2008, 01-11 Permit App: 07004760 Addition, Remodel Project Number: 07004760 Inv: I Application Date: 1/11/2008 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: - ....
Permit Use: RES ADDITION 26 X 28-FAMILY ROOM, Contact: MOUNTJOY,BRUCE
BASEMENT,REMODEL KITCHEN Address: 14211 E 17TH AVE
C-S-Z: SPOKANE VALLEY,WA 99037
Setbacks:Front Left: Right: Rear: Phone: (509)924-4407
Group Name:
Site Information: Project Name:
Plat Key: 001451 Name: LEMEN AIRPARK ADD District: East
Parcel Number: 45262.0721 Block: Lot:
SiteAddress: 14211 E 17TH AVE Owner:Name: MOUNTJOY,BRUCE
Address: 14211 E 17TH AVE
Location::CSV SPOKANE VALLEY,WA 99037
Zoning: R-2 SF Res Suburban District
Water District: 010 VERA Hold:
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review information: .
Review
Building Plan Review Released By:
Originally Released: 1/10/2008 By: tmelbourn
Landuse/Zoning/HE Conditions Released By:
Originally Released: 12/6/2007 By: mpalaniuk
Permits:
Operator: jmm Printed By: JD Print Date: 1/11/2008
Project Number: 07004760 Inv: 1 , Application Date: 1/11/2008 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
This Application: Total Project:
Description Grp Type Notes SQ Ft Valuation Sp Ft Valuation
DECK OPEN R-3 VB 400 $6,000.00 400 $6,000.00
RES ADD R-3 VB 657 $60,023.52 657 $60,023.52
Totals: 1,057 $66,023.52 1,057 $66,023.52
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $762.75
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $305.10
Permit Total Fees: $1,072.35
Mechanical Permit
Contractor: A&M QUALITY HEATING Firm: A&M QUALITY HEATING&ELE
Address: 12710 E INDIANA AVE Phone: (509)928-2100
SPOKANE,WA 99216
Item Description Units Unit Desc Fee Amount
GAS PIPING 2 #OF UNITS $2.00
VENTILATING FANS 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $22.00
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 1 NUMBER OF $6.00
SINKS 2 NUMBER OF $12.00
FLOOR DRAINS 2 NUMBER OF $12.00
MISCELLANEOUS FIXTURES 2 NUMBER OF $12.00
WATER PIPING-DWV 1 NUMBER OF $6.00
Permit Total Fees: $48.00
Operator: jmm Printed By: JD Print Date: 1/11/2008
Project Number: 07004760 Inv: 1 Application Date: 1/11/2008 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary ..,.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,072.35 $1,072.35 $0.00 $1,072.35
Mechanical Permit $22.00 $22.00 $0.00 $22.00
Plumbing Permit $48.00 $48.00 $0.00 $48.00
$1,142.35 $1,142.35 $0.00 $1,142.35
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: jmm Printed By: JD Print Date: 1/11/2008
Permit Center CE ED gY LE PERMIT NUMBER:
CM'of a ,� 11703 E Sprague Ave'9920.44,7-4
Suite?zit �V NE vAL `(
Spokane Spokane Valley,WA 99206 ap0►<A PERMIT FEE:
jValle�j. (509)688-0036 FAX: (5016 0037 0 4 2101
J www.spokanevalley.org ®EC
Community DevelopmentM1T CENTER
Residential Construction s ruction Accessory Bldg
13v.
Permit Application lLAddition/Remodel Deck
n Other:
Silk,ADDRESS: / 11 Z 1, E. I 7 A-v-e
ASSESSORS PARCEL NO: LIS-2---(0 2- • v -7 2- / LEGAL DESCRIPTION:
Building Owner: Contractor f -
Name: 73/2.,„4_,... L. /410 u Al 6,0 V
Name: Al 14 a
Address: — Address:
City:
`S� UAti/e-, State:ivi4 Zip: 9S 022 City:
State: Zip:
,-X2--v- r/10 c'- Phone: Fax:
Phone: 9 9 -?---e.. 9 g Fax: -_-7 7 /L
-�-�? S zy yyd7
Contractor Lic No: Exp Date:
Contact Person - City Business Lic.No:
Name: '..B/24.A-c4,_ 144.4214. j o T.31"(f 1,1-9
Phone: 92-y “,0-.> 9 9 S y 4 s
r0x S.?l 7 7 1 2- w 9 Ly -9 he°
•-tt- fa00
Describe the scope of work in detail: Cost of Project: $ y o
f a4., Z 6, `�c a ` /`{r'r""' I
Proposed Use: ,f-','7le_ r--,;,-,-,--,4 / /. ^'
*************The following MUST be complete: (write N/A if not applicable)**********************
fl'i' EIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
t Z a. t,`=x i ? / 4 Qr,727— f7
MAIN FLOOR TO SQ.x.00,72"' FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTGa4-6D' PEER VIOUS SURFACE
FTG: G.57 & 51
FINISHED BASEMENT GARAGE SQ. FTG: eg` /CO . PATIO SQ. FTG: 30% SLOPES ON `
SQ. FTG: 0 �.FRTY: 0
#OF BEDROOMS: CONSTRUCTION TYPE: SOURCE: P_SEVVE SEPTIC?
/f D b /p -4-7."-c_ Ai/47- 6,1J
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 ordinance . • Plans or additional information may be required to be submitted, and subsequently approved before
this application can be proc-. --• 2-7
SIGNATURE: /4'W DATE: 1/' d7
Method of Payment:
0 Cash a Check 0 Mastercrrd 0 VISA
Bankcard#: Expires: VIN#:
Authorized Signature.. ` � �
REVISED 2/15/07
/,
Permit Center
TM 11703 E Sprague Ave,Suite B-3
� ` t 7 Spokane Valley,WA 99206 bt l t i vN PERMIT NUMBER:
4000.0 F (509)688-0036 FAX:(509)688-0037 /9' PERMIT FEE:
Community Development www.spokanevallev.ore
Plumbing Permit Application ❑ Commercial Residential
SITE ADDRESS: / yZ/1 C. / 7 n' /
Sui1ding`Owner , 7 9, ';Z�,*3 i b
/t-uc� L yy�
Name: Phone: Fax: �,3S'77/L
o<iivJ��d� �"o� 9Lh' 'sE1o7
Address: /ce L// c /j7s, ,54..., City: .4,-b State G./i,7 Zip: . e 3
Contractor u.
Name: 0 4,v d/cA s. Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact .%, �x� .a-fr tr _
Name: ,F/GGL,G(�h 0(.44" .ey Phone: 94y _ ,,t1v7 p ? 9 L G 7 4
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS `' X $6.00 = L
2 URINALS X $6.00 =
3 TUBS X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 =
LAYS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X ' $6.00 = `L
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 WATER HEATER NOTE: IF GAS,SEE MECHANICAL X $6.00 =
AREA,CASE,COIL,TRENCH,
11 FLOOR DRAINS CONDENSATE X $6.00 = / 2-
-
12
-
12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 =
13 FOUNTAINS,DRINKINGX $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, G
14 VENT,PLUMBING,REVERSAL REVERSALS / X $6.00 =
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIBO
16 WATER USING DEVICE STEAMER X $6.00 = i Z
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: PROCESSING FEE
❑CASH L`ICHECK ❑VISA ❑MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE: 13'.O'
/I Z:77/i 7
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Permit Center
S "'�� e 11703 E Sprague Ave,Suite B-3 �l PERMIT NUMBER:
P Spokane Valley,WA 99206
ValleY (509)688-0036 FAX:(509)688-0037 �
Counity Development D 1 PERMIT FEE:
mm
wwwspokanevallev.org •
Mechanical Permit
Application n Commercial PtResidential
SITE ADDRESS: f / Z// e., / 7 -
Building Owne 'P.9 J 's ,C. ,. -
Name: 444.ems cisyte/ #4_„A, �Dgtib" trE, Phone: 9L y_5q x/07.. Fax: ,s-J.T-77/2...._
Address: /W Z/ C. /7 14 i¢-µ� City: . .„.„ie 6�4./��� State: 4,2 A__ Zip: 9ym.�,
Contractor '� �i ,9,-,,� -t Phone:
9
Name: 4/44 0 14.414 /1/44-,41;7 r947--241Od Fax:
Address: 7/ City: State: LcJJ,, Zip: 9 9,9,2_,6
License No: 6,,,0 O t/O y g 40 City Business Lic:
Contact }►� ,
� 1 �JP: �3 7
�/ 7/44-41-e-,----- ',:[> :
Name: Ph
'9 L2 u 0-0
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 = rhe tth n 1,750M BTU X $60.00 _
•
12 GAS LOG,GAS INSERT,GAS FIREPLACE C/ d / .J X $10.00 ® /0
13 RANGE _ X $10.00
El
14 DRYER X $10.00
15 FUEL BURNING WATER HEATER X $10.00
16 MISC.FUEL BURNING APPLIANCE r - X $10.00
17 GAS PIPING(each outlet) Fpte:, 4-et >4-44-0•24- t n 'd,f 7Al X $1.00 -OO
18 DUCT SYSTEMS -'' X $10.00
ril
19 VENTILATING FANS a4-1- _ ' _ ' 11111 $10.00 /0
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 4-15 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 PAY ENT: SUBTOTAL L Z-
IRES: PROCESSING FEE $35.00
❑CASH CHECK 0 VISA 0 MC 1
CARD#: ,VIN: TOTAL PERMIT FEE DUE: _17 -
AUTHORIZED SIGNATURE: Llf i //L 7/0 7
REVISED 8/26/05
4L P 7" 4.
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