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2004, 03-22 Permit App BLD-04-03834 Duplex, Garagescrrr cx Spok� ane /Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit NEW SINGLE FAMILY RESIDENTIAL Job Address: 2324 N WILBUR RD SPOKANE WA 99212 Description: NEW DUPLEX W/ATTACHED GARAGES - NATURAL GAS Subdivision: Owner: Applicant: Address: Contractor: Address: GRANT, VICTOR JAY GRANT, VICTOR JAY 18120 E BOONE GREENACRES, WA 99016 Lot: Application #: BLD-04-03834 Applied: Issued: Expires: Blk: Parcel No: 45094.0504 Phone: (509) 218-4876 Phone: Lic No: Zoning: 03/22/2004 09/18/2004 General Information: TYPE OF RESIDENTIAL PERMIT VALUATION BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE STRUCTURES ON PROPERTY SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOI LETS TUBS SINKS DISHWASHER CLOTHES WASHER FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD dup 291648 26 50 X 67 2 6 55 166 40 17 r-3 5-n 1 no no 6 4 10 2 2 2 2 2 2 2 4 10 2 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SINKS DISHWASHER CLOTHES WASHER FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS Total Calculated: Deposits/Receipts: Total Due: CITY OF SPOKANE VALLEY APPROVED FOR SUBMITTAL Initials / Date Building Planning 1 ) Public Works 12.4AAtit./1 562 (cc Auk 827.58 2,068.95 4.50 36.00 24.00 60.00 12.00 12.00 12.00 12.00 30.00 20.00 20.00 4.00 100.00 3,243.03 0.00 3,243.03 REVIEWED FOR CODE COMPLIANC SPO E 1 ING DMSIGD THIS IS NOT A RECEIPT REAR SETBACK: LEFT SETBACK: RIGHT SETBACK: , RELOCATION ne ,00Valley PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: (509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: 2 j29 !J . It I LbW(- 5a�(,CAm V / f � ASSESSOR'S TAX PARCEL NUMBER(S). � 11 Lti t/ zl r A9 N ."i' A iY ,LEGAL DISCRIPTION: rieNe_ CroC-t j EXC.- S i 00 FT 831 PERMIT DESCRIPTION: kC es; b.evA-Viq I UELD NG.RERm r aCILANGE.IN USE a GRADING E-SIGN Q TENANT .II:MANUFACTURED HOME CIOTHER- • 0 OWNER / APPLICANT INFORMATION z'7 PHOAII . 3) ADD IP CONTRACTOR: V I PHONE($6ct 2.1 487f0 FAX: (SO°I) 922-S613 ADDRESS: 1 1 Z0 E. (3001 3E w.f.,- <3,004, CITY,. STATE, ZIP WA ST CONTRACTOR LICENSE # APPLICANT: V lL-kc( C,r'Cy.t PHONE:(Si`4i) 21 e- L1 7(v FAX: (SOS) 2.2 'SS/ g ADDRESS: I g I 20 E. 6eCY1 VA-ti<-y , )A 9014" CITY, STATE, ZIP ARCHITECT.: V'IL'-VQ{` (--mt" '1/4" PHONE: (Sdsj ZJg°--`ltr7(c FAX:(Cc ) 122-5S1S ADDRESS: I g 1 20 (= . 6aot,e ,5194 V A t 1 VA CITY, STATE, ZIP Agin icc' CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECTit 13 2, Cee 30% SLOPES ON PROPERTY: ,vcweMAIN FLOOR SQ FT:I,52U BUILDING HEIGHT TO PEAK: 2Cri OCCUPANCY GROUP Innes,doh-i,& ( 2ND FLOOR SQ FT: ..2j Y 'C BUILDING DIMENSIONS: SOYK 67 ' CONSTRUCTION TYPE: ( '6eti-t UNFIN BASEMENT: No'.i NUMBER OF STORIES: 2 STRUCTURES ON PROPERTY: NUMBER of BEDROOMS: per- CRITICALAREAS: AletA F FLANKING SETBACK: ''— CURRENT PROPERTY SIZE FRONT SETBACK: 5.j CURRENT PROPERTY USE: 2e,silAt vtt id I a 061 CURRENT SEPTIC USE: NO,J CURRENT WELL USE: NC)NC A ' IMPERVIOUS SURFACE AREA: FINISHED BASEMENT: N ,• - GARAGE: Sq. !-=i 1,20 p COVERED DECK: Alava- DECK: 'vavt-A' MANUFACTURED HOME SIGN WIDTH: LENGTH: YEAR: PIT SET: MANUFACTURER: SQ FT OF SIGN: HEIGHT OF SIGN: # OF SIGNS: AREA OF EXIST SIGN: TYPE OF SIGN: RELOCATION FIRE SAFETY PREVIOUS ADDRESS: PROPOSED USE: FIRE SPRINKLER: PAINT BOOTH: FIREWORKS DISPLAY: FIRE ALARM: TENT: BLASTING: DATE/TIME: WA STATE NON-RESIDENTIAL ENERGY CODE PLANS EXAMINER: PHONE: FAX: ADDRESS: CITY, STATE, ZIP INSPECTOR: PHONE: FAX: ADDRESS: CITY, STATE, ZIP SPECIAL INSPECTIONS. i ® BOLTING FIRM NAME: PHONE: FAX: INSPECTOR(S): ®CONCRETE ® REINFORCEMENT ® WELDING BUILDING STAFF USE ONLY IS PUBLIC SEWER AVAILABLE: ® YES ® NO IS PUBLIC WATER AVAILABLE: 0 YES ® NO IF YES: COUNTY CITY IF YES, WHICH WATER DISTIIRR: IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES CI NO IS THE PROPERTY LOCATED WITHIN ASA: YES NO PSSA: ® YES ® NO I DATE: METHOD OF PAYMENT: 0 0 CASH CHECK BANKCARD #; AUTHORIZED SIGNATURE:: VISA EXPIRES: VIN # *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD Spokane Valley MECHANICAL PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Project Address: 232`i AJ b5,Ibikr Permit Use: ICP.Sai}e,Cl Owner: Phone (Daytime Contact): (.S'o4 \ 217- 4 27tp Mailing Address: State Zip Code Phone #: (Sec) 2_I X- 4 8741 L✓A. (7101to State Zip Code Contractor: V( r_-Vor- Mailing Address: I S i 20 C. (2)CO,Jt: License #: City SPc cArJtr- iiAlll�� City DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 2. X $15.00 = J 30. ✓c 2 FUEL BURNING APPLIANCE More than 100,000 X $19.00 = 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X $50.00 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100.00 = 5 USED APPLIANCE (WSEC min, AFUE rating) Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $15.00 = 8 BOILER/REFRIGERATION 101 -500M BTU X 528.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $39.00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $57.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $95.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 = 13 RANGE X $10,00 = 14 DRYER r X $10.00 15 FUEL BURNING WATER HEATER 2. X $10.00 = -.4' 20• €y 16 MISC, FUEL BURNING APPLIANCE X $10.00 17 GAS PIPING (each outlet) el X $1.00 = t y c 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS 1 0 x moo = 4' 1©o °' 20 . AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 = 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $19.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50,00 = 24 TYPE II HOOD 2. X $10.00 = $Z0_`t 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 X $25.00 = WOOD STOVE- FREE STANDING METHOD OF PAYMENT: ❑ CASH 0 CHECK ❑ VISA 0 MC CARD #: DATE: SUBTOTAL i 7`'1 , o^ PROCESSING FEE ��� T�"�"p EXPIRES: TOTAL PERMIT FEE DUE: / 7Y%x" AUTHORIZED SIGNATURE: Spokane Valley Project Address: 2-3 24-1 id L, t buv Owner: /4ric Mailing Address: 4-/0.20 /ge Contractor: crelr- (, Card' PLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Permit Use: Phone/(Daytime Contact):(SO j 217•-ys74e 5,o,etTa 52:016 City ( State Zip Code License #: Phone #:(soa) 2i 9 `i x7(e Mailing Address: Ic812© C. (3on11/4.1C SPoKiv'c VlatIty 10.4 c9obr City State Zip Cade DESCRIPTION OF WORK # OF UNITS/: X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS a( "$ X $6.00 = b 36 . '' 2 URINALS X $6.00 3 TUBS `1 X $6.00 = 4) 2 4,' 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT X $6.00 = 5 SINKS LAVSBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY/MEAT I X $6.00 = 4 �-'O` 6 DISHWASHER 2 X $6.00 = $ i2_ - 7 CLOTHES WASHER 2 . X $6.00 = /2 6 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 'i o� X $6.00 = 1 /� 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL INSTALLATION, 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 2 X $6.00 = 4 I2' cS 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, SANDTRAP, CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = METHOD OF PAYMENT: ❑ CASH ❑ CHECK DATE: $ KoS. w SUBTOTAL PROCESSING FEE j3B:60 0 VISA 0 MASTERCARD EXPIRES: TOTAL PERMIT FEE DUE: 4 „o BANKCARD NUMBER: t /8 AUTHORIZED SIGNATURE: ir4.0.44 propr•AY r•eisieer Wilke: „OW . • MAW 1 • 10 ) (pen ot uai oq oi)oinjolui& 151.qpqxg i I ; f lak)Cf-- tinlam.i „II JP: -at Cs1 • • 01 e, oakfrir.Ol • 1 :(1 (ponotow oq ol)poqs Ougspro • WA 441ka „me Pfi [mm „cd• ktt, 414„.- '1 ponotow.it oq oi)pOqst I 1Z 6 'T4iTil•fif4.„ • fr b (ponowedai • 5‘ oq oOpeqs • ‘,s., nullsyo treira0.0,i1.1 ill Li - 4, ,, I I .1, • . ,11.1111111.111 • ,.0 „O•dif • . . qte, • al, op • „0',0 ,948144W/ 1;4' seief°11;:e niftp° s -7.?1,00441, kilo* 0 fkficei:,e0,00.0 Cr* A'e Dditio 40a1)9 ktO 19,041,4,1„0-,91 --L. •-•r j„(1.-,g1. 0 .11-,Oef nintaL01.11,''''' • krelkikar- • .0 Ceelg•-•