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2011, 10-06 Permit App: 11003127 ResidenceR3-7 QL.tr Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 720-2540 Fax: (509) 688-0037 permitcenterOsookanevaIlev.orq (Staff Use Only) 3/z7 PERMIT NUMBER: PERMIT FEE: RESIDENTIAL CONSTRUCTION PERMIT APPLICATION Mi NEW CONSTRUCTION DECK SITE ADDRESS: 122o 12 ADDITION/REMODEL IS OTHER 5 • [ eo / ACCESSORY BUILDING ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: zoT z /3/oc.k / NAME: ADDRESS: �vi� ��•� f7 7i Ass L.L C,_ / 2Z Ns 64Y/kw,vQ CITY: ogdile- (A) // elz 6`7oo PHONE: STATE: FAX: Sb%- 2-22 -0,(9SaLL: CONTACT NAME: I6,of ZIP: 5%,) 04-. g/7--c..v PHONE: (7 - FAX: 492Z- G / 9_3—CELL: a f 7 - 6.70c) CONTRACTOR NAME: f (// ,.i d1,4 it6i7 r 't s' 44C MAILING ADDRESS: CITY: PHONE: 5"?/C,- Vc)f/L-7 /.7 — G-7 , c FAX: STATE: 4.4.44 - 22- 22- o/ 95 - CELL: ZIP: CONTRACTOR LICENSE No.:rr•vL EXPIRES: iC �t//yfjL �js'y�U-3 � /2 -li� CITY BUSINESS LICENSE���a:,�- DESCRIBE THE SCOPE OF N�WORK IN DETAIL D INDICATE.USE & P 945 4 cit v7 / ��. i1�•� 7�r�% ****YOU MUST COMPLETE THE FOLLOWING*** M Height to Peak: / �7 Dimensions: 3a x 41/ - -- No. of Stories: 01 �i NT �bitabte s tt7 Main Floors 0 Upper F on r IF: 0 le- Unfinished �4.0 134 t Impervio Surface Area: �ev_ Fin (> ment SQ 30% Slopes on Property: i%/� Garage SQ 1.1: 3"- ?La" o 14-- Deck/C�vered ratio SQ FT: 7C) rar 0 K No. of Bedrooms: 3 Construction Type: Atipi d Heat urce: C� 4-5 Sewer or Septic:`5C 7tr- TOTAL COST OF PROJECT: $ 2' O 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 required to be submitted and subseque.tly approved before this application can be processed. Signature Date: 1 // Updated 1-11-11 Page 1 of 1 P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Building Permit - Residential 11- 11-11.doc Permit Center 117Q3 E Sprague Ave, Suite B-3 �,y Spokane Valley, WA 99206 (509) (509)688-0036 FAX: (509)688-0037 Community Development permitcenter(a>,spokanevalley.org Mechanical Permit Application / PERMIT NUMBER: PERMIT FEE: [1 Commercial KResidential SITE ADDRESS: /220 5 • a6 // Building Owner Name: eet!/4 f l td✓d(-7 bbid7ts 4L c )22. IL 1. v4)0.4d d3 Address: Contractor Phone: 40,..,2I7 -470a Fax: 922 -co f City: /d1 e G/ /,e7 State: Wi - zip: ,94de,G Name: 1 i' ,frsLLC- Phone: 1 7 „. 70 a Fax: oIZ2-o/95— Address: I z a ,('. Ra /7 Ord 3 License No: Kei vL,v/h /77.9,--..m."3 City: o/ i, -1e 14/11 State: City Busin Lic: Zip: .1 04 Contact/Project Manager: Name: Phone: --7_c lav ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #. EXPIRES: SIGNATURE VIN: P:\Community Development\02 Administration103 Forms - Official Versions\Permit CenterWlechanical Permit Application 04-03-09 dg.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 L 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) 2 - 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 Tess 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 3 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 11 L P STORAGE TANK WOOD OR PELLET STOVE INSERT WOOD STOVE SYSTEM - FREE STANDING ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #. EXPIRES: SIGNATURE VIN: P:\Community Development\02 Administration103 Forms - Official Versions\Permit CenterWlechanical Permit Application 04-03-09 dg.doc t c -rJ..z7- Permit Center 1.1703 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: 'zoo 5• t30% J kft k Building Owner Name: rec.?.0 ods{-, rkthLrS c Phone: z/7-47oo Fax. 922_ -©/?S— Address: 12.Z lam• ter-�1 �jo-�d �-3 City: SPoI��>` act /lei State:44..4_Nf�- Zip: .79a-oc... Contractor /y, , / , ,, Name: �`A,/(I /'4JAJI.J p4 tr ILC Phone: 2/7-G706, Fax: erjzZ•-,=)/,,-_ Address: ! 22_ x./. 1f 0,110„df>l- 3 City: c av/ei, State: wit/. Zip: i%2 De.... License No:t/Ei...)M,4- p5-41/%/7 City Business Lic: Contact/Project Manager: y Name: IC et/in mosid'„J Phone: Ilaix. .% 7_c 7,0c, # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS Z URINALS TUBS Z. SHOWERS (per trap) SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat 1L T DISHWASHER / CLOTHES WASHER / GARBAGE DISPOSAL i WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate l / 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 MASH 0 CHECK 0 VISA 0 MC Card# SIGNATURE: EXPIRES: VIN: CURRENT FEES AVAILABLE AT: http://www.spokanevallev.oro/ under the quick links for Forms, Master Fee Schedule. P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc Project Number: • 11003127 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/6/2011 Page 1 of 4 Project Information: Permit Use: SFR W/ATT GAR Contact: KEVIN MADDEN HOMES, LLC Address: 122 N RAYMOND #3 C - S - Z: SPOKANE VALLEY, WA 99206 Setbacks: Front Left: Right: Rear: Phone: (509) 217-6700 Group Name: Site Information: Project Name: Plat Key: Name: Range District: East Parcel Number: 45233.4502 Block: Lot: SiteAddress: 1220 S BOLIVAR LN Location:: CSV Owner: Name: LOTS N LAND LLC Address: 122 N RAYMOND RD STE 3 SPOKANE, WA 99206 - Zoning: R-3 SF Res District Water District: 010 VERA Hold: ❑ Area: 7,561 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Other Reviews STATE LICENSE Depth: 0 Right Of Way (ft): 0 Released By: Originally Released: 10/6/2011 By: tmelbourn Landuse/Zoning/HE Conditions Driveway/Approach NOT REQUIRED Operator: JD Released By: Released By: Originally Released: 10/4/2011 By: mpalaniuk Released By: Originally Released: 10/6/2011 By: TMELBOU Printed By: MBB Print Date: 10/6/2011 Project Number: • 11003127 Inv: 1 Application Date: 10/6/2011 Page 2 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Sewer Review Permits: PER COUNTY SEWER PERMIT #11002971 Released By: Originally Released: 10/6/2011 By: MBonduran Contractor: KEVIN MADDEN HOMES LLC Address: 122 N RAYMOND #3 SPOKANE VALLEY, WA 99206 Building Characteristics Total Area Building Height Stories Dwelling Units Impervious Surfa 2335 27 2 1 0 Building Permit Firm: KEVIN MADDEN HOMES LLC Phone: (509) 217-6700 Description Grp Type Notes 1&2 FAMILY R-3 VB 2ND FLOOR R-3 VB BASEMENT U R-3 VB DECK OPEN R-3 VB GAR WOOD U-1 VB Item Description RESIDENTIAL PERMIT FEE WSBCC SURCHARGE SF PLNS RVW < 7999 SQ FT SFR / DUP SITE PLN REVIEW This Application: Su Ft Valuation 588 $59,358.60 649 $48,162.29 526 $7,890.00 90 $1,350.00 572 $10,868.00 Total Project: Su Ft Valuation 588 $59,358.60 649 $48,16229 526 $7,890.00 90 $1,350.00 572 $10,868.00 Totals: 2,425 $127,628.89 2,425 $127,628.89 Units 1 1 1 Operator: JD Printed By: MBB Unit Desc SELECT SELECT SELECT SELECT Permit Total Fees: Print Date: Fee Amount $1,150.55 $4.50 $460.22 $50.00 $1,665.27 10/6/2011 Project Number:. 11003127 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/6/2011 Page 3 of 4 Mechanical Permit Contractor: KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC Address: 122 N RAYMOND #3 SPOKANE VALLEY, WA 99206 Item Description DUCT WORK SYSTEM GAS WATER HEATER GAS APPLIANCE<=100.000BTU GAS PIPING VENTILATING FANS 1 DUCT APPL VENTS INSTL/MOVE/RPL Phone: (509) 217-6700 Units Unit Desc Fee Amount 1 NUMBER OF $11.00 1 NUMBER OF $11.00 1 NUMBER OF $13.00 2 # OF UNITS $2.00 3 NUMBER OF $33.00 1 EACH $10.00 Permit Total Fees: $80.00 Plumbing Permit Contractor: KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC Address: 122 N RAYMOND #3 Phone: (509) 217-6700 SPOKANE VALLEY, WA 99206 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 2 NUMBER OF $12.00 SINKS 4 NUMBER OF $24.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 Operator: JD Printed By: MBB Permit Total Fees: $72.00 Print Date: 10/6/2011 Project Number:. 11003127 Inv: 1 Notes: Application Date: 10/6/2011 Page 4 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount $1,665.27 $80.00 $72.00 $1,817.27 Invoice Amount $1,66527 $80.00 $72.00 $1,817.27 Amount Paid $460.22 $0.00 $0.00 $460.22 Amount Owing $1,205.05 $80.00 $72.00 $1,357.05 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: MBB Print Date: 10/6/2011 471. oz/ 0 RECE1V._D CSV PERM ri CENTER CT 9 Project # 1 - asne4,_ Submittal Al__ pOLTUAR f,) 1_07 Z. 3--oa LO -r rzt 7 5 6,1 7i, 001 PLANNING DEPT. APPROVED BY :_1/17 °Logi-- DATE: /0/4 /2-011 1