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2003, 06-02 Permit App: BD03-259 Residence RECEilVED JUN 0 2 2003 �c,g b nr7 City of / SPOKANE VALLEY illiftICIIVW � -„3 BUILDING PERMIT APPLICATION Box 1 OWNER Af r/A wry IPei;„1a/fac-/”JOB LOCATION /0„lei 4”" /�, OWNER'S ADDRESS L-5--.23-9/P55:4CITY40(44"&PHONE 51V 753 DESCRIBE JOB THIS PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORP. BOX 2 CONTRACTORS NAME 4/14 e5 /A0%ter•f/P4-c,'/}Atro,"S PHONE 9'7r-o' CONTRACTORS ADDRESS I.S4 f 9fl %S?%ate.. CITY 54e .t n..ce. CONTRACTOR'S REG.# ND27A/'/Or 7J/ EXPIRATION DATE G - 7- 0`77 (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT /'o� PHONE 75-J-a4? ADDRESS JT 5c2 '55:G., CITY ZIP 19.202- BOX 4 SEWER AVAILABILITY y-eS WATER AVAILABILITY 1*3 BOX 5 ESTIMATED PROJECT COST$ EXISTING BLDG. VALUATION $ BOX 6 PROPERTY TAX ACCOUNT NUMBER ALG+..•,... ^-n-bn.4 411 LEGAL DESCRIPTION (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOT NUMBER "7` BOX 7 BUILDING SQUARE FOOTAGE (Existing/proposed) 1ST FLOOR '6'((:'-/ / 2ND FLOOR� 3RD FLOOR / OTHER / BASEMENT FINISHED 76 Lig' 1 BASEMENT UNFINISHED / DECK ( / GARAGE //x.20 / aao CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING /9 FT. BOX 8 ()c ) SINGLE FAMILY (X) NEW CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY /025. 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) 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 taOF Ipdrskne 11707 E. SPRAGUE, STE 106 0,00 Valley SPOKANE VALLEY, WA 99206 (509)688-0036 FAX(509)688-0037 PROJECT TRANSMITTAL: TRANSMITTAL DA'Z'E: SITE INFORMATION PERMIT INFORMATION Site Address: 10204, e l (Q`�"'' Permit Number: b 003-2S sue Date: Permit Use:R„e st ke c . Parcel Number: Applicant: Subdivision: 0666.*..,. •+'-cw. S Block: 2 Lot: 5 Q Phone: Zoning: IA g, Water Dist: Contact: or, 10 3 CACJOIO&�� Phone: Owner: N&.rist‘AAJ tUriav1 'FaC.iIt v-rS 1 �� 2S Address: 525itAkA 1 ^ Contractor: Building Inspector: K,e J rl Setbacks—Front: Left: Right: Rear: APPROVALS BUILDINGS: PLANK 4(5teg ENGINEERS: P(,) 03— 3( HE H: 4110 • :1-9 SEWS •• �__�_ 75g . WATER DIST: APPROVALS STORMW TER: OTH ,R: CZO 0`7.:30 -- 5�, Ny7. 20 q L. a()o - 10 — c 3 (e. go 1-eq t5. 00 120.100 oc q0.00 csb, 66.3•uo 20 G2 a l 1p '' ) ---7 2 . i 10 37.Lia pw M -P ell ,CO Ap pi. Z5 L2, \ • crr4 c�e � � 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone Sjkajne Spokane Valley,WA 99206 509-688-0037-Fax 4000ValleY For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT / ADDRESS:470,204 / USE: OWNER:/%/0.,,f/u- r ,1 �t� • /f '/".{,PHONE(Daytime Contact): ,g, Sc _4.0- ®if; 7 � �� er� �/ �L, 'lam,! ( Y� t2 MAILING ADDRESS: ) I� I J .�-S %�f. _5'/G'd.. j�p/C a.., [n/4. f.0'e.2 / (street) (city/state) (ZIP) CONTRACTOR: S/�n .,,7 -- LICENSE#: „Y/or/A 4 4- ©r 7,..�11 MAILING ADDRESS: PHONE#: / (street) (city/state) (GIP) ' PLUMBING FIXTURES DESCRIPTION DETAILS 4 OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS 2- X $6 - /a C_o_ 2 URINALS X $6 - 3 TUBS �- X $6 /a o0 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 - 5 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 - / °a RAY,FOOD,PREP/CULINARY/MEAT O 6 DISHWASHER / X $6 4-f-i-- 7 CLOTHES WASHER / X $6 - 6 eta. 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 - / 4'° to 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,CARBONATOR4. )( $6 - /�y O,o SWAMP COOLER `f�( 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 $6 HOLDING TANK 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE X $6 - METHOD OF PAYMENT SUBTOTAL: ©'- Vast- PLUS PROCESSING FEE $35.00 ❑ CASH ❑ CHECK ❑ Man ❑ TOTAL PERMIT FEE DUE: DATE: EXPIRES: 3ANKCARD NUMBER 'AUTHORIZED SIGNATURE: ar-IcrrY Wu 401111/4\111111%, 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone poirh,ane Spokane Valley,WA 99206 509-688-0037-Fax For Inspections, call 509-688-0054 4,,.vValle -Mechanical Permit Application PROJECT PEMIT ADDRESS: /0e:20‘ [ l6 USE:: OWNER No r f/(.r 511 14.4 e,>,tv. /r'C.c; ,A fP, S PHONE(Daytime Contact): 95) -/G o MAILING ADDRESS: was 04I;,,, t), , --`,,c74, F,,,,c ':_..4. Y5aaa- (street) (city/state) (ZIP) CONTRACTOR: 5/9 j.-- LICENSE#: /v6,/.,,,7,..x i?/"_ f3 y,73- MAILING ADDRESS: PHONE#: (street) (city/state) (ZIP) DESCRIPTION OF WORK 8 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE -OR<100,000 / X $15 /5 t": 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 = I LI AUT 15 FUEL BURNING WATER HEATER - / X $10 - lo eu 16 MISC FUEL BURNING APPL. - X $10 = 17 GAS PIPING(ea.Outlet) - X $1 - ,2_ CP- 18 r'-18 DUCT SYSTEMS - X $10 = 19 VENTILATING FANS - X $10 - 2.0 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 ,,Q or 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: 7 p.0 METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00 MOM i d1 TOTAL PERMIT FEE DUE: 0 CASH ❑ CHECK ❑ L_ , _ DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: 1\40446 Call 24 hours before inspection required Phone 509.688-0036 Fax 509.688-0037 Si ane 4,00 Valley DEPARTMENT OF PUBLIC WORKS Anticipated start date Permit # PW'5 - 3 12_, APPROACH PERMIT APPLICATION Location of property f/0.20 6 e& (Address/Parcel #, if available) Applicant Name //or-/A c a /. �:,,� f Fa /,*Tla 7z, Address 55 Phone V? - r; '? ; Contractor's Name 1,I -1-4"/4'/:^, Address Phone Contractor's Reg# /1/o/-71X "ft 7 / Expires - 7-0y PROJECT DESCRIPTION (Provide site sketch) 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 Signature Fees Paid$ o2_S"-�/ Date (o`�,/ p'j Init 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. i< 1< ill E li ilP . pi i J tg ll< 6 [ Kg 5 gig his 'is 1 it • @@ir gait iliak. lif ii .. , ex i i ``si i ok S I S i / ` I i 1 O= II I _ ra-({ en b 1 < I • 1 CS, ''MM III I I d� I /i I O C ! U i < / W , ' I g 4sE,5J I Vo �� r ------- t. .- 12_____ 1_ i 11 I Iu pa 1 iii ._ _ _ Er I1c4, VIn FAV I s ``gam € f s i____: zI: 1 I lg la chi d I i 0W 3CI m = I I at ! vl ..- ..W W 11, rni: _ II_ 111- A .. IT i_CT .0 ,11-iT P ---'7177:CV INA:: •'-,_'.'01%1 _____—..------- - . 12 —I• R-54 BLOWN-IN INSULATION INSULATION STOP 4..GROOVE T-111 TEXTURED stoe DOWN TTP. 2.344x4' eyposeo Alb:, RAFTER TAILS ( 11111111411 1 ..04444 ol • . I t\ I I I'''. .....ALUM.'oste eine PRE MANUF. r MAIL DORIC .1 BASE 41 CAPITALS ON 64 PAINTED PVC SCHED 40 PIPE • ---- ,..,.- 'I I , RS/IF OUGH-SAWN PLYWOOD I I I pb.4x4 V45/0 SIMPSON 2 PC 44 TO t.......................... =1..1 P.T.2•11•MO o.c.yilooust.e .1 RIM JOIST BOLTED TO 4•4 .:i I 1? CONC. FOOTING > d I :II I A Y seovreo Leaseet wi ANCHOR DOLTS I • — ......... .........„-- 3".PEA GRAVEL et PROJECT ADDENDUM # 1 Nil DISHMAN COMMONS DATE 11/28/00 DWG. BY DWG. NO. JOB NO. REF. SHT. SW 1 0021 A-5 ALSC DESCRIPTION ARCH ITICTS 1 CITY OF SPOKANE VALLEY BUILDING DEPT. • im Ni , PERM NUMBERA ®-3—2 (72—. L �' DDRESS � ar," VIII CD PLANS FOR .=-R IW —, o OWNER ` DATE SUBMITTED DATE APPROVED 0 Cl 0 jAPPROVED BY 4, ,(4,,, , ,, ________4 ,i, _.,..„.„...._1„, ____________ , ______ ____ ,,,‘, .... 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