2008, 12-05 Permit Application: 08004718 ResidenceSpokane
4_ . Valleyh
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www.spokanevalley.org
PERMIT NUMBER: OS,_ yl
PERMIT FEE:
K. New Construction
n Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS:
ASSESSORS PARCEL NO: , �" �, .7 / . c9 8 / �( LEGAL DESCRIPTION:
Building Owner:
Name: Spl + POri C r�(a4dr5. / r
Name: "� e. 0 Co- nesr
City: r /
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Address: N Si! i n
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City: 0�.5 Orc ar S Stake:
(" p Zip:590 -)
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Phone: gic Zpc Fax:
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Contact Person
Name: ��, 0 r) r►d r✓
Phone: `7 tj -j
Describe the scope of work in detail:
Proposed Use:
Contractor:
Name: Spl + POri C r�(a4dr5. / r
Address: pr, / 67 '
�Sttate:
City: r /
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Phone: 7 6� __ z6/,9 Fax:
IMPERVIOUS SURFACE
AREA: �0(�
FINISHED BASEMENT
SQ. FTG: �}
Contract I�,,is R6 ,/3. Exp Date:
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Q. FTG:
City Business Lic. No: 6c) Z - ��0 _
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# OF BEDROOMS:
Cost of Project: $ /$7
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IZES ►Q
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK:!
DIMENSIONS: Li— �j
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# OF STORIES: —.
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TOTAL A :I ABLE ]$PACE:
ii�'�, lip 164016,2Z
MAIN FLOOR TO SQ.
FTG:
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2Nu FLOOR SQ. FTG:
-�° l ` J 7�
UNFIN BASEMENT SQ. FTG:
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IMPERVIOUS SURFACE
AREA: �0(�
FINISHED BASEMENT
SQ. FTG: �}
GARAGE SQ. FTG: `�
.$ CP
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Q. FTG:
30% SLOPES ON
PROPERTY:
j 2 -- 13v
# OF BEDROOMS:
COVST U TIOItJ TYPE:
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AT S RCE:
Av—
SEWER OR SEPTIC?
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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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
C,
SIGNATUR
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
BrCheck ❑ Mastercard
Expires:
DATE:
z c/V
C Ts
❑ VISA
VIN #:
DEC 05 2000
Project Number: 08004718 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 1/2/2009 Page 1 of 4
Permit Use: NEW SFR W /ATT GARAGE ON SEWER W/ GAS
Setbacks: Front
Site Information:
Plat Key: Name: TRENTWOOD ORCHARDS
Contact: JCO INVESTMENTS, LLC
Address: 5821 N CAMPBELL RD
C - S - Z: OTIS ORCHARDS, WA 99027
Left: Right: Rear: Phone: (509) 924 -2608
Group Name:
Project Name:
v
District: East
Parcel Number: 45021.0814 Block:
SiteAddress: 4722 N ADAMS RD
Location:: CSV
Zoning: R -3 SF Res District
Water District:
Area: 11,001 Sq Ft
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: JCO INVESTMENTS, LLC
Address: 5821 N CAMPBELL RD
OTIS ORCHARDS, WA 99027
Hold: iJ
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Potable Water Review
Originally Released: 12/9/2008 By: tmelbourn
Released By:
Landuse /Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 12/8/2008 By: mharnois
Released By:
SEWER PERMIT #08006976
Operator: JD
Originally Released: 12/5/2008 By: MTURBAK
Printed By: JD
Print Date:
1/2/2009
Project Number: 08004718 Inv: 1
Application
Date: 1/2/2009 Page 2 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: SPLIT ROCK CONTRACTORS
Address: 4505 E BIXEL CT
MEAD, WA 99021
Item Description
APPROACH -CONST IN ROW
Approach
Firm: SPLIT ROCK CONTRACTORS LL
Phone: (509) 768 -2689
Units Unit Desc
1 NUMBER OF
Contractor: SPLIT ROCK CONTRACTORS
Address: 4505 E BIXEL CT
MEAD, WA 99021
Description Grp Type Notes
1&2 FAMILY R -3 VB
2ND FLOOR R -3 VB
BASEMENT U R -3 VB
COV DECK R -3 VB
DECK OPEN R -3 VB
GARAGE U -1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Fee Amount
$50.00
Permit Total Fees: $50.00
Building Permit
Firm: SPLIT ROCK CONTRACTORS LL
Phone: (509) 768-2689
This Application: Total Project:
Su Ft Valuation Su Ft Valuation
901 $85,585.99 901 $85,585.99
724 $54,068.32 724 $54,068.32
901 $13,515.00 901 $13,515.00
130 $1,950.00 130 $1,950.00
120 $1,800.00 120 $1,800.00
506 $9,614.00 506 $9,614.00
Totals: 3,282 $166,533.31
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: JD Printed By: JD
Permit Total Fees:
Print Date:
3,282 $166,533.31
Fee Amount
$1,368.95
$4.50
$547.58
$1,921.03
1/2/2009
Project Number: 08004718 Inv: 1
Application
Date: 1/2/2009 Page 3 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor:
Address:
SPLIT ROCK CONTRACTORS
4505 E BIXEL CT
MEAD, WA 99021
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS PIPING
HEAT PUMP OR A/C 0 -3 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
AIR HANDLER <= 10,000 CFM
HOOD -TYPE II
Mechanical Permit
Units
Finn: SPLIT ROCK CONTRACTORS LL
Phone: (509) 768 -2689
Unit Desc
Contractor: SPLIT ROCK CONTRACTORS
Address: 4505 E BIXEL CT
MEAD, WA 99021
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
WATER PIPING - DWV
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$10.00
$2.00
$12.00
$40.00
$10.00
$10.00
$12.00
$10.00
$116.00
Firm: SPLIT ROCK CONTRACTORS LL
Phone: (509) 768 -2689
Units Unit Desc
3 NUMBER OF
5 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: JD
Fee Amount
$18.00
$30.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$6.00
Permit Total Fees: $108.00
Print Date: 1/2/2009
Project Number: 08004718
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/2/2009 Page 4 of 4
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
IMMEAD
Fee Amount
$50.00
$1,921.03
$116.00
$108.00
Invoice Amount
$50.00
$1,921.03
$116.00
$108.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,921.03
$116.00
$108.00
$2,195.03 $2,195.03 $0.00 $2,195.03
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and /or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: JD
Print Date: 1/2/2009
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Spokane
Valley ®
For City Use Only
PLUS Project Number O � 7 (
Project Address
11703 E Sprague Ave Suite B -3 • Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 • permitcenter @spokanevalley.org
As part of our on -going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
I 1r3.
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re- submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre - Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re-
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick -up. Information regarding fees and pre - construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE - APPLICANT PINK - BUILDING FILE REV 9/07
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