2005, 04-21 Permit: 05001283 AdditionProject Number: 05001283 Inv: 1
Application
Date: 04/21/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RES ADD - DINING RM, STORAGE RM & BATH
(FTGS EXIST PERMIT 02-1088)
Setbacks: Front EXI Left: EX Right: EX Rear: 30+
Site Information:
Plat Key: 001737 Name: MYRON EST # 2
Contact: SPOKANE HOME SOLUTIONS
Address: 11106 E 44TH AVE
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 939-5180
Group Name:
Project Name:
District: Sout
Parcel Number: 44042.0603 Block:
SiteAddress: 11421 E 46TH AVE
Location:: CSV
Zoning: UR 3.5
Water District:
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 50
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: GROVER, RICK
Address: 11421 E 46TH AVE
SPOKANE VALLEY, WA 99206
Hold: D
Review
Site Plan Re
Plan Review
Permits:
Operator: K_C Printed By: K_C
Print Date: 04/21/2005
Project Number: 05001283 Inv: 1
Li .a.
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/21/2005 Page 2 of 3
Building Pernik
Contractor. SPOKANE HOME SOLUTIONS Firm: SPOKANE HOME SOLUTIONS
Address: 5312 N FAIRMONT PL Phone: (509) 326-3853
SPOKANE, WA 99205
Building Characteristics
Group: R-3 Type: VB
Total Area 308
Building Height 18
Stories 1
Dwelling Units 1
This Application: Total Project:
Description at Type Notes Sq Ft Valuation Sq Ft Valuation
RES ADD R-3 VB REDUCE 0 $20,241.27 0 $20,241.27
12% - FTGS
EXIST
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 0 $20,241.27 0 $20,241.27
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
S335.25
$4.50
$134.10
$473.85
Contractor SPOKANE HOME SOLUTIONS Firm: SPOKANE HOME SOLUTIONS
Address: 5312 N FAIRMONT PL Phone: (509) 326-3853
SPOKANE, WA 99205
Item Description
GAS PIPING
VENTILATING FANS
Units Unit Desc
1 it OF UMTS
1 NUMBER OF
Permit Total Fees:
Plumbing Penult
Fee Amount
$L00
$10.00
$11.00
Contractor: GLENROSE PLUMBING & Firm: GLENROSE PLUMBING & HEATI
Address: 2709 N PITTSBURG ST Phone: (509) 487-3010
SPOKANE, WA 99207
Item beset' ion Units Unit Desc Fee Amount
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
SHOWERS 1 NUMBER OF $6.00
Permit Total Fees: $18.00
Operator: K_C Printed By: K_C Print Date: 04/21/2005
Project Number:
05001283 Inv: 1 Application Date: 04/21/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Time
Building Permit
Mechanical Permit
Plumbing Permit
Pee Amount Invoice Amount
$473.85
$11.00
$18.00
$473.85
$11.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owin[
$473.85
$11.00
$18.00
$502.85 $502.85
$0.00 $502.85
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 corral, 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: 04/21/2005
Spokane
jUallew
n
BUILDING PERMIT APPLICATION WORKSHEET
City of Spo e Valley Community Development Department
E C EE IJ V f Building Division
11707 E. Sprague Avenue, Suite 106r`i� 4 2 C: Spokane Valley, WA 99206
/ Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: Il'i 211 E b4
Assessor's Tax Parcel Number(s): 99v2 2C,1t' u ' 30-_'
Legal Description: L' - 3 /3/c4 5- jr/c ,;),/ 644 S 1s/ cdlXLI
PERMIT DESCRIPTION: / /0fc' 7irI &4,0k) (�Lt.� 461i()(
j . Building Permit ❑ Change in Use fl Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
❑ Relocation
cz/L
OWNER/APPLICANT INFORMATION
El Owner: fir' ,c (:,j
Phone: Y.Z.V:S ;tjq Fax:
Address: ,/ </3./ /_- ye(/i
�t ivS,�' tele T%''
tytate Zip Code City
Contractor._*)6,,e 6/cvrr, Xi ,c,;S ❑ Architect:
Phone: L1 Fax: 9,t) -y2F Phone: Fax:
Address: ///C6 ,c yiifi, Address:
.A;4 -pit 920e.
State Zip Code City
WA State Contractor License #:.5P6/49%t OC- Contact:
11] Applicant:. _ �c%�
Phone: Fax:
Address:
State Zip Cooe
Spokane Valley Bus. Liscense #:
Contact:
State Zip Code
k..eetic' Tess.
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:/ ;�
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
j
2 u FLOOR SQ. FTG7
/Lt3C
UN IN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTJOHEAT TYPE:
SOURCE:
# O1F BEDROOMS:
TOTAL HABITABLE SPACE:
{
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER' R ON-SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
Width:
Length:
, Year:
Pit Set:
Manufacturer:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent: Fireworks Display: Blasting:
Valuation: Above/Underground Storage Tank Size:
Paint Booth:
Date/Time.
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone:
Address:
Inspector:
Address:
Fax:
City
Phone:
State
Fax:
Zip
• City
State
Zip
SPECIAL INSPECTIONS
0 BOLTING 0 CONCRETE
❑ REINFORCEMENT
In WELDING
IP, 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 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.
Ownership of resulting �ddevelopment rights granted by any issued permit inure to the property owner.
Print Name ,L Ylv%6` 3'S5 Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash JJ Check ❑ Mastercard
Bankcard #: n Expires: VIN#:
Authorized Signature: \ \ i®G.riv C/e.
❑ VISA
❑ Other
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Project Address: //WI Permit Use:
Phone (Daytime Contact): 5/75 -"FT 3
Owner. Kfrh e/Njer
Mailing Address: iitne
inriikrb�(u�/ ,�
Contractor
Mai ing Address:
City State
License #,SJb49JS 7 4J3C
Zip Code
Phone
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
R OF UNITS
X
COST
•
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
1
X
36.00
=
2
URINALS
X
$8.00
3
TUBS
X
36.00
4
SHOWERS (PER TRAP)
BATH, STALL ONSITE BUILT
/
X
36.00
5
SINKS
LAVS/BASINS. BAR, FLOOR KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,/
X-RAY. FOOD, PREP/CULINARY MEAT
X
36.00
=
6
DISHWASHER
X
36.00
7
CLOTHES WASHER
X
36.00
•
8
GARBAGE DISPOSAL
X
36.00
9
WATER SOFTENER
X
38.00
•
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
$6.o0
=
11
FLOOR DRAINS
AREA, CASE, COIL TRENCH, CONDENSATE
X
36.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
•
14
WATER PIPING)ORMN-1N WASTE,
VENT, PLUMBING, REVERSAL
NSTALIATION, ALTERATION, REPAIR,
REVERSALS
X
36.00
•
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
36.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER HOSE BIB,
STEAMER
PROOFER, CARBONATOR SWAMP COOLER
X
36.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.S.P.D. FOR VATS, TANKS BOILERS
X
36.00
=
16
INTERCEPTORS
GREASE TRAP. SAND TRAP,
CHEMICAL HOLDING TANK
X
36.00
I9
MEDICAL GAS (per outlep
NITROUS, OXYGEN
X
56.00
•
20
MISCELLANEOUS PLUMBING
FIXTURE
X
36.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
320.00
•
22
INDUSTRIAL WASTE
INTERCEPTOR
X
315.00
METHOD OF PAYMENT:
0 CASH 0 CHECK D VISA D MASTERCARD
DATE EXPIRES:
SUBTOTAL
PROCESSING FEE
135.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Project Address:
Owner, R,y(; edit
Mail ng Address:
MECHANICAL PERMIT APPLIBATLOlik
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
'orf
Community Development Department
Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
License #, i)m,v 971 LZ`
9 /7/m ' C 4'5644 Conivu( nf-
Contractor: ?o li3/4/reSo m"
Mailln Addrdss: A
sura
Phone #: gS-S-/$0
zip code
r , • ' ' / • _ ON slate ' 2'e Code
DESCRIPTION OF WORK
# OF UNITS
X
COST
•
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE ,
Equal to or less than 100,000
X
51200
2
FUEL BURNING APPLIANCE
More than 100,000
X
815.00
•
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
5100.00
=
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or Tess than 400,000
X
550.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
8100.00
=
7
BOILER/REFRIGERATION
1- 100M BTU
X
812.00
=
8
BOILER/REFRIGERATION
101- 500M BTU
X
520.00
•
9
BOILER/REFRIGERATION
501- 1,00DM BTU
X
525.00
=
10
BOILER/REFRIGERATION
1,001- 1,750M BTU
X
535.00
11
BOILER/REFRIGERATION
. More than 1.750M BTU
X
$60.00
12
GAS LOG. GAS INSERT. GAS FIREPLACE
X
810.00
13
RANGE
X
810.00
=
14
DRYER
X
510.00
=
15
FUEL BURNING WATER HEATER
X
510.00
18
MISC. FUEL BURNING APPLIANCE
X
510.00
17
GAS PIPING (each outlet)
/
X
$1.00
•
18
DUCT SYSTEMS
X
510.00
=
19
VENTILATING FANS
j
a
X
510.00
=
20
AIR HANDLER (DOES NOT Include ducting)
Equal to or less than 10,000 CFM
X
512.00
21
AIR HANDLER (DOES NOT Include ducting)
Greater than 10,000 CFM
X
515.00
22
EVAPORATIVE COOLERS
X
510.00
•
23
TYPE I HOOD
X
550.00
=
24
TYPE II HOOD
X
510.00
25
HEAT PUMP/AIR CONDITIONER
0a TON
X
512.00
26
AIR CONDITIONER
3-15 TON
X
520.00
=
27
AIR CONDITIONER
15.30 TON
X
525.00
•
28
AIR CONDITIONER
30-50 TON-
X
535.00
=
29
AIR CONDITIONER
More than 50 TON
X
180.0
=
30
LPG STORAGE TANK
X
110.00
=
31
WOOD OR PELLET STOVE/INSERT
X
510.00
=
32
WOOD STOVE - FREE STANDING
X
825.00
33
REPAIR IADDmONS
X
515.00
•
34
VENTILATION SYSTEMS
X
512.00
35
VENTILATION MECHANICAL EXHAUST
X
512.00
36
INCINERATOR - RESIDENCE
X
519.00
•
37
INCINERATOR - COMMERCIAL
X
522.00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK 0 VISA 0 MC
CARD it.
SUBTOTAL
DATE
PROCESSING FEE
535.00
EXPIRES.
TOTAL PERMIT FEE DUE:
,,=-x I et I W rr-
\ate.
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� - Res IIaETU C,�
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LAV"r S.,
/
Mc"5 UR 3.5
1 sF.
IN
Lao
9 sDAlTltstl s t �A�-
Im.ioI
ADDRESS
ZONE
ROAD WIDTH
FRONT FLANKING
COMMENTS
REVIEWED Uf� -
r
site plan is being submitted for the purpose of
ning a building permit and is a true and correct
sentation of the proposal. All known properly
'dimensions, curb lines, structures and easements
been identified. Also indicated are wetlands,
m ofwgter, steep slopes or other critical areas.
Dc� W to I S 44 S T