2006, 12-21 Permit App 06004935 Re-Roof, PlumbingGT]' Ck'
kane
Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206 (r= n
(509)688-0036 FAX: (5096
www .spokanevalle.or, co*n
Residential Construction
Permit Application
`I 'l' DEC 21 2006
D3❑ New C(,) ,It ' action
U lei Addiha i/Remodel
o Other:
PERMIT N J BER:
PERMIT FEE: I 7'5"
o Accessory Bldg
❑ Deck
SITE ADDRESS 1 1,--1-0CA- JO)
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
Building owner l , j .w IC: t`L
Name:
Address: 9.301 i E 0\---PCF,1,--) VUR 6
City: L I, zip: ciQ 01 CI
Phone: q 1 q - j 11 5-L1 Fax:
., ontact erson.,.
Name: t2A 1 tZ1C Li
Phone: Cl c(` y 5
Describe the scope of work in detail:
_Contractor- ::.... _ :; :
Name: nw u f (�
Address:
City:
Zip
Phone:
Fax:
Lic No:
Exp. Date:
City Business Lic No:
Cost of Project:
$
**************, following MUST be complete: (write N/A if not applicablel**********************
HEIGHT TO PEAK:
ice'
DIMENSIONS:
oZo >c`--Ic?
# OF STORIES:
t
TOTAL HABITABLE SPACE:
c(OC
MAIN FLOOR TO SQ.
FTG: GOO
2"" FLOOR SQ. FTG:
'-0--- _
UNFIN BASEMENT SQ. FTG:
9 oG�
IMPERVIOUS SURFACE
AREA: 96 G
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
51 ee
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
0
,- --
PROPERTY:
# OF BEDROOMS:.
CONSTRUCTION TYPE:
HEAT SOURCE: A
SEWER OR SEPTIC?
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature a
Date r:z2e
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
Check ❑ Mastercard ❑ VISA
Expires: VIN#:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8/252005
z —0
❑ Other
WI -cane
'�
Valley
11707 E Sprague Ave Suite 106 1 Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhall@spokaneval{ey.org
Residential Plan Submittal Minimums
❑ Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One -hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
Permit Center
ok SpaneesarigN11707 E Sprague Ave, Suite 106
AjValley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development e-ww.sookanevallev.om _
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
Commercial .,.Residential
SITE ADDRESS: 14.07 F % ✓LC� iCLvk_4_
Building Owner'? /S 1 R kc
L. w W Er
Name:
Phone: fi -NI _
lG-
t.Jl.' ig
Fax:
__
Address: ;a,3C3
(- ! 'N IJ li'? i�v
City: C..
State:
(r)c7
Zip:
01 / G
Contractor iJIJ YvE tr_
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
#OF UNITS X COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
4
5
SHOWERS (PER TRAP)
SINKS
BATH, STALL, ON -SITE BUILT
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD; PREP/CULINARY MEAT
X
X
$6,00
$6.00
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
X
$6.00
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
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
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
x
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19
20
MEDICAL GAS (per outlet)
MISCELLANEOUS PLUMBING FIXTURE
NITROUS, OXYGEN
X
X
$6.00
$6.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
x
$15.00
METHOD OF PAYMENT:
❑CASH IVI CHECK ❑ VISA ❑ MC
Card# V�
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Permit Center
Spokane 11707E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.smokanevallccy.0r2
Mechanical Permit Application
jValley
E
PERMIT NUMBER:
PERMIT FEE:
Commercial U Residential
SITE ADDRESS:
Building Owner
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:...
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
--
Name:.
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
2
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100,000
More than 100,000
X
X
$12.00
$15.00
3
4
5
6
7
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 400,000
More than 400,000
Equal to or less than 400,000
More than 400,000
1 - 100M BTU
X
X
X
X
X
$50,00
$100.00
$50.00
$100.00
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
$35.00
11
12
13
16
BOI LER/REFRIG ERATI ON
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
MISC. FUEL BURNING APPLIANCE
More than 1,750M BTU
X
$60,00
$10.00
$10.00
$10.00
17
18
GAS PIPING (each outlet)
DUCT SYSTEMS
X
X
$1.00
$10.00
19
VENTILATING FANS
X
$10.00
20
21
22
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
Equal to or less than 10,000 CFM
Greater than 10,000 CFM
X
X
X
$12.00
$15.00
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
3-15 TON
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
$25.00
28
AIR CONDITIONER
30-50 TON
X
$35,00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
$10,00
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
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
['CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05