2006, 07-07 Permit App 06002525 Residence, HeatProject Number: 06002525 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR, GAS HEAT, ON SEPTIC
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Date: 7/7/2006 Page 1 of 3
Contact: MARKHAM HOMES, INC
Address: PO BOX 610
C - S - Z: LIBERTY LAKE, WA 99019
Phone: (509) 927-1437
Group Name:
Project Name:
District: East
Parcel Number: 55182.2744 Block:
SiteAddress: 17303 E BROADWAY AVE
Location:: CSV
Zoning: UR-3.5
Water District:
Urban Residential 3.5
Area: 18,123 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: MARKHAM HOMES, INC
Address: PO BOX 610
LIBERTY LAKE, WA 99019
Hold: u
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Driveway/Approach
Originally Released: 6/29/2006 By: TMELBOU
Released By:
Originally Released:
Septic Sys Review
7/7/2006 By: amblake
Released By:
see file
Originally Released: 7/7/2006 By: a_blake
Landuse/Zoning/HE Conditions
Released By:
Originally Released: 7/7/2006 By: Cdesimas
Operator: AMB
Printed By: AMB Print Date: 7/7/2006
Project Number: 06002525 Inv: 1
Permits:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: MARKHAM HOMES INC
Address: 2510 N. PINES, SUITE 203
SPOKANE, WA 99206
Item Description
APPROACH-CONST IN ROW
Contractor: MARKHAM HOMES INC
Address: 2510 N. PINES, SUITE 203
SPOKANE, WA 99206
Description Grp Type
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
DECK OPEN R-3 VB
GAR WOOD U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Notes
Approach
Date: 7/7/2006 Page 2 of 3
Firm: MARKHAM HOMES INC
Phone: (509) 927-1437
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$50.00
$50.00
Firm: MARKHAM HOMES INC
Phone: (509) 927-1437
This Application: Total Project:
So Ft Valuation Sq Ft Valuation
979 $84,556.23 979 $84,556.23
1,062 $79,310.16 1,062 $79,310.16
100 $1,500.00 100 $1,500.00
476 $9,044.00 476 $9,044.00
Totals: 2,617 $174,410.39 2,617 $174,410.39
Units
1
1
1
Contractor: COMFORT CENTRAL HEATING
Address: PO BOX 28924
SPOKANE WA 99228
Item Description
DUCT SYSTEMS
GAS WATER HEATER
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
HOOD - TYPE I
CLOTHES DRYER
RANGE
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Units
1
1
1
4
1
1
1
Fee Amount
$1,413.75
$4.50
$565.50
$1,983.75
Firm: COMFORT CENTRAL HEATING
Phone: (509) 216-1223
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$10.00
$20.00
$40.00
$50.00
$10.00
$10.00
$150.00
Operator: AMB Printed By: AMB
Print Date:
7/7/2006
Project Number: 06002525 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Date: 7/7/2006 Page 3 of 3
Contractor: C & K PLUMBING Firm: C & K PLUMBING
Address: 5231 W NAVAJO Phone: (509) 489-3906
SPOKANE, WA 99208
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
SHOWERS 3 NUMBER OF $18.00
TUBS 3 NUMBER OF $18.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
CROSS CONNECTION DEVICES 1 NUMBER OF $6.00
WATER PIPING - DWV 1 NUMBER OF $6.00
Permit Total Fees: $108.00
All driveway approaches to be constructed per Spokane County Standards as adopted by the City of
Spokane Valley.
Minimum of 7.5' from each property line, 5' from crosswalks or intersection curb and minimum of 15'
of separation between any two approaches.
Flat portion of a residential approach to be minimum of 16' wide, maximum of 30' wide and combined
approach width not to exceed 50% of total frontage.
SEPTIC SYSTEM DESIGNED FOR MAXIMUM 360 GALLONS PER DAY.
Payment Summary: ;.
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,983.75
$150.00
$108.00
Invoice Amount
$50.00
$1,983.75
$150.00
$108.00
Amount Paid Amount Owine
$0.00 $50.00
$0.00 $1,983.75
$0.00 $150.00
$0.00 $108.00
$2,291.75 $2,291.75 $0.00 $2,291.75
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: AMB Printed By: AMB Print Date: 7/7/2006
07/07/2006 11:20 50r93r241567rc ac,-er
SRHD EHS
Fax
TO 3241567
PAGE 01
P.01i06 '
BUILDING DIVISION
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000 • Fax: 509.688-0037 ♦ cityhall@spokanevalky.org
To: Don Copley From: Anita
I°ax: 50a1324.4507 Pages: 6 Including cover
INhone:
Date: 6/30/200B
Re: 17303 E. Broadway CC:
We just wanted you to know that a building permit will not be issued on this project until approval by
the Spokane Regional Health District. This is your call.
I you should have any questions, please don't hesitate to contact me at 868-0234.
Thank you
/mita Blake
Permit Specialist
JUL 07 2006 12:40
5093241567 PRGE.01
07/07/2006_11: 20 5093241567
SRHD EHS
TO 3241567
Project Numb : 06002525 Inv: I
Application Date: 06/28/2006
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
frineetitto station;
Permit List S FR, GAS HEAT, ON SEPTIC
PAGE 02
P.01/04
Page 1 of 2
Setbacks: Fr cart Left: Right: Rear:
Site Inftarttuyion:
Plat Kr y Name: Range
PaeLunter: 51182.2744
Contact: MARKHAM HOMES, INC
Address: PO BOX 610
C - S - Z: LIBERTY I Aim, WA 99019
Phone: (509) 921-1437
Group NaMe:
Project Name:
Block:
:3i teAddress: 17305 E BROADWAY AVE
Location:: CSV
Zoning: UR4.5 Urban Residential 3.5
Water District
Arca: 18,123 Sq Ft Width: 0
Nix of Bldgs: 0 Nbr of Dwellings: 0
Review Itsilrmation;
Ehzt
BM le ing Plan Review
Driv :way/Approach
Sept ic Sys Review
&Unit
so dust/Zoning/HE Conditions
District: East
Lot
Owner: Narne: MARKHAM HOMES, INC
Address: PO BOX 610
LIBERTY LAKE, WA 99019
Hold:
Depth: 0 Right Of Way (ft): 0
th�it fOr a max
et ,
7113fAtt="'"'.. until swans
lasminlion has SCIHD emonntaL
,crithiskittimai!}14004
'03
°fluor: AMB Printed By: AMB
Print Date: 06/28/2006
JUL 072006 12:40
5093241567 PAGE.02
07/07/2006__11_20 5093241567
S 89453'18"
SRHD EHS
TO 3241567
102.97'
u-1
PAGE 03
P.04/04
0014'56` E
17'
PROPOSED
BARN
'
BACON'S ADDITION
LOT 4
18,123 sq.ft.
17303 E. BROADWAY
42'
N
N
d 0
0
z
ASPEN 2-CAR
102.94'
N 89'59 33" E
LEGEND
0 10 20
- LOT BOUNDARY
= 8' BORDER EASEMENT
10' UTILITY EASEMENT
40 60
SCALE IN FEET
N
asserninerasa
P.0 BOX 610
LIBERTY LAKE, WA 99019
(509) 927-1437
** TOTAL PRGE.04 w*
JUL 07 2006 12:40 5093241567 PRGE.03
07/07/2006 11:20 __ 5093241567
�I � permit Center
y
nine 11707 E Sprague A
"rj' t 7i j Spokane Valley, w.
(509)686-0036 F
CommunityDevelopment
Resider dal Construction
Permit Application
SRHD EHS
TO 3241567
EnivE
v+� J GrR10
l 11 IsAavido ction o Accessory Bldg
❑ Addition/Remodel ❑ Deck
❑ Other:
PAGE 04
P.02/04
SITE ADDF.FSS
ASSESSOR 3 PARCEL NO:
Name: _;,..04 n),
Phone: 4/2 7 - iltg"g-
5187 " tCLEOALDEscur om L4 4 • „.j3 —OI - 04.
Describe the scope of work in detail:
Name: Mark. Clem govvi e5) I h C" it
Address: 0. City: //x ,10
L.1,e 4 smoke Zip: diciO/cci
Phone: q -f437 Fax:
Lic No: Exp. Date:
City Business Lic No:
Cost of Project:
$ lqq/ ciso
*******et* k r***The
70 .2'
MAIN FLOOR TO SQ.
FIG:
DECK/GOV. PATIO SQ. FTG: 30%, SLOPES ON
/Gb -ca. FTC, . PROPERTY:
HEA,T SOURCE; SEWER OR SEPTIC?
trCeedi Qiir
The pormitee . e rifles, acknowledges end agrees by their signature that 1) If this nand Is for construction of or on a dwelling. the
dwelling le/will be served by potable water. 2) Ownership of this Clty of Spokane Valley Permit inure to the property owner. 3) The
signatory is !hi: property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in till ampler c3 with the Ctty of Spokane Valley Development Coda. Referenced codes aro available for review at the City of
Spokane Valle( F'ennit Center. 5) Thls City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, oxtail or ordinances. 6) Plans or additional Information may be required to be submitted, and subsequently approved before
612.6/06
FINISHED BASEM NT
SQ. FTG: tCV
J1 OF BEDROOMS:
R
Stgneturessc_
following MUST be complete:(write NIA ifnot applicable)**********************
DIMENSIONS: # OF STORIES: TOTAL HABITABLE SPACE:
44' k 36 ,.Z. 2-16-4-
2N0 FLOOR SQ. FTG: UNPIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
tZO o -'.t6-- AREA:
7�
GARAGE lSQ. FTG:
CONSTRUCTION TYPE:
Date
Method Pa)n7ent (Fared permit applications will onrybe accepted with mrrlorbankcard)
❑
0 Codash hrD Check 0 Mastercard 0 VISA
Expires: VIN#:
Authortzsa 51t it ature:
REwseoeoos
0 Other
JUL 07 2006 12:41
5093241567
PRGE.04
07/07/2006 11:20 _ 5093241567
SRHD EHS
TO 3241567
PAGE 05
P.03/04
P1D:
155132 2744
NYBhlrorne oa:
[ J
Stta qudraas
IRO* inkr116100100
Buffer
Resetb FVIndatiencup _ C
QueAi�' Rditlkep E�
ei etJrLTt. : 1,4l Raor$la
i ACO Neighborhood
Site Addraaa
See Site Own
Ownot Name
��gGYIISgRIi��l�r�l'gS�q��Kq!lBgilq���[�
http:/r d orado/mox42/index.c9n?action=mox42_if_pxism&screenileight^531 &acreenWid... 06/28/2006
JUL 07 2006 12:41 5093241567 PRGE.05
Project Number: 06002525 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR, GAS HEAT, ON SEPTIC
Setbacks: Front
Site Information:
Plat Key:
Left: Right:
Name: Range
Rear:
Date: 06/28/2006 Page 1 of 2
Contact: MARKHAM HOMES, INC
Address: PO BOX 610
C - S - Z: LIBERTY LAKE, WA 99019
Phone: (509) 927-1437
Group Name:
Project Name:
District: East
Parcel Number: 55182.2744
Block:
SiteAddress: 17303 E BROADWAY AVE
Location:: CSV
Zoning: UR-3.5
Water District:
Area: 18,123 Sq Ft
Urban Residential 3.5
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: MARKHAM HOMES, INC
Address: PO BOX 610
LIBERTY LAKE, WA 99019
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By: —TR. •G / 2-
Driveway/Approach
Released By:
Septic Sys Review
(a(af c•er- - %ri ick•
Released By:
Landuse/Zoning/HE Conditions
Permits:
Lh 4,d'1 �it
e1� d
Released Byt:er
ri /'d4 �'l.a ✓tad 4 e7 „/ C' 711 4GlJ. ceeCer
Operator: AMB Printed By: AMB
Print Date: 06/28/2006
��, Permit Center } i >rC
Straka. e 11707E Sprague A jade E 0 V (Z
'�alle Spokane Valley, WA 99206 CS
509 688-0036 FAX: 509 6 �T
Community Development rw.spokanevalley,org.com�" J 2
0
Residential Construction
Permit Application
U
env onction
❑ Addition/Remodel
❑ Other:
❑ Accessory Bldg
❑ Deck
SITE ADDRESS•r cI W�
ASSESSORS PARCEL NO: - 18z a' 4.°LEGAL DESCRIPTION: - r' �' s- D ( -
CRIPTION. .�. D�(-•
Building owner;; L ., ,.;
Name:
r--; q v, - ; o s 1 —
Address:
City:,
Zip:
Phone:
— *: g Fax:
onfiact erg
Name: o n?,
Phone: 42;2 - 14Z
Describe the scope of work in detail:
Contractor . r ---
Name:.. I" f'r✓K �avir, I-oWi es 1 �1 C.
Address: P o • �o x lO
City: L- er -I-y L- h Zip: CJc 0 / Ci
Phone: G% — (4,? 7" Fax: <5:72 - 2
/6
Lic No: Exp. Date:
City Business Lic No:
Cost of Project:
$ q -
**************The following MUST be complete: (write NIA if not applicable)**********************
HEIGHT TO P.
DIMENSIONS:
# OF STORIES:
TOTAL HABITABL PA( CE:
MAIN FLOOR TO SQ.
FTG' 79
2Nu FLOOR SQ. FTG:
2-(,-)._AREA:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
FINISHED B SEME _
SQ. FTG:
GARAGE SQ. FTG:
'/ , - So, FT C -
DECK/COV. PATIO SQ. FTG:
/ 00 Sc.. f- 7 q .
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
��s 'cc A; ✓.-'
SEWER OR SEPTIC?
4---Ti G
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
phis-applieatio-can-be-process.
Signature
Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
6/z 6 /o 6
❑ Other
Permit Center
S�e 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(Valley (509)688-0036 FAX:(509)688-0037
www.sookanevallev.orti.com
Community Development
Residential Plan Submittal Minimums
❑ Completed Building, Plumbing & 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
❑ Fumace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
07/06/2008 14:39 FAX 509 927 2816
MARKHAM HOMES
C 002/003
W
S 00°14'56"
1
S 89°53'18" W 102.97'
PROPOSED
BACON'S ADDITION
LOT 4
44'
EN 2—CAR
ss
22'
ID
N-)
102.94'
N 89'59'33" E
O
N
18,123 sq.ft.
17303 E. BROADWAY
42'
22'2"
� 20'
00°14' 26" W
Z
LEGEND
0 10 20
40
60
= LOT BOUNDARY
— — — — = 8' BORDER EASEMENT
10' UTILITY EASEMENT
SCALE IN FEET
mawm
F.0 BOX 610
IBERTY LAKE, WA 99019
(509) 927-1437
JUL 06 2006 16:06
509 927 2816 PAGE.02
07/06/2006 14:40 FAX 509 927 2616
FROM
MARKHAM HOMES (2003/003
(THUI JUN 20 2000 10, 03/Gr. 1 G:02.'NO. 0 302 SrJ P
1RrnnrlR
12'
MIN,
272' (TOTAL) OF PRESSURIZE°
DRNNFIELDD 1' SCN. 40 PVC
12' ON CENTERS
REPLACEMENT -y
AREA
MIN. 5'
10'
MIN.
5' MIN.
7
SINGLE
COMPARTMENT
1000 CALLON
°°SING TANK
5'
1 DECK
A' GRAVf1Y SCWCR
(SEE NOTE 3)
PROPOSED
3 BEDROOM HOUSE
S 89463'16' W 102.97'
PROPOSED
BARN
MIN.
-. TRANSPORT PIPE.
t
r /OR
la
a
S 49'S9'33' W 102.9<'
2 COMPARTMENT 1000
GAL -ON SEPTIC TANK
I )C' SC1 AO PVC
ORYLINE SEWER.
APPROX. 90 L.F.
r EASEMENT
8
2
9
EXPIRES 2-21-07 1
i-'-F-- _2•EM,—
NI
l^J �
• 1•
\\ 2
I
y I
I I -`PRELIMINARY
?0 . BE USED AS gINAL DA A
METRO ENGINEERING, INC.
5. 324 SHERMAN
SPOKANE, WA 99202
(509) 624-9351
nc\7009f1n cifR1FR15_1 Td Rwn Mntlal R/217/20OR 2a0.11 PM .h Me (1 Tan
PRESSURIZED DRAINFIELD DESIGN
17303 E.BROADWAY AVENUE
LOT 4, BACON'S ADDITION
DRAWN BY: JKO
CHECKED BY. JGL
DATE: C6/29/05
PROJECT No,: 05-315
JUL 06 2006 16:06
509 927 2816 PROE.03
07/08/2006 14:39 FAX 509 927 281E MARKHAM HOMES
S 89°53'18" W
102.97'
Z 002/003
w
CO
O
0
N
O'
1.6
in
IP
ePRESSURIZED
�DRAINFIELD 1
tst
11'
17'
n
102.94'
5
PODOSED
3A\
60X 40'
BACON'S ADDITION
LOT 4
N 89'59'33" E
O
18,123 sq.ft.
17303 E. BROADWAY
22'2"
42'
) 2 0 '
LEGEND
- LOT BOUNDARY
— — — — = 8' BORDER EASEMENT
10' UTILITY EASEMENT
0
10
20
40
60
NIMMI
SCALE IN FEET
F.0 BOX 610
LIBERTY LAKE. WA 99019
(509) 927-1437
JUL 06 2006 16:06
509 827 2816
PAGE.02
MapOptix 4.2 Interface
Page 1 of 1
Tools ED .Ci
Layers
Query
Parcel Owner Tax
Selection Method: 45131.3024
0
PID:
55182.2744
_--------------
Neighborhood:
Site Address:
X p vk C'-"A =k O
0
45131.0214
16905
5682.. 45131.02OS
45 31.••r.
s
Buffer 7
Query Ratillo 1s
mer
--_ParceLOwneniaz.`17.l.oLLRecord,)
.34.(kq; 45134.0533
PID ACO Neighborhood Site Address Site City
&yN
52.E
55:'
82243
55.
r
52 `S5 ' 8
L�S28222,,:
�CityofS
£h} 551822n9
7 17771
Site Site
551822645
Y :74235518
46
551a
553E
6 1342
Own
Arlrlrr
http: //dorado/mox42/index.cfrn?action=mox42_ifprism&screenHeight=531 &screen Wid... 06/28/2006
Permit Center
S � .kane 11707 E Sprague Ave, Suite 106
p Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development wwnv.spokanevalley.ora.com
Plumbing Permit Application o Commercial
s4 idential
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS
3o3
Building owner
_
Name: -,-Inv‘
TLrcts4
Phone:
4-cte7--. 3 T T2
Fax
Address:
City
State
Zip
Contractor -
Name: GSe
7::1LAM 6ivic,
Phone:
T-69
Fax: 4-6
-�26
-Sa(c
Address:
�J
City
State
Zip
License No: 6 -PL U IC PCI 4- 0 C I+
City Business License No:
Contact :`:
Name: r.Re-is
Be(�cSPVn
Phone:
t g--S.a10J
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
3
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH. STALL, ON -SITE BUILT
3
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
=
6
DISHWASHER
1
X
$6.00
=
7
CLOTHES WASHER
I
X
$6.00
=
8
GARBAGE DISPOSAL
1
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
I
X
$6.00
=
15
SEWAGE EJECTOR
X
$6.00
=
GRINDER. SUMP PUMP
16
WATER USING DEVICE
ICE.AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER,CARBONATOR,SWAMPCOOLER
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
MEDICAL GAS (per outlet)
NITROUS. OXYGEN
X
$6.00
-
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
-
-
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
Card#
SUBTOTAL
0 VISA 0 MASTERCARD
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8126/05
S..;oO'Valley
Community Development
Mechanical Permit
Permit Center
11707 E Spry e Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
❑ Commercial
SITE ADDRESS 3'�G� - Coq cl't/✓Fy -.___.
PERIvl;TNLITT
PE 3PEE
o,Fesidential
AUTHORIZED SIGNATURE: REVISED&2-&05
....'
Name:
�-- �i �� F-�bs
-t-
Phone::,.
LFA -3-7 ---)1- a
Fax
Address:
City
State
Zip
' CDIME racibrr
Name:
COeO4,n/4 WCc- ~iee+l
Phone qQ
-o20;
Fax: R7-6- 6�oqc
Address:
O -
Citysr�-+ca
e c
State 'W
Zi C70/
License No:
City Business License No:
FContaM, r.
Name:
IG LE
Phone:
o --3f-
DESCRIPTION OF WORK
# OF UNITS X
COST -
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100.000
X
$12.110 -
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00 -
3
UNLISTED APPLIANCE Additional Fee
E ual to or less than 400,000
X
$50.00 -
4
UNLISTED APPLIANCE Additional Fee
More than 400.000
X
$100.00 -
5
USED APPLIANCE SEC min. AFUE ratio
Equal to or less than 400,000
X
$50.00 -
6
USED APPLIANCE MSEC min. AFUE ratio
More than 400,000
X
$100.00 -
7
BOILERIREFRIGERATION
1 -100M BTU
X
$12.00 -
8
BOILERIREFRIGERATION
101-500M BTU
X
$20.00 -
9
BOILERIREFRIGERATION
501 -1.000M BTU
X
$25.00 -
10
BOILEZREFRIGERATION
1,001 -1.750M BTU
X
$35.00 -
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00 -
12
GAS LOG GAS INSERT, GAS FIREPLACE
X
$10.00' -
13RANGE
i, X
$10.00 -
14
DRYER
X
$10.DD -
15
FUEL BURNING WATER HEATER
X
$10.00 -
16
MISC. FUEL BURNING APPLIANCE
X
$10.00 -
17
GAS PIPING each outlet
X
$1.00 -
18
DUCT SYSTEMS
X
$10.00 -
19
VENTILATING FANS
/+ X
$10.00 -
20
AIR HANDLER DOES NOT include ducting)Equal
to or less than 10.000 CFM
X
$12.00 -
21
OES' NOT include ductin
Greater than 10.000 CFM
X
$15.0022
gAIRHANDLER
ATIVE COOLERS
X
$10.00
23
OOD
` X
$50.00
24
OOD
X
$10.00 -
25
HEAT PUMPIAIR CONDITIONER
D-3 TON
X
$12.00 -
26
AIR CONDITIONER
3-15 TON
1 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
560.00 -
30
LPG STORAGE TANK
X
$10.00 -
31
WOOD OR PELLET STOVEIINSERT
X
$10.00 -
32
WOOD STOVE - FREESTANDING
X
$25.00-
33
REPAIR 8 ADDITIONS
X
$15.00 -
34
VENTILATION SYSTEMS
X
$12.00 -
35
VENTILATION MECHANICAL EXHAUST
X
$12.00 -
36
INCINERATOR -RESIDENCE
X
$19.01 -
37
INCINERATOR -COMMERCIAL
X
$22.00 -
METHOD OF PAYMENT:
OCASH O CHECK ❑ VISA [IMC
CARD #:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
AUTHORIZED SIGNATURE: REVISED&2-&05