2009, 11-12 Permit App: 09003601 ResidenceProject Number: 09003601 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/12/2009 Page 1 of 3
Project Information:
Permit Use: NEW SFR - SEWER Contact: LYNN, RYAN
Address: PO BOX 425
C - S - Z: NEWMAN LAKE WA 99025
Setbacks: Front Left: Right: Rear: Phone: (509) 990-9029
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: East
Parcel Number: 55073.3109
SiteAddress: 1705 N BELL RD
Location:: CSV
Block: 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: 7,424 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information•
Review
Building Plan Review
Released By:
Originally Released: 11/5/2009 By: tmelbourn
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits.
Originally Released: 11/12/2009 By: mpalaniuk
Released By: - - -
Originally Released: 11/5/2009 By: JLMain
Operator: jmm Printed By: JD Print Date: 11/12/2009
Project Number: 09003601
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/12/2009 Page 2 of 3
Contractor: OWNER
Description Grp Type Notes
1&2 FAMILY R-3 VB
BASEMENT F 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
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
GAS LOG OR GAS INSERT
AIR HANDLER <=10,000 CFM
VENTILATION SYSTEM
VENTILATION MECH EXHAUST
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application:
Total Project:
Sq Ft Valuation Sq Ft Valuation
1,368 $132,463.44 1,368 $132,463.44
916 $18,320.00 916 $18,320.00
452 $6,780.00 452 $6,780.00
30 $450.00 30 $450.00
137 $2,055.00 137 $2,055.00
931 $17,689.00 931 $17,689.00
Totals: 3,834 $177,757.44 3,834 $177,757.44
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,430.55
$4.50
$572.22
$2,007.27
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
I NUMBER OF
Operator: jmm Printed By: JD
Permit Total Fees:
Print Date:
Fee Amount
$11.00
$13.00
$3.00
$11.00
$13.00
$39.00
$13.00
$103.00
11/12/2009
Project Number: 09003601 Inv: 1 Application Date: 11/12/2009 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
Plumbing Permit
Units
3
5
1
2
1
1
1
Firm: OWNER
Phone: (000)
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
000-0000
Fee Amount
$18.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$84.00
Notes•
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 Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $2,007.27 $2,007.27 $569.98 $1,437.29
Mechanical Permit $103.00 $103.00 $0.00 $103.00
Plumbing Permit $84.00 $84.00 $0.00 $84.00
$2,194.27 $2,194.27
$569.98 $1,624.29
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: 11/12/2009
kaeotsineel,�p�
• W'-*eJ
Community Development
Residential Construction
Permit Application
remui 4enter
11703 E Sprague Ave Su'
Spokane Valley, W
(509)688-0036 F
www -.s. okaneva
99206 C") P{,� �i ED
(509)686 b037
CSV PERMIT CENTER
•'' 2�Q9
Project W anstructt
Name ...Q\ AMdittion/Remo.
{Other
Submittal�
n ❑ Accessory Bldg
el 1] Deck
SITE ADDRESS: / 7 0 5 N B4// get
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
;'B' it.—!g (3;iv'ner'. -_ -. 7. _": ,- ,.;.'
E ,ar F' ='7.s:,r .
Name: R y4A/ L yI'/4/
Name: RynAl Lyiv,
Address: P O Lex ¥2,s
Address: PO 4l a x v2 S
City: or, dl y+./ //< State: wA, Zip: ?re 2r,
City. NF_ui/kAt✓ IR State: Gr/ Zip: 2ro2. tt
Phone: Fax:
ff90902�f . 9270 Secy
Phone: Fax:
7ra90z77 7�7aC97
V. PATIO FTG:
30
Contractor Lic No: Exp Date:
;Conta4t;Pers61V3... ]S.? % ' ,h G. 'v-
... ..
# OF BEDROOMS: CONSTRUCTION TYPE:
3 9r/F 4A4;/f"v•
City Business Lic. No:
yAat
Name: /}i: /'F L Pyi-.v 44/1141
Phone: 99tr7WSG ygago29Ar of
a a_--7-72-
Describe the scope of work in detail:
Cost of Project: $ 7c' poo
Proposed Use:
**************The folowine MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
2,5Pr
DIMENSIONS:
75/x30
# OF STORIES:
a /
TOTP'. HABITABLE SPACE
Ari.
MAIN FLOOR TO SO.
FTG: G ?'
2Nu FLOOR SQ. FTG:
UNFIN BASEMEN SQ. FTG:
S2 OK
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMEN GARAGE SO. FTG:
SQ. FTG: 'rent(fj rert 9i3/
V. PATIO FTG:
30
30% SLOPES ON
PROPERTY: /1/0
137
# OF BEDROOMS: CONSTRUCTION TYPE:
3 9r/F 4A4;/f"v•
HEAT SOURC :
• 645
EW SPQR SEPTIC?
The permitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construchon of or on a dwelling, the
dwelling islwill 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 bprprocessed.
SIGNATURE:
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2r15de7
❑ Check
❑ Mastercard
Expires:
/� Permit Center
L o ska e `s. 11703 E Sprague Ave, Suite B-3
�N Spokane Valley, WA 99206
—1 vuuey (309)688-0036 FAX: (509)688.0037
Community Development ,itcertt
Mechanical Permit Application
wQ-1W
PERMJT NUMBER:
PERMIT FEE:
❑ Commercial 51 Residential
SITE ADDRESS: / %/J S 1/ at/ go
Name:
Address:
/fr1 Lyn/
O fin yez
:Contra nor
Phone: ?to 90 2
Fat: 727cS99
Zip: 9fec
Com' R/Ewrt.a.v /k_ State: �NlI-
Name:
Address.
SAn F
Phone:
Fax:
City:
State:
Zip:
License No:
City Bueinese Lic:
Cooiact'Projett Manager:
Name: fie
Phone:
QCASH IJ CHECK ❑VISA ❑ MC
CARO A:
EXPIRES:
SIGNATURE
VIM:
hnpl/www.spokuoevelley.org/uploads/Community_t)evel0omerd/Donumentshonns/Building/Medumicu)PermitApplication040309 doc
!UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
/
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCTWORK SYSTEM
HEAT PUMP/AIR CONDITIONER
0-3 TON
f
AIR CONDITIONER
Over 3.15 TON
AIR CONDITIONER
Over 15-30 TON
AIR CONDn1ONER
Over 30-50 TON
AIR CONOMONER
Over 50 TON
GAS WATER HEATER
/
GAS PIPING SYSTEM (each outlet)
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, COMPRESSOR$ 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 dm, irldudinq ducts
AIR HANDLER (DOES NOT include during)
Each unit aver 10,000 crm
EVAPORATIVE COOLERS(other than portables)
VENTUAT1ON AND EXHAUST
Eacn fan connected to a singe dud
_ ;
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
/
INCINERATORS
Installation or relocation of residential
INCINERATORS
Irwtallenon or into:Won of commercial
APPLIANCES
Range, Gomes 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
QCASH IJ CHECK ❑VISA ❑ MC
CARO A:
EXPIRES:
SIGNATURE
VIM:
hnpl/www.spokuoevelley.org/uploads/Community_t)evel0omerd/Donumentshonns/Building/Medumicu)PermitApplication040309 doc
Community Development
Plumbing Permit
Pernlit Crntcr
11703 E Sprague Ave, Suite B•3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenterfaIsnokanevallev.on,
Application ❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: / ?o i N Pc/ 2L1
Building Owner.
tytw Aifiviv" •
Address: PO Qox vas-
Name:
zt
Name:
Contractor
Phone: r 0 Z`/
City iVt�w/tUF.V iii
Fax: 92 2 o SQ
State:
N/A -
770 z 5.
Name:
Address:
SAAA
Phone:
Fax:
City,
State:
Zip:
License No.
City business Lie:
Coutsct/Project Manager:
Name: ' /1t LyA4 /
Phone:
OCASH 0 CHECK 0 VISA 0 MC
Card*
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http:/Avwwspokanevalley.ory/uploads/Operations_end Administration/Finance/MasterFeeSchedule.pdf
P:\Community Development\Building Division\3odi-comm'I\PCF\DRAFT APPS\DRAFT plumbing APP.doc
* OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
3
URINALS
TUBS
2-,
SHOWERS (per trap)
/
$INKS
Lev/Basins, Bar, Floor, Kitchen, Laundry, UWity, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
.s
DISHWASHER
/
CLOTHES WASHER
/
GARBAGE DISPOSAL
/
WATER SOFTNER
FLOOR DRAIN
Area Case Coll, 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 woofer, carbonator, swamp coder
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
N Gas, See Mechanical
INOUSTRIAL WASTE PRETREATEMENT
/ INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixturo 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
OCASH 0 CHECK 0 VISA 0 MC
Card*
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http:/Avwwspokanevalley.ory/uploads/Operations_end Administration/Finance/MasterFeeSchedule.pdf
P:\Community Development\Building Division\3odi-comm'I\PCF\DRAFT APPS\DRAFT plumbing APP.doc
r 1
10' Sewer Easement
4""G.`fCl1 LG! a
03A0addb '1d3d JNINNVld
nos a ad ell
deck
house
44' wide
—I
37'
garage
30' wide
78' wide
Bell Road
84.00'
10' Border Easement
A
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2.4se -
R.dy6-
dlgci J
Lot 9
aserriei
UEfVEr!
CSV PERMIT GE- 1EP
NOV 0 3 2009
Project #21LakSak
Name Oi-
Submittal #�
6.00'
6.17'