2009, 04-24 Permit App: 09000844 Residence W/GarageProject Number: 09000844 Inv: 1
Application
Date: 4/24/2009 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W /ATT GAR
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Contact: STROE, SHANTEL C
Address: 1723 N UNION RD #18
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 688 -0111
Group Name:
Project Name:
District: Nort
Parcel Number: 45084.0361 Block:
SiteAddress: 10018 E AUGUSTA AVE
Location:: CSV
Zoning: R -3 SF Res District
Water District:
Area: 9,501 Sq Ft
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: STROE, SHANTEL C
Address: 1723 N UNION RD #18
SPOKANE VALLEY, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Driveway /Approach
Originally Released: 4/23/2009 By: tmelbourn
Released By:
Originally Released: 4/24/2009 By: jdavis
Landuse /Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 4/9/2009 By: tschmidt
Released By:
Operator: jmm
Printed By: JD
Print Date:
4/24/2009
Project Number: 09000844 Inv: 1
Application
Date: 4/24/2009 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
APPROACH -CONST IN ROW
Units Unit Desc Fee Amount
1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Gm Type Notes Su Ft Valuation Si Ft Valuation
1 &2 FAMILY R -3 VB 1,381 $133,722.23 1,381 $133,722.23
2ND FLOOR R -3 VB 1,442 $107,688.56 1,442 $107,688.56
DECK OPEN R -3 VB 148 $2,220.00 148 $2,220.00
GARAGE U -1 VB 726 $13,794.00 726 $13,794.00
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Totals: 3,697 $257,424.79 3,697 $257,424.79
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,878.55
$4.50
$751.42
$2,634.47
Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
AIR CONDITIONER:4 -15 TONS 1 NUMBER OF $21.00
VENTILATING FANS 1 DUCT 5 NUMBER OF $55.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
AIR HANDLER >10,000 CFM 1 NUMBER OF $16.00
Operator: jmm Printed By: JD
Permit Total Fees: $112.00
Print Date: 4/24/2009
Project Number: 09000844 Inv: 1
Application
Date: 4/24/2009
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Firm: OWNER
Phone: (000) 000 -0000
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER HEATER - ELECTRIC
MISCELLANEOUS FIXTURES
Notes: -TAWS r
Payment Summary
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Units Unit Desc
4 NUMBER OF
8 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$50.00
$2,634.47
$112.00
$120.00
Permit Total Fees:
Invoice Amount
$50.00
$2,634.47
$112.00
$120.00
Fee Amount
$24.00
$48.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
Amount Paid
$0.00
$731.26
$0.00
$0.00
$120.00
Amount Owing
$50.00
$1,903.21
$112.00
$120.00
$2,916.47 $2,916.47 $731.26 $2,185.21
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: jmm Printed By: JD
Print Date: 4/24/2009
Spokane
jUalle3'®
For City Use Only
PLUS Project Number
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.
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
Stiothlane
.0.*Valley
CITY OF SPOKANE VALLEY
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B -3
Spokane Valley, WA 99206
Tel: (509) 688 -0036
Fax: (509) 688 -0037
permitcenter @spokanevalley.orq
PERMIT NUMBER:
PERMIT FEE:
(Staff Use Only)
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
® NEW CONSTRUCTION ❑ ADDITION /REMODEL ❑ ACCESSORY BUILDING
C DECK ❑ OTHER
SITE ADDRESS: /2rc, 74-1-4( 4i /v- k Q9
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: p %,- 6(/ /1- .
BUILDING OWNER NAME:
NAME:
ADDRESS:
CITY: ( c;
� Gn%
* ** *YOU MUST COMPLETE THE FOLLOWING * * **
MARK N/A IF NOT APPLICABLE
Height to P,Is /
5
Dimensions:
5& X 10
No. of Stories:2
Total Habitable
Space:27'@5 2t 23
Main Floor SQ / 3 j'(
FT: 1 S
Upper Floor S
FT:1,337 / `/L
Unfinished Basement
SQ FT:N /A
Finished Basement
SQ FT:N /A
Garage SQ FT:7 Z(o
Deck /Covered Patio
SQ FT:148
Impervious Surface
Area:960
30% Slopes on
Property:N /A
No. of Bedrooms:4
Construction
Type:NEw
Heat Source:ELECTRIC
Sewer or
Septic:sEwER
TOTAL COST OF PROJECT: $184,000.00
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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 req red to be submitted and subsequently approved before this application can be processed.
Signature
Date:
Method of payment: ❑ Cash ❑ Check
Bankcard #:
❑ Visa El Mastercard
EXP: VIN #:
Authorized Signature:
Effective October 28, 2007 Page 2 of 2
C: \Documents and Settings \kevin \My Documents \Residential Construction Permit App.1 spokane valley.doc
Permit Center
line 11703 E
Sprague e Ave, Suite B -3
Spokane Valley, WA 99206
jvalleY (509)688 -0036 FAX: (509)688 -0037
Community Development u'�a�r.spokanevallev.ora
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial [residential
SITE ADDRESS: JC0l75
h1!7/
Building Owner
Name: S.N�
Phone:
Fax:
Address:
State:
Zip:
Contractor
/-
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
Equal to or less than 100,000
# OF UNITS
X
COST
= TOTAL AMOUNT
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
Ia
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$10.00
X
$10.00
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
t
X
$15.00
IC
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
4 -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 #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Walley
Community Development
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www. spokan evalley. ore
Plumbing Permit Application
SITE ADDRESS: /./...,A5> E
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial esidential
Building Owner
r I
----7Y.02
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
�^,
Op �dl�r.lvt
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
1
DESCRIPTION OF WORK
TOILETS
WATER CLOSET, BIDETS
# OF UNITS
X
COST
TOTAL AMOUNT
X
$6.00
)// --
2
URINALS
3
TUBS
X
$6.00
X
86.00
4
5
6
7
SHOWERS PER TRAP
SINKS
DISHWASHER
CLOTHES WASHER
BATH, STALL, ON -SITE BUILT
X
LAVS /BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X -RAY, FOOD, PREP /CULINARY MEAT
X
86.00
$6.00
$6.00
I —
la
X
86.00
x0 `
8
GARBAGE DISPOSAL
X
$6.00
L-
9
WATER SOFTENER
X
$6.00
10
11
12
ELECTRIC WATER HEATER
FLOOR DRAINS
ROOF DRAINS /OVERFLOW DRAINS
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
X
$6.00
13
FOUNTAINS, DRINKING
X
$6.00
14
15
16
17
WATER PIPING /DRAIN -IN WASTE,
VENT, PLUMBING, REVERSAL
SEWAGE EJECTOR
WATER USING DEVICE
CROSS CONNECTION DEVICE
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
/��� GRINDER, SUMP PUMP
10EJAN /OR COFFEE MAKER, HOSE BIB,
lll/// 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
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
METHOD OF PAYMENT:
['CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
X
$15.00
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Mar 09 09 03:44p WASHINGTON RIGGING
CITY ne
Community Development
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www. spokaneval ley. ori4
Approach Permit Application
5095357440
p.10
PERMIT NUMBER:
PERMIT FEE:
PROTECT ADDRESS
START DATE
‘ODID -, t fWL GpolLani. Vi y�1 02
�VI�
ANTICIPATED COMPLETION DATE 0Clr wool
Building Owner:
Name: '3116 -►'I )
Address: • . ■ t�J `
City: .. - l -. �� cur
Phone: rigling /I Fax:
Contact Person
Name: •
Phone: -00
Address: QpS• f' Red (L-ir 72J
City: �t `r y
Phone: Ci % , 9ui 9d07. Fax:
State: LJ,4 Zip: Vaz)
Contractor Lic No: &(%li/A xp Date:
City Business Lic. No:
;do
PROJECT DESCRIPTION (Provide site sketch)
n
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
Commercial /Industrial Driveway
Rural Road Section
Sidewalk Repair /Construction
Bond /Insurance certification must be on file with the city.
DISCLAIMER
The permittee verifies, acknowledges and agrees by their signatures 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
Method of Payment:
❑ Cash ❑ Check
Bankcard #:
Authorized Signature:
REVISED 39!08
Date Z
❑ Mastercard ❑ VISA
Expires: VIN #:
0
m
DY
CITY OF SPOKANE VALLEY
APR 0 8 2009
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