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2006, 08-04 Permit App: 06002908 Addition
Project Number: 06002908 Inv: 1 Application Date: 8/4/2006 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 26 1/2'x 78'ADDITION Contact: GALLINGER CONSTRUCTION Address: 16612 E SECRETARIAT LANE C-S-Z: VERADALE,WA 99037 Setbacks:Front Left: Right: Rear: Phone: (509)928-8865 Group Name: Site Information Project Name: Plat Key: Name: Range District: East Parcel Number: 45252.2001 Block: Lot: SiteAddress: 15802 E 16TH AVE Owner:Name: JURGENSEN,JERROLD&TERES Address: 15802 E 16TH AVE Location::CSV SPOKANE VALLEY,WA 99037-92 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 22,314 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: ,„ usuagmffeutzem=. Review Building Plan Review Released B y: Originally Released: 8/4/2006 By: TMELBOU Driveway/Approach ReleasedBy: Originally Released: 7/27/2006 By: amblake Landuse/Zoning/HE Conditions Released By: Originally Released: 7/27/2006 By: cjjanssen Sewer Review Released By: EXISTING Originally Released: 7/27/2006 By: amblake Operator: AMB Printed By: AMB Print Date: 8/4/2006 Project Number: 06002908 Inv: I Application Date: 7/27/2006 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 26 1/2'x 78'ADDITION 3, ' 6-44t4 4 Contact: GALLINGER CONSTRUCTION Address: 16612 E SECRETARIAT LANE C-S-Z: VERADALE,WA 99037 Setbacks:Front Left: Right: Rear: Phone: (509)928-8865 Group Name: Site Information Project Name: Plat Key: Name: Range District: East Parcel Number: 45252.2001 Block: Lot: SiteAddress: 15802 E 16TH AVE Owner:Name: JURGENSEN,JERROLD&TERES Address: 15802 E 16TH AVE Location::CSV SPOKANE VALLEY,WA 99037-92 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 22,314 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: m l ��ti "=a '°°0* ;ii r i0rtm. tuL.» 1-0,-,r01,4mva ;i hw ovomvxmowoortaftiais ii xri1, Review Building Plan Review Released';By: Zi I t 010 Driveway/Approach Released By: �cLanduse/Zoning/HE Conditions Released By: ,, r Sewer Review Released By: . Operator: AMB Printed By: AMB Print Date: 7/27/2006 Project Number: 06002908 Inv: I Application Date: 8/4/2006 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: GALLINGER CONSTRUCTION Firm: GALLINGER CONSTRUCTION Address: 16612 E SECRETARIAT Phone: (509)928-8865 VERADAL,WA 99037 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB 1,431 $123,595.47 1,431 $123,595.47 GAR WOOD U-1 VB 600 $11,400.00 600 $11,400.00 Totals: 2,031 $134,995.47 2,031 $134,995.47 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,189.75 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $475.90 Permit Total Fees: $1,670.15 Mechanical Permit Contractor: GALLINGER CONSTRUCTION Firm: GALLINGER CONSTRUCTION Address: 16612 E SECRETARIAT Phone: (509)928-8865 VERADAL,WA 99037 Plumbing Permit Contractor: GALLINGER CONSTRUCTION Firm: GALLINGER CONSTRUCTION Address: 16612 E SECRETARIAT Phone: (509)928-8865 VERADAL,WA 99037 Operator: AMB Printed By: AMB Print Date: 8/4/2006 Project Number: 06002908 Inv: 1 Application Date: 8/4/2006 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: �. ,: -• . e ._ . __ All driveway approaches to be constructed per Spokane County Standards as adopted by the City of Spokane Valley. Minimum of 7.5' from each property line,5' from crosswalks or intersection curb and minimum of 15' of separation between any two approaches. Flat portion of a residential approach to be minimum of 16' wide,maximum of 30'wide and combined approach width not to exceed 50%of total frontage. Payment Summary• _. _� _. <-. . . ... .. Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,670.15 $1,670.15 $0.00 $1,670.15 $1,670.15 $1,670.15 $0.00 $1,670.15 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: AMB Printed By: AMB Print Date: 8/4/2006 _ Yermri k.emer Si oOOP.- 11707 \;.., \, PERMIT NUMBER: j. 9 t5 .000 ( Valley S509)6SQ� = okane ey 1S1 99 fl6-j6l8 o-0037 PERMIT FEE: Community Development www.spokan yallev.or .P 1p6/, (r_ •1 ,_. Residential Constructio �) � e thonstruetion ❑ Accessory Bldg p �_.1) �� LD1�i1Addition/Remodel ❑ Deck Permit Application \� ❑ Other: SITE ADDRESS /CR°Z g' /61=' 4Th "(4"t VA-if7 1414 ` Yff:3/ ASSESSORS PARCEL NO: LEGAL DESCRIPTION: =wilding Ower Confir 4 actor.-.._.._ .... . --.• _ . Name: .JEZew1&T. 5ue�mse-� Name: 6112t(j)1vcpe, CO N4] Address: ic-n 2.„ £ , i o Ave- Address: /6 1 z E E. e E-1-Arrh-T- LhNL City 0 vx \h4)el State:Lon Zip:55 7 City:V tri ra-lE, State I`1 Zipzl t037 Phone:5m , `)21,14 Fax.$01 yq �1_ iv y(o P ° :__Zb'' g)S(os Fax56c/-2.:Z -c86-7S Contractor Lic No:rsa- Ail/c�� Exp Date: /_,07 CDn et eTtcit City Business Lic.No: • Name:-Ter f?/ �u 2(ze-ki5OA) Phone: (ems\- 5-0ci- vie/ ' Z(4 49 Describe the scope of work in detail:4ray-re' ) Cost of Project: **************The following MUST be complete: (write N/A if not applicable)********************** HEIGH T PEAK: DIMENSIONS: #OF STORIES: TOTALHABITABLE SPACE: I`C=� y -4, MAIN FLOOR TO SQ. 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: _ AREA: FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV TIO SQ. FTG: 30%SLOPES ON SQ. FTG: - a 0O Sed , c e- PRO RTY: #OF BED( ODMS: ONSTRU TION TYPE: HST SOJl1RCE: 1WE OR SEPTIC? o� ©O 10 FrAivtE &A-- Hie/v/10-e: 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.6) Plans or additional information may be required to be submitted,and subsequently approved before this application can be processed. Signature ` 4 Date 1/Z770 'ethof•slVISA Ca . Ili i heck 0 Mastercard ❑ Ban card#: Expires: VIN#: Authorized Signature: REVISED 8/25/2005 .....00\7ailey 11707 E Sprague Ave Suite 106 ♦Spokane valley WA 99206 509.921.100D ♦ Fay 509.921.1008♦ cityhallespokar eval{ey.org Residential Plan Submittal Minimums ❑ Completed Building & Mechanical application with: Accurate address, Parcel Number and/or Legal Description, description of work, owner and contractor information, signature, and date. ❑ Two sets of plans including Site Plan, elevations, floor plans,foundation plans With details, roof plan, framing plans & details. • D • Show the height of any proposed buildings or accessory structures. ❑ Floor plan for each floor Dimension to scale (minimum 1I8l and label each • Room (including sq. footage of house and garage on plans) Show each level of existing house and square footage of any additions. ❑ All braced wall panel types: show locations and details of installation, including engineered design. ❑ Egress windows: Provide at least one window or exterior door approved for Emergency escape or rescue from a basement and in every room for sleeping. ❑ Smoke detector locations ❑ 22'X 3g' attic access location O 18'X 24' crawl space access: ❑ One-hour separation detail: between house and garage • ❑ Floor framing details: Joist type, size, spacing and installation details ❑ Roof framing plan and details ❑ Furnace and hot water heater location. • . ❑ All header locations: type, size, and connections • • ❑ Foundation plan • D Insulation information Permit Center Sgo" I2e 11707 E Sprague Ave,Suite 106 PERMIT NUMBER .s.....sVey Spokane Valley,WA 99206 (509)655-0036 FAX:(509)655-0037 PERMIT FEE: Community Development www.snokanevallev.oro Mechanical Permit Application ❑ Commercial ❑ Residential SITE ADDRESS: .l Building Owner J E1z{R.1 kit/ & M)s&) .54 &- Fax: ,c' Name: Phone j t_11I-7 67S` ,-09 i ar- 7 67b Address: f-5 s_o 2_ 6- I C. Ave- Citr.,5,0 kem-vie V IV ti State:Ain Zip:i 1d37 Conttorrac .64yii I a iu c, ,CO S i _ Name: 5",e 6 I CrtIz &A-0!n)G&Ct/- Phone: °r-gt 6 Fax: -09 - qZ ' cg 7 Address: /(0 6 f 2.. er �t3 r L'-411►'I A'( LN, City. Ve rw-0041 41L State: w 4 Zip: 7e-t, . 7 License No: GA 1+, GS`t(G i t City Business Lic: Contact i ,-J :e r Name: Phone.c ,Z/C DESCRIPTION OF WORK S OP UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE • Equal to or less than 100,000 / X $12.00 = ('/Z. Oct 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 101-50DM 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 1,75DM BTU X $60.00 _= , 12 GAS LOG,GAS INSERT,GAS FIREPLACE X $10.00 = 13 RANGE X $10.00 = 14 DRYER I X $10.00 = /O,CV 15 FUEL BURNING WATER HEATER I X $10.00 = M.al, 16 MISC.FUEL BURNING APPLIANCE X , $10.00 . _ 17 GAS PIPING(each outlet) L. X , $1.00 = Zr 00 16 DUCT SYSTEMS / X $10.00 = /0.00 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 • X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 AIR CONDITIONER 3-15 TON C X $20.00 = AO/ 00 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON• X , $35.00 = 29 AIR CONDITIONER More than 5D 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 0 CHECK 0 VISA IDMC EXPIRES: PROCESSING FEE $35.00 CARD#: VIN' TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 6/26/05 Sfi kiie ' 11707 E Sprague Ave,Suite 106 Valley Spokane Valley,WA 99206 PERMIT NUMBER: (509)688-0036 FAX:(509)688-0037 Community Development www.snokanevalky.ore PERMIT FEE: Plumbing Permit Application ❑ Commercial ❑ Residential SITE ADDRESS: Building Owner Name: cJ i?,v c�4 L(�ou.50j Phone:. -K 7/11,7.s Fax: 5 r Z �6 74 Address: /c-Fc,Z E /J6 4 ,it violin( U7 1 /` Citys�� V'iotiC1./ State:itm Zip:77U37 Contractor &/a///A/Cel GASj Name: /4C_r-- 6 Alit,02:-.r Phone:5� Address• HT1 '�e�'-��6S. Fax:�� . 17�,_ ��7� �� rz- C-r0-ArietL 1-44) City: VPe Wct,,it,' State: `tq` zip:,--(qr037 License No: 61.10` C ci co 0 4 City Business Lic: ntact `' C 14,Y` - . - Co - _ 11 Name: Phone: eoi_ .fit 1- 3 70 �Sp / . DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6.00 = /2. O0 2 URINALS 1 X $6.00 = l 3 • TUBS X $6.00 = 6, 04 4 SHOWERS(PER TRAP) BATH,STALL,ONSITE BUILT 1 X $6.00 = 4, Cru LAVS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = X-RAY,FOOD,PREP/CULINARY MEAT -.tet�-7 I`Z . Od 6 DISHWASHER X $6.00 = 7 CLOTHES WASHER / X $6.00 = (p, oa 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 = AREA,CASE,COIL TRENCH, dr 11 FLOOR DRAINS CONDENSATE I X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 = WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS 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, AND R.P.B.P.D.FOR: VATS,TANKS, 17 CROSS CONNECTION DEVICE 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 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = • 21 PRIVATE SEWAGE DISPOSAUSYS X _ $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = SUBTOTAL METHOD OF PAYMENT: MASH 0 CHECK ❑VISA ❑MC EXPIRES: PROCESSING FEE $35.00 Card# VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8126/05 00°Nr..., sliakane Valley 11707 E Sprague Ave Suite 106 • Spokane Valley WA 99206 509.921.1000 • Fax: 509.921.1008 ♦ cityhall@spokanevalley.org To: Jerrold Jurgensen Fax: 509-921-7676 From: Anita t , e Building P- it Specialist 509-688-0234 Pages including cover page: 1 Per our telephone conversation, a letter from your architect is requested with regards to the garage shear wall, header size, retaining wall and insulation. As we discussed, Tom Melbourn, plans examiner will be in the office tomorrow. If you should have additional questions, please don't hesitate to contact our office.