane Valley, WA 99206 Phone: (509) 688-0036;Fax: (509)688-0037 FOR INSPECTIONS, CALL(509) 688-0054 Project Address: 44 I 7 i. I j Permit Use: Owner: Phone (Daytime Contact): Mailing Address: 14 Q City State Zip Code Contractor: t/Vfi.�iyj/'�iL° License#: Phone#: Mailing Address: City State Zip Code #OF TOTAL DESCRIPTION OF WORK UNITS X COST = AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6.00 = 2 URINALS X $6.00 = n 3 TUBS X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 = 5 SINKS LAYS/BASINS,BAR,FLOOR, KITCHEN,LAUNDRY,UTILITY, 2- X $6.00 = JANITOR,PHOTO,X-RAY,FOOD, PREP/CULINARY/MEAT - 6 DISHWASHER ' X $6.00 = 7 CLOTHES WASHER ( X $6.00 = 8 GARBAGE DISPOSAL r 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 ❑ CASH ❑ CHECK 0 VISA ❑ MASTERCARD PROCESSING FEE $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: 101\10r4 Call 24 hours before inspection required Phone 509.688-0195 Fax 509.688-0037 Spokane ,,, . Valley DEPARTMENT OF PUBLIC WORKS Anticipated start date Permit# 04-333 Account# ROW CONSTRUCTION PERMIT Location of property 4617 E. 13th Ave. (Address/Parcel#,if available) Applicant Name Lindsey Construction Fax Address P.O. Box 30792 Spokane,Wa. 99223 Phone 509-879-3420 Contractor's Name Address Phone Contractor's Reg.# LINDSCI066OW Expires PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity) Sewer Connection Driveway I 1 Curb &Gutter El Gas Installation/Repair El Cable/Conduit/Pole [-I Sidewalk Repair/Construction ❑ Water Installation/Repair n Other Pavement Cut Dimensions Bond/insurance certification must be on file with the City. Bond# SPECIAL CONDITIONS: Construct driveway approach per Spokane County Standards as adopted by the City of Spokane Valley. See attached Provisions Permittee Signature Approved I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Card# Expiration Date Name of Holder Signature Fees Paid$ 25.00 25.00 Date Init (Application) (Inspection) 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 not valid until One-Call Notification Ticket#entered here PERMIT MUST BE KEPT ON SITE ® - - i i Proposed Plot Plan 4617 East 13th Avenue City of Spokane Valley County of Spokane,State of Washington PORTIONS OF LOTS 11, BLOCK 4, WOODLAND TERRACE SCALE 1:20 I SEWER&WATER PROVIDED BY CITY OF SPOKANE ADDRESS: 427 �- IJ (/U-C_ ZONE:UR 3.5 ROAD WIDDT_,H••60 FRONT: d.5 FLANK- COMMENTS: REVIEWED B Ilk f . kl c)•`)d - m 1110 M I n• ,0X10 P�u2 lv 71 _ • 1y.9••�, • pi T 712 /Y+R-TGN 11 (-Jk� NJ/rG Mi �k :/t uiµY CuT 5 F-1- yYt f j rr J r/I 4 Q �Frfic S V \c The site plan is being submitted for the purpose of \,1 C `� Qhtaining a building permit and is a true and correct - Rep,ejcntation of the proposal. AH known property w Lincs)dimensions,curb lines,structures and casements 1 hale keen identified. Also indicted are wetlands, bodice of water,steep slopes or other critical areas. v l Lindsey Construction, inc.