2005, 05-27 Permit App: 05001839 Remodel Project Number: 05001839 Inv: 1 Application Date: 05/27/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: REMODEL MN FLR OF RES-REMOVE Contact: J P CONTRACTING
INT/NONBRG WALLS&ADD NEW BATH Address: 6724 N MONROE ST
C-S-Z: SPOKANE,WA 99208
Setbacks: Front EXI Left: EX Right: EX Rear: EX Phone: (509)991-0616
Group Name:
Project Name:
Site Information:
Plat Key: 999999 Name: RANGE District: Sout
Parcel Number: 35261.9065 Block: Lot:
SiteAddress: 5203 E 16TH AVE Owner:Name: O'NEIL PATRICK
Address: 5203 E 16TH AVE
Location::CSV SPOKANE VALLEY,WA 99212
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 1.00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Plan Review r r p
Released By:
41
Permits:
Building Permit
Contractor: J P CONTRACTING Finn: J P CONTRACTING
Address: 6724 N MONROE ST Phone: (509)991-0616
SPOKANE,WA 99208
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RESIDENCE R-3 VB INTERIOR 0 $40,000.00 0 $40,000.00
REMODEL
ONLY
Totals: 0 $40,000.00 0 $40,000.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $542.75
STATE SURCHARGE I SELECT $4.50
Permit Total Fees: $547.25
Operator: K_C Printed By: K_C Print Date: 05/27/2005
Project Number: 05001839 Inv: 1 Application Date: 05/27/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Mechanical Permit
Contractor: J P CONTRACTING Firm: J P CONTRACTING
Address: 6724 N MONROE ST Phone: (509)991-0616
SPOKANE,WA 99208
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $20.00
Plumbing Permit
Contractor: J P CONTRACTING Firm: J P CONTRACTING
Address: 6724 N MONROE ST Phone: (509)991-0616
SPOKANE,WA 99208
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
WATER PIPING-DWV 1 NUMBER OF $6.00
Permit Total Fees: $18.00
Notes:
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary: ..
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $547.25 $547.25 $0.00 $547.25
Mechanical Permit $20.00 $20.00 $0.00 $20.00
Plumbing Permit $18.00 $18.00 $0.00 $18.00
$585.25 $585.25 $0.00 $585.25
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: K C Printed By: K_C Print Date: 05/27/2005
MECHANICAL PERMIT APPLICATION Community Development Department
D Building Division
t Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106
For Inspections, Call (509) 688-0054 . Spokane Valley,WA 99206
Project Ad Ves: O 5 /L t Ave Permit Use:
Owner. a r'• 0 'n N z A Phone (Daytime Contact): 5 36 3E'% 7
Mailing Address: 5203 t/4.rj" Ai c S`l,,e;c--c l,)e-'Ly .) S'S 2/D
City / State Zip Code
Contractor: ',"i Q C e .}-c'e- 4- _ti) License#: 1 P cc W)(A(c' e",; I Phone#: ''i/ -6 C/4
Mailing Address: L--7.)'i t'- i'v'0,,,rc e SPP,L�--- ,.. �S.icc'
City State Zip Code
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 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 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 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 l 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
❑CASH D CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
PLUMBING PERMIT APPLICATION Community Development Department
u Building Division
ole\
Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106
dandy For Inspections, Call(JO9) 688-0054 Spokane Valley, WA 99206
Project Address: 5 2 0 3 L /66 t Permit Use:
Owner. Pc).-\-4 �\(-. \\ Phone(Daytime Contact):
Mailing Address: 5 3 /4'; A)z
City State Zip Code
Contractor. ��? Lo ti c d.C. 1 J License#: 3 �r rarPhone#: 9-57 -C6 /6
Mailing Address: 61 7Hec`,'
qty State Zip Code
DESCRIPTION OF WORK #OFUNITSX COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS f X $6.00 =
2 URINALS X $6.00 =
3 TUBS X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 =
LAVS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILfrY,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 X $6.00 =
9 WATER SOFTENER X $6.00 =
10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 =
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6.00 =
ROOF DRAINS/OVERFLOW
12 DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X _ 56.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL REVERSALS I 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 COOLER
VACUUM BREAKER,CHECK VALVE,
17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR VATS,TANKS,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 =
MISCELLANEOUS PLUMBING
20 FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 =
INDUSTRIAL WASTE
22 INTERCEPTOR X $15.00 =
SUBTOTAL
METHOD OF PAYMENT:
0 CASH CHECK ❑ VISA ❑ MASTERCARD PROCESSING FEE
D $35.00
DATE EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
=,--
_,,,,- BUILDING PERMIT APPLICATION WORKSHEET
cm' p7 �`� --a City of Spokane Valley Community Development Department
patine Building Division
1707 E. Sprague
ey 1Avenue,
Suite 106
4000Va�� Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
N REQUIRED SITE INFORMATION I
t4
Street Address: r .9C _) L /é 1-4ve
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: \\ecic ki,: ,-c•‘, g .-)- LA;f t,'CC :'S + cl�e,f 5 t> -f lcc (:0-1e.-:^5
['] Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
I OWNER/APPLICANT INFORMATION I
❑ Owner: ki d- c_1;. G 'r\e : 1\ El Applicant: J%,.- i',,le.`".5 k--J
Phone: 5"3 36'37 Fax: Phone: ser_c6/6 Fax:
Address: 5.2 c 5 /i ''' Ao r Address: 6 ),y ti /140.1;,, e
Ci 1 State Zip Code ty State Zip Code
❑ Contractor. - C' Co ,4r�_dt ;i•-(j 0 Architect:
Phone: (hi -c‘r 6 Fax: Phone: Fax:
Address: G 7 a r\'''st -'- ,...„.11c.trc e Address:
,,,,s
Cit State Zip Code City State Zip Code
• WA State Contractor License#: ZS Pco v.'• "*954;3 7' Contact:
Spokane Valley Bus. Liscense #: l9c /r 7 ?D-'7' Contact
II PERMIT/BUILDING INFORMATION I
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES:
MAIN FLOOR TO SQ. FTG: 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV.PATIO SQ. FTG:
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:
#OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
' liiii".161677 SYSTEM?
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
0 BOLTING 0 CONCRETE 0 REINFORCEMENT 0 WELDING
Firm Name: Phone: Fax:
Inspector(s):
DISCLAIMER
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.
Ownership of resulting development rights granted by any issued permit inure to the pr pe ner.
Print Name J.%v^ Po 'r'4k y Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash [Check ❑ Mastercard 0 VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature: