2003, 10-23 Permit App BLD-03-02877 Residence, GarageSpokane
,,.Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
Job Address: 16919 E DAYBREAK LN
SPOKANE VALLEY WA 99037
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
Lot: 9
JOHNSON BROTHERS CONST INC
JOHNSON BROTHERS CONST INC
12402 N DIVISION ST #364
SPOKANE, WA 99218
JOHNSON BROTHERS CONST INC
12402 N DIVISION ST
SPOKANE WA 99218
#364
Application #: BLD-03-02877
Applied:
Issued:
Expires:
BIk: 5 Parcel No: 45251.1609
Phone: (509) 879-9790
Phone:
Lic No:
(509) 879-9790
JOHNSBC114P4
Zoning:
10/23/2003
04/20/2004
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
FLOOR DRAINS
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
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
sfr
204356
29.5
72 X 44
2
4
33
70
10
13
r-3
5-w
1
no
no
4
2
1
6
1
1
1
1
1
5
1
1
1
1
1
3
6
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOI LETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
CROSS CONNECTION DEVICE
FUEL BURNING APPL > 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
.00
Initials / IIIMED
E VALLEY BU LDINGMPLIANN(427,
Building ,a
r ,
632.70
1,581.75
4.50
24.00
12.00
6.00
36.00
6.00
6.00
6.00
6.00
6.00
30.00
6.00
19.00
10.00
10.00
10.00
3.00
60.00
2,474.95
0.00
2,474.95
Planning
Public Works ti / k)A-C .
THIS Ip NOT A RECEIPT
tit,cuA atLotz,(
OCT 20 2003 08:42 FR
TO 4643970 P.01/04
400%Hey
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (609)688-0036Fax: (509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS:
IF
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION: Z-h 7" 9 /3 //G
klY)-SL. 1109
/Arc..c i raz
PER
DESCRIPTION: l7a / - rn L .
RIALDING.EERMI,T
CRELOCATION
D CHANGE IN USE $] GRADING
D SIGN• TENANT
Q MANUFACTURED HOME
DOTHER
OWNER /APPLICANT INFORMATION
0 OWNER:
PHONE: % 2 _9 7 FAX: YO �/ 3
ADDRESS: / 9o&- /t/ , ,p / vJs r 0A, 56L-/
SPG/c--z 4 . q� �CIT ,STATE, ZIP
CONTRACTOR:
PHONE: ')!>. FAX:
ADDRESS:
CITY. STATE, ZIP
WA ST CONTRACTOR LICENSE Y
0 APPLICANT:
PHONE:
ADDRESS:
CITY, STATE, ZIP
ARCHITECT:
PHONE:
ADDRESS:
FAX:
FAX:
CITY, STATE, ZIP
CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT: 3 °
BUILDING HEIGHT TO PEAK: -2 6
BUILDING DIMENSIONS: 72 X 4/ °/
NUMBER OF STORIES: / '
NUMBER of BEDROOMS:
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:
RIGHT SETBACK:
33
7D
to
CURRENT PROPERTY USE:
CURRENT SEPTIC USE:
CURRENT WELL USE: N4)
30% SLOPES ON PROPERTY: 4)�
OCCUPANCY GROUP: SPY) G c�
CONSTRUCTION TYPE: 1;t.s2`D
STRUCTURES ON PROPERTY: iAl-e)
CRITICAL AREAS: NU
CURRENT. PROPERTY SIZE: /6 079-U
yam.
(v v
IMPERVIOUS SURFACE AREA: A?s>
MAIN FLOOR SQ FT: 1573'1
2k° FLOOR SQ FT: G 7
UNPIN BASEMENT: 1 73'4
FINISHED BASEMENT: 6
GARAGE: 7
COVERED DECK: NI)
DECK: N`L)
OCT 20 2003 08:42 FR
TO 4643970 P.02/04
THOD 0
CASH
SVOlia<#.e\'
j 'alley
Plumbing Permit Application
11707 East.Sprag,w.e Avenue, Suite 106 509-688-0036 Phone
Spokane Valley, WA 99206
509-688-0037 - Fax
PROJECT
ADDRESS /(pc%/C
D4' ,' J-/( 4/97/1
PERMIT
USE:
OWNER
PHONE (Daytime Contact):$ 71 — � 2 9 0
MAILING ADDRESS:
/ yCio2
/1)-p1 u,S 7'.7-
J6,- 5120- -,6. t,c t 2'9zil
1,,
(street)
(city/state)
f
MP)
CONTRACT9R ,5NALLs
P .
LICENSEi:
MAILINGADDRESS:
PHONE I:
(street)
(city/state)
(Zip) • •
PLUMBING FIXTURES
DESCRIPTION
—.I
DETAILS
IOFUNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
/
X
$6
-
: / /
2
URINALS
X
56
-
/
3
TUBS
Z
X
S6
-
/ 4-
4
SHOWERS (PER TRAP)
BATH, STALL, ON -SITE BUILT
(
X
56
-
6
5
SINKS
•
LAVE/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY JANITOR, PHOTO, X.
RAY, FOOD; PREP/CULINARY/MEAT
j
X
• $6
-3 G
6
DISHWASHER
/
X
$6
-
�j
7
CLOTHES WASHER
/
X
56
-
to
8
GARBAGE DISPOSAL
/
X
56
-
/,
9
WATER SOFTENER
X
$6
-
Cc
10
ELECT: HOT WATER TANK(
NOTE: IF GAS, SEE MECHANICAL
1
X
56
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
L
X
56
-
(�
12
FOUNTAINS, DRINXING •
X
56
-
I3
WATER PIPING/DRAIN•BY
WASTE, VENT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
56
-
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6
-
15
WATER USING DEVICE ICE
SWAMP
AND/OR COFFEE MAKER HOSE BIB,
STEAMER, PROOFFR CARBONATOR
COOLER
S
X
s6
-
3
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
RP.E.P.D. FOR VATS, TANKS, BOILERS
I
—
X
56
-
I7
SPRINKLER SYSTEM
X
¢5
-
I5
INTERCEPTORS GREASE'TRAP,
HOLDING
SAND TRAP, CHEMICAL
TANK
X
56•
-
19
MEDICAL GAS per cutlet NITROUS,
OXYGEN
X
S6
-
20
MISC PLUMBING FIXTURE
X
56
-
PAYMENTSLBTOTAL
3 CHECK
t Li 44
❑ .❑Mier..
•.:::: {
.::�
PLUS PROCESSING FEE:
-
$35.00
—
TOTAL PERMIT FEE DUE:
I 7 1 - Iv
IKCARD NUMBER
HORIZED SIGNATURE:.
OCT 20 2003 08:42 FR
Spo`��ane
Spokane Valley, WA 99206
TO 4643970 P.03/04
11707 East SpragneAvenue, Suite 106 509-688-0036 - Phone
509-688-0037 - Fax
'Mechanical Permit Application
PROTECT
ADDRESS: f o/ / / L/ 1? + f /� t-
OWNER
MAILNG ADDRESS:
PERMIT
USE:
PHONE (Daytime Contact): C7CJ —7790
/HOa-A)• Div,S�o�� ` �CLl $P0/e)9-- e
(city/state) (z.rP)
(street)
CONTRACTOR:
MAILING ADDRESS: - •
LICENSE t:
PHONE I:
(street)
(city/state)
DESCRIPTION OF WORK
•
I OF UNITS
X
COST
EQUALS
A1VMUNT
1
r
FUEL BURNING APPLIANCE
• - OR <100.000
X
. 515
2
FUEL BURNING APPLIANCE
> 100.000
i
. X
rig
•
3
UNLISTED APPLIANCE (ADO :NAL FEE)
-OR< 400,000
,
X
S50
4
UNLISTED APPLIANCE (ADDMONAL FEE)
1400,01)0
X
,hoc
-
5
USED APPLIANCE(WSEC Rain. AFUE Toting)
-u <400,030
X.
• 550
-
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400.000
X
5100
-
7
BOILER/REFRIGERATION
1-100M STU
X
SI5
-
8
BORER/REFRIGERATION
101-500MBTU
X
328
•
9
BOII.FR/REFRIGeRA:TON
50.1.1,000M am;
X
539
-
ID
BOILEIUREPRICERATION
1001.1,730M BTU
X .
557
•
11
SOILER/REFRIGERATION
-175014 BTU
X
595
-
12CAS
13 gRANGE
LOC. CAS INSERT GAS FIREPLACE
-
j
X
510
-
,
-
X
510
l
14
DRYER
-
F
X
530
-
1 • 0-12,
15
FUEL BURNING WATER HEATER
` •
X
510
-
i a
16
ram FUEL BURNING APPL
-
j
X
120
-
16 1
` ��
17
1B
CAS PIPING (ed mite)
-
.....
x
51
-
-
OUCTSY57EM5
x
510 —
«
19
VENTILATING FANS
•
X
S10
_` -
20
AIR HANDLER (DOES NOT Include ducing)
• OR < 10.000CFM
X
512
-
22
AIR HANDLER (DOES NOT Indudc ducting)
> 10.000 CFM
X
519
-
22
E
EVAPORATIVE COOLERS
-
.
X
510
•
23
TYPE I MOOD
-
X
$W
.
24
TYPE 11 HOOD •
-
X
STD
-
25
26
HEAT PUMP/AIRCrNDi11ONEIt
Q4TON
1,
X
$1Z
I
•
A1R CONDITIONER
3-15 TON
,
7X
320
-
'a U
27
AIR CONDITIONER _
ism TON
)(
S25
-
28
AIR CONDITIONER
3490TON
X
535
-
29 AIR
CONDITIONER
•SO TON
X
560
•
30 LPG
STORAGE SANK
-
X
510
-
31
WOOD OR PELLET STOVE/1NSERT
-
X
' $10
-
132
WOODSrOVE-PRSSSTANDING
-
X
525
-
METHOD OF PAYMENT'
❑ CAS% ❑ CHECK ❑ ❑
DATA EXPIRES:
BANKCARD NUNBER:
AUTHORIZED SIGNA.TURE_•
SUBTOTAL:
PLUS PROCESS/ G FEE 535,00
TOTAL PERMIT FEB DUE v
/S)•�I:
`BD •31;
RECEIVED
NOV 1 8 2003
SPOKANE VALLEY
DEPARTMENT OF
COMMUNITY DEVELOPMENT
,v,,1)reY-k19°14 %a-4e-
8C 0
PM
93Lk5
fildgNrN �sll2
PLANNI G DEPT. APP - OVED
BY.
l T7•
7a a
efr6
f.�