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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: