2004, 09-01 Permit App BLD-04-07550 Duplex, GaragesSpokane
,�,,1►�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: 2334 N WILBUR RD
SPOKANE WA 99212
Description: NEW DUPLEX W/ATTACHED GARAGES - NATURAL GAS
OWNER CONTRACTOR - 2334/2336 N WILBUR RD
Subdivision:
Owner: DAVE LOTTMAN
Applicant: GRANT, VICTOR JAY
Address: 18120 E BOONE
GREENACRES, WA 99016
Contractor:
Address:
Lot: Blk:
Application #: BLD-04-07550
Applied: 09/01/2004
Issued:
Expires: 02/28/2005
Parcel No: 45095.0590 Zoning:
Phone: (509) 218-4876
Phone:
Lic No:
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
10
2
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
THIS IS NOT A RECEIPT
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
YO FOR CODE COMPI !ANCE
VALLEY BUILDING DIVISION
VO A
.c p- �f7-'1s t)
[] Relocation
BUILDING PERMIT APPLICATION WORKSHEET
4°C4441111414 City of Spokane Valley Community Development Department
Building Division
Valle11707 E. Sprague Avenue, Suite 106
ev Spokane Valley, WA 99206
Phone: (509) 688-.0036; Fax: (509) 688-0037
33-1 = _
REQUIRED SITE INFORMATION
Street Address:
AA Li
Assessor's Tax Parcel Numbe.r(s): '/S O �7 ST Q 5
Legal Description:
PERMIT DESCRIPTION: a
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: l vim,),,,,..,:..,
Phone: • Fax: .
Address: -2 ,2w ►,f/tv,- •#-3 .
ty / • State Zip Code City State Zip Code
0 Contractor: ❑ Architect:
Phone: Fax: Phone: Fax:
Address:
Applicant:
Phone:
Address:
Fax:
City
State
Zip Code
Address:'
City -
State
WA State Contractor License. #: Contact: // -- �- /,J' 4't7t
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: '?
- DIMENSIONS:
# OF STORIES:-
MAIN FLOOR TO SQ. FTG:
-.; )
` 2mu- LOOR SQ. FTG:
-, - -
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE qQ: FTG:
DECK/COV. PATIO SQ. FTG:
OCCUTANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
(-.
TOTAL HABI,TABLE SPACE:
:3 (
IMPERVIOUS SURFACE AREA:
O T OF P OJ jCDe)
�7�� �IJ. ��
30% SLOPES ON PROPERTY:
=
SEWER OR ON -SITE SEPTIC
SYSTEM? 5-e.ek/e_7
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: DateiTirrme:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone: Fax:
City
Inspector: Phone:
Address:
State
Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:.
Inspector(s):
Fax:
❑ -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) Ail construction is to be done in full compliance with the City of Spokane Valley Development Code.
Referenced codes are available for review atthe 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
Bankcard #:
Authorized Signature:
❑ Mastercard ❑ VISA ❑ Other
_ Expires VIN#:
n
j�
Project Addre,s:
Owner: // : CAL
Mailing Address: 3,2 zyF4/1 1,✓1/14r L»-
4,1
Contractor:
Mailing Address:
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): ,2C
�L.t... , f [cK /-,
City State Zip Code
License #: Phone #:
City
State
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
fl
C
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
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
16
X
$6.00
=
6
DISHWASHER
, ,/
X
$6.00
=
7
CLOTHES WASHER
X
$5.00
=
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:
❑ CASH El CHECK 0 VISA 0 MASTERCARD
DATE: EXPIRES: -
SUBTOTAL
PROCESSING FEE
S35.00
. TOTAL PERMIT FEE DUE:
BANKCARD NUMBER: ! C
Zip Code
AUTHORIZED SIGNATURE:
Silk:plane
•01\,,
Project Add ss: ;) !vim L6✓
Owner: i�i�.i�
Mailing Address: ,))...?"4"-
Contractor:
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
Permit Use: )1( r
Phone (Daytime Contact):
City State
Phone #:
License #:
Zip Code
Mai ing Address:
State
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
,'')?`
X
$15.00
=
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
More than 400,000
X
$100.00
=
UNLISTED APPLIANCE (Additional Fee)
5
USED APPLIANCE (WSEC min. AFUE
Equal to or less than 4 1000 O
'
I
X
$50.00
=
rating)
6
(WSEC min. AFUE USED APPLIANCE
rating)
lJ
More than 400,000
J
X
$100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU /
Fa
X
$15.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU o
r -�; (n)�,
X
$28.00
=
9
BOILER/REFRIGERATION
501- 1,000M BTU
is \ u 1
X
$39.00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
��
X
$57.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTP
P"+.3 r
`s`
X
$95.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
ff
X
$10.00
=
13
RANGE
$10.00
=
..
14
DRYER
P I�
$10_00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
j
1
X
$1.00
=
18
DUCT SYSTEMS
`
X
$10.00
=
19
VENTILATING FANS
KJ
x
slo.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 It HOOD
,7.
X
$10.00
=
25
HEAT PUMPfAIR CONDITIONER
0-3TON
..
X
$12.00
=
26
AIR CONDITIONER
3-15 TON
dit
X
$20.00
=
27
AIR CONDITIONER
15-30 TON
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
$10.00
=
- 31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOOD STOVE- FREE STANDING
_
X
$25.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK 0 VISA -0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
, (PIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
zz
Zip Code
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