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2004, 11-12 Permit App: 04009059 Residence Project Number: 04009059 Inv: 1 Application Date: 11/12/2004 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: .......:................................... Permit Use: NEW RESIDENCE W/ATTACHED GARAGE- Contact: BOWERS,DAVID E. &LISA M. NATURAL GAS Address: 1115 S SAINT CHARLES ST C- S-Z: VERADALE,WA 99037-8831 Setbacks: Front 25 Left: 45 Right: 25+ Rear: 93 Phone: (509)863-3723 Group Name: Site In ormation: Project Name: ............................................................. . Plat Key: Name: SP-0999-94 District: F Parcel Number: 45263.2108 Block: Lot: B SiteAddress: 14530 E 24TH AVE Owner:Name: BOWERS,DAVID E. &LISA M. Address: 1115 S SAINT CHARLES ST Location::VER VERADALE,WA 99037-8831 Zoning: UR-3.5 Urban Residential 3.5 Water District: 010 VERA Hold: ❑ Area: 17,764 Sq Ft Width: 112 Depth: 158 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: .. Review Site Plan Review Released By: PAS - Q 1 - Q 'a Plan Review Released By: Eerie,Ii 04 41 Approach/Drainage PPReleased By A 04), td,„\._ M1 Sewer Review Releas d By: - Permits: . Operator: K_C Printed By: K_C Print Date: 11/12/2004 Project Number: 04009059 Inv: 1 Application Date: 11/12/2004 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 Building Characteristics Group: R-3 Type: VB Building Height 18 Stories 1 Dwelling Units 1 This Application: Total Project: Description Gm Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VB 1,084 $16,260.00 1,084 $16,260.00 COV DECK R-3 VB 160 $2,400.00 160 $2,400.00 GARAGE U-1 VB 440 $8,360.00 440 $8,360.00 RESIDENCE R-3 VB 1,084 $80,953.12 1,084 $80,953.12 Totals: 2,768 $107,973.12 2,768 $107,973.12 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,038.55 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $415.42 Permit Total Fees: $1,458.47 Mechanical Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 GAS PIPING 4 #OF UNITS $4.00 HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00 VENTILATING FANS 3 NUMBER OF $30.00 CLOTHES DRYER 1 NUMBER OF $10.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $98.00 Operator: K_C Printed By: K_C Print Date: 11/12/2004 Project Number: 04009059 Inv: 1 Application Date: 11/12/2004 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: OWNER Finn: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 1 NUMBER OF $6.00 SINKS 4 NUMBER OF $24.00 SHOWERS l NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 WATER PIPING-DWV 1 NUMBER OF $6.00 WATER USING DEVICES 1 NUMBER OF $6.00 Permit Total Fees: $78.00 Notes: :.; ...................................................................................................................................... ....... a meat umma P S y � Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,458.47 $1,458.47 $0.00 $1,458.47 Mechanical Permit $98.00 $98.00 $0.00 $98.00 Plumbing Permit $78.00 $78.00 $0.00 $78.00 $1,634.47 $1,634.47 $0.00 $1,634.47 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: 11/12/2004 spanokaneoge\.., . 'Fall PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 .. Phone:(509)688-0036 Fax:(509)688-0037 REQUIRED SITE INFORMATION - .. J STREET ADDRESS: /if 5- ° 6 / it 4 ,,.- ASSESSOR'S TAX PARCEL NUMBER(S): 1-69413 , 2-10? LEGAL DISCRIPTION: PERMIT DESCRIPTION: /jaw 5i"jkk AGN?,-fr re)-i'4S/./ . BUILDING PER1%1rr. - C I CHANGE IN USE • CI GRADING D MANU1ACTURED HOME CI-RELOCATION CISIGN O-TENANT DOTHER... OWNER / APPLICANT INFORMATION 0 OWNER: • 0 APPLICANT: Savv\t e4--S G'✓-4JUG4Qv PHONE: ,FAX: PHONE: FAX: ADDRESS: ADDRESS: CITY,STATE,ZIP . CITY,STATE,ZIP El )4 CONTRACTOR: 0 Q.Lt- g/1-e.r 3 ARCHITECT: PHONE: 5^6 3 - 37 5,3j FAX: I PHONE: FAX: ADDRESS: iii 5 5- J+ C ha rlf- ep( kh rt LIP lu N 9 903 1 ADDRESS: p CITY,,,..STATE,ZIP CITY,STATE,ZIP WA ST CONTRACTOR UCENSE#BOtJfeC it 0(76NS CONTACT: PERMIT/BUILDING INFORMATION c t• j COST OF PROJECT:PO/Gee 0 30%SLOPES ON PROPERTY: Ado MAIN FLOOR SQ FT:'©8`f k'''fit-* BUILDING HEIGHT TO PEAK: ! ff/ OCCUPANCY GROUP: 5 r k TGmi/'-t 2ND FLOOR SQ FT: AJ/A BUILDING DIMENSIONS:1/0/x 1/0- CONSTRUCTION TYPE: S-i'>rE UNFINBASEMENT:/('1 f - fl, NUMBER OF STORIES: / STRUCTURES ON PROPERTY: AI° FINISHED BASEMENT: 401 NUMBER of BEDROOMS: CRITICAL AREAS: 4/0 GARAGE: g1/0 5f -fir FLANKING SETBACK: CURRENT PROPERTY SIZE:/7 704 '14 COVERED DECK: AV4 FRONT SETBACK: /�S CURRENT PROPERTY USE: VaCcfrtll' DECK: UO 5, 4 1- i REAR SETBACK: ?i CURRENT SEPTIC USE: A/9 , LEFT SETBACK: 2 5 CURRENT WELL USE: A/0 RIGHT SETBACK: 1-'7 I / IMPERVIOUS SURFACE AREA: A-1/4 MANUFACTURED HOME SIGN WIDTH: LENGTH: SQ FT OF SIGN: HEIGHT OF SIGN: ' "- YEAR: PIT SET: #OF SIGNS: AREA OF EXIST SIGN: MANUFACTURER: TYPE OF SIGN: IRELOCATION FIRE SAFETY I PREVIOUS ADDRESS: FIRE SPRINKLER: FIRE ALARM: PAINT BOOTH: TENT: PROPOSED USE: FIREWORKS DISPLAY: BLASTING: DATE/TIME: WA STATE NON-RESIDENTIAL ENERGY CODE PLANS EXAMINER: PHONE: FAX: ADDRESS:. CITY,STATE,ZIP INSPECTOR: PHONE: FAX: ADDRESS: CITY,STATE,ZIP SPECIAL INSPECTIONS C! BOLTING °CONCRETE 0 REINFORCEMENT ® WELDING FIRM NAME: PHONE: FAX: INSPECTOR(S): IBUILDING STAFF USE ONLY IS PUBLIC SEWER AVAILABLE: ▪ YES NO IF YES: ® COUNTY ® CITY • - IS PUBLIC WATER AVAILABLE: • YES ® NO IF YES,WHICH WATER DIST/IRR: IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO IS THE PROPER.TY LOCATED WITHIN ASA: YES NO • . PSSA: ❑ YES 0 NO • IDATE: I STAFF: METHOD OF PAYMENT: ® ® 0 r T ® ...�■ ; '; VISA CASH CHECK rirr�� BANKCARD#; EXPIRES: VIN# AUTHORIZED SIGNATURE.- *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD • PLUMBING PERMIT APPLICATION Safi°�e City of Spokane Valley Community Development Department SuiktingDivision ��y 11707 E.Sprague Avenue, Suite 106 Spokane Valley, WA 99206 .000 Phone: (509)688-0036;Fax: (509)688-0037 FOR INSPECTIONS,CALL(509)688-0054 Project Address: Permit Use: Owner: Phone (Daytime Contact): Mailing Address: City State Zip Code Contractor S GrA C 3 c lr 5�'L - License#: Phone#: Mailing Address: City State Zip Code *OF TOTAL DESCRIPTION OF WORK UNITS X COST AMOUNT • 1 TOILETS WATER CLOSET,BIDETS 3 X $6.00 = 2 URINALS X $6.00 = - 3 TUBS .. 56.00 . = 4 SHOWERS(PER TRAP) BATH,STAB,ONS / ITE BUILT $6.00 = , ' 5 SINKSIAVSIBASINS,BAR,FLOOR ,P KITCHEN,LAUNDRY,UTILITY, `� $6.00 = JANITOR.PHOTO,X-RAY,FOOD, I PREP!CULINARYIMEAT - _ 6 DISHWASHER / $.00 = 7 CLOTHES WASHER / I $6.00 = • 6 GARBAGE DISPOSAL / $6.00 = • 9 WATER SOFTENER56.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS;SEE MECHANICAL $6.00 = 11 FLOOR DRAINS AREA,CASE,COIL TRENCH, / $6.00 = CONDENSATE 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS,DRINKINGX $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION, / III $6.00 VENT, PLUMBING,REVERSAL REPAIR,REVERSALS 15 SEWAGE EJECTOR GRINDER,SUMP PUMP 56.00 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER . HOSE BIB,STEAMER,PROOFER, / X $6.00 CARBONATOR.SWAMP COOLER 17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK ' '. VALVE,AND R.P.B.P.D.FOR X $6.00 = VATS,TANKS,BOILERS _ g INTERCEPTORS GREASE TRAP,SAND TRAP, X $6.00 = CHEMICAL HOLDING TANK 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X 56.00 = • METHOD OF PAYMENT: SUBTOTAL ❑ CASH Q CHECK ❑ VISA Q MASTERCARD PROCESSING PEE $35.00 DATE: EXPIRES: , TOTAL PERMITTEE DUE: BANKCARD'NUMBER: AUTHORIZED SIGNATURE: , MECHANICAL PERMIT APPLICATION • 0.111"\1111%6 Slane City of Spokane Valley Comrnunity Development Department ��� Burnuiti 106 11707•E. Sprague Avenue, Suite9106 Spokane Valley, WA 99206 Phone: (509)688-0036;Fax: (509) 688-0037 Project Address: /Y 5-- 3r `j /V'� FOR INSPECTIONS,.CALL.(509) 688-0054 Owner Permit Use: `Mailing Mdress: ,Phone(Daytime Contact): Contractor: i�GtJ� )gas• • City State Zip Code i� License#: Phone#: X63-T7 3 Mailing Address: 1115 s- 5k CYIP,riv G tier-46.k . .L✓N'1 gya37 City State .Zip Code DESCRtPT10NOFIKQRi( 8OF TOTAL UNITS X COST - AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 / X $15.00 = -•-• = N NGAPPL-IA ..b moreirian 110,000 X 518.00 = 3 UNLISTEOAPPLIANCE(Additional Fee) Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE(Additional Fee) • More than 400,000 •USED APPLIANCE(WSEC min.AFUE - X $100.00 = 5 rating) Equal to oriess than 400,000 X USE°APPLIANCE(WSEC min AFUE o = 6 raring) More 81a/1400,000 X $100.00 = 7 BOILER/REFRIGERATION 1-toOM BTU • X 815.00 = • 8 BOILER/REFRIGERATION 101-500M BTU X i28.0o = . 9 BOILERIREFRIGERATION 501-1,000M BTU X $39.00 = r 10 BOILER/REFRIGERATION 1,001-1,750M BTI! X 557.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $95.00 = 12 GAS LOG,GAS INSERT,GAS FIREPLACE f 13 RANGE X 510.00 = X $10.00 = 14 DRYER X St0.o0 = 15 FUEL BURNING WATER HEATER J / / X St0.00 • 16 MISC.FUEL BURNING APPLIANCE X 510.00. = 17 GAS PIPING(each outlet) X $1.00 = 18 DUCT SYSTEMS X 51:.00 = 19 VENTILATING FANS• 3 X Sta.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 $19.00 = '' 22 EVAPORATIVE COOLERS ' X $10.00 = 23 TYPE I HOOD • X $50.00 = 24 TYPE It HOOD / X $10.00 = 25 HEAT PUMP!AIR CONDITIONER • • • t13 _ TON . . x $12.00 - 26 AIR CONDITIONER 3-15 TON - _ X $20.00 = C $25.00 = 29 AIR CONDEMNER. 30-50 TON ! X $35.00 = 23 AIR CONDFrIONER .. More than 50 TON X $60.00 = • 30 LPG STORAGE TANK ' X $10.00 a1 WOOD OR PELLET STOVE/INSERT 4 X $10.00 _1 32 WOOD-STOVE-FREE STANDING 1 _ X $25.00 - METHOD OF PAYMENT: - SUBTOTAL •Ei CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE: . AUTHORIZED SIGNATURE: • . • t-7, 76if _0., /45-3 0 6 ).-c( ' �v�e ( orLiz-/ 6 - i I F 1 1 x 5,7 Sq 4 , he.vc, .5 Lie Dec I I Ice Thai elle plan is being submitted for the purpose of obtaining a building permit and is a true anc correct 1.- �� reprNmlMior of the proposal. MI known sroperty J Q �, . lines/dimensions.curb lines.structures and ea cements A0O*ga haw been identified. Also indicated are wetlands. ZONE bodies of we steep open or other critic areas. ROAD W► FLANKING signed- tao_ FRONT--- 4' Date: 11- 3 0•-OLf ems. COMMENTS vim A, ► . REVIEWED 8Y TMAhiIt 1 l R ,of te obi* ibtiOding permit me VOIPRifilforrect of the proposal.O0e ty antileti/dinhil*Ions.Curb tines. $.1_1!_tfavii''been'*IriiiirtmoesAsoo Ot itilw':`.f ,'mon or otherWli'ihaaa s. dater-- I- 11x 143