2005, 09-06 Permit App: 05003340 Residence W/Garagecx Permit Center
Spokane 11707 11707 E Sprague Ave, Suite
4000 Valley Spokane Valley, WA 9920.
(509)688 -0036 FAX: (509)6
Community Development www.spokanevallev.orq.com
Residential Construction
Permit Application
PERMIT NUMBER
PERMIT FEE:
instruction ❑ Accessory Bldg
❑ Addition/Remodel ❑ Deck
❑ Other:
SITE ADDRESS
9 /4- k
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: 5 N P / 1,01-- 3
Building owner
DIMENSIONS:
Name: /3 b
L L. o c_1<
Address: /3, eV 6
3
City: (� e d cd a. 49
p
Zip: Q l d'S `7
Phone: �to y 1 `- t
Fax:
Describe the scope of work in detail:
4).e, 4, sFR
Contractor
DIMENSIONS:
Name: (%a. 1. L e
ct i (c Y- S 7441
Address: & -cr./ 3
:3
City: )144-€44-6 4La-6
Zip: q 1 L7 3
Phone: g 6 9/ 9 Z/ Fax:
Lic No:l//?LL C Aft ,5- 3iExp. Date: III DI 0-7
City Business Lic No:
Cost of Project:
$ D
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK:/ / i
Ni
DIMENSIONS:
# OF STORIES:
TOTAL HAB TABLE SPACE:
C'- / `i ‘=
MAIN FLOOR TO SQ.
FTG: / -L �� ( 101
2Nu FLOOR SQ. FTG:
,,(� _l
UNFIN BASEMENT SQ. FTG:
�7
IMPERVIOUS SURFACE
AREA: r7 �j j ra
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:'
L U i
DECK/COV. PATIO SQ. FTG:
A.. c.--)c... ,`
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
F ..t G
SEWER OR SEPTIC?
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN #:
Q-C
❑ Other
Authorized Signature:
REVISED 8/25/2005
Spokane
1111 Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www. spokanevalley.org.com
Residential Plan Submittal Minimums
❑ Completed Building, Plumbing & Mechanical application with: Accurate address,
Parcel Number and /or Legal Description, description of work, owner and
contractor information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8 ") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One -hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
..valley
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
Community Development www.spokanevalley.ore.com
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ❑ Residential
SITE ADDRESS r/ ( b £ .4 L K 1
Building owner
Name: A 0 /7
Pe y (. r G A
Phone:
Fax
Address: / j c,., 4
4 3
Citye. le, d ,.• l p
State
T
Zip 9 9 4 3
7
Contractor
Name: 1) Q 1 1 Q y
7
�j a t L d i t- S
Phone:
¥b q/ y,;2.1
Fax:
Address: fJ e.-74 7R 6
3
City lie_ v- d d AI
State
'-'- r4
/}
Zip � aZ C
?
License No: (J.4 L.L.
A / y .) 7 X17
City Business License No:
Contact
Name: (; ,'- /- 1
` (., L t A
Phone:
5 G ,
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
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
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
x
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
17
GAS PIPING (each outlet)
Lt
X
$10.00
X
$1.00
18
DUCT SYSTEMS
X
$10.00
19
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
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP /AIR CONDITIONER
0 -3 TON
X
$12.00
26
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 STOVE /INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD 4:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
40000 Valley Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688-0037
Community Development www.spokanevalley.oro.com
Plumbing Permit Application
SITE ADDRESS /
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ❑ Residential
'761,2z. E ALA/
Building owner R L b Pd L L c t p-
DESCRIPTION OF WORK
# OF UNITS
X
COST
Name:
TOTAL AMOUNT
Phone: +�i t* l -f 7- / Fax
TOILETS
WATER CLOSET, BIDETS
n
"7
//
Address: 8'� (D 3 3
$6.00
City 1/Q. Oa of c i, ,e State
}}
1.1- .1
Zip'' i .
-7
Contractor d 1 L y it. 1 L c 1 e N 5
Z,, C
X
$6.00
=
Name: /
TUBS
Phone: Fax:
1
X
$6.00
Address: A 6 3
City Jam. Nr9ciG (A* State
CA- 4-
Zip Q6i d
`7
n3 (}
License No: 1 1 G 3 / ( S') —3-
$6.00
City Business License No:
5
SINKS
Contact
1-1
X
$6.00
=
Name: ,{g il h /4 L Le c- /'C
DISHWASHER
Phone: 54 til /'i y..../
X
$6.00
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
n
"7
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
1
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
1-1
X
$6.00
=
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
1
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
NSTALLATION, 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
=
21
PRIVATE SEWAGE DISPOSAL /SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD
Card# EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Project Number: 05003340 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/16/2005 Page 1 of 3
Project Information:
Permit Use: NEW RESIDENCE W /ATTACHED GARAGE -GAS Contact: VALLEY BUILDERS, INC
Address: PO BOX 633
C - S - Z: SPOKANE VALLEY, WA 99037
Setbacks: Front 38 Left: 6 Right: 18 Rear: 125 Phone: (509) 869 -1421
Group Name:
Project Name:
Site Information:.
maimuslimmomp Plat Key: Name: RANGE
District: East
Parcel Number: 55184.1445 Block:
SiteAddress: 17926 E ALKI AVE
Location:: CSV
Lot:
Owner: Name: POLLOCK LIVING TRUST, BOB &
Address: 12412 E 27TH AVE
SPOKANE VALLEY, WA 99216 -023
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 19,990 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: .: 4
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 09/12/2005 By: cjjanssen
:eleast;d By:
Originally Released: 09/12/2005 By: TMELBOU
Approach / Drainage
Released By:
Septic System Review
Originally Released: 09/12/2005 By: cjjanssen
Released By:
PER LANCE @ COUNTY HEALTH
Originally Released: 09/16/2005 By: CJJANSSE
Operator: CJJ Printed By: CJJ Print Date: 09/16/2005
Project Number: 05003340 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permits:
Date: 09/16/2005 Page 2 of 3
Contractor: VALLEY BUILDERS, INC
Address: PO BOX 633 Phone: (509) 869 -1421
SPOKANE VALLEY, WA 99037
Approach
Firm: VALLEY BUILDERS, INC
Item Description Units Unit Desc Fee Amount
APPROACH INSPECTION
1 NUMBER OF
$25.00
Permit Total Fees: $25.00
Building Permit
Contractor: VALLEY BUILDERS, INC Firm: VALLEY BUILDERS, INC
Address: PO BOX 633 Phone: (509) 869 -1421
SPOKANE VALLEY, WA 99037
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U -1 VB 600 $11,400.00 600 $11,400.00
RESIDENCE R -3 VB 1,907 $142,414.76 1,907 $142,414.76
Totals: 2,507 $153,814.76 2,507 $153,814.76
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,296.15
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $518.46
Permit Total Fees:
Mechanical Permit
$1,819.11
Contractor: VALLEY BUILDERS, INC Firm: VALLEY BUILDERS, INC
Address: PO BOX 633 Phone: (509) 869 -1421
SPOKANE VALLEY, WA 99037
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<= 100,000BTU 1 NUMBER OF $12.00
GAS PIPING 4 # OF UNITS $4.00
HEAT PUMP OR A/C 0 -3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 5 NUMBER OF $50.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
Permit Total Fees: $108.00
Operator: CJJ Printed By: CJJ Print Date: 09/16/2005
Project Number: 05003340
Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/16/2005
Contractor: VALLEY BUILDERS, INC
Address: PO BOX 633
SPOKANE VALLEY, WA 99037
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: VALLEY BUILDERS, INC
Phone: (509) 869 -1421
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
MAXECTOMMOVMAKEIrSOMENL-
Fee Amount
$25.00
$1,819.11
$108.00
$66.00
Invoice Amount
$25.00
$1,819.11
$108.00
$66.00
Fee Amount
$18.00
$24.00
$6.00
$6.00
$6.00
$6.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$66.00
Amount Owing
$25.00
$1,819.11
$108.00
$66.00
$2,018.11 $2,018.11 $0.00
$2,018.11
Page 3 of 3
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CJJ Printed By: CJJ
Print Date: 09/16/2005
T0'301:3d L9STPER60S
SEP 12 2005 12:25 FR
Project Number: 05003340 Inv: I
TO 3241567
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
6S :ST S00Z ST d3S
P,01/02
Date: 09/12/2005 Page 1 of 3
,Pro}ecr Information :,
Permit Uso: NEW RESIDENCE W /ATTACHED GARAGE -GAS
Setbacks: Front 38 Loft: 6 Right: 18 Rear: 125
gabffrmnation:.
Plat Key:
.rte •MEM=
Contact: VALLEY BUILDERS, INC
Address: PO BOX 633
C - S - Z: SPOKANE VALLEY, WA 99031
Phone: (509) 869 -1421
Group Name:
Project Name:
Name: RANGE
District: East
Parcel Number: 55184.1445 Block:
SiteAddress: 17926 E ALKI AVE
Lot:
Owner: Name: POLLOCK LIVING TRUST, BOB &
Address: 12412 E 27TH AvE
Location:: CSV SPOKANE VALLEY, WA 99216423
Zoning. UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 19,990 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of B]dgs: 0 Nbr of Dwellings: 0
Review Information z
eview
Site Plan Review
Mal
Plan Review
Originally Released: 09/12/2005 By: cjjanssen
Approach / Drainage
Originally Released: 09/12/2005 By: TMELBOU
Rdessed'$y::;.'
Septic System Review
Permits:
Originally Released: 09/12/2005 By: ejJanssen
O/G fr 3 6e-_f) 0 o ,v5
TO LANCE @ COUNTY HEALTH 9/12/05
A
1Released;B.yi, ' =.
Operator: CJJ
TO /T0 3St7d
Printed By: CJJ
SH3 QHdS
1%
Print Date: 09/12/2005
REM
L9STVZ660S Lb :bT SOK /ST /60