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2010, 04-06 Permit App: 10000920 ResidenceSpol�ane _ Valley 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 permitcenter@spokanevalley.org PERMIT NUMBER:1 O 92._o PERMIT FEE: [New Construction n Addition /Remodel Other: ❑ Accessory Bldg ❑ Deck SITE ADDRESS: / 7 /07 E Aaaod GBiiR r ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building Owner: t9 �,: 7--- Name: Al Le�. ZyN� TOTAL HABITABLE SPACE: oK 1 Name: 2 FLOOR SQ. FTG: k - 0-'--- - / City: NElv/t'1 i4/ ,/ State: us Zip: ?r<'/ ?1 Address:p Y ,t`,2 ¶ Contractor Lic No: Exp Date: ' 6�c 9,c��+tb 2 �i/ City: (> /hA,A7 f State: �� Zip: `�y Z� Phone: Fax: Contact Person '4 L y/✓,(J Name: ,y : /(ai- L v∎cid/ (7V-/ Phone: Describe the scope of work in detail: Contractor: �i , ��I94tic et 7--- Name: Al Le�. ZyN� TOTAL HABITABLE SPACE: oK 1 Address: ' n5x ,_/)+ -� 2 FLOOR SQ. FTG: k - 0-'--- - / City: NElv/t'1 i4/ ,/ State: us Zip: ?r<'/ ?1 Phone: Fax: GARAG FT /- �� J 2 Contractor Lic No: Exp Date: ' 6�c 9,c��+tb 2 �i/ City Business Lic. No: 6D2, F30 X63 Cost of Project: $ re,ceo Proposed Use: * * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * ** HEIGHT TO PEAK: � y DIMENSIONS: 97X5- # OF STORIES: .� TOTAL HABITABLE SPACE: oK 1 MAIN FLOOR TO SQ. FTG: p - 2 FLOOR SQ. FTG: k - 0-'--- - UNFIN BASEMENT Q. FTG: IMPERVIOUS SURFACE AREA: FINISHED BA NT SQ. FTG: GARAG FT /- �� J 2 ' EC COV - • Id SQ. FTG: 0 o (-- 30% SLOPES ON PROPERTY: # OF BEDROOMS: CONSTRUCTION TYPE: uJ vd.0 /G'R"Mt_ •_ - . �� SEWER OR SEPTIC? 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 supmitted, and subsequently approved before this application can be ocess ed. SIGNATURE: / ; Pfd Method of Payment: ❑ Cash Bankcard #: Authorized Signature: REVISED 2/15/07 ❑ Check ❑ Mastercard Expires: DATE: ❑ VISA VIN #: Spol�aa �°` jVa11ey. Community Development Mechanical Permit Application 11703 E Sprague Ave, Suite B -3 Spokane Valley, WA 99206 (509)688 -0036 FAX: (509)688 -0037 permi tcenter(&,spokan eval l ev. org PERMIT NUMBER: PERMIT FEE: ❑ Commercial esidential SITE ADDRESS: / ? / D ? '- �i 6' 7 G7 Building Qwner Name: Address: Contractor 2: r /7 wuse_ � -57 Pp /1e ¥ A- Phone: i�p J y g— Fax: City: ,�(J�t t0(Li �t-0 HZ_ State: it Zip: (41, 2� Name: ih t 6F= Address: F 11 eX y Z� License No: 1 L7; 6 ��� /� 6 Contact/Project Manager: Phone: Syr? �S /' Fax: yr 2 City: � l /M !o fa /fir State: tu�,.. Zip: Fger25 City Business Lic: P- 2 K716 Name: Phone: r- 4 E i ...� y #UNITS FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION Up to & including 100,000 BTU FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION Over 100,000 BTU DUCT WORK SYSTEM HEAT PUMP /AIR CONDITIONER 0 -3 TON AIR CONDITIONER Over 3 -15 TON AIR CONDITIONER Over 15 -30 TON AIR CONDITIONER Over 30 -50 TON AIR CONDITIONER Over 50 TON GAS WATER HEATER GAS PIPING SYSTEM (each outlet) Z GAS LOG, FIREPLACE, & GAS INSERT APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT REPAIRS OR ADDITIONS BOILER, COMPRESSORS, ABSORPTIONS SYSTEM 0 to 3 hp- 100,000 BTU or less BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 3 - 15 hp - 100,001 to 500,000 BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 15 - 30 hp - 500,001 to 1,000,000 BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 30 hp - 1,000,001 to 1,750,000 BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 50 hp - over 1,750,000 BTU AIR HANDLER (DOES NOT include ducting) Each unit up to 10,000 cfm, including ducts AIR HANDLER (DOES NOT include ducting) Each unit over 10,000 cfm EVAPORATIVE COOLERS(otherthan portables) VENTILATION AND EXHAUST Each fan connected to a singe duct 2, VENTILATION AND EXHAUST Each ventilation system VENTILATION AND EXHAUST Each hood served by mechanical exhaust INCINERATORS Installation or relocation of residential INCINERATORS Installation or relocation of commercial APPLIANCES Range, Clothes Washer UNLISTED APPLIANCES Under 400,000 BTU UNLISTED APPLIANCES Over 400,000 BTU HOOD Type I f 1 HOOD Type II L P STORAGE TANK WOOD OR PELLET STOVE INSERT WOOD STOVE SYSTEM - FREE STANDING ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: EXPIRES: http : / /www.spokanevalley. org / uploads/ Community_Development/Documents/ Forms / Building/ MechanicalPermitApplication040309 .doc Sarr,x�e`.. V r cu un L,ci u.cI 11703 E Sprague Ave, Suite B -3 Spokane Valley, WA 99206 (509)688 -0036 FAX: (509)688 -0037 permitcenter 6i/spokanevallev.org Community Development Plumbing Permit Application PERMIT NUMBER: PERMIT FEE: ❑ Commercial esidential SITE ADDRESS: / 7/0 2 E 1) lai/f! L 7 Building Owner �i Name: /y� .4/ Ly Phone: 9'4q 7 g� 6 Fax: �.7 6_7 2 .YO � Address: i P D A b X y 2 5 - Cit : Aff- tJ/1/4kAl v / / State: 04,1_ Zip: Wa . - Contractor Name: Phone: Fax: 47), ©9 Address: aay- //Z ; City: State: tu� Zip: 7g- 7 C- License No: k , ,!, , e__ q, A.6 City Business Lic: .d z ?Z `Q3 4. Contact/Project Mana r: r Name: nil 7/ /�- Ay j 1 Phone: 99q -7U <--- t/r ,c L / # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS Z URINALS TUBS SHOWERS (per trap) SINKS Lav /Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food, Prep /Culinary Meat 3 DISHWASHER / CLOTHES WASHER / GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate ROOF DRAIN /OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING /DRAIN -IN WASTE Installation, Alterations, Repair, Reversals WATER USING DEVICE Ice and /or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas, See Mechanical INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including traps, vents except kitchen type grease interceptors functioning as fixture traps REPAIR OR ALTERATION Water piping, drainage or vent piping ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers MEDICAL GAS INCEPTORS ❑CASH ❑ CHECK ❑ VISA ❑ MC Card# SIGNATURE: EXPIRES: VIN: CURRENT FEES AVAILABLE AT: http: / /www.sookanevallev.orq/ under the quick links for Forms, Master Fee Schedule. http: / /www.spokanevalley.org/ uploads / Community_ Development/Documents / FormsB uilding/ PlumbingPermitApplication040309 .doc Project Number: 10000920 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/8/2010 Page 1 of 3 Project Information: Permit Use: SFR W /ATT GAR Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Name: Range Contact: BRIGHTHOUSE CONSTRUCTION Address: PO BOX 425 C - S - Z: NEWMAN LAKE WA 99025 Phone: (509) 226 -3248 Group Name: Project Name: District: East Parcel Number: 55073.3107 Block: SiteAddress: 17107 E AUGUSTA CT Location:: CSV Lot: Owner: Name: LYNN, MICHAEL E & LYNDA A Address: 8915 E HARRINGTON AVE SPOKANE, WA 99212- Zoning: R -4 SF Res Urban District Water District: 134 CONSOLIDATED ID #19 Hold: Area: 6,035 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Released By: Originally Released: 4/8/2010 By: tmelbourn Landuse /Zoning/HE Conditions Released By: Sewer Review Permits: Originally Released: 4/6/2010 By: tschmidt Released By: Operator: JD Printed By: jmm Print Date: 4/8/2010 Project Number: 10000920 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/8/2010 Building Permit Page 2 of 3 Contractor: BRIGHTHOUSE CONSTRUCTION Firm: BRIGHTHOUSE CONSTRUCTION Address: PO BOX 425 Phone: (509) 226 -3248 NEWMAN LAKE WA 99025 This Application: Total Project: Description Grp Type Notes SQ Ft Valuation SQ Ft Valuation 1&2 FAMILY R -3 VB 480 $47,496.00 480 $47,496.00 2ND FLOOR R -3 VB 616 $45,713.36 616 $45,713.36 BASEMENT F R -3 VB 480 $9,600.00 480 $9,600.00 DECK OPEN R -3 VB 100 $1,500.00 100 $1,500.00 GAR WOOD U -1 VB 528 $10,032.00 528 $10,032.00 Item Description RESIDENTIAL PERMIT FEE WSBCC SURCHARGE SF PLNS RVW < 7999 SQ FT Totals: 2,204 $114,341.36 2,204 $114,341.36 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Fee Amount $1,077.75 $4.50 $431.10 Permit Total Fees: $1,513.35 Mechanical Permit Contractor: BRIGHTHOUSE CONSTRUCTION Firm: BRIGHTHOUSE CONSTRUCTION Address: PO BOX 425 Phone: (509) 226 -3248 NEWMAN LAKE WA 99025 Item Description GAS WATER HEATER GAS APPLIANCE <= 100,000BTU GAS PIPING VENTILATING FANS 1 DUCT HOOD - TYPE I Units Unit Desc 1 NUMBER OF 1 NUMBER OF 2 # OF UNITS 2 NUMBER OF 1 NUMBER OF Fee Amount $11.00 $13.00 $2.00 $22.00 $52.00 Permit Total Fees: $100.00 Operator: JD Printed By: jmm Print Date: 4/8/2010 Project Number: 10000920 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/8/2010 Contractor: BRIGHTHOUSE CONSTRUCTION Address: PO BOX 425 NEWMAN LAKE WA 99025 Item Description TOILETSBIDETS SINKS TUBS DISH WASHERS CLOTHES WASHER FLOOR DRAINS Plumbing Permit Firm: BRIGHTHOUSE CONSTRUCTION Units 2 3 2 1 1 1 Phone: Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: (509) 226 -3248 Fee Amount $12.00 $18.00 $12.00 $6.00 $6.00 $6.00 FLORA ESTATES -REFER TO ADE -19 -06 FOR LOT WIDTH/FRONTAGE -MH FLORA ESTATES -SEE FILE ADE -19 -06 FOR LOT FRINTAGE/WIDTH -MH Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount Invoice Amount $1,513.35 $1,513.35 $100.00 $100.00 $60.00 $60.00 Amount Paid $419.90 $0.00 $0.00 $60.00 Amount Owing $1,093.45 $100.00 $60.00 $1,673.35 $1,673.35 $419.90 $1,253.45 Page 3 of :1 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: jmm Print Date: 4/8/2010 Spokane 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