2003, 12-11 Permit App: BLD-03-03244 Residence sprnokan•••••-e
. ,
.00.0Valley
PERMIT APPLICATION ORK 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 -- — -STREET ADDRESS: /
?Z2/
ASSESSOR'S TAX PARCEL NUMBER(S :
LEGAL DISCRIPTION. it / '&A1_ ifr/ "
PERMIT DESCRIPTION:
...E6IITELDING PERMIT CICHANGE IN USE .
E� 4 ING PE CI CH N 0 GRADING
CI 0 TENANT ACTURED HOME
(3-OTHER
OWNER / APPLICANT INFORMATION
CI
ANDS ' CONSTRUCTION ---- - �
O W N ER:—p--0.-�4DY 92._ ,
�'�� APPLICANT:
PHONE: SPOKANE, WA 9--;
FAX:
PHONE: FAX:
ADDRESS.
BOX ION, ADDRESS:
30792TY,STATE,ZIP
CI CONTRACTORPOKA CITY,STATE,ZIP
PHONE: 79----?y (-- Y1013._
❑ ARCHITECT.:
FAX: Y101?j PHONE:
ADDRESS: FAX:
ADDRESS::
C ,.STATE,ZIP ITY
WA ST CONTRACTOR LICENSE# TYLm DSc_o&426 ed CITY,STATE,ZIP
Li
—__-- "( ' CONTACT: 6 re
PERMIT/BUILDING INFORMATION 1
COST OF PROJECT: 30%SLOPES ON PROPERTY:
BUILDING HEIGHT TO PEAK: A - MAIN FLOOR SQ FT
OCCUPANCY GROUP;
BUILDING DIMENSIONS: 2N°FLOOR SQ FT
CONSTRUCTION TYPE: UNFIN BASEMENT: (4.+Cs-1
NUMBER OF STORIES: I STRUCTURES ON PROPERTY:
NUMBER of BEDROOMS: Z FINISHED BASEMENT:
CRITICAL AREAS: ` i, jO
FLANKING SETBACK: GARAGE: 11-7
LC
CURRENT PROPERTY SIZE: Cf
FRONT SETBACK: -- COVERED DECK: 1
_______-Z__C.-1CURRENT PROPERTY USE:
REAR SETBACK: DECK:
CURRENT SEPTIC USE:
LEFT SETBACK: CURRENT WELL USE:
RIGHT SETBACK: 3• "?S
IMPERVIOUS SURFACE AREA:
s 11f e t-S
11707 Easvra
�lV t gl-ie Avenue, Suite 106 509-688-0036- Phone
Spokane Valley, WA 99206 509-688-0037-Fax
0 1000Valley For Inspections, call 509-688-0054
Mechanical Permit Application
PROJECT
PERMIT
ADDRESS:
nST USE:
W
ONER:`7' �//
' n�� �-/U �n L PHONE(Daytime Contact): g'� I Y? w
MAILING ADDRESS: �1CJ
PI/3(1X �D ?9Z Spee an, 04, 4194z3
(street) (city/state) (ZIP)
CONTRACTOR:
LICENSE l:
MAILING ADDRESS:
PHONE/:
(street) (city/state)
(ZIP)
DESCRIPTION OF WORK I OF UNITS X COST EQUALS AMOUNT
1 FUEL BURNING APPLIANCE •OR<100,000 /
•
2 FUEL BURNING APPLIANCE [ X - $15
>103,000 X $19
3 UNLISTED APPLIANCE(ADDMONAL FEE) •OR<400,000
4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $50 •
X 5100 •
5 USED APPLIANCE
(WSEC min.AFUE rating) •or<400,000 X $50
6 USED APPLIANCE(WSEC min.AFUE rating) >400000 ••
X
7 BOILER/REFRIGERATION •
1" $25100MBTU X 515
8 BOILER/REFRIGERATION 101•S00M BTU •
9 BOILER/REFRIGERATION X $28 •
501•1,000M BTU X $39
10 BOILER/REFRIGERATION 1001-1,750M BTU •
11 BOILER/REFRIGERATION +1750M BTU X SX $95 •
95
12 GAS LOG,GAS INSERT,GAS FIREPLACE •
X
13 RANGE $10 •
14 DRYER
- X 510 •
- X 510
15 FUEL BURNING WATER HEATER - .1X 510 •
•
16 MISC FUEL BURNING APPL.
- X S10 •
17 GAS PIPING(ea.Outlet) -
18 DUCT SYSTEMS X f] •
19 VENTILATING FANS -
X SIO
r X S1
20 AIR HANDLER(DOES NOT include ducting) •OR<10,-000CFM X S122
•
•
21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19
22 EVAPORATIVE COOLERS - X $10 ••
23 TYPE I HOOD
X S50 •
24 TYPE II HOOD
- X 510 •
25 HEAT PUMP/AIR CONDITIONER 0.3 TON X 512
26 AIR CONDITIONER 3.15 TON X $20 •
•
27 AIRCONDITIONER 15-30 TON X $25
•
28 AIR CONDITIONER 30.50 TON X $35
•
29 AIR CONDITIONER .50 TON X 560 •
30 LPC STORAGE TANK - X 510
31 WOOD OR PELLET STOVE/INSERT - X 510
•
32 WOOD STOVE•FREE STANDING - X $25
SUBTOTAL:
METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00
WM. 1Shsf: TOTAL PERMIT FEE DUE:
0 i__ ..---'
❑ CASH ❑ CHECK ❑
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZE SIGNATURE:
Scnl'Ir 11707 East`Sprague.Avenue, Suite 106 509-688-0036- Phone
pokane Spokane Valley, WA 99206 509-688-0037- Fax
Valley For Inspections, call 509-688-0054
Plumbing Permit Application
PROJECT �A PERMIT
ADDRESS: 1/71 /3 " USE: •
OWNER:44/10set/ 406
T: /N PHONE(Daytime Contact): 7f
MAILING ADDRESS: 'lam ���
Po boi. 30)q Z Soigne. c0 ?9z., 3
(street) (city/state)
(ZIP)
CONT$46CTU1
S ,/fir®1 LICENSE::
MAILING DADL� Q 3 I PHONE a:R
07-14 i e4
VeaaGlj(d iiia g4D -2
(street) (city/state)
(ZIP)
PLUMBING FIXTURES
DESCRIPTION DETAILS if OF UNITS X COST EQUALS AMOUNT
1 TOILETS WATER CLOSET,BIDETS - h
2 URINALS /� X $
o
X $6
3 TUBS - 2 X $6
4 SHOWERS(PER TRAP) BATH,SCALL,ON-SITE BUILT -
5 SINKS X $6
LA VS/BASINS,BAR,FLOOR,KITCHEN,
LAUNDRY,UTILITY,JANITOR,PHOTO,X. 3 X $6
RAY,FOOD,PREP/CULINARY/MEAT
6 DISHWASHER / X 56
•
7 CLOTHES WASHER
8 GARBAGE DISPOSAL C X $6 -
i X $6
9 WATER SOFTENER
X 56
10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL X
11 FLOOR DRAINS R $6 •
SE,COIL,TRENCH,CONDENSATE / X s,:,AREA,CA
-
12 FOUNTAINS,DRINKING
X $6 -
13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR,
WASTE,VENT PLUMBING REVERSALS
X $6
REVERSAL
14 SEWAGE EJECTOR GRINDER,SUMP PUMP X so -
15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB,
SI LAMER,?ROOFER,CARBONATOR, X $6
SWAMP COOLER
16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND
R.P.B.P.D.FOR:VATS,TANKS,BOILERS X $6 -
17 SPRINKLER SYS I LM X $25
•
18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL
HOLDING TANK X $6
19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 -
20 MISC PLUMBING FIXTURE X $6 .
METHOD OF PAYMENT SUBTOTAL:
Vas PLUS PROCESSING FEE: $35.00
❑ C.°.SH ❑ CHECK ❑ ❑ L._....-�,z -
TOTAL PERMIT FEE DUE:
D.'.7E EXPIRES:
BP"K.C.ARD NUMBER.
.`.I_';HORIZED SIGNATURE:
Lindsey's Homes
LINDSEY CONSTRUCTION, INC.
POST OFFICE BOX 30792
SPOKANE, WASHINGTON 99223
Proposed Plot Plan
4701 East 13th Avenue
Lot 7,Block 3 Woodland Terrace Addition
City of Spokane Valley, Spokane County,WA
Scale 1:20/public sewer&water provided by City of Spokane
50
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n PLANNING DEPT. APPROVED
29-
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DATE: a/b
25
LOT COVERAGE CALCULATIONS:
LOT SIZE: 615oo
GARAGE: 500
RESIDENCE: 892 So
WALKWAY: 12
PATIO:
DRIVEWAY: 471C)
BAT ANCE:
IDAHO WASHINGTON ALASKA