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2005, 04-06 Permit 05001093 Duplex, Garages
Project Number: 05001093 Inv: 1 Application Date: 04/06/2005 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW DUPLEX W/ATTACHED GARAGES - Contact: JEFFREYS, BRAD D ELECTRIC Address: 15221 N PARTRIDGE RD C - S - Z: NINE MILE FALLS, WA 99026-961 Phone: (509) 468-0965 Group Name: Site Information: Project Name: ROW Plat Key: Setbacks: Front 21 Left: 16. Right: 10 Rear: 20 Name: MILLERS PARK ADD District: Sout Parcel Number: 35241.2014 Block: 20 SiteAddress: 204 S ELIZABETH ST Location:: CSV Zoning: UR-22 Urban Residential-22 Water District: Area: 6,858 Sq Ft Lot: 1 Owner: Name: JEFFREYS, BRAD D Address: 15221 N PARTRIDGE RD NINE MILE FALLS, WA 99026-961 Hold: E Width: 55 Depth: 130 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 2 Review Information: Review Site Plan Review Released By: Plan Review Released By: Approach / Drainage Released By: .l:e,-2( Sewer Review Permits: Released By: - l),`,2 1 Operator: K_C Printed By: K_C Print Date: 04/06/2005 Project Number: 05001093 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Date: 04/06/2005 Page 2 of 3 Contractor: OWNER Finn: OWNER Phone: (000) 000-0000 Item Description APPROACH INSPECTION CONST IN ROW - APPROACH Contractor: OWNER Group: R-3 Type: VB Total Area 1967 Building Height 15 Stories 1 Dwelling Units 2 Units Unit Desc 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Building Permit Firm: OWNER Phone: (000) 000-0000 Building Characteristics Fee Amount $25.00 $25.00 $50.00 This Application: Total Project: Description Gar Type Notes Se Ft Valuation So Ft Valuation GARAGE U-1 VB 570 $10,830.00 570 S10,830.00 RESIDENCE R-3 VB 1,967 $146,895.56 1,967 $146,895.56 Totals: 2,537 $157,725.56 2,537 $157,725.56 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,318.55 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $527.42 Contractor: OWNER Item Description VENTILATING FANS CLOTHES DRYER HOOD -TYPE II Permit Total Fees: $1,850.47 Mechanical Permit Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 4 NUMBER OF 2 NUMBER OF 2 NUMBER OF Fee Amount $40.00 $20.00 $20.00 Permit Total Fees: $80.00 Operator: K C Printed By: K_C Print Date: 04/06/2005 Project Number: 05001093 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Item Description TOILETS/BIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER ELECTRIC HOT WATER TANK FLOOR DRAINS WATER USING DEVICES Units 2 4 2 7 2 2 7 2 Plumbing Permit Date: 04/06/2005 Page 3 of 3 Firm: OWNER Phone: (000) Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: 000-0000 Fee Amount $12.00 $24.00 $12.00 $12.00 $12.00 $12.00 $12.00 $12.00 $12.00 CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS Payment Summary:..w Permit Type Approach $50.00 Building Permit $1,850.47 Mechanical Permit $80.00 Plumbing Permit $120.00 Fee Amount Invoice Amount $50.00 $1,850.47 $80.00 $120.00 Amount Paid $0.00 $0.00 $0.00 $0.00 $120.00 Amount Owing $50.00 $1,850.47 $80.00 $120.00 $2,100.47 $2,100.47 $0.00 $2,100.47 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: K_C Printed By: K_C Print Date: 04/06/2005 Spokane jUalley E eitEop UOLIDON BUI G PERMIT APPLICATION WORKSHEET IIey Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 ne: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: Assessor's Tax Parcel Number(s): 6Ll /C- b 5_ Gz Legal, Description: / �,'— r „-� 1 OV\r(f rr5 Qrvk PERMIT DESCRIPTION: + _ a c1c-c° Building Permit ❑ Relocation ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION Owner: J Phone:(-,- Fax: /Address: LS 11 A!, fd. City Contractor: Phone: State Zip Code Address: Fax: City State Zip Code Applicant:L Phone: • Address: Fax: City State Zip Code ❑ Architect: Phone: . Fax: Address: City State WA State Contractor License #: Contact: Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS:. . # OF STORIES: MAIN FLOOR.TO SQ. FTG: . • Ici •.21N ..FLOOR SQ. FTG: . ,v r_ -UNFIN BASEMENT SQ. FTG: ;,. FINISHED BASEMENT SQ. FTG: /i',r GARAGE SQ. FTG: ST3 DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: # OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: .. 30% SLOPES ONrPROPERTY: SEWER OR ON -SITE SEPTIC SYSTEM? 5,?c'el MANUFACTURED HOME Width: Manufacturer: Length: Year: Pit Set: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth: Tent Fireworks Display: Blasting: Date/Time: Valuation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Phone: Fax: Address: City State Inspector: Phone: Fax: Address: Zip City State Zip SPECIAL INSPECTIONS n BOLTING [1 CONCRETE ❑ REINFORCEMENT [1 WELDING Firm Name: Phone: Inspector(s): Fax: 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 development rights granted by any issued permit inure to the property owner. Print Namerrr.r1 J . try,,s Signature rr 1 ` - S Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check Bankcard #: Authorized Signature: ❑ Mastercard ❑ VISA n Other Expires: VIN#: Project Address: • Owner. PLUMBING PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Call (509) 688-0054 Mailing Address: Contractor: Permit Use: Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone (Daytime Contact): Mailing Address' City • License #: State Zip Code Phone #: City State Zip Code D DESCRIPTION OF WORK # OF UNITS X COST • _ TOTAL AMOUNT 1 TOILETS - WATER CLOSET. BIDETS' _ cd X . ' 56.00 = 2 URINALS X . $6.00 = 3 TUBS "-" X 56.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SrTE BUILT • . : X 56.00 = 5 SINKS LAVS/BASINS, BAR. FLOOR, KITCHEN, 'LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD..PREP/CULINARY MEAT / �` X 56.00 = 6 DISHWASHER X 56.00 = 7 CLOTHES WASHER (-- X 56.00 .4- 8 GARBAGE DISPOSAL X $6.00 9 WATER SOFTENER X $6.00 1= = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS. SEE MECHANICAL 2 X 56.00 - = 11 FLOOR DRAINS - 'ROOF AREA, CASE, COIL. TRENCH CONDENSATE . X $6.00 = 12 DRAINS/OVERFLOW DRAINS .. X 56.00 = 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT. PLUMBING, REVERSAL NSTALLATION, ALTERATION. REPAIR, . REVERSALS X $6.00 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X 56.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER X $6.00 = 17 CROSS CONNECTION DEVICE AND R.P.B P DFOR: VATS. TAN SA BOILERS X $6.00 = 18 INTERCEPTORS GREASETRAP,SAND TRAP, CHEMICALLHOLDING TANK X 56.00 19 MEDICAL GAS (per outlet) NITROUS. OXYGEN _ X $6.00 • = 20 MISCELLANEOUS PLUMBING • FIXTURE X 56.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS _ X 520.00 = 22 INDUSTRLAL WASTE X - 515.00 = INTERCEPTOR METHOD OF PAYMENT: ❑ CASH 0 CHECK DATE: SUBTOTAL 0 VISA 0 MASTERCARD PROCESSING FEE . 535.00 EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: N alValleY 'MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, CaII (509) 688-0054 Project Address: e-, c�- AJe, Owner:-'bro-4, $$ Mailing Address: tS # 1 rt, `I%&nr<'re-de.# Community Development Departmen Building Divisior 11707 E. Sprague Avenue, Suite 10E Spokane Valley, WA 9920E Permit Use: Phone (Daytime Contact): q90 396q c C©(1 Airrve Mdr, 6.s COY Slate Zip Code Contractor: License#: Phone#: Mailing Address: Zia 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 515.00 . _ 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 $100.00 = 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to.or less than 400,000 X. 550.00 = 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 525.00 = 10 BOILER/REFRIGERATION 1,001-1,750M BTU X S35.00 = ' 11 BOILER/REFRIGERATION • More than 1,750M BTU X $60.00 = 12 GAS LOG, GAS INSERT. GAS FIREPLACE 1 X /'510.00. _ 13 RANGE - •X $10.00 = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC. FUEL BURNING APPLIANCE i-- X $10.00 = 17 GAS PIPING (each outlet) X 51,00 = 18 DUCT SYSTEMS X 510.00 = '. 19 VENTILATING FANS X • $1.0.00 = 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10.000 CFM . X 51200 = AIR HANDLER (DOES NOT include ducting) • Greater than 10,000 CFM .... X . $15.00 = 21 22 EVAPORATIVE COOLERS X. 510.00 i = 23 TYPE I HOOD X 550.00 = 24 TYPE II HOOD X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X . $12.00 • _ 26 CONDITIONER . 3-15 TON X 520.00 - ._ 27 .AIR AIR CONDITIONER 15-30 TON X $25.00 • i _ 28 AR CONDITIONER 30.50 TON X $35.00 . = 29 AIR CONDITIONER More than 50 TON X $60.00 = 30 LPG STORAGESANK X 510.00 = 31 WOOD OR PELLET STOVE/INSERT • • X 510.00 _ 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 ' _ INCINERATOR - COMMERCIAL X ' $22.00 .37 METHOD OF PAYMENT: i0 CASH -0CHECK 0 VISA 0 MC DATE: SUBTOTAL PROCESSING FEE 535.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: Ave 0,r(.,e,f 4 35�0_ .)61'f M <;1. ? o?o5ec) ri d PLANNING DEPT. APPROVED Y f DATE: ADDRESS ZONE ROAD WIDTH FRONT �1 FLANKING !le l b r COMMENTS REVIEWED BY Cc, N ,X-cA