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2004, 03-15 Permit App: BLD-04-03780 AdditionbSPfl'('i nilJim,,'Hey PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUN/TY DEVELOPMENT BUILDINGDIVISION 1170 7 East Sprague A ve Ste 906 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax (509)688-0037 1 REQUIRED SITE INFORMATION STREET ADDRESS: r ` ASSESSOR'S TAX PARCEL NUMBERS): _LEGAL DISCRIPTION: PERMIT DESCRIPTION: a 2-J6DILDING PERMa U l;$ANGE INUSE t GRADING MANUFACTURED HOME REE OChTfUN E SIGN [ TENANTH7 0TRER OWNER / APPLICANT INFORMATION OWNER: T -DIA �C f e 1 �! ® APPLICANT: PHONE: /� iN+q�fq ,FAX: PHONE: FAX: ADDRESS:l / /P��L ADDRESS: CITY TAT , ZIP -7CITY, STATE, ZIP CONTRACTOR: i 11 Ke ARCHITECT.: PHONE:,. �� FAX PHONE: FAX: ADDRESS: L 1101444 G'� y I - ADDRESS: CITY,. TATE, ZIP 1J R �j CITY, STATE, ZIP WA ST CONTRACTOR LICENSE #-!s;'. � CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: v BUILDING HEIGHT TO PEAK: BUILDING DIMENSIONS: NUMBER OF STORIES: NUMBER Of BEDROOMS: FLANKING SETBACK: FRONT SETBACK: REAR SETBACK: LEFT SETBACK:��j^( RIGHT SETBACK: C I 30% SLOPES ON PROPERTY: OCCUPANCY GROUP: CONSTRUCTION TYPE: STRUCTURES ON PROPERTY: CRITICAL AREAS: CURRENT PROPERTY SIZE: CURRENT PROPERTY USE: CURRENT SEPTIC USE: CURRENT WELL USE: IMPERVIOUS SURFACE AREA: MAIN FLOOR SO FT:-6� 2No FLOOR SO FT: UNFIN BASEMENT: FINISHED BASEMENT:�v `7 GARAGE: COVERED DECK: DECK: MANUFACTURED HOME WIDTH: LENGTH: YEAR: PIT SET: MANUFACTURER: RELOCATION PREVIOUS ADDRESS: PROPOSED r s i SIGN SQ FT OF SIGN: HEIGHT OF SIGN: -L # OF SIGNS: AREA OF EXIST SIGN: TYPE OF SIGN: FIRE SAFETY FIRE SPRINKLER: PAINT BOOTH: FIREWORKS DISPLAY: BLASTING: WA STATE NON-RESIDENTIAL ENERGY CODE FIRE ALARM: TENT: DATE/TIME: PLANS EXAMINER: PHONE: F CITY, STATE, ZIP INSPECTOR: PHONE: FAX: ADDRESS: CITY, STATE, ZIP SPECIAL INSPECTIONS. 13BOLTING ®CONCRETE FIRM NAME: INSPECTOR(S): ® REINFORCEMENT ® WELDING PHONE: FAX: BUILDING 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: ® YES ® NO IS THE PROPERTY LOCATED WITHIN ASA: ® YES ® NO PSSA: ® YES ® NO DATE: STAFF: METHOD OF PA YMENT.` ® ® ® ® % ...; MSA CASH CHECK mii� BANKCARD #; EXPIRES: VIN; AUTHORIZED SIGNATURE. *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD METHOD OF ❑ CASH DATE: 000l r ary a%aarR ne ,,;oOValley 11707 Fast Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT DESCRIPTION PERMIT ADDRESS: ©� .� / USE: OWNER: T. 17 AMOUNT PHONE (Daytime Contact): MAILING ADDRESS: WATER CLOSET, BIDETS X $6 = U / / "--� f ?T c URINALS (street) (city/state) (ZIP) CONTRACTOR: ' = LICENSE #: MAILING ADDRESS: 5j�41 f PHONE #: X $6 (street) (city/state) (ZIP) PLUMBING FIXTURES BANKCARD NUMBER: AUTHORIZED SIGNATURE: EXPIRES: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 = 2 URINALS X $6 = 3 TUBS X $6 _ 4 SHOWERS (PER TRAP) B ALL, ON-SITE BUILT X $6 = 5 SINKS VS/BASI BAR, FLOOR, KITCHEN, LAU DRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT Z' X $6 - 6 DISHWASHER X $6 = 7 CLOTHES WASHER X $6 = 8 GARBAGE DISPOSAL X $6 = 9 WATER SOFTENER X $6 = 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 = 12 FOUNTAINS, DRINKING X $6 = 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 = 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 = 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 = 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6 _ 17 SPRINKLER SYSTEM X $25 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X _ 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 = 20 MISC. PLUMBING FLYTURE X $6 = PAYMENT/ - ^ ; CHECK SUBTOTAL: PLUS PROCESSING FEE: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: EXPIRES: S-10Tv -.:oOValley Mechanical Permit Application PROJECT ADDRESS: PERMIT USE: OWNER: PHONE (Daytime Contact): MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR: LICENSE #:- -MAILING MAILING ADDRESS: - PHONE: (street) (city/state) (ZIP) METHOD OF PAY ❑ CASH ❑ Cl DESCRIPTION OF WORK #OFLIIVITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE = OR < 100,000 X $15 2 FUEL BURNING APPLIANCE > 100,000 X $19 = 3 UNLISTED APPLIANCE (ADDITIONAL FEE) = OR<400,000 X $50 = 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X $100 = 5 USED APPLIANCE (WSEC min. AFUE rating) = or <400,000 X $50 = 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X $100 = 7 BOILERIREFRIGERATION I - loom BTU X $15 = 8 BOILER/REFRIGERATION 101- 500M BTU X $28 = 9 BOILERIREFRIGERATION 501-1,000M BTU X $39 = 10 BOILER/REFRIGERATION 1001-1,750M BTU X $57 = Il BOILER/REFRIGERATION +1750M BTU X $95 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE — X $10 13 RANGE - X $10 = 14 DRYER - X $10 = 15 FUEL BURNING WATER HEATER -- X $10 = 16 MISC. FUEL BURNING APPL. - X $10 = 17 GAS PIPING (ea. Outlet) - X $1 = 18 DUCT SYSTEMS - X $10 = 19 VENTILATING FANS - X $10 = 20 AIR HANDLER (DOES NOT include ducting) = OR < 10,000CFM X $12 = 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X $19 = 22 EVAPORATIVE COOLERS - X $10 23 TYPE I HOOD - X $50 = 24 TYPE li HOOD - X $10 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 = 26 AIR CONDITIONER 3.15 TON X $20 = 27 AIR CONDITIONER 15-30 TON X $25 28 AIR CONDITIONER 30-50 TON X $35 = 29 AIR CONDITIONER +50 TON x $60 = 30 LPG STORAGE TANK - X $10 31 WOOD OR PELLET STOVE/INSERT - X $10 = 32 WOOD STOVE - FREE STANDING _ X $25 _ BENT rri'Y r-1 SUBTOTAL: PLUS PROCESSING FEE: TOTAL PERMIT FEE DUE: DATE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: EXPIRES: 7 A WIDTH F NT_ FLANKING M ENTS VI WEDBY-:± zfero t J6 r /50 This site plan is being submitted for the purpose of obtaining a building permit and i a true and correct representation of the proposal. known property tines/dimensions, curb lines, st res and easements have been identified. Also are wetlands bodies of water, st p slopes ther dal areas. Sw": Date: `�— A e; --� THESE PLANS MUST BE KEPT ON THE JOB SITE YS FcSl FSL9 y0�U�NO l /vs FMSq Sq� R I AT0 \�ST�ns AV CA uV WHEN IN ERIOR ALTERATIONS, REPAIRS OR ADDITIONS REOUIRi G A PERMIT OCCUR, OR WHEN ONE OR MORE SLEEPINt ROOMS ARE ADOED OR CREATED IN EXISTING DWELLIN ES, THE DWELLING UNIT SHALL BE PROVIDED WITH SM KE ALARMS LOCATED AS REQUIRED FOR NEW DWELLIN s a C, SA 12:38 tam 5U�JGLbiBU il:S: i)8� 04 I ni!vni� I _ - co� — r '_ _�—� __' � t Tk �js � w tt ,.i• ''' fin. � .: -.. ii ��-- I — I _ i I Vii/ _ .. _� _._, �_{_—..— �—' i I •� C� .✓�E� I I � � i _ _ -�-------•,----- lab , ��t I ' f 7 r , Or•� { , I —I t I I I ' I Sq Ft per evAttic ery 300 Sq �Ft of space ventilated with at least 50% in the upper portion of roof area. K C,) '