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2004, 09-13 Permit App: BLD-04-07634 Residence . , stiskanar eQE © Ervzo 05 .3 11 / 3 do., airik 0 E PERMIT APPLICATION WORK SHEET `" Q 1 2004SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 0 n� 11707 East Sprague Ave Ste 106 w Spokane Valley, WA 99206 Phone:(509)688-0036 Fax:(509)688-0037 IREQUIREDI SITE INFORMATION STREET ADDRESS: ib 29 /4/0 ASSESSOR'S TAX PARCEL NUMBER(S): 1� LEGAL DISCRIPTION: e- ! L/IL 0 /H/ X u -) 2- i!� 1 / odes blind race_ PERMIT DESCRIPTION: S fR.. UILDThTG PERMIT a CHANGE IN USE a GRADING 0 MANUFACTURED HOME aRELOCATION Et SIGN E TENANT OO FILER OWNER / APPLICANT INFORMATION Au'Y' CONSTRUCTION, Ir, ® APPLICANT: Y CONSTRUCTION, ►eG ® OWNER: .c>. BvX 30792 i BOX 30792 FAX: PHONE: -�,N��yuel�.,��X: PHONE: ADDRESS: ��J1.�, I.0 /A r 3 ADDRESS: ^N� WA 99223 11 w�I '4''�f�U )(PO ITY,STATE,ZIP CITY,STATE,ZIP ®CONTRACTOR: ARCHITECT: OY CONSTRUCT A N_ 11PHONE: FAX: PHONE: BOX 30792 ADDRESS: ^NF WA 992 3 ADDRESS: CITY,STATE,ZIP CITY,STATE,ZIP WA ST CONTRACTOR LICENSE# CONTACT: IPERMIT/BUILDING INFORMATION COST OF PROJECT: 30%SLOPES ON PROPERTY: D MAIN FLOOR SQ FT: 96 Z BUILDING HEIGHT TO PEAK: frro OCCUPANCY GROUP: 2ND FLOOR SQ FT: BUILDING DIMENSIONS:?4 7C If CONSTRUCTION TYPE: UNFIN BASEMENT: NUMBER OF STORIES: / STRUCTURES ON PROPERTY: ® FINISHED BASEMENT: NUMBER of BEDROOMS: CRITICAL AREAS: GARAGE: 4.11S d FLANKING SETBACK: / 7 CURRENT PROPERTY SIZE: 7 47& COVERED DECK: FRONT SETBACK: 1'> CURRENT PROPERTY USE: DECK: REAR SETBACK: Cg CURRENT SEPTIC USE: LEFT SETBACK: CURRENT WELL USE: c L RIGHT SETBACK: IMPERVIOUS SURFACE AREA: NW— _____An MANUFACTURED HOME SIGN WIDTH: LENGTH: SQ FT OF SIGN: HEIGHT OF SIGN: YEAR: PIT SET: #OF SIGNS: AREA OF EXIST SIGN: MANUFACTURER: TYPE OF SIGN: RELOCATION FIRE SAFETY I PREVIOUS ADDRESS: FIRE SPRINKLER: FIRE ALARM: PAINT BOOTH: TENT: PROPOSED USE: FIREWORKS DISPLAY: BLASTING: DATE/TIME: WA STATE NON-RESIDENTIAL ENERGY CODE PLANS EXAMINER: PHONE: FAX: ADDRESS: CITY,STATE,ZIP INSPECTOR: PHONE: FAX: ADDRESS: CITY,STATE,ZIP I SPECIAL INSPECTIONS ® BOLTING ®CONCRETE 0 REINFORCEMENT 0 WELDING FIRM NAME: PHONE: FAX: INSPECTOR(S): 1 BUILDING STAFF USE ONLY 1 CI IS PUBLIC SEWER AVAILABLE: 0 YES 0 NO IF YES: COUNTY 0 CITY IS PUBLIC WATER AVAILABLE: ® YES ® NO IF YES,WHICH WATER DIST/IRR: IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO IS THE PROPERTY LOCATED WITHIN ASA: 0 YES 0 NO PSSA: 0 YES 0 NO IDATE: STAFF: METHOD OF PAYMENT. 0 0 0 r - 30 V. . r CASH CHECK �_ minami BANKCARD#; EXPIRES: VIN# AUTHORIZED SIGNATURE: *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD {{��7ar4 cx jj��/� 11707 East Sprgue A venue,Suite 106 509-688-0036-Phone 1J 11t1neone Spokane Valley,WA 99206 509-688-0037-Fax Vd .ley For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT PERMIT ADDRESS: 1-60 Z. l G / (f P"i USE: OWNER: `�,t4.4 � � � PHONE(Daytime Contact): xii--- MAILING ADDRESS: i (,1 N v 4491/Lei'fa 96/023 (street) (city/state) (ZIP) CONTRACTOR:Ci17�/] (j/�,�^� LICENSE#: MAILING ADDRESS: // J•��"'!° /c1 PHONE#: (street) (city/state) (ZIP) ' PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS 1 X $6 - 2 URINALS X $6 - 3 TUBS / X $6 - 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 5 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 - RAY,FOOD,PREP/CULINARY/MEAT 6 DISHWASHER / X $6 - 7 CLOTHES WASHER / X $6 - 8 GARBAGE DISPOSAL / X $6 - 9 WATER SOFTENER X $6 10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL / X $6 - 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 - 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 $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOFER,CARBONATOR, 3 X $6 - SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND X $6 - RP.B.P.D.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL X HOLDING TANK 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE X $6 - SUBTOTAL: ETHOD OF PAYMENT • Mrs PLUS PROCESSING FEE: $35.00 CASH ❑ CHECK ❑ HERM ❑ ___ _2" • TOTAL PERMIT FEE DUE: 3,TE: EXPIRES: INKCARD NUMBER JTHORIZED SIGNATURE: ("NUR(. 411."11111\11011.411%. 11707 East Sprague_Aventze.,Suite 106 509-688-0036-Phone ` ..Sp( alle Spokane Valley,WA 99206 509-688-0037-Fax 40,01FValley For Inspections, call 509-688-0054 'Mechanical Permit Application PROJECT PERMIT ADDRESS: z/-(02_9 e, / USE: OWNER -7.A�,Z i �! n (i1 PHONE(Daytime Contact): MAILING ADDRESS:`' �jL�C (street) (city/state) (ZIP) CONTRACTOR: LICENSE#: MAILING ADDRESS: PHONE#: (street) (city/state) (ZIP) DESCRIPTION OF WORK It OF UNITS X COST EQUALS AMOUNT I FUEL BURNING APPLIANCE -OR<100,000 X $15 - I FUEL BURNING APPLIANCE >100,000 X $19 - UNLISTED APPLIANCE(ADDITIONAL FEE) -OR<400,000 X $50 - UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 - USED APPLIANCE(WSEC min.AFUE rating) =or<400,000 X $50 $100 $15 - USED APPLIANCE(WSEC min.AFUE rating) >400,000 X - BOILER/REFRIGERATION 1-100M BTU X - BOILER/REFRIGERATION 101-500M BTU X $28 - BOILER/REFRIGERATION 501-1,000M BTU X $39 • - 10 BOILER/REFRIGERATION 1001-1,750M BTU_ X $57 m BOILER/REFRIGERATION +1750M BTU X $95 - ®GAS LOG,GAS INSERT,GAS FIREPLACE - X $10 - ® ..RANGE - X $10 J m DRYER - X $10 = ®FUEL BURNING WATER HEATER - X $10 - 13 MISC FUEL BURNING APPL. - X $10 - mGAS PIPING(ea.Outlet) - X $1 - D DUCT SYSTEMS - X $10 - 19 VENTILATING FANS - 3 X $10 - 20 AIR HANDLER(DOES NOT include ducting) =OR<10,000CFM X $12 - 21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19 - 22 EVAPORATIVE COOLERS - X $10 - 23 TYPE I HOOD - X $50 - 24 TYPE II HOOD - X $10 - 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 = 26 AIR CONDITIONER 3-15 TON X $20 - 27 AIR CONDITIONER 15-30 TON X $25 = 28 AIR CONDITIONER 30-50 TON X $35 - 29 AIR CONDITIONER +50 TON X $60 - 30 LPG STORAGE TANK - X $10 - 31 WOOD OR PELLET STOVE/INSERT - X $10 - 32 WOOD STOVE-FREE STANDING - X $25 - SUBTOTAL: METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00 VIS4 ' v' I_ Vii►' TOTAL PERMIT FEE DUE: 0 CASH 0 CHECK 0 =NM 0 : _ : :_ DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: Inspections performed 10 days after scheduled completion to schedule call (509)688-0195 or Fax(509)688-0037. Any re- inspection will incur an additional $25.00 SpoIine charge. 11707E Sprague Ave, Suite 106 Spokane Valley,WA 99206 400011011;Valley ROW Construction Permit Permit # ROW 04-738 Issue Date 9/1/2004 Account # Completion Date Issued by Ddompier Construction Utility Location of Property Project Description 4629 E 14TH AVE driveway Comments CONSTRUCT NEW DRIVEWAY 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 Permittee Signature Approved Date 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 , . k Proposed Plot Plan 4629 East 14th Avenue City of Spokane Valley County of Spokane,State of Washington THE EAST 5' OF LOT 11 &ALL OF LOT 12, BLOCK 11,WOODLAND TERRACE SCALE 1:20 I SEWER&WATER PROVIDED BY CITY OF SPOKANE , • ADDRESS: ^,Irl `i E I o ►/Ac/ TEV tql_Lc'y ZONE:UR 3. -- -----__._ ROAD WIDTH:60 FRONT:C.:6 FLANKING/� COMMENTS: ,t,, REVIEWED BY: /4)o O PLANNING DEPT. APPROVED Q J ,2 ,, < J BY• q4,,,ea N < / N -- ' DATE: ' • M i ' 1 < zpl ) 1 — N i A 1 '�...„,,,,/,,,,-- --,,, K'. U1 1 /' The site plan is being submitted for the purpose of JN SI 3 Obtaining a building permit and is a true and correct �i Representation of the proposal. All known property *✓ __ `— _ Lines/dimensions,curb lines,structures and easements CO-1, J have been identified. Also indicted are wetlands, V bodies of water,steep slopes or other critical areas. Lindsey Construction,Inc.