Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2003, 05-29 Permit App: BD03-244 Residence
RECEMD City of JUN 0320 SPOKANE VALLEY im„ 1-)1 _ rLE JJ©-3 —.2V MING PERMIT APPLICATION Box 1 OWNER'-!n 9Seti Cfl?$7 MC.. JOB LOCATION g°({ j Le OWNER'S ADDRESS pO 66CITY/P ONE �7q 3 9ZO 075Z DESCRIBE JOB (din sTJcr s(A)6 ph in VffY7C THIS PROPERTY IS OWNED BY: SINGL /MARRIED PARTNERSHIP CORP. t/ BOX 2 CONTRACTOR'S NAME 1-i&)OSE`1 CONST. I►JC. PHONES? 9 342-0 CONTRACTOR'S ADDRESS Pp 1361 307 4 2- CITY S1POKc.A-nE CONTRACTOR'S REG.# LI kr 0SC ) 0 EXPIRATION DATE iAU(g O 3 (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT (;geCo STIP-A) PHONE g 79. 3 Y �p ADDRESS PO/30% 3o79Z CITY spa;cane ZIP 99LZ BOX 4 SEWER AVAILABILITYC(TY OP 5/90-Mt WATER AVAILABILITY CA-T'1 Op 5 1c/9 BOX 5 ESTIMATED PROJECT COST$ EXISTING BLDG. VALUATION$ BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOT NUMBER BOX 7 BUILDING SQUARE FOOTAGE (Existing/proposed) 1ST FLOOR I/ / 2ND FLOOR 3RD FLOOR / OTHER / BASEMENT FINISHED BASEMENT UNFINISHED ( D , / DECK / GARAGE S'72-/ CARPORT / TOTAL /0?Y/ HEIGHT TO PEAK OF BUILDING /1 FT. BOX 8 (✓) SINGLE FAMILY ( try NEW CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY 76 Z, SQ. FT. ( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE_ S SD SQ. FT. BOX 9 PLUMBING FIXTURES (Including rough-ins) MECHANICAL APPLIANCES PLEASE USE THE ATTACHED PLUMBING/MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES, SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS, LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL. BOX 10 Water Service meter size (if known) Also see BOX 4 BOX 11 Septic Tank-Not generally allowed in the City of Spokane Valley. For special circumstances contact Your sewer purveyor and the Health District (See BOX 4) BOX 12 Street use may require a" Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public Works Department. I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO% PEM T E WORK FOR WHICH HAJPPLICATION IS MADE. OWNER/ AGENT ail T , DATE 579,01 (OVER) I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card: Visa Mastercard ___ Expiration Date Print the name of the Holder Signature • OFFICE USE ONLY- PLEASE DO NOT WRITE BELOW THIS LINE ZONE SETBACKS: FRONT SIDE . • REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE REMARKS SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT'APPROVAL DISAPPROVAL DATE REMARKS • • PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE L TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY TYPE OF CONSTRUCTION STORIES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NUMBER PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE OTHER CHARGES 1 AMOUNT DUE BUILDING DEPARTMENT APPROVAL BY DATE ASSIGNED ADDRESS • • • City of SPOKANE VALLEY Ruridingf Fire and Public Works Fees Receipt Applicant/Business L. rve Project Name 'Bp- Permit No. � �3"J 7� Site Address `5 ' Date (o-a-D3 Please Receipt the Following: Check Number �L � .-. _ __ _ _ __ _ _ _ _ __ _ _ _ __ _ _ _-J�- = _ _ _ _ _ _ Payer's Na Receipt Number. . . . . . .. . . umber (e Address i � • city Zip BUILDING DEPARTMENT 001.059.322.10.01 Building Permit $ '001.059.322.10.02 Plumbing Permit $ • 001:059.322.10.03 Grading Permit $ 001.059.3? 4.04 .Mech.an.i.�ca1 Permit $ 001=0'9:322:1.0 0 beiriolition Permit $ 001.05'9.322.90.01 Misc. Permits and Fees $ 001.059.345.83.01 Plans Check Fee 001,059.345.83.03 Energy plans check fee • $ 1 3 001.059.342.40.02 ' SPECIAL Inspections $ • '001.059.237,10.98 Bonds / Deposits $ 001.059.237.10.02 WSBCC Surcharge * $• ` • FIRE DEPARTMENT # s+ 001.059.322.10.07 Plans.check fee • 001.059.322.10.08 Sprinkler plans check $ $ • 001.059.322.10.09 F. A. Plans check 001.059.322.10,10 Misc. plans check' $ • 001.059.322.10.11 Fire Alarm inspections $ $ 001.0.59.322.10.12 Sprinkler iinspeetians $ 001,059.322,10,13 Misc. Inspections 001.059.321.30.00 Fireworks Permit $ 001.059.342.40.01 URC permit fees $ 001.059.237.10.99 Bonds /Deposit ** $ OTHER: $ $ • • PUBLIC WORKS • 001.059.322.40.00 Right of Way $ 001.059.342.40.03 Special Inspections $ • 001.059.237.10.99 Bonds/Deposits(cash)** $ • TOTAL AMOUNT DUE . $ i 3• /.5 • * To be sent to Wash. State Building code Council quarterly. # 85% of figure to be sent to the Fire Department Quarterly, except bonds etc. ** Liability Insurance verification may also be required. s-vreapt Scn]'or' 11707 East Sprague Avenue, Suite 106 509-688-0036- Phone poane Spokane Valley, WA 99206 509-688-0037- Fax Valley For Inspections, call 509-688-0054 Plumbing Permit Application PROJECTPERMIT ADDRESS: 6(.91v7 c e /7 USE: OWNER:�l/I 0set /_6 S T 1 PHONE(Daytime Contact): 7q 331.1�� MAILING ADDRESS: �/ 'r 1` g'' Po hod 30)gZ S( ne. cCA- 79 z-, 3 (street) (city/state) (ZIP) CONTI;fCTd S ,/1 rD i_tti'� LICENSE 0: MAILING 93/ PHONE 0: Dq07--(4 I , `I Ueracfrth 1"a 9403-7 (street) (city/state) (ZIP) PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS 3 X $6 - 2 URINALS X $6 - 3 TUBS i 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 - 9 WATER SOFTENER 1 X $6 - 10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE 7 X $6 - 12 FOUNTAINS,DRINKING X $6 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, - W ASTE,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, X S6 - SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND R.P.B.P.D.FOR:VATS,TANKS,BOILERS X $6 - 17 SPRINKLER SYSTEM 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 $6 - METHOD OF PAYMENT SUBTOTAL: IC' VISA !tfrzs-,. ,$ PLUS PROCESSING FEE: _ , ,J:Jp� ❑ c.-.SH ❑ CHECK ❑ .__ ❑ .... .�-`- TOTAL PERMIT FEE DUE: L.4.TE EXPIRES: BANKCARD NUMBER. AUTHORIZED SIGNATURE: CITY tr. 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 , Mechanical Permit Application PROJECT PERMIT ADDRESS: USE: OWNER PHONE /7 o!� n�//,s� inc (Daytime Contact): i?,- MAILING ADDRESS: y2.4 PI gi X 3024=12 S po eanz 04 9?0, 3 (street) (city/state) (ZIP) CONTRACTOR: LICENSE 0: MAILING ADDRESS: PHONE 0: (street) (city/state) (ZIP) DESCRIPTION OF WORK I OF LIMITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE -OR<100,000 / X $15 • Ir< 2 FUEL BURNING APPLIANCE >100,000 X $19 3 UNLISTED APPLIANCE(ADDITIONAL FEE) -OR<400,000 X $50 - 4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 - 5 USED APPLIANCE(WSEC min.AFUE rating) •or<400,000 X $50 - 6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X $100 7 BOILER/REFRIGERATION 1-100M BTU X $15 8 BOILER/REFRIGERATION 101•500M BTU X $28 - 9 BOILER/REFRIGERATION 501-1,000M BTU X S39 10 BOILER/REFRIGERATION 1001•1,750M BTU X $57 - - 11 BOILER/REFRIGERATION +1750M BTU X $95 • 12 GAS LOC,GAS INSERT,GAS FIREPLACE — X SIO 13 RANGE - — X $10 14 DRYER — ' X $10 • i 0 15 FUEL BURNING WATER HEATER -- I X $10 •16 MISC.FUEL BURNING APPL. Z C — X S70 • 17 CAS PIPING(ea.Outlet) — X S] 18 DUCT SYSTEMS - 1 . ( X s10 - VO 19 VENTILATING FANS — 3 X $10 - 20 AIR HANDLER(DOES NOT include ducting) •OR<IO,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 U HOOD -- i X S10 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 - - 26 AIR CONDITIONER 3-15 TON X _ $20 - 27 AIRCONDMONER 15-30 TON X 525 • 25 AIR CONDITIONER 30.50 TON X 535 - 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: 77.00 METHOD OF PAYMENT PLUS PROCESSING FEE: Y/$4 t »-- fs TOTAL PERMIT FEE DUE: ❑ CASH ❑ CHECK ❑ ❑ ,____-_._-_:..'.-V_ DA I B EXPIRES: BAN KCARD NUMBER AUTHORIZED SIGNATURE: City of PERMIT # PW 0 3- -3 i SPOKANE VALLEY UTILITY RIGHT — OF-WAY APPLICATION AND PERMIT PUBLIC WORKS DEPARTMENT Date project starts Date Project ends (Please call for final inspection) APPLICATION Location of property involved (or address) II 2.4 Name of company L16 S 08-1• AA,c dc-.., Address of company po ehix -30-)e) phone-22-- •?�Ca?0 Contractors name Contractors address phone Contractors registration Number Expiration date Right of Way: Pavement or sidewalk intrusive. Yes No Intrusive outside of pavement or sidewalks. Yes No Length of cut ft. Depth of cut ft. Width of cut ft. Direction of cut Contact person CI r,ei cfi rin Address of contact Phone Please explain in detail the description of the activity proposed. Oproct.c.,k_ - I hereby authorize the City of Spokane Valley to charge this permit fee to my charge card. Visa mastercharge Valid Date Print name of holder Signature PERMIT: Restoration: Permanent }e_ Temporary Type of backfill to be used: 'gralvel Crushed CDF IS A COPY OF A BOND DEPOSITED WITH THE CITY OF SPOKANE VALLEY ? A COPY OF THE CITY/UTILITY LIABILITY INSURANCE POLICY MUST BE ON FILE AT THE CITY. PERMIT FEE $ ‘19 INSPECTION FEE $ Approved 0Publi,,,„A, el()Director Date CALL 24 HOURS BEFORE INSPECTION NEEDED Phone 509-688-0036 Fax 509-688-0037 R-O- WAPP. ,pplication #: 9_15-02— tk/ CERTIFICATE OF EXEMPTION C of E August , 2002 "N" Spokane County Division of Planning 1026 W.Broadway..Ave. Spokane,WA. 99260 Existing "parent'tax parcel number(s) _35233.1 504 - 35233.1 503 Site address or frontage road name 14th Ave. Public road ❑ Private road ❑ Private driveway ❑ Auditors recording#: Legal description - Section 23 Township25N Range 43 E.W.M,. Block 1.5, Woodland Terrace Addition, Volume "I" of Plats, P.16 E 29.4 feet of Lot 3 plus W 24.6 feet of Lot_ 2 continued on back Total existing acreage New property size / QV= Current zoning X3.5'" Comprehensive Plan category LAS (work) 370-5.993 Name of applicant Mike Shuler -Phone Number (home) - Mailing address P. 0. Box 1207 City Davenport State WA Zip 99122 I certify that I as owner or authorized agent have examined this document and state,that the information contained in it and submitted by me or my agent to compile said document is true and correct,and authorize Spokane County to proceed with processing. In addition, I have read and understand the provisions contained herein and-agree to comply with them. I understand that the issuance of this exemption is not Intended to verify that adequate provisions have been made for drainage ways, potable water supplies, roads and sanitary wastes. Any subsequent approval based on this exemption shall not be construed to give authority to violate or cancel the provisions of any state or local law.( / Applicant ? Date 8)7.2-1 2-- Staff Use Only This Certificate of Exemption issued pursuant to section /AIX.gad of the Subdivision Ordinance for Spokane,County and RCW 58.17. The Certificate of Exemption is intended to indicate if the property as described is exempt from the State and Local Subdivision laws-which regulate the sale, lease,or transfer of ownership of property.and_is subjecttp the.following_. conditions and/or findings: 1. NOTICE TO.PURCHASER-This piece of property may not have appropriate provisions forpotable water supplies(drinking water),sanitary wastes(septic tank or sewer), drainage ways,streets or road,alleys or other public ways. Spokane County is not responsible formaking provisions for the above-stated items. If this property is served by a private road,Spokane County isnot responsible for improving or maintaining. said private road. 2. For property_created via thisexemption,the applicant shall-file a Segregation Application with the-County Assessor prior to the issuance of a building permit. 3.- This Certificate of Exemption-is for and shall run with the land,and shall-be applicable to the applicant, owner,heirs,successors or assigns. 4. The use of this property must conform to the Zoning Code 5. The following conditions shall also apply continued on back The re uired information has been submitted to-the County Engineer. - - By Date Division of Engineering APPROVED 0 DENIED Bydfriedei. Date ion of Planning` RELATED FILES: Receipt#: ,6020>94/00 Lindsey's Homes LINDSEY CONSTRUCTION, INC. ' POST OFFICE BOX 30792 SPOKANE, WASHINGTON 99223 Proposed Plot Plan for 4924 E. 14th Avenue City of Spokane Valley, Washington Block 15, Woodland Terrace Addition, Volume"I"of Plats, Page 16 The east 29.4 feet of lot 3 plus the west 24.6 feet of lot 2 J SCALE 1:20 l SEWER AND WATER PROVIDED BY CITY OF SPOKANE 64 N n e LpT S)Ze _ �oZa I i 10 Z Orri �w�i l nc� I, .mer- 1 In pry VC = 0 S ,l paho = too @II aaS rcovAlr wiq = S3V9It �� C.-) Po 4-i A / G 4 Z <9 tA Na_ V ,\ 1 I < if I A R EDBY71(ii ` 00)-3 9' ( t)l I V1, I 8441 0 y0�� IDAHO WASHINGTON ALASKA