2004, 04-30 Permit App BLD-04-04234 Duplex to TriplexSiblane
.,,,. Ma11ey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 2324 N WILBUR RD
SPOKANE WA 99212
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
RESIDENTIAL ADDITION/REMODEL
59.4 SQ FT CLOSET ADDITION AND REMODEL ATTACHING TO DUPLEX TO
BECOME TRIPLEX
GRANT, VICTOR JAY
GRANT, VICTOR JAY
18120 E BOONE
GREENACRES, WA 99016
Lot:
Application #: BLD-04-04234
Applied:
Issued:
Expires:
Blk: Parcel No: 45094.0504
Phone: (509) 218-4876
Phone:
Lic No:
Zoning:
04/30/2004
10/27/2004
General Information:
VALUATION
REROOF
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
DUCT SYSTEMS
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
20000
N
yes
no
2
2
3
1
1
2
1
1
1
1
1
1
3
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOI LETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
DUCT SYSTEM
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
Total Calculated:
Deposits/Receipts:
Total Due:
128.50
321.25
4.50
12.00
12.00
18.00
6.00
6.00
12.00
15.00
10.00
10.00
10.00
1.00
10.00
30.00
12.00
618.25
0.00
618.25
CITY OF SPOKANE ORSUBMITTAL
APPROVED R
Building
Planning
Public Works
EWED FOR CODE COMPLIANCE
PO • VALLEY BUI DING MSION
ova
)-//30/04
THIS IS NOT A RECEIPT
Spo'len
.0•00�alley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: 3 ) / /U / ►'
Assessor's Tax Parcel Number(s): 1J3D %'/- 05-Qy
Legal Description:
PERMIT DESCRIPTION: PeM96)r'_ l (-Are- ./0;71,
❑ Building Permit
❑ Relocation
❑ Change in Use ❑ Grading El Manufactured Home
❑ Tenant Improvement El Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: V Clvr- 6/'civk
Phone:,y � 7 e Fax: i - .Y%F
Address: /./, Z0 , /&Q-
❑ Applicant:
Phone:
Address:
Fax:
City State Zip Code City State Zip Code
❑ Contractor:
Phone:
Address:
Fax:
City
State Zip Code
WA State Contractor License #:
❑ Architect:
Phone: Fax:
Address:
City
Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: �C /
DIMENSIONS: 5 X l / /
# OF STIES:
MAIN FLOOR TO SQ. FTG:
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
-90. CZT)
30% SLOPES ON PROPERTY:
SEWER OR ON -SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation:
Above/Underground Storage Tank Size:
L
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
BOLTING ❑ CONCRETE
Firm Name:
REINFORCEMENT
Phone:
Inspector(s):
Fax:
n WELDING
DISCLAIMER
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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check n Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
11\.,„
Sf�k'
Project Address:
Owner:
Mailing Address:
City
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
Contractor: License #:
Mailing Address:
Permit Use:
Phone (Daytime Contact):
State Zip Code
Phone #:
City
State
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
r
X
$6.00
=
a —
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
,72-
4
SHOWERS (PER TRAP)
BATH, STALL ON -SITE BUILT
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
7
X
$6.00
=
q `�
//
6
DISHWASHER
1
X
$6.00
=
‘ -r
7
CLOTHES WASHER
1
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
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
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
=
METHOD OF PAYMENT:
0 CASH 0 CHECK ❑ VISA ❑ MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
/0/�—'
BANKCARD NUMBER:
Zip Code
AUTHORIZED SIGNATURE:
License #:
MECHANICAL PERMIT APPLICATION
pSol
City of Spokane Valley Community Development Department
G BuildingDivision
400 Valley 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
J/v�Project Address c) ` (/ Permit Use:FOR INSPECTIONS, CALL (509) 688-0054 Ji;
Owner: �;� Phone (Daytime Contact): jd' - . 7
City State Zip Code
Phone #:
Mailing Address: /, /y2.2
Contractor:
Mailing Address:
Ci
State
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
I
X
$15.00
=
/ 5
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
$28.00
=
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
=
iO ��
14
DRYER
/
X
$10.00
=
10 -
15
FUEL BURNING WATER HEATER
1
X
$10.00
=
/D '
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
I
X
$1.00
=
I
18
DUCT SYSTEMS
1
X
$10.00
=
/ 0
19
VENTILATING FANS
3
X
$10.00
=
'3(')
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
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
/
X
$12.00
=
/22„
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
=
METHOD OF PAYMENT:
0 CASH ❑ CHECK 0 VISA 0 MC
CARD*
DATE:
SUBTOTAL
9 0
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
-
Zip Code
AUTHORIZED SIGNATURE:
. ]7UIJSIX;�
BuiJsixa � rNY
If'
ADDRESS 6;?Uq ' `-
ZONE
ROAD WIDTH
FRONT J`a KING
COMMENTS
REVIEWED13Y LA
LANNING DEPT. APPROVED
BY,*
1 DATElt 60
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