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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 SEP 03 2004 9:27AM HP LASERJET 3200 r•= ,2E\JEr2 r'Etzr? IT EEL.EASE Tr24,1.01v117 LOCATION 2330/Z33Z N.Wtitbiar Z334/2336. M,w,I,Gr ❑ t tutd partials 0 Investigation tea O. Issue pcnells - . a Re•Gupectlan fee L3 Candtflo is X Oilter • C OMMEI•ITS SEE 15E1:M : —-Y�tVeYs Oa Le 4/3/04 c Ac No tsstxe L,tAt l 11113 rniks. 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