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2003, 05-29 Permit App: BD03-551 Residence City of SPOKANE VALLEY PERMIT # ELY -537 BUILDING PERMIT APPLICATION Box 1 OWNERL!f 9S0/ Co11ST. //7G• JOB LOCATION q e !y OWNER'S ADDRESS Po /36CITY5nt1ONE_g?q 3 yj X07 Z DESCRIBE JOB (.Dfsykec7 11J6 Le- ff3i7 it'-j /Z'S/27fy?C THIS PROPERTY IS OWNED BY: SINGL /MARRIED PARTNERSHIP CORP. t/ BOX 2 CONTRACTOR'S NAME I-tat)Ose'1 CONST. i AJC, PHONED? ? 3 4 ZO CONTRACTOR'S ADDRESS pa i9oX 3o7 42- CITY 5K -/E CONTRACTOR'S REG.# L 1 14 oSG i O(p4' 'f,) EXPIRATION DATE iU6 C `3 (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT 'j226 S J PHONE g 7? 3 y ?- ADDRESS ?O eO X 307gZ CITY 5194K--la ne ZIP 99 3 BOX 4 SEWER AVAILABILITYCIT'1 OP 5Pa- it WATER AVAILABILITY Ci?' op vatcl3r BOX 5 ESTIMATED PROJECT COST$ E NG BLDG. VALUATION $ BOX 6 PROPERTY TAX ACCOU TVG Irtt LEGAL DESCRIPTION MAY 2 9 2003 (IF NECESSARY, PLEASE .ID; eiN it A ,AlkAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOT NUMBER BOX 7 BUILDING SQUARE FOOTAGE (Existing/proposed) 1ST FLOOR /V 3 / 2ND FLOOR 3RD FLOOR / OTHER / BASEMENT FINISHED / BASEMENT UNFINISHED 7 / DECK/Of / GARAGE //kb Z./ CARPORT / TOTAL /757 / HEIGHT TO PEAK OF BUILDING /b FT. BOX 8 (✓) SINGLE FAMILY ) ( NEW EXISTING CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS ( ) STRUCTURE ( ) COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY SQ. FT. ( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE_ /5"-e) 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 PERFORM T E WORK FOR WHICH �H APPLICATION IS MADE. OWNER/AGENT 114 DATE t{ZQ'/D 3 (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 A' 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 AMOUNT DUE BUILDING DEPARTMENT APPROVAL BY DATE ASSIGNED ADDRESS SokanCITv.or 11707 East Sprague Avenue,Suite 106 509-688-0036- Phone p e Spokane Valley, WA 99206 509-688-0037- Fax . Valley For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT PERMIT ADDRESS: 4..7. 0 E/ 7 USE: OWNER:�-t1n 0 sa, 40,1s T-- I!1/ g''PHONE(Daytime Contact): 31.12_6 MAILING ADDRESS:' il4 P° I9O 319)?Z Sole,419E. tOA ?SIzz 3 (street) (city/state) (ZIP) CONT2t1V0'S ,/1 rD ,rS LICENSE#: MAILINGPO t6O 613 3 I PHONE#:g07'-4( e4 Vera a(0,6 1I)c qq 9 -7 (street) (city/state) (ZIP) PLUMBING FIXTURES DESCRIPTION DETAILS u OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS 2 X $6 - 2 URINALS X $6 - 3 TUBS n X $6 - 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 - 5 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- n 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 I 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 b6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER PROOFER,CARBONATOR X $6 - SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND $6 - R.P.B.P.D.FOR:VATS,TANKS,BOILERS X 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: METHOD OF PAYMENT - VISI Vas_�.�,t- PLUS PROCESSING FEE: $35.00 ❑ CASH ❑ CHECK 120 L._._..-__"'_ TOTAL PERMIT FEE DUE: D.°.TE EXPIRES: BANKC?.RD NUMBER. ,'.UT}-iORJZED SIGNATURE: a-n try 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. 7 e /y : USE USE: OWNER:"01 PHONE -7 ��,5� �/?L (Daytime Contact): Si?29 3 YTS MAILING ADDRESS: P11 i x 3 ' 79 Z s pc,eanv 0.4, 44.az 3 (street) (city/state) (ZIP) CONTRACTOR: LICENSE 8: MAILING ADDRESS: PHONE 8 (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 >100,000 X $19 3 UNLISTED APPLIANCE(ADDITIONAL FEE) •OR<400,000 X S50 4 UNLISTED APPLIANCE(ADDRIONAL FEE) >400,000 • 5 USED APPLIANCE(WSEC min.AFUE rating) •or<400,000 X fl - 0 6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X S50 • X $100 • 7 BOILER/REFRIGERATION 1-100MBTU _ X $15 • 8 BOILER/REFRIGERATION 101-500M BTU 9 BOILER/REFRIGERATION _ X $28 - • 501-1,000M BTU X 139 10 BOILER/REFRIGERATION 1001-1,750M BTU • 11 BOILER/REFRIGERATION • X $57 �1750M BTU X $95 12 GAS LOC,GAS INSERT,GAS FIREPLACE / • 13 RANGE ` X 110 • - X S10 • 14 DRYER - 15 FUEL BURNING WATER HEATER X 510 • / • 16 MISC.FUEL BURNING APPL. X $10 X $10 17 GAS PIPING(ea.Outlet) - a si 18 DUCT SYSTEMS - 1 X S10 - 19 VENTILATING FANS - - 220 AIR HANDLER(DOES NOT include ducting) _• $12 • OR<I0,000CFM X $1 X 21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19 22 EVAPORATIVE COOLERS • - X SIO • 23 TYPE 1 HOOD X _ S50 - 24 TYPE U HOOD "• X S10 25 HEAT PUMP/AIR CONDITIONER _ 0.3 TON / X $12 _ 26 AIR CONDITIONER 3-15 TON X S20 27 AIR CONDITIONER 15-30 TON X $25 • • 28 AIR CONDITIONER 30-50 TON _ X 135 29 AIR CONDMONER .50 TON X S60 • - 30 LPG STORAGE TANK - X 110 31 WOOD OR PELLET STOVE/INSERT - X $10 32 WOOD STOVE•FREE STANDING • - X 125 • SUBTOTAL: ( i METHOD OF PAYMENT PLUS PROCESSING FEE: 1 --.. ..-. $35.00 r VISA. t.a- 0: TOTAL PERMIT FEE DUE: ❑ CASH ❑ CHECK ❑ Mg= ❑ "`:" _ DATE EXPIRES: BAN KCARD NUMBER AUTHOR1ZED SIGNATURE: Call 24 hours before inspection required 00"aiik Phone 509.688-0036 Fax 509.688-0037 Spokane del Valley DEPARTMENT OF PUBLIC WORKS Anticipated start date Permit # PW 19 ,2 51 APPROACH PERMIT APPLICATION Location of property Lig '2_ E /en— (Address/Parcel #, if available) (,t Applicant Name ti QO,ti,p ;�� Address P p .6 7R ? Phone g 74) -3442? Contractor's Name Address Phone Contractor's Reg# Expires PROJECT DESCRIPTION (Provide site sketch) >4-Residential Driveway Commercial/Industrial Driveway Existing Curb & Gutter Rural Road Section Culvert Installation Sidewalk Repair/Construction Other conditions See construction requirements and details on reverse. Bond/insurance certification must be on file with the City. SPECIAL CONDITIONS: PERMIT FEE $ Inspection Fee$ 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 Si.nature Fees Paid$ 2 7o Date !nit 9BLit • Excerpts from Spokane Valley Standards (3.24, and details A8 and A-8a): • Every driveway approach must provide access to an off road parking area located on private property. The driveway shall be of sufficient length so a vehicle in the driveway does not project into the road right of way, sidewalk, or pathway. • Public or private driveways in industrial, commercial, multiple family, church or any like use shall be constructed to allow vehicles to exit without backing onto a public road. • Driveway approaches shall be constructed to avoid interference with existing drainage inlets, culverts, road lighting standards, utility poles,traffic regulating devices,fire hydrants or other public utilities. The applicant shall bear the cost of relocating any such public facility. • Driveway approach grades within the right of way shall not exceed 8% in urban area, or 2% in rural areas. Driveway grades shall not exceed 10%within ten feet of a city right of way. See Standards for a more complete listing of requirements. ill I r_ E 11 rn '01 0 Ii ISI", 1,_ I < €;1I €: 11:1111 ♦C .3 s1* � � z _ < 1 o� 1 x I : y:. t F g 1 I ypi MIp , _ . i a : i 4416k ' ~ 1— ----, j— < c I o �1►, s ill 1.-1----- I r I II p r t,! 1 K 1. 1 n I I - I f.....-- _ K �`U it �- 4�J 1 1 cc ih, C I 0 i.--. 0 •I W 1 O = Z 1 VIHi ���N�p WW1� 1 1 1 U _ IL L City of SPOKANE VALLEY • Building,. Fire and Public Works Fees Receipt Applicant/Business ',_I ,:. ' �- ` Permit Na. B� S2 Project Name " Site Address Date s'• �9-03 Please Receipt the Following: Check Number . (fi( 3 ) Receipt Number scr Payers Name ���5 Address p sf �, ��� � i ������ � - awaw City Zip q/2:2_- BUILDING DEPARTMENT 001.059.322.10.01 Building Permit $ • •001.059.322.10.02 Plumbing Permit $ 001:059.322.10.03 Grading Permit $ • 001-0§P-3g24 0.04 .Mechanical Permit $ OO:Osg.322.10:06 Demolition Permit $ 001.059.322.90.01 Misc. Permits and Fees $ 001.059.345.83.01 001.059.345.83.03 En Plans Check Fee $ 3 . (g .c�S 03. 5-6; /� 35 Energy plan s check fee $ 001.059.342.40:02' SPECIAL Inspections $ 001.059.237.10.98 Bonds / Deposits $ 001.059.237.10.02 WSBCC Surcharge * $ FiRE DEPARTMENT # • 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 $ 001.0.59.32.2.10.12 Sprinkler inspections $ 001.059.322.10.13 Misc. Inspections $ 001.059.321.30.00 Fireworks Permit $ 001.059.342.40.01 UFC 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 $ 5---qc--. `� * . w. To be sent to Wash. State Building Code Council quarterly. # 65% of figure to be sent to the Fire Department Quarterly, except bonds etc. ** Liability Insurance verification may also be required. • • s-vrecpt • Application #: * �• 283-62-,8 CERTIFICATE OF EXEMPTION C of E August , 2002 "B" Spokane County Division of Planning 1026 W.Broadway..Ave. Spokane,WA. 99260 Existing "parent"tax parcel number(s) 35233.1401 Site address or frontage road name 1 4th AVP_ Public road ® Private road 0 Private driveway 0 Auditors recording#: Legal description - Section 21 Township 25 Range 41 Block 14, Woodland Terrace Addition, Volume "I" of Plats, P.16 E 29.40 feet of Lot 14 plus W 24.60 feet of Lot 15 continued on back Total existing acreage g New property size 0,244c. Current Current zoning W23,6" Comprehensive Plan category L-0/2 (work) 370-5Sgl 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 exemp .n shall not be construed to give authority to violate or cancel the provisions of any state or local law. Applicant Date Staff Use Only This Certificate of Exemption issued pursuant to section a //O/00 ofthe 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 subject-to-the-following-- conditions and/or findings: 1. NOTICE TO PURCHASER-This piece of property may not have appropriate provisions for potable 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 for making provisions for the above-stated items. If this property is served by a private road,Spokane County is nohresponsiblefor improving or maintaining said private road. 2. For property created via this exemption,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 required information has been submitted to the County Engineer. By Date Division of Engineering APPROVED ❑ DENIED By 4r'K/rl Date . �sion of Planni RELATED FILES: Receipt#: 0 f* 0 O i 0 0I 0 0 O O 0 o O O o = OO O o OO o, ® � 0 1 © N° O o c C m m O 0 0 O O O O O O I O O ( WILLAMETTE ST O O 0 O I O O 0 0 0 0 O 0 6 ® O O O ig 0 0 O C.) O �° O 0 O P O O O O O O O 0 i O o O o 0 o CHRONICLE ST 500'05'40'5 1 X26' iri 5 00'054(7 E 129.26' O O 0 2 O x s "; O_ 0 00'05'40'51 - . 4.— e9 00'0 40'E 129.26' O 0 0 o 0 $lam V o2 © 0 3� N s N X`:g2-r s •5 00'0540 E124,26 60I •5 00'0540'E 129.26 o 0 0 0NA 0 o 011 O O O CD Tri Os 00'050' 12Qo.26' 500'0O� —1' if21® � — — 60 R/VJI. WW O O O 1 •�• '•ri 6. ( III f •600'0 4C 5129.26' 0 UI W 0 2 16,1 21yp ._ w .W' . 5 ® ._p Cti N la O 0 0 •5 00'05'40'55 1 .26' •N 5 DO'0g40'c5 129.26 0 ®26) g m m 0 w 12,9— —c514: s J4 lJ —912' O O O ® •6 00'05'40'EE 1 -.26' 6 5 000 '40'E 129.2r ) O _• —e l q°j W JD O O 0 0 ti O ;'o N x ? 0 ii .SL'6CL 54100.005 5'1r, l•1� 600'0011'E 129.25 _ 500'0017 661.02 — — — — •j s00'0011'E 1986.03 — S 00'0011'E 2647.05(M) CARNAHAN ST N 00.00'04'W 2646.87(2-1) S 00'0004'W 2647.03'(2-2) N 00'04'00'E 2647.06'(2-4) 0N • 1 1 / 1 - � * / / / 1 1 , { 1 r 1 " F t '//t r ,13.9f �►1 ' ' ' 30$ tr ! 02' , 54.0' 5'�.%.7 `60pt° / 1 / 58,9'3 ;' , �'� air 46. G 54.02 r�4-o2 I' { \ ' .:\ ' t /1. I / /11' . "'"-- ...,..1 . ::' ., /i4/1 \,-,1::\' 11,;:ii / : -:-11",,',, I / � 1 a ` ' / - I ` I ( I 1 `t� I .,0,, ,/u!, 1] t r 1m ( J t� Imj }. /11,, . 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Vol. "I" of plats, p. 16, the E. 29.40 ft of L. 14 plus W. 24.60 ft of L 15 SCALE 1:20 I SEWER AND WATER PROVIDED BY CITY OF SPOKANE 11 I le 1-- .W 6,-7 -X' &.6 p 14,0x, = 1 oe 7 4> qac ; y&z 14) pave, = y-O0 ri Pte = /v o t:12 4. P at, '.� a,"; s'v 3 0 M M -f-I \Q/ .: 0 PJ U�' ((:)fr _zi , i 0 ,ik.‘ ,,6 r i 4)) APPROVED B .«`I� _ �T A sz.. fr 0� NN ,e1 i Cc) ' r Nr