2006, 08-07 Permit App: 06001423 Residence Project Number: 06001423 • Inv: 1 Application Date: 8/7/2006 Page 1 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: sfr,gas heat,on sewer Contact: LINDSEY CONSTRUCTION
Address: PO BOX 30792
C-S-Z: SPOKANE,WA 99223
Setbacks:Front Left: Right: Rear: Phone: (509)568-1013
Group Name:
Site Information: Project Name:
Plat Key: Name: WOODLAND TERRACE ADD District: Sout
Parcel Number: 35233.1512 Block: 15 Lot: 11
SiteAddress: 4907 E 15th AVE Owner:Name: LINDSEY CONSTRUCTION
Address: PO BOX 30792
Location::CSV SPOKANE,WA 99223
Zoning: UNKN Unknown
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review In ormataon: _ y ,.. n ,,
Review
Building Plan Review Released By.
Originally Released: 8/7/2006 By: TMELBOU
Driveway/Approach eleased By:
Originally Released: 8/7/2006 By: amblake
Landuse/Zoning/HE Conditions Released By:
Originally Released: 7/31/2006 By: kkendall
Sewer Review Released,By:.
Permits: �MAw:� , , .. .. = :• mn� m � .
Operator: AMB Printed By: AMB Print Date: 8/7/2006
Project Number: 06001423 • Inv: 1 Application Date: 7/27/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: sfr,gas heat,on sewer Contact: LINDSEY CONSTRUCTION
Address: PO BOX 30792
C-S-Z: SPOKANE,WA 99223
Setbacks: Front Left: Right: Rear: Phone: (509)568-1013
Group Name:
Site Information Project Name:
Fx�":x��.,.,..x.�_.:':�. ..:-.,' :. xa..,,: _:.•r _r,-'� '�S"tifd�m :>e�rrr. ^v „:-.,.,�. �-s...... ..... �aad" ""
Plat Key: Name: WOODLAND TERRACE ADD District: Sout
Parcel Number: 35233.1512 Block: 15 Lot: 11
SiteAddress: 4907 E 15th AVE Owner:Name: LINDSEY CONSTRUCTION
Address: PO BOX 30792
Location::CSV SPOKANE,WA 99223
Zoning: UNKN Unknown
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review Released By: 7 bG
Driveway/ApproachI Released By:
Landuse/Zon' g/HE Conditions Release, By:Ar#7 17 1 If If f, ' l
W2M_NA _ ILL d _ Arel 61\ -3/_2e/DV
Sewer Review Released By:
Permits: .�
Operator: AMB Printed By: AMB Print Date: 7/27/2006
Project Number: 06001423 • Inv: 1 Application Date: 8/7/2006 Page 2 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509)879-3420
SPOKANE,WA 99223
Item Description Units Unit Desc Fee Amount
APPROACH-CONST IN ROW 1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509)879-3420
SPOKANE,WA 99223
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,176 $101,571.12 1,176 $101,571.12
BASEMENT F R-3 VB 1,176 $23,520.00 1,176 $23,520.00
DECK OPEN R-3 VB 108 $1,620.00 108 $1,620.00
GAR WOOD U-1 VB 444 $8,436.00 444 $8,436.00
Totals: 2,904 $135,147.12 2,904 $135,147.12
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,195.35
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $478.14
Permit Total Fees: $1,677.99
Mechanical Permit
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509)879-3420
SPOKANE,WA 99223
Item Description Units Unit Desc Fee Amount
DUCT SYSTEMS 1 NUMBER OF $10.00
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 5 NUMBER OF $50.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $107.00
Operator: AMB Printed By: AMB Print Date: 8/7/2006
Project Number: 06001.423 - Inv: 1 Application Date: 7/27/2006 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509)879-3420
SPOKANE,WA 99223
Building Permit
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509)879-3420
SPOKANE,WA 99223
Mechanical Permit
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509)879-3420
SPOKANE,WA 99223
Plumbing Permit
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509)879-3420
SPOKANE,WA 99223
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata(see plat file)requires: (1)footings=min. 24 inches wide(2)foundations
no closer than 12 ft from north edge of fill
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata(see plat file)requires: (1)footings=min.24 inches wide(2)foundations
no closer than 12 ft from north edge of fill
**DO NOT ISSUE BUILDING PERMITS FOR LTS 11 & 12 BLK 16,LTS 9-16 BLK 15,LTS 1 &2
BLK 27<S 1-8 BLK 28 UNTIL CC&R'S ARE ACCEPTED, SURETY IN PLACE FOR ALL
IMPROVEMENTS OR FINAL CONST ACCEPT CERT&ANY DEDICATIONS OR EASEMENTS
ARE RECORDED PER S RASKELL
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: AMB Printed By: AMB Print Date: 7/27/2006
Project Number: 06001423 • Inv: 1 Application Date: 8/7/2006 Page 3 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509)879-3420
SPOKANE,WA 99223
Item Description Units Unit Desc Fee Amount
LAWN SPRINKLER ON METER 1 SELECT $25.00
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
SHOWERS 1 NUMBER OF $6.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER PIPING-DWV 3 NUMBER OF $18.00
Permit Total Fees: $121.00
Operator: AMB Printed By: AMB Print Date: 8/7/2006
Project Number: 06001423 • Inv: 1 Application Date: 8/7/2006 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata(see plat file)requires: (1)footings=min. 24 inches wide(2)foundations
no closer than 12 ft from north edge of fill
All driveway approaches to be constructed per Spokane County Standards as adopted by the City of
Spokane Valley.
All driveway approaches to be constructed per Spokane County Standards as adopted by the City of
Spokane Valley.
Flat portion of a residential approach to be minimum of 16'wide,maximum of 30'wide and combined
approach width not to exceed 50%of total frontage.
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata(see plat file)requires:(1)footings=min.24 inches wide(2)foundations
no closer than 12 ft from north edge of fill
**DO NOT ISSUE BUILDING PERMITS FOR LTS 11 & 12 BLK 16,LTS 9-16 BLK 15,LTS 1 &2
BLK 27<S 1-8 BLK 28 UNTIL CC&R'S ARE ACCEPTED,SURETY IN PLACE FOR ALL
IMPROVEMENTS OR FINAL CONST ACCEPT CERT&ANY DEDICATIONS OR EASEMENTS
ARE RECORDED PER S RASKELL
Payment Summary: MAW.... _.�A , � gym �� n•_ ,.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,677.99 $1,677.99 $0.00 $1,677.99
Mechanical Permit $107.00 $107.00 $0.00 $107.00
Plumbing Permit $121.00 $121.00 $0.00 $121.00
$1,955.99 $1,955.99 $0.00 $1,955.99
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: AMB Printed By: AMB Print Date: 8/7/2006
��, ® Permit Center _u �
**Wane • 11707 E Sprague Ave, Suite 106 PERIviIM s
....*Valley Spokane Valley,WA 99206 e� "' , '
,.pER EE., :3
(509)688-0036 FAX: (509)688-0037 �— �F
Community Development www.spokanevallev.org.com �.- ..' S J
VIiii
Residential Construction -6' r P Vew 4trf tion oA2eneniss ldg
Permit Application n o Additi s l
o Other? `T L� � G
t.SITE ADDRESS 9P) 6-'7 ` T
- ,i`
/0 \I M °
ASSESSORS PARCEL NO: .J5
-) i t,i bt LEGAL DESCRIPTION: e I ��—'� ;61011 ��/il
Building ov.�i r ` s _,. _. �$ . _ Contractoi " ' ` w . r. ._:. ,
Name: ,/ ( 4,JName:
Address: JJ/// L/" �je)79 2.—. Address:
City:. jai Zip: W2City: Zip:
Phone: .S j f—/ / Fax: 6-/ /3-(o/3 Phone: Fax:
Lic No: Exp.Date:
s 4 ,y.0 .. t ..: s ..re g i"`'& g a` ° _ {fir
Contac s e ,:*q„see,ri. ,' t _ ',,p k�+ .„ .°
City Business Lie No:
Name: Cj f jj�i7
Phone: ,/?k-"Id/ 3
Describe the scope of work in detail: Cost of Project: $
nCeX112-) QLD O(o 0( c
**************The followingT Sbe complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
/ ' 3k)(5-2} / 23S-2_
MAIN FLOOR TO SQ. 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: //740
/7 //a_ AREA:
FINISHED BASEMENT GARAG , T4:4(4 b CK/COV PATIO SQ. FTG: 30SLOPES ON
SQ. FTG: // ? to . /fie %PROPERTY: i7
#OF BEDROOMS: CONSTRL CTION TYPE: EAT SOUR E: SEWERc ' OR SEPTIC?
DISCLAIMER �Gz � y//2 d erg S 7Gs/d�i-
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.6) Plans or additional information may be required to be submitted, and subsequently approved before
—this-application-can be processed.
r
Signature >!4A 4 i ,, i/� 4///,..i, 4 , ,a, Date �����1��
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash el Check 0 Mastercard 0 VISA 0 Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
•
Permit Center
Sj°lane ® 11707 E Sprague Ave,Suite 106 •
�` Talle Spokane Valley,WA 99206
(509)
V y (509)688-0036 FAX: (509)688-0037
www.spolcanevallev.org.com
Community Development
Residential Plan Submittal Minimums
❑ Completed Building, Plumbing & Mechanical application with: Accurate address,
Parcel Number and/or Legal Description, description of work, owner and
contractor information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One-hour separation detail: between house and garage
•
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
•
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
•
❑ Foundation plan
❑ Insulation information
Permit Center
Sr,r,°.kane 11707 E Sprague Ave,Suite 106
Valley Spokane Valley,WA 99206 PERMIT NUMBER:
(509)688-0036 FAX:(509)688-0037
Community Development www.spokanevalleV.org PERMIT FEE:
Mechanical PermititApplication n Commercial n Residential
SITE ADDRESS: / /C/ 2 Ci 1
Building Owner
Name: /t' �„ Phone: Fax:
Address: C City: State: Zip:
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 1 X $12.00 =
2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 =
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 =
5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 X $50.00 =
6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X $100.00 =
7 BOILER/REFRIGERATION 1-100M BTU X $12.00 =
8 BOILER/REFRIGERATION 101 -500M BTU X $20.00 =
9 BOILER/REFRIGERATION 501-1,000M BTU X $25.00 =
10 BOILER/REFRIGERATION 1,001 -1,750M BTU X $35.00 , =
11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 __ ,
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 l X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) X $1.00 =
18 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS X $10.00 =
20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM 5 X $12.00 =
21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X $15.00 =
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 =
33 REPAIR&ADDITIONS X $15.00 =
34 VENTILATION SYSTEMS X $12.00 =
35 VENTILATION MECHANICAL EXHAUST X $12.00 =
36 INCINERATOR-RESIDENCE X $19.00 =
37 INCINERATOR-COMMERCIAL X $22.00 =
METHOD OF PAYMENT: SUBTOTAL
OCASH 0 CHECK 0 VISA ❑MC EXPIRES: PROCESSING FEE $35.00
CARD#: VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Permit Center
Spokane 11707 E Sprague Ave,Suite 106
,.,.*Valley Spokane Valley,WA 99206 PERMIT NUMBER:
(509)688-0036 FAX:(509)688-0037
Community Development www.spokanevallev.ora PERMIT FEE:
Plumbing Permit Application ❑ Commercial n Residential
SITE ADDRESS: i6M 7 /
Building Owner
Name: i1) ,�!, 6)7,241.-- Phone: r Fax:
Address: A /1?9 ZIP/77i?l liar /q 0t; Zip:
Contractor `7
Name: fl) th u pQ�/ l y1 9 Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS 3 X $6.00 =
2 URINALS X $6.00 =
3 TUBS 3 X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 =
LAYS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT
6 DISHWASHER _
X $6.00 -
7 CLOTHES WASHER ( X $6.00 =
8 GARBAGE DISPOSAL
f X $6.00 =
-
9 WATER SOFTENER X $6.00 =
10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 =
AREA,CASE,COIL,TRENCH,
11 FLOOR DRAINS CONDENSATE X $6.00 =
12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 =
15 SEWAGE EJECTOR ' GRINDER,SUMP PUMP X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER X $6.00 =
PROOFER,CARBONATOR,SWAMP
COOLER6-1
VACUUM BREAKER,CHECK VALVE,
AND R.P.B.P.D.FOR: VATS,TANKS,
17 CROSS CONNECTION DEVICE BOILERS X $6.00 =
GREASE TRAP,SAND TRAP,
18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 =
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 =
20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 =
22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = _
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
ECASH ❑CHECK ❑VISA ❑MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Cart, 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone
SgO nne Spokane Valley,WA 99206 509-688-0037-Fax
,Valley" For Inspections, call 509-688-0054
Plumbing Permit Application
PROJECT ,�.y, PERMIT
ADDRESS: 9'9D 7 /c� "' USE:
OWNER e"w�A , PHONE(Daytime Contact):
MAILING ADDRESS:
$-x 32 '9z q9&3
(street) (city/state) (ZIP)
CONTRACTOR LICENSE#:
MAILING ADDRESS: PHONE#:
(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 2 X $6 -
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT
I X $6 -
5 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN,
LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 =
RAY,FOOD,PREP/CULINARY/MEAT 4
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 -
R.P.B.P.D.FOR:VATS,TANKS,BOILERS
17 SPRINKLER SYSTEM I 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
VISA ,Masff., PLUS PROCESSING FEE: $35.00
0 CASH 0 CHECK 0 MEE 0 L.__:_.','-::_4''.:
TOTAL PERMIT FEE DUE:
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Spokarn1'c 11707 East Sprague Avenue, Suite 106 509-688-0036-Phone
.Vne Spokane Valley, WA 99206 .509-688-0037-Fax
alley For Inspections, call 509-688-0054
Mechanical Permit Application
PROJECT
ADDRESS: 419L 7 //5111-y � USE:
/ USE:
OWNER ei„x PHONE(Daytime Contact):
MAILING ADDRESS:
416 3D 791 910-e3
(street) ( ty/state)
(ZIP)
C1JNTRACTOR:
LICENSE#:
MAILING ADDRESS: PHONE#:
(street) (city/state)
(ZIP)
DESCRIPTION OF WORK F OF UNITS X COST EQUALS AMOUNT
1 FUEL BURNING APPLIANCE =OR<100,000 /
X $15 _
2 FUEL BURNING APPLIANCE >100,000
3 UNLISTED APPLIANCE(ADDITIONAL FEE) =OR<400,000 X $
X $500
=
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
7 BOILER/REFRIGERATIONX $100 =
1-100M BTU X $155
8 BOILER/REFRIGERATION 101-500M BTU X $28 =
9 BOILER/REFRIGERATION 501-1,000M BTU
10 BOILER/REFRIGERATION X $39 =
1001-1,750M BTU X $57
11 BOILER/REFRIGERATION +1750M BTU =
12 GAS LOG,GAS INSERT,GAS FIREPLACE X $95 =
13 RANGE X $10
— X $10
14 DRYER
— X $10 -
=
15 FUEL BURNING WATER HEATER — /
16 MISC FUEL BURNING APPL. —
X $10 =
X $10 =
17 GAS PIPING(ea.Outlet) —
18 DUCT SYSTEMS x $1 --
j X $10 _
19 VENTILATING FANS — 9
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 I
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
—
31 WOOD OR PELLET STOVE/INSERT X $10 =
— X $10 =
32 WOOD STOVE-FREE STANDING
— X $25 =
SUBTOTAL:
METHOD OF PAYMENT PLUS PROCESSING FEE:
$35.00
MEM
❑ CASH
VISA' !�~` "� TOTAL PERMIT FEE DUE:
0 CHECK 0 ❑ 1-___-_-__ _
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
io
FAX TO: KAREN
CITY OF SPOKANE VALLEY
FROM
LINDSEY CONSTRUCTION FAX NUMBER 921-1008
PO BOX 30792 FROM: GREG STIRN
SPOKANE,WASHINGTON DATE: 7/28/2006 10:07:48 AM
99223 REGARDING: PROPOSED PLOT PLANS
PAGES: FOUR
PHONE NUMBER FOR FOLLOW UP 509-568-1013
KAREN
INCLUDED ARE THE THREE REVISED PLOT PLANS FOR
4907 E 15"
4909 E 151H
4911 E 15"
ALL INDICATING THE SIX FEET OF THE VACATED ALLEY TO
THE NORTH IS INCLUDED IN THE LOT DIMENSIONS.
bd Wd0E:60 900E 8E 'Inr £TOT+2VP 60S: '0N Xdd : WOdd
PROPOSED PLOT PLAN
4907 EAST 15T11 AVE.
CITY OF SPOKANE VALLEY
SPOKANE COUNTY, WASHINGTON
PUBLIC SEWER&WATER SCALE 1:20
N
4 50
2350 zegm.
Po mo
4*
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1
az-,
x
/1
0
-1 �d
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