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2006, 09-18 Permit App: 06003759 ResidenceS.�,� Permit Center okane 11707 E Sprague Ave, Suite 10 Spokane Valley, WA 9920 (509)688 -0036 FAX: (509 ... Community Development www.spokanevalley.org.cs �Ualley Residential Construction Permit Application Ulllljf � ❑ New Construction ❑ Addition/Remodel ❑ Other: ❑ Accessory Bldg ❑ Deck SITE ADDRESS 47-03 Al fy2etl ad ASSESSORS PARCEL NO: -Nd . 6aC LEGAL DESCRIPTION: Building owner Name: snail a' 7 Eck ('L t o L I& -4 �-- Address: 5 O,3- Al �e��C1eiJ City: �7�i'ok.m e'. Lima (ley Zip: CM/ (v / Phone: 9,p y— j J ! % Fax: Contact Person Name: . fiGv') tic le(.t'- Phone: 599 Describe the scope of work in detail: So ,le s4 rad� b /er Contractor DIMENSIONS: K 6' :i. Name: TOTAL HABITABLE SPACE: z / 3 / Address: 2 FLOOR SQ. FTG: G City: Zip: Phone: Fax: Lic No: Exp. Date: City Business Lic No: CONSTRUCTION TYPE: Cost of Project: * * * * * * * * * * * ** *The following MUST be complete: (write N/A if not a licable) * * * * * * * * * * * * * * * * ** HEIGHT O:PEAK: °�`� DIMENSIONS: K 6' :i. PP # OF STORIES: / TOTAL HABITABLE SPACE: z / 3 / MAIN FLOOR TO SQ. FTG: /6/6 f�L 2 FLOOR SQ. FTG: G UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE AREA: FINISHED BASEMENT SQ. FTG: . --:— GARAGE SQ. FTG: t' 4- DECK/COO , SQ. FTG: �, � o K 30% SLOPES ON PROPERTY: # OF BEDR'OMS: nicri AIRRCD CONSTRUCTION TYPE: HEAT SCURC�.E: �_., ,\ SEWER (R SEPTIC ?i 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) PI. ns or additional information may be required to be submitted, and subsequently approved before this application c_ • . - .rocessed. Signature Method of ❑ Cash Bankcard #: Date ayment: (Faxed permit applications will only be accepted with major bankcard) ❑ Check ❑ Mastercard ❑ VISA Expires: VIN #: Authorized Signature: REVISED 8/25/2005 9 -/=©6 ❑ Other Permit Center S I 11707E Sprague Ave, Suite 106 Spokane Valley, WA (509) V .7 (509)688 -0036 FAX: (509)688 -0037 www.spolcanevalley.org.com Community Development 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 ❑ Fumace 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.sookanevallev.ore.com Plumbing Permit Application [] Commercial XResidential PERMIT NUMBER: PERMIT FEE: SITE ADDRESS: 1/11-)3 Id Bar/061 Building owner J3(U*V\ 4 (1(CL'e j'Ut ec '- Name: /) Phone: 9 /Nit,- Fax: Address: 5 C/ nyite / City: it %f lICy State: )l Zip: ip: tiV 2/6 Contractor WATER CLOSET, BIDETS Name: $6.00 Phone: Fax: Address: of ((S 6&Ye City: State: Zip: License No: / City Business License No: Contact = 3 Name: Phone: AUTHORIZED SIGNATURE: REVISED 8/26/05 DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6.00 = %d,,00 2 URINALS X $6.00 = 3 TUBS 01 X $6.00 = /; • a) 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT c9■ X $6.00 = /r) . 00 5 SINKS LAYS /BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X -RAY, FOOD, PREP /CULINARY MEAT ,� X $6.00 = 3° 00 6 DISHWASHER 1 X $6.00 = (, 00 7 CLOTHES WASHER , X $6.00 = � 00 8 GARBAGE DISPOSAL / X $6.00 = 6,270 9 WATER SOFTENER X 86.00 = 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 = C 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 Card# SUBTOTAL (C� ❑ VISA ❑ MASTERCARD PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: l /V! 3 / ., (.,k) AUTHORIZED SIGNATURE: REVISED 8/26/05 Sp6kannee .0,SValley Community Development Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688 -0036 FAX: (509)688 -0037 www.spokan evallev.orc.corn Mechanical Permit Application II PERMIT NUMBER: PERMIT FEE: Commercial Residential SITEADDRESS: /1(x'3 Al mile Building owner P , C &VI t ' O tit HC ItL' k Name: Phone: t% a L{ - 1 'q q Fax: _ Address: 5 do-} /J `f 16 +Y Lltw City: Seopa nk Iklle�% State: 1, Zip: Cj7 2/ 4. Contractor Name: DO wie a 5 a t Phone: Fax: Address: , City: State: Zip: License No: City Business License No: 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 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 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 = 1O:oc) 13 RANGE X $10.00 14 DRYER X $10.00 15 FUEL BURNING WATER HEATER 16 MISC. FUEL BURNING APPLIANCE x $10.00 = 10,o0 x $10.00 17 GAS PIPING (each outlet) 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 = Id -co 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15.00 22 EVAPORATIVE COOLERS 23 TYPE I HOOD 24 TYPE II HOOD X $10.00 X $50.00 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 812.00 36 INCINERATOR - RESIDENCE X $19.00 37 INCINERATOR - COMMERCIAL X $22.00 METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: AUTHORIZED SIGNATURE: DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: REVISED 8/26/05 Project Number: 06003759 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/19/2006 Page 1 of 2 Project Information:.. -.. Permit Use: SFR, GAS HEAT, ON SEPTIC Contact: Address: C - S - Z: Setbacks: Front Left: Right: Rear: Phone: Group Name: Project Name: Site Information: Plat Key: Name: Range HOLECEK, BRIAN J & DARCIE 5207 N MAYHEW RD SPOKANE VALLEY, WA 99216 -1463 (509) 924-1849 s..... District: East Parcel Number: 45022.6204 Block: SiteAddress: 4703 N BANNEN RD Location:: SPO Zoning: UR -3.5 Water District: Area: .42 Acres Urban Residential 3.5 Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Lot: Owner: Name: Address: HOLECEK, BRIAN J & DARCIE 5207 N MAYHEW RD SPOKANE VALLEY, WA 99216 -14 Hold: ❑ Depth: 0 Right Of Way (ft): 0 • Review Flood Plain Released By: Building Plan Review Originally Released: 9/19/2006 By: amblake Released By: —T-73-‘- d O C Driveway /Approach Released By: Septic Sys Review `+ 1i (0o Landuse /Zoning/HE Conditions Released By Released By: Operator: AMB Printed By: AMB Print Date: 9/19/2006 Project Number: 06003759 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/21/2006 Page 1 of 3 Project Information: AMPLIMEOMV Permit Use: SFR, GAS HEAT, ON SEPTIC Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Name: Range .. 9 Contact: HOLECEK, BRIAN J & DARCIE Address: 5207 N MAYHEW RD C - S - Z: SPOKANE VALLEY, WA 99216 -1463 Phone: (509) 924 -1849 Group Name: Project Name: District: East Parcel Number: 45022.6204 Block: SiteAddress: 4703 N BANNEN RD Location:: SPO Zoning: UR -3.5 Water District: Urban Residential 3.5 Lot: Owner: Name: HOLECEK, BRIAN J & DARCIE Address: 5207 N MAYHEW RD SPOKANE VALLEY, WA 99216 -14 Hold: ❑ Area: .42 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Flood Plain Released By: Building Plan Review Originally Released: 9/19/2006 By: amblake Released By: Driveway /Approach Originally Released: 9/20/2006 By: TMELBOU Released By: Originally Released: 9/21/2006 By: amblake Septic Sys Review L Released By: Ct 1l 1 1 kbke7 t l&i ato Operator: AMB Printed By: AMB Print Date: 9/21/2006 Project Number: 06003759 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/21/2006 Page 2 of 3 Landuse /Zoning/HE Conditions Permits: 4 Released By: Originally Released: Contractor: OWNER Item Description APPROACH -CONST IN ROW Contractor: OWNER Description Grp km Notes 1&2 FAMILY R -3 VB 2ND FLOOR R -3 VB DECK OPEN R -3 VB GAR WOOD U -1 VB Item Description RESIDENTIAL PERMIT FEE WSBC SURCHARGE SF PLNS RVW < 7999 SQ FT Contractor: OWNER Item Description GAS WATER HEATER GAS LOG OR GAS INSERT AIR HANDLER <= 10,000 CFM 9/21/2006 By: MBASINGE Agaga- Approach Firm: OWNER Phone: Units Unit Desc 1 NUMBER OF Permit Total Fees: Building Permit Firm: OWNER Phone: (000) 000-0000 (000) 000-0000 Fee Amount $50.00 $50.00 This Application: Su Ft Valuation 1,806 $155,984.22 365 $27,258.20 655 $9,825.00 612 $11,628.00 Total Project: Su Ft Valuation 1,806 $155,984.22 365 $27,258.20 655 $9,825.00 612 $11,628.00 Totals: 3,438 $204,695.42 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Permit Total Fees: Mechanical Permit 3,438 $204,695.42 Fee Amount $1,581.75 $4.50 $632.70 $2,218.95 Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Operator: AMB Printed By: AMB Permit Total Fees: Print Date: Fee Amount $10.00 $10.00 $12.00 $32.00 9/21/2006 Project Number: 06003759 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/21/2006 Contractor: OWNER Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER PIPING - DWV Plumbing Permit Page 3 of 3 Firm: OWNER Phone: (000) Units Unit Desc 2 NUMBER OF 5 NUMBER OF 2 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 2 NUMBER OF Permit Total Fees: 000 -0000 Fee Amount $12.00 $30.00 $12.00 $12.00 $6.00 $6.00 $6.00 $12.00 $96.00 Notes: All driveway approaches to be constructed per Spokane County Standards as adopted by the City of Spokane Valley. Minimum of 7.5' from each property line, 5' from crosswalks or intersection curb and minimum of 15' of separation between any two approaches. Flat portion of a residential approach to be minimum of 16' wide, maximum of 30' wide and combined approach width not to exceed 50% of total frontage. (A) ❑THE BULDING OFFICIAL IS AUTHORIZED TO REQUIRE THE PERMIT APPLICANT TO PROVIDE FEE REIMBURSEMENT TO THE CITY OF SPOKANE VALLEY FOR ANY PROFESSIONAL SERVICES REQUIRED OUTSIDE OF CITY STAFF REVIEW. (B) ❑SOME EXAMPLES OF POTENTIAL OUTSIDE RESOURCES INCLUDE PLAN REVIEW, CONSTRUCTION INSPECTION AND SURVEYING. Payment Summary: , ,,, . T Permit Type Fee Amount Invoice Amount Amount Paid Approach $50.00 $50.00 $0.00 Building Permit $2,218.95 $2,218.95 $0.00 Mechanical Permit $32.00 $32.00 $0.00 Plumbing Permit $96.00 $96.00 $0.00 Amount Owing $50.00 $2,218.95 $32.00 $96.00 $2,396.95 $2,396.95 $0.00 $2,396.95 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: AMB Printed By: AMB Print Date: 9/21/2006 10/18/2006 12:18 5093241567 u i aD dtJtcb tatl :49 FR Project Nur�1> u: 06003 759 Inv: 1 SRHD EHS TO 3241567 Application Date: 9/21/2006 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Permit Use: S ER., GAS HEAT, ON SEPTIC Contact: HOLECEK, BRIAN .1 & DARCIE Address: 5207 N MAYW RD SPOKANE VALLEY, WA 99216 -1463 (509) 924 -1849 3 0 577 -230 District: East PAGE 01/01 P.01/03 Page 1 of 3 Setback X'rant Left: Right: Roar: its rr►�c�n' Plat Ke /: Name: Range Parse Number: 43022.6204 Block: eAddress: 4703 N BANNEN RD Location:: SPO Zoning: UR -3.3 Water District: Area: .42 Acres C -9 -Z: Phone: Group Name: Project Name: Urban Residential 3.5 Width 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 EVA/L O mallow Ratite PNood Plain B ui Ir Ing Plan Review I1r? v >.way /Approach Lot: Owner: Name: ROLECEK, BRIAN J & DARCIE Address: 5207 N MAYREW RD SPOKANE VALLEY, WA 99216 -14 Hold: ❑ Depth 0 Right Of Way (ft): 0 Originally Released: 9/19/2006 By: amblake Originally Released: "a' 9/20/2006 By TMELBOU Originally Released: Se;,t t¢ Sys Review Open cor: AMB OCT 18 2006 13: 40 9/21/2006 By: amblake Seviat, 4,,..,:,„. L,, °it — .._.tZ@Slra nms or ,t.3auL'r'2.-F t y,- OCCUPANCY NOT ALLOWED until system -• nsict0ett ,n nab tfit HD vim War-- Printed By: AMB Print Date: 9/21/2006 5093241567 PAGE.01 11 1 A •■■••■•• t PLANNING DEPT. APPROVED 1 BY: DATE: /Lao", <0444.44. 3O— 1 el c) 41144444.............owomornownrowommolot4.404444.44.4.44normeeserak.,.....*.ar.44,,,,, (%6 •