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