2004, 09-01 Permit App BLD-04-07549 Duplex, GaragesSc�rs��ne ter!
p Valle
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: 2330 N WILBUR RD
SPOKANE WA 99212
Description: NEW DUPLEX W/ATTACHED GARAGES - NATURAL GAS
OWNER CONTRACTOR - 2330/2332 N WILBUR RD
Subdivision:
Owner: KATHY GRIM
Applicant: GRANT, VICTOR JAY
Address: 18120 E BOONE
GREENACRES, WA 99016
Contractor:
Address:
Application #: BLD-04-07549
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45095.0589
Phone: (509) 218-4876
Phone:
Lic No:
Zoning:
09/01 /2004
09/01/2004
02/28/2005
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
TOILETS
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
10e
2
REVIEWED FOR u_uuE COMPLIAN
PO NE VALLEY BUILDING t IVISIO
oq
Fees:
PLAN CHECK FEE
TYPE II HOOD
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:
827.58
20.00
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
3,263.03
0.00
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL.
initials 1 Date
Building
t
Planning %!
Public Works k/6ku-0- (9//
THIS IS NOT A RECEIPT
3,263.03
Ct
Sii6e***I'
Valley
.330 /2-77
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: pR_ • o, at,r- .
•
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: N�,/ �Q,1s 1`•vc�r�� �,�
Building Permit ❑ Change in Use ❑ Grading
❑ Relocation ❑Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
Owner:
Phone:
OWNER/APPLICANT INFORMATION
kajisie
Fax: •
Address: � de,
city ( State Zip Coda City _ State
❑ Contractor: ' ❑ Architect:)
Phone: Fax: Phone:
Address:
❑ Applicant:
Phone: . .ax:�
Address: o ``' o
City
State Zip Code
Address:
City -
WA State Contractor License #: Contact:
State
Zip Code
Zip Code
PERMIT/BUILDING INFORMATION
I-LEIGHT . EAK:
DEMENSIOt' S: , .
S ( . '& /
# OF STORES:.
"
MAIN FLOOR TO SQ. FTG:
` 2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG;
GARAGE SQ: FTG:
DECKICOV. PATIO S.Q. FTG:
OCCUP . CY GROUP:
-,/ty
CONSTRUCTION TYPE:
HEAT SOURCE;
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
EMPERVI.OUS. SURFACE AREA:
C ST OF PR �J-E: of)
l [J.
30% SLOPES ON PROPERTY:
SEWER OR ON -SITE SEPTIC
SYSTEM? se c./e/—
MANUFACTURED HOME
Width:
Manufacturer:
Length:
Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler:
Tent:
Valuation: Above/Underground Storage Tank Size:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
Inspector:
Address:
City State
Phone: Fax:
Zip
City
State Zip
SPECIAL INSPECTIONS
D BOLTING ❑ CONCRETE
❑ REINFORCEMENT ❑ WELDING
Firm Name: Phone:.
I nspector(s):
Fax:
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 Wiley 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 ❑ Mastercard . ❑ VISA ❑ Other
• Bankcard #: ? Expires: VIN#:
;.
Authorized Signature: c
Project Address �. ,
Owner: ,'I
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuifdingDivision
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):
Mailing Address: 1,T' v : y-- l �! tv•-‘T '#e tar L..�i, SS At%
City State Zip Code
Contractor: License #: Phone #: o2%i 1/47
Mailing Address:
Gki / Cl Z-!'c (t \
City
State
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
r
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL ON -SITE BUILT
X
$6.00
=
5
SINKS
LAVSIBASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
,
�r ;-
X
$6.00
=
6
DISHWASHER
l
X
$6.00
=
7
CLOTHES WASHER
X
$6.00
=
8
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER
X
$6.OQ
=
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 RPM/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 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
Project Address' .rZ L mil/ t✓ /
Owner: r 7,
Mailing Address:
Contractor: License #: Phone #: (k-</� 7-
=r21‘
�r
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
Mai ing Address:
Permit Use: r_..- . G_,t'
Phgne (Daytiyne Contact): 1-4/5--76"
I r
% City ! State Zip Code
DESCRIPTION OF WORK
# OF -
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
-I'
.;
X
$15.00
=
2
FUEL BURNING APPLIANCE
Mare 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
BOILERIREFRIGERATION
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
1
X
$10.00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)14
X
$1.00
=
18
Dllr:T SYSTEMS
X
$10.00
=
19
VENTILATING FANS
}
I, ,,/
X
$10.00
=
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
'3).-..
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
03 TON
X
$12.00
=
26
AIR CONDITIONER
3-15 TON
X
$20.00
=
27
AIR CONDITIONER
15-30TON
_
X
$25.00
=
28
AIR CONDITIONER
30-50TON
X
$35.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
LPG STORAGE TANK
X
310.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
METHOD OF PAYMENT:
❑ CASH 0 GHECK ElVISA ElMC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
/®
Zip Code
AUTHORIZED SIGNATURE: =.-
E
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