Loading...
2004, 05-26 Permit App BLD-04-04449 Residence, GarageSpoikane 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: 14526 E 24TH AVE SPOKANE VALLEY WA 99037 Description: Subdivision: Owner: Applicant: Address: Contractor: Address: Application #: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS HELLER,LARRY B. & SHARON L HELLER,LARRY B. & SHARON L 15222 E 4TH AVE SPOKANE VALLEY, WA 99037 Lot: Blk: Parcel No: Phone: (509) 928-1880 Phone: Lic No: Applied: Issued: Expires: B L D-04-04449 05/26/2004 11/22/2004 Zoning: 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 CURRENT PROPERTY SIZE SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SHOWERS (PER TRAP) SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD HEAT PUMP/AIR COND 0 - 3 TON sfr 131434 21 68X39'6" 1 3 55 37 5 11 r-3 5-n 1 112 X 158 no no 3 2 1 4 1 1 1 1 1 1 1 1 1 3 3 1 1 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SHOWERS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS HEAT PUMP/AIR COND 0 - 3 TON Total Calculated: Deposits/Receipts: Total Due: 469.18 1,172.95 4.50 18.00 12.00 6.00 24.00 6.00 6.00 6.00 6.00 6.00 15.00 10.00 10.00 10.00 3.00 30.00 12.00 1,826.63 0.00 1,826.63 h0.0l) CITY OF SPOKANE VALLEY``' APPROVED FOR SUBMITTAL 114 4 • G�, Initials / Datep Ev R CODIE CAMP 'J ION LEY BUIICING LIANCE Building /3? D��7arvi, Planning THIS IS NOT A RECEIPT ti *lane .000Valley 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: / ys 4 E Assessor's Tax Parcel Number(s): '52 C 3 Legal Description: i,ey/ '7 6i rfici.S6/0 J�_� �V 510.1J PERMIT DESCRIPTION: Ale L.0 >10 04.5 € Z. Building Permit n Relocation n Change in Use ! Grading Tenant Improvement Fire Safety 11 7 Manufactured Home Other OWNER/APPLICANT INFORMATION n Owner: Lct. rry //e (' Phone: 9' s--/Pa Fax: 9}-?-/9'8 Address: iS' ' Y ' a✓e 4'ofrG; it; //ey 9Feg 7 C / State Zip Code Contractor: vcc. rvl �. Phone: Fax: Address: City State WA State Contractor License #: Zip Code n Applicant: ha-rry 6/7er Phone: ;ig-/gpa Fax: g').g /r7a Address: I S. a a*f Qve_. %'�k« �L/A% ja 2' O3 7 City / State Zip Code Architect: Phone: Address: Fax: City Contact: State Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: / MAIN FLOOR TO SQ. FTG: /3Oo 2N0 FLOOR Sn FTG UNFIN BASEMENT SQ. FTG: /.:'5o FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: r 3 ‹ �e�-�- 7 2 0'` DECKICOV. PAT SQ. FTG: 90 OCCUPANCY GROUP: CONSTRUCTION TYPE: / 'i,-, , jr ;, / Sir 4-k�,riro / c F HEAT SOURCE: ja e c es Q/ r eitt-S # OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: / d; 000 30% SLOPES ON PROPERTY: ,4Jo n! e. SEWER OR ON -SITE SEPTIC SYSTEM? ,> G u) t• r MANUFACTURED HOME Width: Manufacturer: Length: Year: Pit Set: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Tent: Valuation: Paint Booth: Fireworks Display: Blasting: Date/Time: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Address: Phone: Fax: City State Inspector: Phone: Fax: Address: City State Zip 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) 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) n Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: Contractor: Mai ing Address: Sri)lane n Project Address: / y.5-d. 4-3 Owner: /,.,.(L.r-/- " Mailing Address: / / 4.2- 014..)A,/c± License #: 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: kc 71) lt, r Pone (Dayti C9ntact): 7� F j ir'Q'0 liz ,v e // f FOg 7 City State Zip Code Phone #: Ci State DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT � (') 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 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 = (--? RANGE X $10.00 ! 1 DRYER X $10.00 = r FUEL BURNING WATER HEATER X $10.00 = 1 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) X $1.00 = I, 18 DUCT SYSTEMS X $10.00 = lj9 VENTILATING FANS 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 = 2 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE II HOOD X $10.00 = 25 HEAT PUMPfAIR CONDITIONER 0-3 TON X $12.00 = 27 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 STOVEJINSERT X $10.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = METHOD OF PAYMENT: ❑ CASH 0 CHECK 0 VISA ❑ MC CARD #: DATE: SUBTOTAL PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: Zip Code AUTHORIZED SIGNATURE: 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 Project Address: Permit Use: Owner: Mailing Address: Contractor: Phone (Daytime Contact): License #: City State Zip Code Phone #: Mailing Address: Zip Code City State DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS c, - WATER CLOSET, BIDETS , X $6.00 = 2 URINALS X $6.00 = 3 TUBS / j X $6.00 = 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 ', X $6.00 = 6 DISHWASHER / X $6.00 = 7 CLOTHES WASHER / 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 = X $6.00 = 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X of confidentjal_credit document originally contained card informption which 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X 0 redactP pursuant to RCW 19.255.010 X And th6 fi19} iiant original document destroyed t5.SbS DAN 652014-030. 20 MISCELLANEOUS PLUMBING FIXTURE METHOD OF PAYMENT: ❑ CASH 0 CHECK 0, VISA ❑ MASTERCARD DATE: ,,,,, mac' SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: geoPkom° AUTHORIZED SIGNATURE: A t okane ,,0,0• %I alley 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 Application #: Job Address: 14526 E 24TH AVE SPOKANE VALLEY WA 99037 Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Subdivision: Owner: Applicant: Address: Contractor: Address: HELLER,LARRY B. & SHARON L HELLER,LARRY B. & SHARON L 15222 E 4TH AVE SPOKANE VALLEY, WA 99037 Lot: Blk: Parcel No: Phone: (509) 928-1880 Phone: Lic No: Applied: Issued: Expires: B L D-04-04449 05/26/2004 11/22/2004 Zoning: 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 CURRENT PROPERTY SIZE SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SHOWERS (PER TRAP) SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD HEAT PUMP/AIR COND 0 - 3 TON sfr 131434 21 68X39'6" 1 3 55 37 5 11 r-3 5-n 1 112 X 158 no no 3 2 1 4 1 1 1 1 1 1 1 1 1 3 3 1 1 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SHOWERS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS HEAT PUMP/AIR COND 0 - 3 TON 469.18 1,172.95 4.50 18.00 12.00 6.00 24.00 6.00 6.00 6.00 6.00 6.00 15.00 10.00 10.00 10.00 3.00 30.00 12.00 Total Calculated: 1,826.63 Deposits/Receipts: Total Due: 0.00 CITY OF SPOIEANE VALLEY APPROVED FOR SUBMITTALRirwED L ,)phials / Datep FOR COD N) EY Bu, oE 4'L,AnrCE ING DI,,._. Building Planning THIS IS NOT A RECEIPT zi.,Ate v