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2006, 11-28 Permit App: 06004677 Addition, Garage• �'Pok.ne Valley Community Development Permit Center 11707 E Sprague Ave,: Suite _Q.¢ � Spokane Valley, WA 9�92d6 LS Q V� I D (509)688 -0036 FAX: ( 0Q�688 -0037 www.spokanevalley.or,.c .. Nov Zt{ Residential Construction Permit Application PERMIT NUMBER: gj7 7 PERMIT FEE: D u ip New Coustr7 tion ❑ Accessory Bldg 2Addition/Remodel ❑ Deck ❑ Other: SITE ADDRESS 1 g y Z 0 E ,�- L K° 6- r e e mac(e5 l�,i �°- a'1 © 14 ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building owner (74,4, -- Name:/77Q4 Address: j 6�ya /� City: & Reed t?L S Zip: q Phone1 7,6 -fax: Contact Person Name: Phone: ,. 5;.. — 5 7 �') Contractor jam` -. >r77� , CO Name: 1"7 TOTAL AL HABI SIDACE: Address: / D /,71) f 2Nu FLOOR SQ. FTG: NA City: (7-;/-c L' ocrt z Zip: 7 g17J - Phone: , , - J9S)Fax: BASE ENT SQ. FTG: Aj44 Lic No: Exp. Date: DECK/GOV. PATIO SQ. FTG: City Business Lic No: # OF BEDROOM Describe the scope of work in detail: Cost of Project: (t.1a I ,on d' 6-6 ra .e L/ �1eAj�1 0r ( v(41 * * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * ** HEIGHT TORAK: �� DIMENSIONS: 2 # OF STORIES: ( TOTAL AL HABI SIDACE: MAIN FLOOR TO SQ. FTG: �, t./ . ZfCtl -- FTG: 2Nu FLOOR SQ. FTG: NA UNFIN BASEMENT SQ. FTG: /c /A IMPERVIOUS SURFACE AREA: — 5 Tr 71 BASE ENT SQ. FTG: Aj44 GARAGE SQ. FTG:. OK`7� DECK/GOV. PATIO SQ. FTG: 30% SLOPES ON PROPERTY: # OF BEDROOM CONSTRUCTION TYPE: HEAT SOURC SEWER OR SEP IC? 7 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 a.ditional 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 #: Authorized Signature: REVISED 6/252005 ,440*-76A- xpires: VIN #: /1-021-A0, ❑ Other ValIey 11707 E Sprague Ave Suite 106 • Spokane Valley WA 99206 509.921.1000 • Fax: 509.921.1008 • cityhall@spokanevalley.org Residential Plan Submittal Minimums ❑ Completed Building & 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 Spokanka e 4.0,f Valley Community Development Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688 -0036 FAX: (509)688 -0037 www.spokanevallev ore Mechanical Permit Application n Commercial PERMIT NUMBER: PERMIT FEE: Residential SITE ADDRESS: Y 910 c /Xi Building Owner Y7,�J/ �� / / ewe} Name; Phon :c / f> _.37 Fax: Address:, 8'9,2 , ii J�Ci Cif l 3�lu'(°✓%�i�d �' State:C,� Zip: (��%} ��2 Contractor a t, as- av-C I / Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact Name: Phone: 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 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 Q X $15.00 X $50.00 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100.00 o 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X $50.00 C2 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X $100.00 c9 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 0 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 v 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 U 11 BOILER/REFRIGERATION More than 1,750M BTU 12 GAS LOG, GAS INSERT, GAS FIREPLACE 13 RANGE 14 DRYER 15 FUEL BURNING WATER HEATER 1 X x X $60.00 $10.00 $10.00 X $10.00 /0, X $10.00 16 MISC. FUEL BURNING APPLIANCE X $10.00 0 17 GAS PIPING (each outlet) 18 DUCT SYSTEMS 19 VENTILATING FANS X $1.00 / X $10.00 X $10.00 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 O 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15.00 22 EVAPORATIVE COOLERS X $10.00 U 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 0 29 AIR CONDITIONER More than 50 TON X $60.00 0 30 LPG STORAGE TANK X $10.00 31 WOOD OR PELLET STOVE/INSERT X $10.00 0 32 WOOD STOVE - FREE STANDING X $25.00 U 33 REPAIR & ADDITIONS X $15.00 v 34 VENTILATION SYSTEMS X $12.00 U 35 VENTILATION MECHANICAL EXHAUST X $12.00 0 36 INCINERATOR - RESIDENCE X $19.00 37 INCINERATOR - COMMERCIAL X $22.00 METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: SUBTOTAL PROCESSING FEE 736' $35.00 TOTAL PERMIT FEE DUE: /�Sc)o Permit Center Spokane 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688 -0036 FAX: (509)688 -0037 Community Development www.spakaitevallev.ore Plumbing Permit Application .0, . Valley PERMIT NUMBER: PERMIT FEE: Li Commercial Residential SITE ADDRESS: Building Owner Name: f/ r "��i ( Phone: Fax: Address: r�a City: State: Zip: Contractor /\/t) Name: 6 Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact Name: rn k it- 4 41, Phone: DESCRIPTION OF WORK # OF UNITS X COST TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6.00 2 URINALS X $6.00 3 TUBS X $6.00 d 0 4 5 6 SHOWERS PER TRAP SINKS DISHWASHER BATH, STALL, ON -SITE BUILT X $6.00 7 CLOTHES WASHER LAVS /BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X $6.00 = X -RAY, FOOD, PREP /CULINARY MEAT X $6.00 .2r - r X $6.00 8 GARBAGE DISPOSAL X $6.00 0 0 9 WATER SOFTENER X $6.00 D 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 0 13 FOUNTAINS, DRINKING X $6.00 14 WATER PIPING /DRAIN -IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 15 16 17 SEWAGE EJECTOR WATER USING DEVICE CROSS CONNECTION DEVICE GRINDER, SUMP PUMP ICE AN /OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X X X $6.00 $6.00 $6.00 x $6.00 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 C/ lS� O 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 lJ 0 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 O METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC Card# AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: VIN: SUBTOTAL n c+v PROCESSING FEE TOTAL PERMIT FEE DUE: $35.00 ,7/ cJ Project Number: 06004677 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/29/2006 Project Information: Permit Use: ADDITION AND GARAGE W /PL & HT Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Page 1 of 3 Contact: RIGBY, MATT Address: 18420 E ALKI AVE C - S - Z: SPOKANE VALLEY, WA 99016 Phone: (509) 218 -3748 Group Name: Project Name: Name: CORBIN ADD TO GREENACRES Parcel Number: 55184.0905 Block: 7 SiteAddress: 18420 E ALKI AVE Location:: CSV Lot: 1 District: East Owner: Name: RIGBY, MATT Address: 18420 E ALKI AVE SPOKANE VALLEY, WA 99016 Zoning: UR -3.5 Urban Residential 3.5 Water District: 134 CONSOLIDATED ID #19 Area: 26,105 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Septic Sys Review Hold: O Depth: 0 Right Of Way (ft): 0 Released By: A 7/A. 1 z-/ Released By: Landuse /Zoning/HE Conditions Perm its: Operator: jmm Printed By: jmm Print Date: 11/29/2006 C Project Number: 06004677 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 12/13/2006 Contractor: OWNER Description Grp Type Notes GARAGE U -1 VB RES ADD R -3 VB Item Description RESIDENTIAL PERMIT FEE WSBC SURCHARGE SF PLNS RVW < 7999 SQ FT Contractor: OWNER Item Description DUCT SYSTEMS HEAT PUMP OR A/C 0 -3 TONS VENTILATING FANS CLOTHES DRYER RANGE GAS LOG OR GAS INSERT HOOD -TYPE II Contractor: OWNER Item Description SINKS DISH WASHERS CLOTHES WASHER MISCELLANEOUS FIXTURES WATER PIPING - DWV Building Permit Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 400 $7,600.00 400 $7,600.00 1,168 $100,880.16 1,168 $100,880.16 Totals: 1,568 $108,480.16 1,568 $108,480.16 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Permit Total Fees: Mechanical Permit Firm: OWNER Phone: Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Plumbing Permit Units 2 1 1 1 1 Operator: jmm Printed By: jmm Fee Amount $1,044.15 $4.50 $417.66 $1,466.31 Page 2 of 3 (000) 000-0000 Fee Amount $10.00 $12.00 $10.00 $10.00 $10.00 $10.00 $10.00 $72.00 Firm: OWNER Phone: (000) 000-0000 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $12.00 $6.00 $6.00 $6.00 $6.00 $36.00 Print Date: 12/13/2006 Project Number: 06004677 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 12/13/2006 Notes: SEWAGE SYSTEM DESIGNED FOR 2 BEDROOMS ONLY PER LANCE @ HEALTH DISTRICT Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Page 3 of 3 Fee Amount $1,466.31 $72.00 $36.00 Invoice Amount $1,466.31 $72.00 $36.00 Amount Paid $0.00 $0.00 $0.00 Amount Owing $1,466.31 $72.00 $36.00 $1,574.31 $1,574.31 $0.00 $1,574.31 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: jmm Printed By: jmm Print Date: 12/13/2006 12/13/2006 09:58 5093241567 DEC 35 2006 12:29 FR Pr.. w nl ler: 06004677 Inv: 1 SRHD ENS PAGE 01/01 TO 3241567 P.01/03 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/29/2006 Page 1 of 3 Winn: ae ADDITION AND GARAGE W/PL at HT Contact RIGBY, MATT Address: 18420 E ALICE AVE Setbacla: Front Sik Infon n ot'en;, Plat K'.y: Name: CORBIN ADD TO GREENACRES Pa.tcc 1 Number: 55184.0905 Block: 7 Lot: 1 3i teAddress: 18420 E ALKI AVE Owner: Name: RIGBY, MATT Address: 18420 E ALKI A'VE SPOKANE VALLEY, WA 99016 Left: Right Rear: C - S - Z: SPOKANE VALLEY, WA 99016 Phone: (509) 218-3748 Group Name: Project Name: District. East Location :: CSV Zoning: UR-3.5 Urban Residential 3.5 Water District 134 CONSOLIDATED ID #19 Area: 26,105 Sq Pt Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review b 'jHI Hold: 0 Depth 0 Right Of Way (ft): 0 �11•Y Be ih li ng Plan Review S.EWACE SYSTEM fOR- La ad u re/Zoning/BEE Conditions Permits: Operntc r: Jmm a DEC 13 2006 09:52 Printed By: Jmm Flint Date: 11/29/2006 5093241567 PAGE.01 11/29/2006 15:43 5093241567 SRHD EHS N:'!L 29 2006 15:08 FR Project Nun b 06004677 Inv: 1 Application TIIIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit TO 3241567 PAGE 03 P.01/02 Date: 11/29/2006 Page 1 of 3 Proiect i1ormig igilc. Permit 11:4; i■DDITION AND GARAGE W/PL & HT Contact: RIGBY, MATT Address: 18420 E ALKI AVE C - S - Z: SPOKANE VALLEY, WA 99016 Setbacks: Front Left: Right: Rear: Phone: (509) 218 -3748 Group Name: Project Name; Pte Inforntt Ilion : ......._ Plat Kc y Name: CORBIN ADD TO t REENACRES District: East Parcel' arce l ' \lumber: 55184.0905 Block: 7 Lot: 1 ! i :cAddreas: 18420 E ALKI AVE Owner: Name: RIGBY, MATT Address: 18420 E ALKI AVE SPOKANE VALLEY, WA 99016 Location:: CSV Zoning: UR-3.5 Urban Residential 3.5 Water District: 134 CONSOLIDATED ID 019 Area: 26,105 Sq Ft Width: 0 Nbr of Bidgs: 0 Nbr of Dwellings: 4figitay It'j '►,nation: Depth: 0 Hold: ❑ Right Of Way (ft): 0 Beviirtg Bull( litg Plan Review • •t ,cll`,jf'�'i�a7...� _L..... • ?in, 'iii ,.i; [: Septic Sys Review La .etl u ;e/Zoning/RTE Conditions • Reljrasttif fnyl°t�,x�i,;.:{ ^F: `url7,.19pp; ... . ": Permits.' aszmunumaramacoMiagsattlarneftlea Operator )mm PrinredBy: jmm Print Date: 11/29/2006 NOU 29 2006 16:07 5093241567 FRGE.03 11/29/2006 15:43 5093241567 SRHD EHS PAGE 01 SPOKANE REGIONAL W01rWest College Ave., Suite 402 Spokane, WA 99201 -2095 Phone: 324 -1560 Fax: 324 -3603 or 324 -1567 D I S T R I C T FAX TO: FAX: PHONE: FROM: RE: COMMENTS: PHONE: DATE: INCLUDING COVER: Zak( cud o o am, plo/t.a This facsimile may contain confidential information intended only for use by the individual or entity named above. If the reader of this message is not the intended recipient, or the employee or agent responsible to deliver this information to the recipient, you are hereby notified that any dissemination, distribution, or copying of this communication Is strictly prohibited. If you have received this communication In error, please call the sender's telephone number listed above. NEU 29 2006 16:0S 5093241567 PAGE.01 11/29/2006 15:43 5093241567 SRHD EHS PAGE 02 SPOKANE REGIONAL HEALTH DISTRICT Environmental Health Division 1 101 W College, Rm 402, Spokane WA 99201 (509) 324 -1560 SEWAGE SYSTEM VERIFICATION FORM Since our office does not have information on file showing the locatipn and size of your system, please provide the following information in order for us to review your proposal. Project address: Property owner: Address: Phone: Existing property use: ( ) residential ( ) multi- family If a business, name and nature: If a business, approximate metered water consumption: _ g Alons per Type of wastewater fixtures connected to sewage system(s): toilet:> showers /tub sinks laundry car wash sprinkler system hot tub /spa swimming pool dishwasher Year structure built: Year sewage system installed: Number of bedrooms: Has existing sewage system(s) been reconstructed or repaired? ( ) Yes ( ) No If yes, when: Reason: Location and size of the system: Please make or submit a drawing showing 'location, dimensions, and measurements of your lot, structure, sewage system(s), water wells, waterline, driveways, direction "north'!, etc, CD$NT[FY WHAT IS DRAWN. I certify that this information is true to the best of my knowledge. Signature of the property owner 01/99 NOU 29 2006 16:07 date 5093241567 PAGE.02 /10 151z1 .31V0 r-vt v.- Try owtoaddv .1d3a ONINNV1d No- vo- -z_ 1)12 `..1•K UVI-L\ 3z • N {