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2003, 04-04 Permit App BD-03-030 ResidenceWane 0,17aHey CITY OF SPOKANE VALLEY 11707E. SPRAGUE, SEE 106 SPOKANE VALLEY, WA 99206 SITE INFORMATION PROJECT TRANSMITTAL: TRANSMITTAL DATE: ja_y AE PROJECT INFORMATION Site Address: I-7,205" E. &eta (go (Itee rt c_r e. t,t A Gj q O i ce Parcel Number: 53---/ �2. 3ccvI Subdivision: 5 P -(p - cj Block: A Lot: Zoning: 1,Q,Q3.6^Water Dist: e6nsot Owner: Address: ,oL rck ct I n -. t-12©1 Cctida G P S 'tu `60!(f Building Inspector: BUILDINGS: Perrnt1' BD -Project Number: 03-030 Issue Date: Permit Use: l� eS t ce C APPROVALS Applicant: SGN,,,`.c Contact: SCE--e__ Phone: 9 24_34q Phone: q 24 _ 3 Setbacks -Front: 7�1 Left:l RightgcRear: i a ENGINEERS: E)Ci (r4) D/ i u-Q FIRE DIST. #1: AJ/A- OTHER: 04c WATER DIST.: tj�A STORMWAI'ER: O/, D.O.T.: 33090 2090 000.1%.„ Mane Vey CITY OF SPOKANE VALLEY 11707 E. SPRAGUE, S lh 106 SPOKANE VALLEY, WA 99206 SITE INFORMATION PROJECT TRANSMITTAL: TRANSMITTAL DATE: 1/ Ll PROJECT INFORMATION Site Address: 1.7,20cE, eaciza- (do r�e cwA RgOiCe Parcel Number: 6'_S-/ �2 ' I Subdivision: S P - (9 g(Q - cl I Block: A Lot: Zoning: Water Dist: eonso( )caner: tju f j 4 Lddress: -72_0 1 cGc,Ir.(G000 re e Cr-e � t t1J4-crio l ({ :wilding Inspector: APPROVALS IIJILDINGS: Per rnit BD _Ur Number: 03-030 Issue Date: Permit Use: 2 eS L d Applicant: Stec. Contact: Phone: 9 2, r,_34g Phone: 24_ 3 q q a. Setbacks - Front: 70 Left/ Right 'Rear: 1 +� NGINEERS: E)6;5411-) RE DIST. #1: /1% A- Df u-e-i-Ctr.A.a.. 4`74 /z leg4" � � 71, j CHER: 1 /k isv 6 Cii-TAkCo 9- Re/04_4"...-:. a 6eX £ use ex, e e../ I = ao R0-0. Jci dIct7d 5_7`i'4.2"/- 3 ?2- -REtientir 3F.CFR`Pr' APR a 4 an PERMIT # i S' 1 3 D Cn. T ig& D J7po6 / ss )1-0 ?a l as -0o of`p�ei- /�1oh; pJi e.- r' a 4x £ c J7 ance - uSe. ex,3 ,L, y SGQ) G. =ao Rot 3 e 417,1 aw-e- cam, ',✓ See d - 3 / 2 lealeletit RECEIVED APR 042003 PERMIT City of SPOKANE VALLEY 30 PERMIT # 033 - 03C BUILDING PERMIT APPLICATION Box 1 OWNER (-Cc., /;-; -c' JOB LOCATION / 7d6".S C��./ OWNER'S ADDRESSE///20/C. A. 7 CITYG--,iLPHONE 4 F 9a56_j 51.7z_ DESCRIBE JOB /VC'cc) rec7/1.cc ,---- 7 s� CI =C- THIS PROPERTY IS OWNED BY: SINGL IARRIED9 PARTNERSHIP CORP. BOX 2 CONTRACTOR'S NAME ( c:li,xic - PHONE 9.2. V Vic✓/ CONTRACTOR'S ADDRESS £/Zao/ CITY CONTRACTOR'S REG.# EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT --icy") C c roL,r c PHONE ADDRESS ✓/ CITY ZIP BOX4 SEWER AVAILABILITY WATER AVAILABILITY Fes BOX 5 ESTIMATED PROJECT COST $ EXISTING BLDG. VALUATION $ BOX 6 PROPERTY TAX ACCOUNT NUMBER 5 5 i8a , � 8k:5 LEGAL DESCRIPTION 5" t?C-? / (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOT NUMBER BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 3RD FLOOR / OTHER BASEMENT UNFINISHED / CARPORT / TOTAL DECK 1ST FLOOR 1y57 / 2ND FLOOR BASEMENT FINISHED GARAGE / HEIGHT TO PEAK OF BUILDING FT. BOX 8 () SINGLE FAMILY ( ) MULTIFAMILY (NO. OF UNITS ( ) COMMERCIAL / INDUSTRIAL ( ) TENANT IMPROVEMENT ( )-NEW CONSTRUCTION ( ) EXISTING STRUCTURE TOTAL AREA OF PROPERTY O4 oo d SQ. FT. IMPERVIOUS SURFACE 3 oo© 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 THE WORK FOR WHICH THE APPLICATION IS MADE. % OWNER / AGENT i h DATE 74 (OVER) S ane Walley 6D n3-D3-O PROJECT ...--••...••—� ,...fuss 1 iyrr tataj I V N p / ADDRESS: E /7v� /1//afo PERMIT USE: OWNER: ��y, p&a,` / , j ta /�• PHONE (Daytime Contact): �. o9 9.75"-- MAILING ADDRESS: / E/9;7o/ C C Z 5 4/9= (2.-ee 47-,--r 4)/4 990 -t (street) (city/state) . (zip) CONTRACTOR: MAILING LICENSE #: ADDRESS: PHONE #: �X a7. %aC >° Ye/ (street) (city/state) (zip) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 DESCRIPTION OF WORK 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 BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION GAS LOG GAS INSERT, GAS FIREPLACE RANGE DRYER # OF UNITS = OR<100,000 >100,000 =OR<400,000 >400,000 =OR<400,000 >400,000 1-100M BTU 101400M BTU 501-1,000M BTU 1001-1,750M BTU +1750M BTU X X X X X X X X X X X COST $15 $19 $50 $100 $50 $100 $15 $28 $39 $57 $95 EQUALS AMOUNT X X $10 $10 FUEL BURNING WATER HEATER X $10 MISCELLANEOUS FUEL BURNING APPL GAS PIPING (ea. Outlet) DUCT SYSTEMS VENTILATING FANS AIR HANDLER (DOES NOT include ducting) AIR HANDLER (DOES NOT include ducting) EVAPORATIVE COOLERS TYPE I HOOD Q / =0R<10,000CFM >10,000CFM X X X X X X X X $10 $10 $1 $10 $10 $12 $19 $10 /D 1 / O / O TYPEIIHOOD X $50 HEAT PUMP/AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER LPG STORAGE TANK 0-3 TON 3-15 TON 15-30 TON 30-50 TON +50TON X X X X X X $10 .$12 $20 $25 $35 $60 /2 WOOD OR PELLET STOVE/INSERT WOOD STOVE - FREE STANDING X $10 X X $10 $25 El CASH El CHECK ❑ MINTS ❑ FAXED PERMITS W RL ONLY as ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: SUBTOTAL -. F PLUS PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE Spode Vey PLUMBING PERMIT APPLICATION PROJECT �/,� ADDRESS: A7/ 990 S /� 7la-Z4 PERMIT USE; OWNER: ��'cejj. e/ , fe. F.,Z, PHONE (Daytime Contact): .5-0 p �C1r _.yya_ MAILING ADDRESS!' .---/7�c, / c�7N2•6, icc J#e -e o- Gc W' 9901a . (street) (city/state) (zip) CONTRACTOR: LICENSE #: MAILING ADDRESS: PHONE #: / i17r- 9A° .-70 5'// (street) (city/State) (zip) PLUMING' FIXTURES DESCRIPTION DETAILS # OF UNITS X COST EQUALS ' AMOUNT 1 TOILETS WATER CLOSET, BIDETS Z X $6 = /92: 2 URINALS - —^ X '$6 = 3 TUBS - X $6 = /2 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT X $6 =5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY/MEAT X $6 ' / 8 _ 6 DISHWASHER - / X - $6 = 6 7 CLOTHES WASHER / X $6 = 6 8 GARBAGE DISPOSAL --- - X $6 = 9 WATER SOFTENER --+ X $6 = 10 ELEC HOT WATER TANK NOTE: IF GAS SEE MECHANICAL X $6 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 = 12 FOUNTAINS, DRINKING X $6 = 13 WATER PIPING/DRAIN-IN WASTE, 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 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, SUMPS, 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 = SUBTOTAL 3 7 • CASH • CHECK ❑ illagell is — '''',; PLUS PROCESSING FEE $35.00- FAXED PERMITS WILL ONLY HE ACCEPTED WITHPAYMENf OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE B' 9 BANKCARD NUMBER: AUTHORIZED SIGNATURE: Fact Sheet for Property Number 55182.3801 Data As of 3/22/2003 Reportl Site Addres 17205 E CATALDO AVE Owner COURCHAINE, R G Owner Address 17201 E CATALDO AVE GREENACRES, WA 99016-9515 Acreage Land Sq Feet 13,822 Property Class Code 18 Other Residential Exemption Year TCA 0144 Parcel Statu Active Taxpayer COURCHAINE, RANDY & JAYN c/o Taxpayer Address 17201 E CATALDO AVE GREENACRES, WA 99016-9515 Market Values Land Impvmts Total Value 2003 4,900 Exempt Value 17,900 Personal 22,800 Property 0 0 Active Exemptions Legal Description TR A, SP 91-686, AUD 491120602968E1NC A PTN OF TR 23 BACONS GREENACRES Improvements Unit of Improvement ID Improvement Type Improvement Description Year Built Size Measure M Mobile Home Manufactured Home 1972 1,344 SF 02 Other General Purpose Bldg Wood Pol 1991 1,200 SF Page 1 of 1 Report Date Friday, April 04, 2003