Loading...
2003, 04-08 Permit App BD03-052 ResidenceScrrr T r/ err► pokn- 11707 E. SPRAGUE, STE 106 Val e;Y SPOKANE VALLEY, WA 99206 (509)688-0036 FAX (509)688-0037 SITE INFORMATION PROJECT TRANSMITTAL: TRANSMITTAL DATE: PERMIT INFORMATION Site Address: I-77 3 E 8% cQ Parcel Number: J-S Subdivision: Block: Lot: Zoning:p 3 5 Water Dist: Owner: j h€rt t+'5 Address: I / _ , 3 E Erma Building Inspector: ff r BUILDINGS: <2/ + re, Permit Number: W03 Qfj'zIssue Date: Li Permit Use: e5tc1+ervc e.- - c)beQrco, Applicant: TTS- DeuQ j m Tte. Phone: Contact: r t sib@ Phone: Contractor: J . rs DI)v.e_(opme..„± Setbacks — Front: y G Left: Right: Rear: S-- APPROVALS 9�G PLANNING J 1/4 ENGINEERS: - �pfvajc /v A- HEALTH: �-1 tio-Gfaxtus (0 Lp r Lilioto3 SEWER 1 FIl* DIST: 23 31k4 00 100_ cn ( 1(1(03( -(40 --CseQ- I It 4,-95 y. sv 20 k zoo 04/08/2003 10:41 5093241567 APR 05 2003 10:09 FR S e`er 11707E. SPRAGUE, STE 106 aller SPOKANE VALLEY, WA 99206 (509)688-0036 FAX(509)688-0037 SITE INFORMATION Site Address: V7723 a 8r e Q Parcel Number: 55/s52. 3/5 Subdivision: Block: Lot: Zoning: Water Dist: Chita' 5 h-e r e f-f-e S Address: 1-7723 E aftAttrictri Building Inspector: r �* BUILDINGS: SRHD EHS TO 3241567 r.e1PuA6E 01 PROJECT TRANSMITTAL: TRANSMITTAL DATE: FRRMIT EVF2AMATIOJ' Permit Number: �D03—cfl1ssue Date: Li* Permit Use: 2estc(ert ( Q Wit' sbearccc r 1 • Ap$licant: C S- DeUP y m Phone: contact: Jerr1 SThl P Phoney; 26r412, (4cj J1 S Deu-(opme-" Setl$aeks - Front•. 0 Leftz2DItight- ' - r: Contractor: APPROVALS PLANNING: ENGINEERS: • G/ d 141 acj/'1a(.c.z c'J - /lee-i /b-dhLv Ji ineZteee --4 / Pcd/aceseh,/ vv:// /Yfvf e n/.r ,/t tt-#/nn tee/at r Jly.//'re-, , L /JvtzL) 1rl��U3 FIRE DIS] RPR RS 2227 12:S cIaQYJ41c4.7 P rc R1 04/08/2003 10:41 5093241567 APR 05 2003 10:09 FR *lane 11707E. SPRAGUE, STE 106 SPOKANE VALLEY, WA 99206 (509)688-0036 FAX(509)688-0037 sra E1FORMATION SRHD EHS PAGE 01 TO 3241567 r.bvbe PROJECT TRANSMTITAL: TRANSMITTAL DA 1 b: ,!°,ERMIT INFORMATION SlteAddress: 1-77,a3 a sEy,,Q Parcel Number: 5-3—/.2 3/50 Subdivision: Block: Lot: Zoning: Water Dist: Owner: 5 h-ere Ff-PS Address: I-772-3 E arZ7oCSLa„4 Building Inspector: Ectr r )4. BUILDINGS: Permit Number: f4D03,c5,ZIssue Date: q1 Permit Uses 2c 5,ct ert C E Applicant: C TS Deo.e I m Pbone: cf:e rr1 siolp Phoney. "12 y/ 2 4ci Contractor: — r5 Deu-e. ((r pm 2 `" Sett{aclu — Front: 0 LefYt2DRight: APPROVALS ear: S7x PLANNING: ENGINEERS: I FIRE DISH APR 05 2003 10:43 c .. .rfs/ei ,,-.„, 5093241567 PAGE.01 City of SPOKANE VALLEY PERMIT # 80 ()3--ra BUILDING PERMIT APPLICATION Box 1 OWNER S t-kzu—ns JOB LOCATION ! •1 12- OWNER'S ADDRESS 5L CITY PHONE DESCRIBE JOB Iv�J THIS PROPERTY IS OWNED BY: SINGLE/MARRIED AA2 t}J) PARTNERSHIP CORP. BOX 2 CONTRACTOR'S NAME CONTRACTOR'S ADDRESS 11o2-kt s , I jabi PHONEJJML 9, 2, 6-62' CITY L, r.001 CONTRACTOR'S REG.# t - 62,1LG? EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT �F , Sidi PHONE C' Z1' 62.49 ADDRESS 7'2`1 S • -'` cr^���. CITY J L`�- ZIP 91.6.. ,C BOX 4 SEWER AVAILABILITY 3 ; Y7i\-26 WATER AVAILABILITY BOX 5 ESTIMATED PROJECT COST $ 1CA 6� EXISTING BLDG. VALUATION $ BOX 6 PROPERTY TAX ACCOUNT NUMBER 55 I LEGAL DESCRIPTION 2- M12 (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOT NUMBER BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR ) 32.0 / 2ND FLOOR / 3RD FLOOR / OTHER BASEMENT UNFINISHED 1320 / CARPORT / TOTAL / BASEMENT FINISHED / DECK /C- / GARAGE J(4-1/ HEIGHT TO PEAK OF BUILDING ) 6 FT. BOX 8 ( ) SINGLE FAMILY ( ) MULTIFAMILY (NO. OF UNITS ( ) COMMERCIAL / INDUSTRIAL ( ) TENANT IMPROVEMENT -) NEW CONSTRUCTION ( ) EXISTING STRUCTURE TOTAL AREA OF PROPERTY IMPERVIOUS SURFACE / 3 cro SQ. FT. SQ. FT. BOX 9 PLUMBING FIXTURES (Including rough -ins) MECHANICAL APPLIANCES PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES, SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS, LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL. BOX 10 Water Service meter size (if known) Also see BOX 4 BOX 11 Septic Tank — Not generally allowed in the City of Spokane Valley. For special circumstances contact Your sewer purveyor and the Health District (See BOX 4) BOX 12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public Works Department. I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM TF W(AK FOR WHICH THE APPLICATION IS MADE. OWNER / AGENT DATE 6 - (OVER) I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card: Visa Mastercard Expiration Date Print the name of the Holder Signature DO NOT PLACE ANY BUILDING UNDER POWER LINES OR OVER INCOMING GAS LINES. OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE REMARKS SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DISAPPROVAL DATE REMARKS PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY TYPE OF CONSTRUCTION STORIES BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ = TOTAL SQ. FT. TOTAL VALUATION BUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NUMBER PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE OTHER CHARGES AMOUNT DUE BUILDING DEPARTMENT APPROVAL BY ASSIGNED ADDRESS Received DATE City of SPOKANE VALLEY Building, Fire and Public Works Fees Receipt Applicant/Business - j-ms pe UcIO frh,At-rnc_,ermit No. 8 003 -OCR Project Name n Date ii/c/DZ Site Address ] -) 723 F Pam('© i.,..a Please Receipt the Following: Check Number Receipt Number 6Dp 3 -OS q Payers Name -S Tr.C, Address City Zip BUILDING DEPARTMENT 001.059.322.10.01 001.059.322.10.02 001.059.322.10.03 001.059.322.10.04 001.059.322.10.06 001.059.322.90.01 001.059.345.83.01 001.059.345.83.03 001.059.342.40.02 001.059.237.10.98 001.059.237.10.02 FIRE DEPARTMENT # 001.059.322.10.07 001.059.322.10.08 001.059.322.10.09 001.059.322.10.10 001.059.322.10.11 001.059.322.10.12 001.059.322.10.13 001.059.321.30.00 001.059.342.40.01 001.059.237.10.99 OTHER: Building Permit Plumbing Permit Grading Permit Mechanical Permit Demolition Permit Misc. Permits and Fees Plans Check Fee Energy plans check fee SPECIAL Inspections Bonds / Deposits WSBCC Surcharge * Plans check fee Sprinkler plans check F. A. Plans check Misc. plans check Fire Alarm inspections sprinkler inspections Misc. Inspections Fireworks Permit UFC permit fees Bonds / Deposit ** $ aa3.3o , S $ PUBLIC WORKS 001.059.322.40.00 Right of Way $ 001.059.342.40.03 Special Inspections $ 001.059.237.10.99 Bonds/Deposits (cash)** $ TOTAL AMOUNT DUE $ c t3.37 * To be sent to Wash. State Building Code Council quarterly. # 65% of figure to be sent to the Fire Department Quarterly, except bonds etc. * * Liability Insurance verification may also be required. s-vrecpt *Wane .0 Valley Mechanical Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax PROJECT ADDRESS: ! 11 2,2") 1 3[..G�:,7AA PERMIT USE: OWNER: 1,) al, ,, , „ 5 H �2�, ,L. PHONE (Daytime Contact): MAILING ADDRESS: 1 TI Z3 2-- b., hb-t7 G Ptc s tJ A (street) (city/state) (ZIP) CONTRACTOR: v r ` , / 1C��il� r1��tn 1���> LICENSE #: MAILING ADDRESS: PHONE #: (street) (city/state) (ZIP) METHOD OF PA ❑ CASH ❑ C DESCRIPTION OF WORK 8 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE = OR < 100,000 ,� X $15 = I.f,Lr0 2 FUEL BURNING APPLIANCE > 100,000 X $19 = 3 UNLISTED APPLIANCE (ADDITIONAL FEE) = OR <400,000 X $50 = 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X $100 = 5 USED APPLIANCE (WSEC min. AFUE rating) = or <400,000 X $50 = 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X $100 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $15 = 8 BOILER/REFRIGERATION 101- 500M BTU X $28 = 9 BOILER/REFRIGERATION 501-1,000M BTU X $39 - 10 BOILER/REFRIGERATION 1001 - 1,750M BTU X $57 = 11 BOILER/REFRIGERATION +1750M BTU X $95 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE - X $10 - 13 RANGE -- j X $10 = 14 DRYER - I X $10 = i 0. 00 15 FUEL BURNING WATER HEATER - 1 X $10 = ! t'.CV 1 p- 00 16 MISC. FUEL BURNING APPL. - X $10 = 17 GAS PIPING (ea. Outlet) -- L X $1 = , rk7 18 DUCT SYSTEMS -- X $10 = 19 VENTILATING FANS -- '] X $10 = .0. 20 AIR HANDLER (DOES NOT include ducting) = OR < 10,000CFM r X $12 = .1C) 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X $19 = 22 EVAPORATIVE COOLERS - X $10 = 23 TYPE I HOOD - X $50 = 24 TYPE if HOOD -- X $10 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON I X $12 = I Z. 26 AIR CONDITIONER 3-15 TON X $20 = 27 AIR CONDITIONER 15-30 TON X $25 = 28 AIR CONDITIONER 30-50 TON X $35 = 29 AIR CONDITIONER +50 TON X $60 = 30 LPG STORAGE TANK - X $10 = 31 WOOD OR PELLET STOVE/INSERT -- X $10 = 32 WOOD STOVE - FREE STANDING - X $25 = VIENT VISA"rk,- "e.y "- SUBTOTAL: 9C1 PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE 1 3-4 , DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: METHOD OF ❑ CASH DATE: nrt wp, Spokane 4. Va .ley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax PROJECT ADDRESS: 11 1 2, PERMIT USE: OWNER: 63 _. D S N bLz aL PHONE (Daytime Contact): MAILING ADDRESS: 1 —1 12,3 a_ 1$ppO'J 41pp16 C ,W` li (street) 1 (city/state) (ZIP) CONTRACTOR: S LICENSE #: MAILING ADDRESS: PHONE #: (street) (city/state) (ZIP) PLUMBING FIXTURES DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS -J X $6 = 2 URINALS X $6 = 3 TUBS i X $6 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT 1 X $6 = Li j �C 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT .. X $6 = a Li- 6 DISHWASHER ) X $6 = 7 CLOTHES WASHER 1 X $6 = (,� 8 GARBAGE DISPOSAL X $6 = t`GQ 9 WATER SOFTENER X $6 = 10 ELECT. HOT WATER TANK. NOTE: IF GAS, SEE MECHANICAL X $6 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE i X $6 = 12 FOUNTAINS, DRINKING X $6 = 13 WATER PIPING/DRAIN-IN WAS 1 t , VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 = 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 = 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER �� X $6 = �( , t ��JJ 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6 = 17 SPRINKLER SYSTEM X $25 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 = 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 = 20 MISC. PLUMBING FIXTURE X $6 = ❑ CHECK VISA . SUBTOTAL: 9 OPAYMENT M PLUS PROCESSING FEE: $35.00 • ■_._.._._._. rvmnrn TOTAL PERMIT FEE DUE: (Ls.Ce BANKCARD NUMBER: AUTHORIZED SIGNATURE: 0-1 i3OANoitl‘ ppairIepri, f_yoloc, 6201i) 1 50' tItVd4945,- NEC EOWE APR 08 2003 U g city of SPOKANE VALLEY INSPECTION REQUEST BUILDING DEPARTMENT Permit Number V-7\-) c33 Date and time received Project Naine Site Address n 7 a3 5 R.).-1\fo\Q Requester's name CC:7LiJE4J Phone number BUILDING Foundation Concrete slab Underfloor Framing Insulation Wallboard Special Final PLUMBING Ran .11 in Special Final MECHANICAL Rough in gas piping Furnace Appliances Special Final. SIGNS Foundation Special Final CLEARING AND / OR GRADING Silt fence Erosion Control Special Clearing Final OTHER Fwindation Framing Special OTHER Inspection Requested for : (1147:2)Tues Wed Thurs Fri AM PM Comments ze) 4:>_cp 1-2Do 2.0C) Z.- at) _ Inspector Date & time inspected f( -sc4t -Y)3N