2007, 04-04 Permit App 07001045 Duplex, GarageProject Number: 07001045 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DUPLEX W/ DET GAR
Setbacks: Front 20 Left: 30 Right: Rear: 20
Site Information:
Plat Key: Name: SHP-07-06
Parcel Number: 45233.0922
Date: 04/04/2007 Page 1 of 3
Contact: KIMBERLEY BROOKS
Address: 1027 S EVERGREEN
C - S - Z: SPOKANE VALLEY, WA 99037
Phone: (509) 370-0644
Group Name:
Project Name:
Block: Lot:
SiteAddress: 1027 S EVERGREEN RD
Location:: CSV
Zoning: UR-3.5
Urban Residential 3.5
District: East
Owner: Name: BROOKS, KIMBERLY S & JEFFE
Address: 9675 E BALANCING ROCK RD
SCOTTSDALE, AZ 85262
Water District: 010 VERA Hold: ❑
Area: 27,079 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Driveway/Approach
Released By:
Originally Released: 04/02/2007 By: TMELBOU
Released By:
Originally Released: 04/02/2007 By: jdavis
Landuse/Zoning/HE Conditions
Sewer Review
Permits:
Operator: JD
Released By:
—J
Originally Released: 04/03/2007 By: kkendall
Printed By: JD
LReleased By:
Print Date: 04/04/2007
Project Number: 07001045 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Item Description
APPROACH-CONST IN ROW
Contractor: OWNER
Description Gar Type Notes
1&2 FAMILY R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Item Description
VENTILATING FANS
EVAPORATIVE COOLERS
CLOTHES DRYER
RANGE
Operator: JD
Date: 04/04/2007 Page 2 of 3
Approach
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Fee Amount
$50.00
$50.00
This Application:
Sq Ft Valuation
2,031 $185,552.16
116 $1,740.00
625 $11,875.00
Totals: 2,772 $199,167.16
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Units
2
2
2
2
Total Project:
Sq Ft Valuation
2,031 $185,552.16
116 $1,740.00
625 $11,875.00
2,772 $199,167.16
Fee Amount
$1,553.75
$4.50
$621.50
$2,179.75
Firm: OWNER
Phone: (000) 000-0000
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Printed By: JD Print Date:
Fee Amount
$20.00
$20.00
$20.00
$20.00
$80.00
04/04/2007
Project Number: 07001045 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DUPLEX W/ DET GAR
Setbacks: Front 20 Left: 30 Right: Rear: 20
Site Information:
Plat Key:
Contact: KIMBERLEY BROOKS
Address: 1027 S EVERGREEN
C - S - Z: SPOKANE VALLEY, WA 99037
Phone: (509) 370-0644
Group Name:
Project Name:
Name: SHP-07-06
District: East
Parcel Number: 45233.0922 Block:
SiteAddress: 1013 S EVERGREEN RD
Location:: CSV
Zoning: UR-3.5 Urban Residential 3.5
Water District: 010 VERA
Area: 27,079 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Driveway/Approach
Lot:
Owner: Name: BROOKS, KIMBERLY S & JEFFE
Address: 9675 E BALANCING ROCK RD
SCOTTSDALE, AZ 85262
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Date: 04/02/2007 Page 1 of 3
Released By:
Originally Released: 04/02/2007 By: TMELBOU
Released By:
Originally Released: 04/02/2007 By: jdavis
Landuse/Zoning/HE Conditions
Sewer Review
Released B
Released By:
Permits:
Operator: JD Printed By: JD Print Date: 04/02/2007
Project Number: 07001045 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DUPLEX W/ DET GAR Contact: KIMBERLEY BROOKS
Address: 1027 S EVERGREEN
C - S - Z: SPOKANE VALLEY, WA 99037
Setbacks: Front 20 Left: 30 Right: Rear: 20 Phone: (509) 370-0644
Group Name:
Site Information: Project Name:
Date: 04/02/2007 Page 1 of 3
Plat Key: Name: SHP-07-06 District: East
Parcel Number: 45233.0922 Block:
SiteAddress: 1013 S EVERGREEN RD
Location:: CSV
Lot:
Owner: Name: BROOKS, KIMBERLY S & JEFFE
Address: 9675 E BALANCING ROCK RD
SCOTTSDALE, AZ 85262
Zoning: UR-3.5 Urban Residential 3.5
Water District: 010 VERA Hold: ❑
Area: 27,079 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Driveway/Approach
Released By:
Originally Released: 04/02/2007 By: TMELBOU
Released By:
Originally Released: 04/02/2007 By: jdavis
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Operator: JD
Printed By: JD
I Released By:
Print Date: 04/02/2007
Contractor: OWNER
Project Number: 07001045 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Firm: OWNER
Phone: (000) 000-0000
Item Description
APPROACH-CONST IN ROW
Date: 04/02/2007 Page 2 of 3
Units Unit Desc Fee Amount
1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description gm lug Notes So Ft Valuation So Ft Valuation
1&2 FAMILY R-3 VB 2,031 $185,552.16 2,031 $185,552.16
DECK OPEN R-3 VB 116 $1,740.00 116 $1,740.00
GARAGE U-1 VB 625 $11,875.00 625 $11,875.00
Totals: 2,772 $199,167.16 2,772 $199,167.16
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,553.75
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $621.50
Permit Total Fees:
Mechanical Permit
$2,179.75
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
VENTILATING FANS
EVAPORATIVE COOLERS
CLOTHES DRYER
RANGE
Units Unit Desc
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
Fee Amount
$20.00
$20.00
$20.00
$20.00
Permit Total Fees: $80.00
Operator: JD Printed By: JD Print Date: 04/02/2007
Project Number: 07001045 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER HEATER - ELECTRIC
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
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.
Date: 04/02/2007 Page 3 of 3
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
Fee Amount
$50.00
$2,179.75
$80.00
$108.00
Fee Amount
$12.00
$12.00
$12.00
$12.00
$12.00
$12.00
$12.00
$12.00
$12.00
Permit Total Fees: $108.00
Invoice Amount
$50.00
$2,179.75
$80.00
$108.00
$2,417.75 $2,417.75
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$2,179.75
$80.00
$108.00
Signature:
Operator: JD Printed By: JD
$0.00 $2,417.75
Print Date: 04/02/2007
Spol�ane
valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.oru
Mechanical Permit Application
(l Commercial
PERMIT NUMBER:
PERMIT FEE:
idential
SITE ADDRESS: /4 2 % 5 ��ee-srec -v'
Building Owner
Name: KI'm p _ ie5-•
Phone:6'0 9 25 66 y 9,
Fax:
Address:
/tat 7 S. e'�.,3ree�
City:
5;00CAMt. vA-/Lr
State:
Zip:
9fv7 7
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
fpOA
Name:
Poe- e__
Phone: G..f+r2m�0/f/
RIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
2
3
4
5
6
7
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
USED APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
Equal to or less than 100,000
More than 100,000
Equal to or less than 400,000
More than 400,000
Equal to or less than 400,000
More than 400,000
1 - 100M BTU
X
X
x
X
$12.00
$15.00
$50.00
$100.00
$50.00
$100.00
8
BOILER/REFRIGERATION
101 - 500M BTU
$12.00
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
12
13
14
15
BOILER/REFRIGERATION
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
More than 1,750M BTU
X
X
X
$60.00
$10.00
$10.00
$10.00
$10.00
.26
.20
16
17
18
MISC. FUEL BURNING APPLIANCE
GAS PIPING (each outlet)
DUCT SYSTEMS
X
X
$10.00
$1.00
$10.00
19
20
21
22
23
VENTILATING FANS
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
TYPE I HOOD
Equal to or less than 10,000 CFM
Greater than 10,000 CFM
.2
x
X
X
x
24
25
26
TYPE II HOOD
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
0-3 TON
4-15 TON
X
27
28
29
30
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
LPG STORAGE TANK
15-30 TON
30-50 TON
More than 50 TON
X
X
X
31
32
33
WOOD OR PELLET STOVE/INSERT
WOOD STOVE - FREE STANDING
REPAIR & ADDITIONS
34
VENTILATION SYSTEMS
35
36
VENTILATION MECHANICAL EXHAUST
INCINERATOR - RESIDENCE
X
37
INCINERATOR - COMMERCIAL
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
$10.00
$12.00
$15.00
$10.00
$50.00
$10.00
$12.00
$20.00
$25.00
$35.00
$60.00
$10.00
$10.00
$25.00
$15.00
$12.00
$12.00
$19.00
$22.00
.2 O
20
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
/5.
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development wwwspokanevallev.org
Plumbing Permit Application
�sUalley
n Commercial
PERMIT NUMBER:
PERMIT FEE:
[1sidential
SITE ADDRESS: AO? 7 S- C"e-fre
Building Owner
Name:
//' 3v Kr.
Phone: ,fog-37a ->5b y 5/Fax:
Address:
/0-z ? I ���
�
City: s� � �
State: li`�i4
Zip: 1"�#.�
7
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
COST
TOTAL AMOUNT
1
2
3
TOILETS
URINALS
TUBS
WATER CLOSET, BIDETS
2
$6.00
$6.00
/Z —
2-
$6.00
4
5
6
SHOWERS (PER TRAP)
SINKS
DISHWASHER
BATH, STALL, ON -SITE BUILT
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
2_
X
$6.00
$6.00
$6.00
7
8
9
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTENER
2
2
X
X
$6.00
$6.00
$6.00
/. 2-
/2
/ Z
10
11
12
ELECTRIC HOT WATER TANK
FLOOR DRAINS
ROOF DRAINS/OVERFLOW DRAINS
NOTE: IF GAS, SEE MECHANICAL
AREA, CASE, COIL, TRENCH,
CONDENSATE
2
2
X
$6.00
$6.00
$6.00
/ 2-
/ Z
13
14
15
16
FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
SEWAGE EJECTOR
WATER USING DEVICE
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
GRINDER, SUMP PUMP
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
2
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
$6.00
$6.00
$6.00
$6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
$6.00
19
20
21
MEDICAL GAS (per outlet)
MISCELLANEOUS PLUMBING FIXTURE
PRIVATE SEWAGE DISPOSAUSYS
NITROUS, OXYGEN
X
$6.00
$6.00
$20.00
IZ
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
/8
$35.00
TOTAL PERMIT FEE DUE:
J4 3•
11
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