2009, 10-12 Permit App: 09002947 ResidenceSpokane
.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
www.spokanevalley.org
PERMIT NUMBER:
PERMIT FEE:
New Construction
Addition/Remodel
n Other:
Accessory Bldg
Deck
SITE ADDRESS: /73 /4 . Ba lkiGvi» /7 l� g S /'o�r/%e (/C�11/� 99(;m'
ASSESSORS PARCEL NO: r,3 0?-3 . / 3 �'� LEGAL DESCRIPTION:
Building Owner:
{ 1
Name: �(?�'� 0// r HOS/e 1 ( /I L
Address: / &Q/ ( , l .re!) CY 4
City: j *LA' , Vat tate: GL/ l% Zip: / ?0/Z
Phone: /"9/)? 7 pe r / Fax:
Contact Person
re v e »2X
7 -, D /6orY
�9
9
Name: r
Phone:
Describe the scope of work in detail:
Contractor: 0
(
cm
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE
AREA:
MAIN FLOOR TO SQ.
FTG: 1 q
Name:
UNFIN BASEMENT SQ. FTG:
(J/ -
FINI HED BASEMENT
SQ. FTG:
GrA�RA ESQ. FTG:
b l
1 i OV. PAT ' SQ. FTG:
?3 Z 3 i
Address:
# OF BEDROOMS:
•3
CONSTRUCTION TYPE:
i Old/
' ' T . • 'CE:
Vi
SEWER OR SEPTIC?
ieweer
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Cost of Project: $
Proposed Use:
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT T9 PEAK:
21
DIMENSIONS: i
LO X S8
# OF STIES:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE
AREA:
MAIN FLOOR TO SQ.
FTG: 1 q
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
(J/ -
FINI HED BASEMENT
SQ. FTG:
GrA�RA ESQ. FTG:
b l
1 i OV. PAT ' SQ. FTG:
?3 Z 3 i
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
•3
CONSTRUCTION TYPE:
i Old/
' ' T . • 'CE:
Vi
SEWER OR SEPTIC?
ieweer
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:
416k
Method of Payment:
❑ Cash Check
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Mastercard
Expires:
DATE: —15- —O9
RECEIVED
❑ VISA
VIN #:
CSV PERMIT CENTER
SEP 1 5 2009
Project #8� - - -•-
Name
Submittal #j___
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
❑ SITE PLAN
❑ Property lines and dimensions
❑ Direction arrow pointing North and orientation to streets
❑ Proposed /existing buildings (footprint and dimensions)
❑ Utilities, septic tank/drain field locations and distances
❑ Setbacks to property lines
❑ Distance between buildings
❑ Right of way /easement location & sizes
❑ Driveway approach size and location
BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned)
❑ Elevations (Front/Rear /Sides) with roof peak and wall height including basement:
❑ Foundation Plan (crawlspace, basement or slab on grade):
❑ Footing sizes and locations
❑ Perimeter concrete foundation wall sizes
❑ Crawlspace ventilation
❑ Supporting wood cripple walls or beams
❑ Thickened concrete pads supporting
beams or girder trusses
❑ Floor Plan of each level (finished or unfinished) with dimensions:
❑ Floor Joist direction, size and spacing
❑ Header, beam or concrete lintel sizes
❑ Brace wall panel locations
❑ Water heater and furnace locations
❑ Exhaust fan locations
❑ Deck or concrete patio sizes and locations
❑ Roof Plan:
❑ Engineered truss direction and spacing
❑ Rafter and over frame direction, size and spacing
❑ Wall Section Detail including:
Roof
❑ Slope/ roofing material/ underlayment/ ice dam protection
❑ Sheathing size and type
Ceiling
❑ Joist size and spacing
Wall
❑ Height/ top plate/ stud size and spacing/ sole plate
❑ Exterior sheathing size and type
Floor
❑ Joist size and spacing
Foundation Wall
❑ Concrete or Masonry unit width
❑ Earth to wood separation distance
Footing
❑ Size
Radon
❑ Passive system with 6mil vapor barrier
Miscellaneous Construction Details
❑ Deck:
❑ Floor plan/ side view/ dimensions
❑ Floor Joist/ decking direction, size and spacing
❑ Stairway tread rise & run and nosing
❑ Window and door location and sizes
❑ Window well locations if applicable
❑ Room usage labels
❑ Smoke detector locations
❑ Attic and crawl space access locations
❑ Fire Wall construction
❑ Ridge, eave and valley lines
❑ Beam and girder size and location
❑ Truss or rafter size, spacing & connection
❑ Attic insulation/ air space baffle/ ventilation
❑ Size of ceiling gypsum wall board
❑ Siding/ exterior house wrap/ anchor bolts
❑ Insulation, vapor barrier, gypsum wall board
❑ Sheathing or concrete floor size/ insulation
❑ Footing bottom to finished ground level depth
❑ Horizontal & vertical reinforcement if any
❑ Reinforcement if any
❑ Active system with 6 mil vapor barrier
❑ Footings/ post/ and beam size and locations
❑ Handrail / Guard height & spacing
Address:
City:
State:
Zip:
Sj o1' ems''`
jMalley�
Community Development
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
permitcenter (7a,spokanevalley.org
Mechanical Permit Application
I1
PERMIT NUMBER:
PERMIT FEE:
Commercial ® Residential
SITE ADDRESS:
Building Owner
Name:
Address:
Contractor
/71/1/ (c' ` &/MME, five. Sf/cL U44r, 1a/A1 0/6
Name:
Phone:
Fax:
License No:
City Business Lic:
Contact/Project Manager:
Name:
Phone:
DCASH ,CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http: / /www. spokanevalley. org/ uploads /Community_Development/ Documents / Forms /Building/MechanicalPermitAppl i cation040309.doc
#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
i
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
1
GAS PIPING SYSTEM (each outlet)
'3
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(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
J
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
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
DCASH ,CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http: / /www. spokanevalley. org/ uploads /Community_Development/ Documents / Forms /Building/MechanicalPermitAppl i cation040309.doc
SPoa.�
.00e
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
permitcenter@spokanevalley.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
Commercial residential
SITE ADDRESS: l 72J// P, id/kV/7 l4ie
Building Owner 50 0 0 j u
Name: Phone: /a `7, _ 3?
/ 4 Fax:
U/
/ / City: ` .1.x/77
J ?On
Address: J ?07 i
.� %% , Zip: /
_ .
Contractor
IF
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS S
Cx J
URINALS
t
TUBS
SHOWERS (per trap)
r
SINKS
Lav /Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food,
Prep /Culinary Meat
3—
DISHWASHER 1
1
CLOTHES WASHER ►
/
GARBAGE DISPOSAL I
WATER SOFTNER
/
FLOOR DRAIN )
Area, Case, Coil, Trench, Condensate
1
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
DCASH ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE: 04e/ f
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http: / /www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http: / /www.spokanevalley. org /uploads /Community_Development/ Documents / Forms / Building/ PlumbingPermitApplication040309. doc
Project Number: 09002947 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/12/2009 Page 1 of 3
Project Information: 75W .rt- , Meet �9 AM
Permit Use: SFR W /ATT GAR Contact: KOSTENYUK, VALERIE G
Address: 19013 E RIVERWALK LN
C - S - Z: SPOKANE VALLEY, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 927 -8016
Group Name:
Project Name:
Site Information:
Plat Key: Name: Range
District: East
Parcel Number: 55073.1352 Block:
SiteAddress: 17114 E BALDWIN AVE
Location:: CSV
Lot:
Owner: Name: KOSTENYUK, VALERIE G
Address: 19013 E RIVERWALK LN
SPOKANE VALLEY, WA 99016
Zoning: R -3 SF Res District
Water District: 134 CONSOLIDATED ID #19
Area: 20,867 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released:
Driveway /Approach
9/24/2009 By: tmelbourn
Released By:
HAS BEEN APPLIED FOR
Originally Released: 10/12/2009 By: jdavis
Landuse /Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released:
9/16/2009 By: tschmidt
Released By:
Operator: JD
Printed By: JD
Print Date: 10/12/2009
Project Number: 09002947
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/12/2009 Page 2 of 3
Contractor: OWNER
Description Grp Type Notes
1 &2 FAMILY 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
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Item Description
DUCT WORK SYSTEM
GAS WATER HEATER
GAS APPLIANCE <= 100,000BTU
GAS PIPING
AIR CONDITIONER:4 -15 TONS
RANGE
VENTILATION MECH EXHAUST
Building Permit
Firm: OWNER
Phone: (000) 000 -0000
This Application:
Si Ft Valuation
1,953 $189,108.99
1,925 $28,875.00
238 $3,570.00
234 $3,510.00
818 $15,542.00
Totals: 5,168 $240,605.99
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Units
1
1
1
3
1
1
5
Operator: JD Printed By: JD
Total Project:
Su Ft Valuation
1,953 $189,108.99
1,925 $28,875.00
238 $3,570.00
234 $3,510.00
818 $15,542.00
5,168 $240,605.99
Fee Amount
$1,783.35
$4.50
$713.34
$2,501.19
Firm: OWNER
Phone: (000)
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
000 -0000
Fee Amount
$11.00
$11.00
$13.00
$3.00
$21.00
$10.00
$65.00
$134.00
10/12/2009
Project Number: 09002947 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/12/2009
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER HEATER - ELECTRIC
FLOOR DRAINS
Plumbing Permit
Page 3 of 3
Firm: OWNER
Phone: (000) 000 -0000
Units Unit Desc
3 NUMBER OF
5 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Notes: :t - .: .:
rte.
As per SVMC 19.40.020B all residential driveways shall be paved...with an approved hard surface
material.
Fee Amount
$18.00
$30.00
$12.00
$6.00
$6.00
$ 6.00
$ 6.00
$6.00
$90.00
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
$2,501.19
$134.00
$90.00
Invoice Amount
$2,501.19
$134.00
$90.00
$2,725.19 $2,725.19
Amount Paid
$695.42
$0.00
$0.00
Amount Owing
$1,805.77
$134.00
$90.00
$695.42
$2,029.77
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: 10/12/2009
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