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2005, 03-29 Permit App: 05001017 Addition Project Number: 05001017 Inv: 1 Application Date: 03/29/2005 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: MASTER BATH AND CLOSET ADDITION Contact: SOLID ROCK CONSTRUCTION Address: 12809 E 29TH AVE C-S-Z: SPOKANE VALLEY,WA 99216 Setbacks:Front N/A Left: EX Right: N/ Rear: 20+ Phone: (509)939-5886 Group Name: Site Information Project Name: Plat Key: 000375 Name: CHESTER TERRACE District: Sout Parcel Number: 45291.0924 Block: Lot: SiteAddress: 10211 E 18TH AVE Owner:Name: AYERS,LARRY&KAREN Address: 10211 E 18TH AVE Location::CSV SPOKANE VALLEY,WA 99206 Zoning: AGSUB Water District: Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 • Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Ery : . M, �,s . ISZVEIT : . -%W .s,•'-99.191k9 MONK Review Site Plan Review Released By: A Plan Review 4, Released By: 1 . 4 5 p _' 1,111 C s1 ►P ermltS: Mft vweuu -r 9" u�. Operator: K_C Printed By: K_C Print Date: 03/29/2005 Project Number: 05001017 Inv: 1 Application Date: 03/29/2005 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit — Contractor: UNKNOWN Firm: UNKNOWN Address: UNKNOWN Phone: (000)000-0000 UNKNOWN,WA UNKNOWN Building Characteristics Group: R-3 Type: VB Total Area 196 Building Height 12 Stories 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VB 196 $14,637.28 196 $14,637.28 Totals: 196 $14,637.28 196 $14,637.28 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $251.25 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $100.50 Permit Total Fees: $356.25 Mechanical Permit Contractor: UNKNOWN Firm: UNKNOWN Address: UNKNOWN Phone: (000)000-0000 UNKNOWN,WA UNKNOWN Item Description Units Unit Desc Fee Amount VENTILATING FANS 1 NUMBER OF $10.00 Permit Total Fees: $10.00 Plumbing Permit Contractor: UNKNOWN Firm: UNKNOWN Address: UNKNOWN Phone: (000)000-0000 UNKNOWN,WA UNKNOWN Item Description Units Unit Desc Fee Amount TOILETSBIDETS 1 NUMBER OF $6.00 SINKS 2 NUMBER OF $12.00 SHOWERS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 Permit Total Fees: $30.00 Operator: K_C Printed By: K_C Print Date: 03/29/2005 Project Number: 05001017 Inv: 1 Application Date: 03/29/2005 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: :, , s '" clm&A xA1�.71 A. . . __..0 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $356.25 $356.25 $0.00 $356.25 Mechanical Permit $10.00 $10.00 $0.00 $10.00 Plumbing Permit $30.00 $30.00 $0.00 $30.00 $396.25 $396.25 $0.00 $396.25 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: 03/29/2005 . BUILDING PERMIT APPLICATION WORKSHEET Spo'liane City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 40100Valleev Spokane Valley, WA 99206 .1 Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: /0 Z1/ / /D r/ 4-,,,d. 5,-5, 6 kt e G✓zi, yyZ O‘ Assessor's Tax Parcel Number(s): Legal Description: PERMIT DESCRIPTION: ,ire-t-4-or," .4:),C4-fes-A__ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION Owner: ZaftV , r-e� 4erf- ❑ Applicant: Phone: yZg--C'y��' Fax: / Phone: Fax: Address: /bill t. / r6 Ave, Address: 5;96 je-Yze 444 9 9 ZOO, Ci State Zip Code City State Zip Code ,r Contractor:c;//e/ Ac/ 69,5tniC7/p y/ ❑ Architect: Phone: y7f_sy �, Fax: Phone: . Fax: Address: /2g(1 5 E. Z%./ 4-e Address: Ci State Zip Code City State Zip Code WA State Contractor License #:5-042-:&/C OO 3UContact: Sco;7- )i 4/4 PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: /Z. DIMENSIONS: /u l x/ , #OF STORIES: / MAIN FLOOR.TO SQ..FTG;.9, •..2Nu..FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION P E HEAT SOURCE: #OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC Zoj 000,00 . 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 El BOLTING ❑ CONCRETE C REINFORCEMENT ❑ 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 reviewat 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 e property owner. Print Name ,� C h 7Y �fe- Signature Z Method of Payment: (Faxed permit applications will only be accepted with major bankcard) El Cash ' Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: . *AN PLUMBING PERMIT APPLICATION Community Development Department . Building Division Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106 (.0/Valley For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206 • /02 // � /t-� flic. 014 9 t Project Address:f � � Permit Use: • Owner: L 4 -J f- �C'er ren 4ietc Phone (Daytime Contact): 212 51I Mailing Address:/ ,.S;,,--e . ��^ L / City State Zip Code . Contractor: 5 /J "4/ Krhfi License#:5 2'P/t'CCO66(JPhone#: 9.f9-�5ob Mailing Address: /2.570 , • E. ?9t/%cam ,04.,/,.., L./� 99Z/6 ity State Zip Code DESCRIPTION OF WORK • _ #OF UNITS X .COST• = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS' / X ' $6.00 = 6'.6 0• 2 URINALS _X $6.00 = 3 TUBS / X $6.00 = . &.66 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT . / X , $6.00 = e, Od • LAVS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS 'LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = X-RAY,FOOD,PREP/CULINARY MEAT _ 2 /2. . 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 $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 BREA-KER,CHECK VALVE, 17 CROSS CONNECTION DEVICE AND R.P.B.P.O.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 DISPOSALJSYS X $20.00 = _ INDUSTRIAL WASTE 22 INTERCEPTOR _ X $15.00 _ = SUBTOTAL METHOD OF PAYMENT: ' PROCESSING FEE 0 CASH CHECK 0 VISA 0 MASTERCARD .$35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: • •MECHANICAL PERMIT APPLICATION Community Development Departmen • so„kanel:\,,, Building Divisior • / L�L Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 10E vd1 For Inspections, Call (509) 688-0054 Spokane Valley, WA 9920E Project Addres: Jo Z/J /(-74. „iv e. coadAe 91Zc�Permit Use: Owner: (.c,r ry -/ - IeA.,,eit Ayt^f / Phone (Daytime Confact): f?7-S '6 Mailing Address: $h,, City State Zip Code Contractor: ' ' t. c,, License#: Phone#: Mailing Address: /7,fn 7 C 79fl . 1„ ,:- 4 - ' State' Zip •, Kr 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 4 X $10.00 = /c2,. 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 = © EVAPORATIVE COOLERS X $10.00 El 11 TYPE I HOOD X $50.00 TYPE II HOOD X $10.00 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 • .AIR CONDITIONER* 3-15 TON X $20.00 AIR CONDITIONER15-30 TON X $25.00 AIR CONDITIONER 30-50 TON X $35.00 AIR CONDITIONER More than 50 TON X $60.00 30 LPG STORAGE TANK X $10.00 WOOD OR PELLET STOVE/INSERT X $10.00 • WOOD STOVE-FREE STANDING X $25.00 IIREPAIR&ADDITIONS X $15.00 VENTILATION SYSTEMS X • $12.00 ® VENTILATION MECHANICAL EXHAUST X $12.00 36 INCINERATOR-RESIDENCE ' X $19.00 37 INCINERATOR-COMMERCIAL X $22.00 . METHOD OF PAYMENT: SUBTOTAL 0 CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: 03/30/2005 09:15 FAX 5093242601 L I HR REGION 6 2001 CONSTRUCTION • CONTRACTOR Renewalstatus:ACTIVE Receipt of Payment UBI:601 993 714 Receipt Date: 03/30/2005 Structure:INDIVIDUAL Valid Until: 04/29!2005 Specialty:01 GENERAL Receipt#: 145188 Receipt Total: $106.50 Keep this page as your proof of payment. This is a receipt for payment of the construction contractor registration and renewal fee and will serve as a temporary registration. The Contractor Registration Program will mail a renewed registration card to you. _ License Number:SOLIDRC006BU ;,,i License Name:SOLID ROCK CONSTRUCTION 3 ,1rr;r_;_, 9:1.71°12 Address: 12809 E 29TH AVE ;_ c 'IS LIL`RC C 12t<CCi City, State:SPOKANE, WA Tr ?d'100828713 Zip Code:99216 $'13e.50 Country:UNITED STATES Endorse Validate Type Payer Detail Trans. Id Amount Check Doc. Chet SCOTT SEGALLA 5734 100828713 $106.50 Print Print Finished J p �1)��'C-' • Le-g?-003-) MAR 30 2005 e9:26 5093242601 PAGE.01 i . ' tJ '\ .:* . ,. .... . •... . H )) 1t . .. .. ..,....... 1\, \ ' • I ' is • c;..,..' L )1 ( iz -,...),.....L..,... , ,, , \ . * \ , , . , i , . , . , _,_1\ \ j , I f--",----;- i's II k I i ri--- I , 7 I 1 _._,; _.. 1 i i /) 1 c1 tic il ) ) 111 i 1 1't 1 c 1 l c i , :---\ i , I i c) , 1 t 11) \ I Z ) ) ' 1‘ ) ' \1 . 7-, _-,_ ---- L ) \ ) 1 1 1_. 11) i ') \ i k . II il \1 \ -r- lI i / 1 \ . . „...,..4s,, . p ' ,...,nolV... • \ i 1 /\\\ • `k: -.0-4 0,--> .- )' ii i ) 1 • - ...,,,,:\,-- .,,,,,,>„ ,,-i 17/ 1 1 i I,' ( ...c.s-.-.0...3._a_cas. ... l ' \SvaNIA , i , , 1 I i i 1 1 , 1 ` 1 ( 1 1 ( ; r - 0 _ k,‘,i 1, S i 1 f liXrj‘V - OC LL i i StV6 ............----.........,i 1 ) ZZ$ ik ( 11 I 1 SC\ 11 tti ' -v r6k_ Ty/vic a f p/c.1l SectionCtOV%DE t�%AGRams ANO ENGINEEI. NG LAYOUTS FORD R O INSPECTIONS S. RIP OR O pRAMING Attic Ventilation FL 1 Sq Ft every 300 Sq Ft of space IpgPECTtONS ventilated with at least 50%in the upper ,r., portion of roof area. G _ t.r��. �C ---,,, L t �- A ptccessble' 1 �� Airk __ d t___oye_5_____ obv - f e I \\I g.—LI :47/1S-det74101 "�/ F 5-tucc© A i.. �i r'''.. k 1/8" GAP BETWEEN SHEATHING ? V^d�FIoo►Ventilation h a s,�� t Sq Ft per every15p$q Ft of under floor space area. 1 wMilating opening shall • D. j • ihin3 shall be ofd comer.Openings { ante �,F 4 f‘ate a 'T[e-ill: 0tio existing.. ` #t ins 3 inches Under floc ., � ,i,1 i, �, E �l� �� kt1o� into ng. P#dc Z- l<J or, • � . , TTS e v;v, ZX( [pZ2S' �v xlX!a 1101-is � 0�. itr°� pgrroN Wris. Under Nom aorSLABsGARGoo# , af_ C /7 & PpRGh - ,ahapRTS 1<30 // o° `" -J500#Pst Sten amu// y'yla- ° `-.--/a2' : (;'r I I le s' 0 . LAS' 4 '0 '1 '`L r 1 16 i �� L q f l�SCIA UPJ i I' ndYY 11, oll `; r = __ H lJC'�SCI,i;'E GLA55 \' 1 . '/ �� I VA I K.-- r , , , ' IIS y 1 I I 'I' 1(I' 1``. Sl' ` 11 I I t3 Q` 19 t.� 'i NOT 11.10/ntCK i Ilil � .._� _ .� � I ' nf�551NG � �� _.,...›-173-j _ I !` N'5 a / lk f4 I I f 6X6-8 roc.root 1 7-6X6-6 POC GOOr �_....._ OrrIO k) 511T5 LIP I KaMN'S VANITY/IMAITI!Ca I° %_..v -L. Y'5 ----/-0� 1 I -.) _ /4 ( ru..L-Hre MIME: MtTT / . _ ' 7 = ' sommot _ _Es >3. I TFn1- — _ _ . � FILI. n forTMIN �-/ -0X6-8 i I o fIgNNN. 1 �, I A i Yt +J VANITY\ j\,.__-/t" wlNnaw * OCCUR. LOCHitaIRKIN Mammon.Naos on Ammon "� ME MONO�� • •ME OM {fig EL D NI EXISTING PROVIDED MOVE EXS1 + ' ` i n� D.Cin hEAt WF.00M LINEN 1 NOT H I CL05 T 14 1a 2 it'�Zilrfi3k .y LAITY' 1W. I i .� i��:,II; R + ti,s 4€�°s�- ' ;ISI --- f L PF}} f � I��klM '1 op�9},�t dI ' " ,- - '41 h'L-,N.J OF'i"l O NJ I I/4,I�I1-0H 7/22/04 MOP I r I - I2 NI + i / ,.-...*) (., I . / r...=IIIICI.yg . r.1141.... pe,,• DeGA411/7443 s V21.-12Ch :4"- 4-vb i E -c ii, / ea:44irce This site plan is bein obtaining a buil g itted for the purpose of rep►esentation ofpermit , • is a true and correct fiae:/dlmepslons,curb llA 1.4 Alf known property have been identified. Also and easements bodies of water, ed are wetlands, Steed: slopes a other critical areas. Date: f d'L.