2003, 07-29 Permit app: BLD-03-02094 Addition City of FR x b ff- 62 ° .3 7
SPOKANE VALLEY
PERMIT # &.JJ - 0 3 L=it c' 9'4
BUILDING PERMIT APPLICATION
Box 1 OWNER dit,ltv 1 ;SA '/.. '.) JO: LOCATION MOW% ,/S QA,_
OWNER'S ADDRESS Q93 �'//> CITY z jyl,'PHONE :5-7--c).27,30?
DESCRIBE JOB (2 c.-661 77gwi .
THIS PROPERTY IS OWNED BY:411P MARRIED
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME a6A, /sly lGQ PHONE SCZA
CONTRACTOR'S ADDRESS CITY Shu 4)
CONTRACTOR'S REG.# /1/4 EXPIRATION DATE /11.14
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX 3 CONTACT PERSON OF PROJECT a ' 1�S P PHONE S ----C
ADDRESS ,SaAA.n CITY Sawke ZIP 1, e
BOX 4 SEWER AVAILABILITY eS t WATER AVAILABILITY Jed
BOX 5 ESTIMATED PROJECT COST$ O O EXISTING BLDG.VALUATION $ 2j6- . 2Qa DQ
BOX 6 PROPERTY TAX ACCOUNT NUMBER /6-70r-/, O7/oC
EI �D S v4IPTIO � / PLC)?CQ C)? ! C CC 4i4,n ;f "l n F..A"i.7 re-C,0VCA CO/ I h
0.0 C,k k_vk, i i Q± ko S PCk. t I Cf/ ,Tln JI0 !r ,,l P ( 04. ."q ' 00 .511\" .,t C'1104
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER ((J, ✓V LOT NUMBER O
BOX 7 BUILDING SQUARE FOOTAGE (Existing/proposed) 1ST FLOORS / /,6/;2ND FLOOR t / 2.9.0:71 )
3RD FLOOR 79- / OTHER BASEMENT FINISHED -- /
BASEMENT UNFINISHED45 / DECK / GARAGE / ''.
CARPORT / -9 TOTAL / A3 10 'HEIGHT TO PEAK OF BUILDING FT.
BOX 8 (2() SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS ) (x) EXISTING STRUCTURE .�y�,
( ) COMMERCIAL/INDUSTRIAL DOTAL AREA OF PROPERTY .�CYU SQ. FT.
( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE_ 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) /f/1/J 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 THE WORK FOR WHICH THE APPLICATION IS MADE.
OWNER/AGENT DATE (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
DO NOT PLACE ANY BUILDING UNDER POWER LINES OR OVER INCOMING GAS LINES.
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
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
Received
arti cx 4 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone
SOl ane Spokane Valley,WA 99206 509-688-0037-Fax
Walley For Inspections, call 509-688-0054
Plumbing Permit Application
PROJECT / Q Q 17 E /& /'I .7;,Nl,'` PERMIT
ADDRESS: Sp r rv:L ., Lia? rG�'61, i,) USE:
OWNER: 7 / c�`' PHONE(Daytime Contact): 9'S�—'73,2
[� v l l�.i r ��l/I,
MAILING ADDRESS:
(street) `� I (city/state) (ZIP)
CONTRACTOR: C�� `/, 1 S 4 /) LICENSE#: �/
MAILING ADDRESS: PHONE#:
...>Q e
(street) (city/state) (ZIP) '
PLUMBING FIXTURES
DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT
1 TOILETS WATER CLOSET,BIDETS 9, X $6 -
2 URINALS X $6 -
3 TUBS ,2 X $6 -
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6
5 SINKS LAVS/BASINS,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, 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 X $25 -
18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL X $6 -
HOLDING TANK
19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 -
20 MISC.PLUMBING FDCTURE X $6 -
SUBTOTAL:
[ETHOD OF PAYMENT
116.4 . crit PLUS PROCESSING FEE: $35.00
] CASH 0 CHECK 0 NOMMI ❑ :__ == `.
TOTAL PERMIT FEE DUE:
ATE: EXPIRES:
NNKCARD NUMBER
UTHORIZED SIGNATURE:
Clan tri lr uur 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone
3P0Ka e Spokane Valley,WA 99206 509-688-0037-Fax
4,,,0.0Valley. Foxes Inspections, call 509-688-0054
'Mechanical Permit Application
PROJECT '/ QC r //5 (c.,t" PERMIT
ADDRESS: C
—? t rt,V,f * %;%�D d USE: C
OWNER /J /�. _ r �/ f ,
(�C/lam 7.--;;,/, (? PHONE(Daytime Contact): 17-'1
MAILING ADDRESS:
(street) /(citty/state) (ZIP)
CONTRACTOR: Y A�" /� LICENSE#:
MAILING ADDRESS: PHONE#:
Ee
--,y. n
(street) (city/state) (ZIP)
DESCRIPTION OF WORK #OF UNITS X COST EQUALS AMOUNT
I FUEL BURNING APPLIANCE =OR<100,000 X $15 =
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 $39
10 BOILER/REFRIGERATION 1001-1,750M BTU X . $57 =
11 BOILER/REFRIGERATION +1750M BTU X $95 =
12 GAS LOG,GAS INSERT,GAS FIREPLACE - X $10
13 RANGE - X $10
14 DRYER - X $10 =
15 FUEL BURNING WATER HEATER - X $10 =
16 MISC.FUEL BURNING APPL. - X $10 =
17 GAS PIPING(ea.Outlet) - X $1
=
18 DUCT SYSTEMS
— X $10
19 VENTILATING FANS - 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
r P . TOTAL PERMIT FEE DUE:
0 CASH 0 CHECK 0 0 i`_;.._:_--4
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
CITY OF SPOKANE VALLEY DIVISION OF PLANNING
ADMINISTRATIVE VARIANCE
A. GENERAL INFORMATION File No: DI- (33-
5; ( , 5v ` TSL
Tax parcel no(s): c4 5 l 044 Section: (go Township: 9T Range:
Legal description: ay\"lverSi / placC $ 'CSloc.k- c
Applicant: aee V die--%- Tcy C /co Agent? Yes No Lam'
Mailing address: Q 0 3 //964 t,t.,e
City: 490 /C State: LA)/72 Zip: 7 fir.
Phone: 5-3 it 3 (002 (home) 957 J k
Current zoning: •CC--- Comprehensive plan: NAs'iW/ iJ•ekT7R
Current use of parcel: 5.1 _ A 4
B. SPECIFIC INFORMATION
Administrative variance requested: (describe in terms of the standardirom which you are seeking relief)
6.2-:-L67-24-1 _ _P ef -e".0 je",--11
rim S
Applicable chapter/section of code: t `A . Lel L s 3 c--(p-Q )
Explain reason for request: ' X A.2 _ .i. ?�
.T�---_ —=�- tet► _ _Lam• �_ • . ori --
t i
•
I am the owner of record or authorized agent for the proposed site. All of the above responses and those
on the supporting documents are made truthfully and to the best of my knowledge.
Signed: �'C�%l�� Date: /9013._3
THIS DOCUMENT MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION
NOTE: The applicant or an interested party may file an appeal within 14 calendar days of the above date of signing. The
appeal must be accompanied by the proper fee. Appeals may be filed at the City of Spokane Valley Division of Planning,
11707 E Sprague,Suite 106,Spokane Valley,WA 99206 (Section 14.412.041 of the City of Spokane Valley Zoning Code).
FOR STAFF USE ONLY:
File No: IKAD V- O -fi t
City of Spokane Valley Division of Planning finds that the information provided by the applicant along
the required compliance with the City of S ok e Valley Zoning Code and all other development
regulations, described in 2)below, do does not dverse affect on the adjacent properties nor the
public's general health, safety and welfare. Comments (if applicable):
The City of Spokane Valley Division of PlandiTicg approv / denies this "administrative variance" for
the property described above,pursuant to the Zoning Code of the City of Spokane Valley, Section
14.404.090.
This administrative variance is subject to the following conditions and/or stipulations:
1) The applicant and property owner shall comply with all requirements and regulations of the Zoning
Code.
2) The applicant and property owner shall comply with all City of Spokane Valley development
regulations, such as but not limited to water, sewage, stormwater, grading, critical areas, access, approach
permits and others.
3) The applicant and property owner shall comply with the following additional conditions:
This administrative exception shall run with the land.
thislOW i ` , 20��•
'30
Division of Planning ignature
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