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2007, 05-15 Permit App: 07001787 Addition
Project Number: 07001787 Inv: 1 Application Date: 5/15/2007 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RES ADD Contact: ANDERSON,K E Address: 11122 E 35TH AVE C-S-Z: SPOKANE,WA 99206-5954 Setbacks:Front Left: Right: Rear: Phone: (509)928-3460 Group Name: Project Name: Site Information: :. :.: - ��e •,>.,. o a. Plat Key: 000000 Name: Range District: Sout Parcel Number: 45332.2203 Block: Lot: SiteAddress: 11122 E 35TH AVE Owner:Name: ANDERSON,K E Bi55,S Address: 11122 E 35TH AVE Location::SPO SPOKANE,WA 99206-5954 Zoning: UR-3.5 Urban Residential 3.5 Water District: 007 MODEL Hold: ❑ Area:13,771.00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: .r�>. ,,,. „ v: � . %a. „ ; rte ... Review Building Plan Review Released y Landuse/Zoning/HE ConditionsKlo =,g, -y i ,"'H Operator: JD Printed By: JD Print Date: 5/15/2007 Project Number: 07001787 Inv: 1 Application Date: 5/15/2007 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: br Permit Use: RES ADD Contact: ANDERSON,K E Address: 11122 E 35TH AVE C-S-Z: SPOKANE,WA 99206-5954 Setbacks:Front Left: Right: Rear: Phone: (509)928-3460 Group Name: Site Information: Project Name: Plat Key: 000000 Name: Range District: Sout Parcel Number: 45332.2203 Block: Lot: SiteAddress: 11122 E 35TH AVE Owner:Name: ANDERSON,K E Address: 11122 E 35TH AVE Location::SPO SPOKANE,WA 99206-5954 Zoning: UR-3.5 Urban Residential 3.5 Water District: 007 MODEL Hold: ❑ Area: 1,771.00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: a ,ro;ax p„..;_ uro� w « . �f, .. � c m Review Building Plan Review Released By: 'lM ► 0 7 Landuse/Zoning/HE Conditions Released By: Operator: JD Printed By: JD Print Date: 5/15/2007 Project Number: 07001787 Inv: 1 Application Date: 5/15/2007 Page 2 of 2 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 Building Height 24 This Application: Total Project: Description Grp Type Notes p Ft Valuation Sq Ft Valuation RES ADD R-3 VB STS Or $54,998.72 602 $54,998.72 iN �S� Totals: .602 $54,998.72 602 $54,998.72 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $678.75 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $271.50 Permit Total Fees: $954.75 Pa ment Summa Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $954.75 $954.75 $0.00 $954.75 $954.75 $954.75 $0.00 $954.75 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: JD Printed By: JD Print Date: 5/15/2007 i .�� 0000 �� Permit Center _ Sc okane l 1707E Sprague Ave, Suite 106 • I PERMIT NUMBER: '-N1 Spokane Valley,WA 99206 (! I dile MA 4117 I I] PERMIT FEE: (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevallev.org Residential Construction New Construction Permit Application Nj Addition/Remodel Deck Other: SITE ADDRESS /1/ZZ -......3.6 a/c1 v ASSESSORS PARCEL NO:4533 2, 220.3 LEGAL DESCRIPTION:/y,Ld/w,9/5,"ST/i,QD�353 Building Owner: Contractor: Name: A'-‘1/4-1Name: A/Vd .2so•c,/ I./ A'-‘1/4-1 Z 4irJD ,eSCAI Address:/// 7 Z _ Aer,„ dVilG Address:///Z c- City:5`21; e4iVE e . ..y State:zew Zip.9,-.,- City %o,e.-' ivG-/1 Cly State//g Zip: 20 Phone sem_ 92e-,34‘e) ze 34‘ Fax: 9-'9,a1-544 i Fax: .67 Contractor Lie No: Exp Date: Contact Person City Business Lic.No: Name: /'�Er,1/4J 4e.1.0 .-/Z504.J Phone: -(.:22,"- ;:5--:__F-- /G., Describe the scope of work in detail: Cost of Project: $ . , GL767 Aaor/1/C... i 1 SWoo,T7O.v 7Z Ge77-/-'47 O/=..Ex/ST. Xiee4&. .421%Sf11a.s4.--, peG`-.0Ai �+_,4T **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE: 23'- 2' 16--I x 36 - 7 �'" MAIN FLOOR TO SQ. 2ND FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: Q /VI NA2 AREA: FINISHED BASEMENT GARAGE qQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON SQ. FTG: ,...5.72 /019 PROPERTY: /I/X #OF BEDR`MS: CONSTRUCTION TYPE: HEAT SOURC : SEWER OR SEPTIC? 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 b processed. Signature Z::2 -94,10:7-A----) Date ,S-- /4-Ur Method of Payment: ❑ Cash ❑ Check ❑ Mastercard /2 VISA Bankcard#: Expires: VIN#: Authorized Signature: REVISED 8/25/2005 , 4 . „ r 000111\444,,,... Permit Center , spkane 11707 E Sprague Ave,Suite 106 Spokane Valley,WA 99206 PERMIT NUMBER: CommunityDevelopment (509)688-0036 FAX:(509)688-0037 p kV%V x� w.skanevallev.oro PERMIT FEE: Mechanical Permit Application (1 Commercial ZI Residential SITE ADDRESS: ///Z 2 �. 05 I-4 /`/!/tea t-ie-(G Building Owner �J Name: 4.4/ vt J 4N,©CzSO4/ Phone 5e9 ze-34be Fax: Address: ///Z 2 ,35--i- iti .4JifG Cit' State: Contractor �/��fi7�/� ��[LGy, �jg Zip: �� Name: /J 5L' le /.t., �. ,g4,2 d .�B.CJ Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact / // Name: vz/cj /y/V,fai _sQ/(/ Phone: _ :5-,3., `7/O DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 GAS APPLIANCE Equal to or less than 100,000 X $12.00 = 2 GAS 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 GAS WATER HEATER - X $10.00 = 16 MISC.GAS 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 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 ['CASHIDCHECK $VISA ElMC EXPIRES: PROCESSING FEE V I 535.00 CARD#: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: / LZWL REVISED 8/26/05 4 • ,.r''A�.r► ` Permit Center mil 11707 E Sprague Ave,Suite 106 .,,,,0Val ley Spokane Valley,WA 99206 PERMIT NUMBER: (509)688-0036 FAX:(509)688-0037 Community Development www.spokanevallev.ora Plumbing Permit Application PERMIT FEE: ❑ Commercial Residential SITE ADDRESS: _ ///3 Z �, 33 4 ,Q���e/ Building Owner ��� Name: Lamvolt] Wejti30 Phone _ _ ,- Fax: Address: ///Z �J Contractor /5Y'C -'dl&_ �je !�State: ,/4 Zip:�yz� Name: Phone: Fax: "J Address: License No: City: State: Zip: City Business Lic: Contact Name: /� /EY/At) .j .0 ,e) Phone — DESCRIPTION OF WORK I #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS / X $6.00 - 2 URINALS X $6.00 3 TUBS / X $6.00 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT LAYS/BASINS,BAR,FLOOR,KITCHEN, X $6.00 = 5 SINKS LAUNDRY,UTILITY,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 WATER HEATER NOTE: IF GAS,SEE MECHANICAL AREA,CASE,COIL,TRENCH, X $6.00 11 FLOOR DRAINS CONDENSATE X $6.00 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 13 FOUNTAINS,DRINKING WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, X $6.00 = 14 VENT,PLUMBING,REVERSAL REVERSALS 15 SEWAGE EJECTOR X $6.00 = GRINDER,SUMP PUMP X $6.00 - 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER,HOSE BIB, 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 = 18 INTERCEPTORS GREASE TRAP,SAND TRAP, 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 DISPOSAL/SYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: SUBTOTAL ❑CASH ❑CHECK VISA 0 MC PROCESSING FEE EXPIRES: Card# $35.00 VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 s a APPROVED By - DATE: 5 11510 I