2003, 11-13 Permit App BLD-03-03059 Residence, GarageSpokane
.,,.."Walley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
16902 E DAYBREAK LN
SPOKANE VALLEY WA 99037
Application #: BLD-03-03059
NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
MORNINGSIDE PHASE I PUD
GODUN, VALENTIN & NADEZHDA
GODUN, VALENTIN & NADEZHDA
14702 E 48TH AVE
VERADALE, WA 99037
Lot: 6
Blk: 4 Parcel No:
Phone: (509) 891-0908
Phone:
Lic No:
Applied:
Issued:
Expires:
Zoning:
11/13/2003
05/11/2004
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
SEWAGE EJECTOR
CROSS CONNECTION DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
HEAT PUMP/AIR COND 0 - 3 TON
sfr
206161
26
64 X 58
2
4
30
87
20
30
r-3
5-w
1
no
no
3
2
1
6
1
1
1
1
1
1
1
1
1
3
5
1
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
SEWAGE EJECTOR
CROSS CONNECTION DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
Total Calculated:
Deposits/Receipts:
Tq aI Due:
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials / Date PEVIEWED FOR CODE COMPLIANCE
SPONE LEY BUS e N DIVISION
4.5
637.18
1,592.95
4.50
18.00
12.00
6.00
36.00
6.00
6.00
6.00
6.00
6.00
15.00
10.00
10.00
10.00
3.00
50.00
12.00
2,446.63
0.00
2,446.63
Building
Planning
Public Works_t)
�(/
wt—doita.46_,_4)
I941aLt
THIS IS NOT A RECEIPT
SO" e
4.0.0Valley
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 906
Spokane Valley, WA 99206
Phone: (509)688-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS:
i69002��7%�6ty�z��,� G u e_
/S,
ASSESSOR'S TAX PARCEL NUMBER(S): `7' Sc:2 SV /a 06
LEGAL DISCRIPTION:
f tea R. cu ,r.< S ,°/� E O Cam. 1? C-'. i) . L. Tb // L , y
PERMIT DESCRIPTION:
BUILDING PERIYIIT • • - CI CHANGE IN USE • a GRADING .a MANUFACTITRED HOME
0-RELOCATION ®-SIGN a TENANT
03. OTHER.
OWNER / APPLICANT INFORMATION
171
c-et 939 3a�'3'
®OWNER: it
e-i4 ` -cc'c.4
PHONE: g 9/ 0 90 FAX:
APPLICANT:
PHONE: FAX:
ADDRESS: /Y 7 dal L� YS 7/4, 1 Jl _t(2 a ADDRESS:
4'4_ 5:'.9,3 CITY,STATE, ZIP
CONTRACTOR: ARCHITECT:
PHONE: FAX: PHONE: FAX:
ADDRESS: ADDRESS:
CITY, STATE, ZIP
CITY, STATE, ZIP
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE # CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT: c . 4'O /(- 30% SLOPES ON PROPERTY:
BUILDING HEIGHT TO PEAK: OCCUPANCY GROUP: 2ND FLOOR SQ FT: /000
BUILDING DIMENSIONS: 58X G'/ CONSTRUCTION TYPE: r /�- --- UNFIN BASEMENT: J� C h--
NUMBER OF STORIES: a2 STRUCTURES ON PROPERTY: FINISHED BASEMENT:
NUMBER of BEDROOMS: ' CRITICAL AREAS: GARAGE: (Fl �
FLANKING SETBACK: CURRENT PROPERTY SIZE: / 75,x /(. -SDI COVERED DECK:
FRONT SETBACK: 3 c, / CURRENT PROPERTY USE: //42-- c,,/ DECK: :� 6"0 S
i
REAR SETBACK: 02 0 CURRENT SEPTIC USE: /14.c—
LEFT SETBACK: 30 / CURRENT WELL USE: �o
MAIN FLOOR SQ FT: 1 6 / G
A
RIGHT SETBACK: IMPERVIOUS SURFACE AREA:
MANUFACTURED HOME SIGN
WIDTH: LENGTH: SO FT OF SIGN: HEIGHT OF SIGN:
YEAR: PIT SET: # OF SIGNS: AREA OF EXIST SIGN:
MANUFACTURER: TYPE OF SIGN:
RELOCATION
FIRE SAFETY
PREVIOUS ADDRESS:
PROPOSED USE:
FIRE SPRINKLER:
PAINT BOOTH:
FIREWORKS DISPLAY:
FIRE ALARM:
TENT:
BLASTING: DATE/TIME:
WA STATE NON-RESIDENTIAL ENERGY CODE
PLANS EXAMINER: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
INSPECTOR: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
® BOLTING
FIRM NAME:
INSPECTOR(S):
®CONCRETE
® REINFORCEMENT
PHONE:
® WELDING
FAX:
BUILDING STAFF USE ONLY
I
IS PUBLIC SEWER AVAILABLE: ® YES CI NO
IS PUBLIC WATER AVAILABLE: 0
YES 0 NO IF YES, WHICH WATER DIST/IRR:
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO
IS THE PROPERTY LOCATED WITHIN ASA: ® YES ® NO PSSA: ® YES ® NO
IF YES: ® COUNTY CITY
DATE:
STAFF:
METHOD OF PAYMENT:
0 CI
CASH CHECK
VISA
BANKCARD#; EXPIRES: VIN#
AUTHORIZED SIGNATURE:
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
Sn"
,,�PoVallgy
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
Mechanical Permit
on
PROJECT �(�' C) O� C— �2X� Gc,,
PERMIT
ADDRESS:
COST EQUAL5 AidIC LI?VT
E15
2 FUEL BURNING APPLIANCE
OWNER Q' ¢.'-. N
. X
IPHONE (Daytime Contact):
MAILING ADDRESS: C f7- o E
Ce F 44,
X
$50
4. UNLISTED APPLIANCE (ADDITIONAL FEE)
.
(street)
(city/state)
(yp>)
CONt•RAA OR:
X'
LICENSE Y:
MAILINGADDRESS:'^,
>400,000
PHONEY:
(street)
(city/state)
(ZIP)
1 FUEL BURNING APPLIANCE
. = OR <100,000
X
COST EQUAL5 AidIC LI?VT
E15
2 FUEL BURNING APPLIANCE
> 100,000
. X
S39
3 UNLISTED APPLL42'JCE(ADDITIONAL FEE)
-OR<400,000
X
$50
4. UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
E100
5 USED APPLIANCE(WSEC min. AFUE vE g)
,ox c400,0D0
X'
E50 -
6 USED APPLIANCE(W5EC in, AFUE citing)
>400,000
X
$100 -
7 BOILEMEFRIGERATION
1-100M BTU
X
$15
I BOILMVREFRIGERAITON
_
101-SOOM BN
X
E25 -
9 BOTLER/REFRIGERATION
501-1,000M BTU
X
$39 -
30 BOILERIREFRIGERATION
1001-1,750M BTU
)(
$57
11 BOILER/REFFIGERATION
'FIREPLACE
a1750M BTU
X
$95 =
]2 GAS LOG, GAS INSERT, GA
- /
X
$10.
13 RANGE
X
$10 -
14 DRYER'
-
X
$10
15 FUEL BUANWG WATEA HEATER
-
X
$10
16 MISC FUEL BURNI—�A�L_.._... _ . _._.
.. ....s_.. ... ...
.,i-
17 GAS PING (ea. o.Net)
X
EI
18 DUCT SYSTEMS
-
X
E30
19 VENTR.ATINGFANS
X
$10
20 AIR HANDLER (DOM NOT include ducting)
=OR<IO,000CFM
X
$12 =
21 AIR HANDLER (DOES NOT include ducting)
> 10,000 CFM
X
$19 =
22 EVAPORATIVE COOLERS
X
E30
23 TYPE IHOOD
X
E50
24 TYPE R HOOD
X
E30
25 HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12
26 AIR CONDMONER
3-15 TON
X
$20 =
27 AIR CONDITIONER
15.30 TON
X
$25
28 AIR CONDmor tER
30-50 TON
x
$35
29 AIRCONDIT YNER
♦50 TON
X
$60 =
30 LPG STORAGE TANK
X
$10
31 WOODORPELLET 5COVEQNSERT
X
$30 =
32 WOOD SIOVE-FREE STANDING
X
f25 =
METHOD OF PAYMENT -
❑ CASH ❑ CHECK ❑ ❑,=.*;.
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL:
PLUS PROCESSING FEE: $35.00
TOTAL PERMIT FEE DUE:
EITHOD 0
CASH
crrt cx
S I ne
,,,,.'Walley
Plumbing Permit Application
11707 East Spragg.te Avenue, Suite 106 509-688-0036 Phone
Spokane Valley, WA 99206
509-688-0037 - Fax
PROJECT / 6 y 0
ADDRESS: iZ
E /-2c,-)(
c4 Qe iLx c,
'� i?-e---,
PERMIT
USE:
OWNER: f
PHONE (Daytime Contact):
MAILING ADDRESS:
Pi 7C(,2
S/
G �r� C, l'
� c 3
7
—
(street)
(city/state)
• (ZIP)
CONTRACTOR:
LICENSE #:
MAILING ADDRESS:
PHONE #:
(street)
(city/state)
(Z1i )
PLUMBING FIXTURES
DESCRIPTION
DETAILS
# OF LINTTS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
2
URINALS
X
$6
-
3
TUBS
k
X
$6 .
-
4
SHOWERS (PER TRAP)
BATH, STALL, ON -SITE BUILT
X
$6
5
SINKS
'
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD; PREP/CULINARY/MEAT
---�
X .
' $6
-
6
DISHWASHER
/
X
$6
-
7
CLOTHES WASHER
/
X
$6
-
8
GARBAGE DISPOSAL
1.
X
$b
-
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
-
16
INTERCEPTORS '
GREASETRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
$6
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC. PLUMBING FIXTURE
X
$6
-
PAYMENT0101110101
] CHECK
•
'
_' ` ,
•
r.
SUBTOTAL:
PLUS PROCESSING FEE:
-
$35.00
0 lannin ■
r_t.-ntn r.
TOTAL PERMIT FEE DUE:
,TE:
NKCARD NUMBER:
THORIZED SIGNATURE:
APPROVED BY
;Af,,O /'M