Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2003, 06-02 Permit App: BD03-242 Residence
D ECENWE JUN 0 2 2003 gg-oa City of D F,1 x b ng 0 0 -5 7 SPOKANE VALLEY 0 IJD [IN PERMIT # 0 3- z 42_ BUILDING PERMIT APPLICATION Box 1 OWNER fie/w.i= .s f'E 0,1 G/`a c l,XJOB LOCATION /O /0 ,C// ' OWNER'S ADDRESS CITY PHONE DESCRIBE JOB THIS PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORP. BOX 2 CONTRACTOR'S NAME Nar,"A.. ct"I2‘4,' n..j' /QC///,f4/0'`,PHONE Yry 6733 CONTRACTORS ADDRESS -oZ S/-'er .W%SS% 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 RECD 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 Npd{CITY OF kne 11707 E. SPRAGUE, STE 106 _Vi SPOKANE VALLEY, WA 99206 (509)688-0036 FAX(509)688-0037 PROJECT TRANSMITTAL: TRANSMITTAL DA 1'E: • SITE INFORMATION PERMIT INFORMATION Site Address: f bzi 0 E., I ( _ Permit Number: SDo3 ziaIs sue Date: Permit Use:(" QS(cQeln_C Parcel Number: Applicant: ©cu h Subdivision: Dt t'fla" &Iowans Block: a Lot: (,e A Phone: Zoning: Water Dist: Contact: VOlo Owner: Nt rtito Psi- resvvet/ Fact I Phone: q.c3- 6,0� Address: • 5-u- m t55 t Th Contractor: 1.� iSetbacks-Front: Left: Right: Rear: Building Inspector: Kee, APPROVALS BUILDINGS: �� 6 PLANNING: 401k ENGINEERS: ?Lk)D 3 ' 3O7 HE 7‘ SEWER: F7CS I: APPROVALS WATER DIS STO ATER: OTH on Lp (0-7.3o ---- L21 Locic, . r( L-1 cec '10K (5110 t 20 a) [ q0.°t q5' qs`-c‘•• Lto 12_/© E 5sci5'. 75- . ' L, 1DR40 12 .00 Nuivnio 2 :,. 140 b 53 `/8 Sortc:e +/1/'�.Ra,t 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 Plumbing Permit Application PROJECT PERMIT ADDRESS:/ ?4,2..7. I /( `" USE: OWNER:3/4 r//k f.f' '.,., ,, / F c '/' meq?°//5 PHONE(Daytime Contact): .7,l-3 < Y`s,," MAILING ADDRESS: 5;2-5-5 /'r =7 :-5 j:e,-, t "00 : ai a-+{ ::., A 5� .20 .2 (street) (city/state) (ZIP) CONTRACTOR LICENSE#: /A > MAILING ADDRESS: PHONE#: (street) (city/state) (L11') PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6 - , 2 URINALS X $6 - 3 TUBS / X $6 - / c'o-_ 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT / X $6 - ‘ 2" 5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 RAY,FOOD,PREP/CULINARY/MEAT r..�? - /O O e--) 6 DISHWASHER / X $6 6' G�- 7 CLOTHES WASHER / X $6 - 42- 8 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 - / per, 12 FOUNTAINS,DRINKING X $6 - to 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 - / CO SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND X 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 FIXTURE X $6 = SUBTOTAL: •)• 2 METHOD OF PAYMENT r VISA , t" : PLUS PROCESSING FEE: $35.00 0 CASH 0 CHECK ❑ =MA ❑ '_._.. "_ • TOTAL PERMIT FEE DUE: DATE: EXPIRES: SANKCARD NUMBER: AUTHORIZED SIGNATURE: Scrn{� ciki 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone pokane Spokane Valley,WA 99206 509-688-0037-Fax 4M0•0ValleY For Inspections, call 509-688-0054 ,Mechanical Permit Application PROJECT PERMIT ADDRESS:/D0Q/0 I /4 USE: }' t, OWNER:NE,r fX P- r e /�c ,5:0)1 e,1 A C %/,r"r,/® PHONE(Daytime Contact): Gam.. /%5"3--, ' e k- MAILING ADDRESS:y� 5 ,2 I VI 55,4--..,,,. G° �i i t -e. 1./f r (street) (city/state) (ZIP) CONTRACTOR: LICENSE#: 5 Ne, r// ft?i-- a ? .J MAILING ADDRESS: PHONE#: (street) (city/state) (ZIP) DESCRIPTION OF WORK #OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE =OR<100,000 / X $15 = /5 ! 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 = ,1 °c 15 FUEL BURNING WATER HEATER - / X $10 = / D 45-2- 16 MISC.FUEL BURNING APPL. - X $10 = 17 GAS PIPING(ea.Outlet) - X $1 = F,-' 18 DUCT SYSTEMS - X $10 = 19 VENTILATING FANS - 3 X $10 - 3'el - 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 = /0 4147'- 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: °-2-- METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00 IMMO i. N 'i Zt., " TOTAL PERMIT FEE DUE: ❑ CASH ❑ CHECK ❑ WORM ❑ '.-- 7_. DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: Call 24 hours before inspection required c• Phone 509.688-0036 Fax 509.688-0037 po°�ane .000017aHey DEPARTMENT OF PUBLIC WORKS Anticipated start date Permit # PW O 3 r 3 o7 APPROACH PERMIT APPLICATION Location of property /0.2/0 ,T /6 (Address/Parcel #, if available) Applicant Name 44/M cs /6.e.0,07,47 Address S;kS-� m ;$S%vn. Phone y?y-e-7,3 Contractor's Name Address Phone Contractor's Reg# /E/o, . F 92 7 Expires PROJECT DESCRIPTION (Provide site sketch) )� Residential Driveway Commercial/Industrial Driveway Existing Curb & Gutter Rural Road Section Culvert Installation Sidewalk Repair/Construction nOther 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$ 2560 Date Init� K�`1LJ CITY OF SPOKANE VALLEY BUILDING DEPT. NPERM NUMBER I) 63 -24/2- ADDRESS w o ;PLANS FOR , --R /-oto/ OWNER .DATE SUBMITTED DATE APPROVED 012 o 0 `APPROVED BY 4 AtZr(p 0 ._.___._..._,_.,_._. _ 4. r i( ....... .. _...._..__. , , e4 ALLec 1ri\ktrs)11 Xzo GA rt int X Za Cv le. bov +i 1 /14...........4_ 2.2 t tt__. . ____. 2.o't / r « / t/ 401/ \ .4 � p I F. --.....:s. StM i • .t l .k?1 - • ‘, vr,, „, , _, ,i.d.. , . ,..,, • , . , . '..............Nr________,-1......._ 3- 1I 777.-)-7.\\, I 102-(0 r, Ic' (..--:1-:;)___ I vzo� C. it�T� 1 \ g . I 1 APPROVED :y 11 c,,,2)! ,r• Zi • 1 I ,,,i . L --------- ----.. Si v\AL ., 6x .:>S7 (',,,,,4".',,Ek4,.., erd