2011, 01-25 Permit App: 10004172 ResidenceCommunity Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suit
Spokane Valley, WA 9920
(509)688-0036 FAX: (509
vvwvv.spokanevalley.org
B-3
688-0037
PERMIT NUMBER: (-A)
PERMIT FEE:
KNew Construction
Addition/Remodel
Other:
[ 1
Accessory Bldg
Deck
SITE ADDRESS:
IZa
ASSESSORS PARCEL NO:
11 r -
LEGAL DESCRIPTION: L 07 12 Z. cc -
Building Owner:Ke/1 Arlden ktritei 141C
Name: tors - N - LAY) 6 LLC .
Address: /22. xi , Rv.? //k2 4 d 013
City: t,j..e..., (.43ge5State:a41_,
Zip:,...106
Phone: - Fax:
7 dr -7-c.70 47az
-
Contact Person
Name: /t%/fb
/41We4 e
Phone: I 7 —
Describe the scope of work in detail:
kr-5/"dr4 71( / t,sfela
Proposed Use:
tuet- kolie
Contractor:
DIMENSIONS
e..1.
0
Name:
/k' (% eic-tokte -drei ,
TOTAL HABITABLE SPACE:
(4.4.0-/ 2.4
IMPERVIOUS SURFACE
AREA:
Address: (82. Ai .
2 FLOOR SQ. FTG:
/1/4
GARAGE alp:
City: $k?'41/1E— adk State:a4
DEC ICO . P ' k SQ. FTG:
t ck::, 0 ez--
ZipeN2ig-
Phone: Fax:
0)17- 1:7 4:7,,
Ti
CON TRUCTIOPE:
Exp Date:
Contrator Lic No:Kpt 1
/4 ,-ryod3
1
_ 17,..._ i i
City Business Lic. No:
Cost of Project: $
**************The following MUST be compete: (write N/A if not I **********************
HEIGHT TO PEAK:
e..io
DIMENSIONS
e..1.
0
OF STORIES:
l
UNFIN BASEMENT SQ. FTG:
.Af
TOTAL HABITABLE SPACE:
(4.4.0-/ 2.4
IMPERVIOUS SURFACE
AREA:
MAIN FLOOR TO SQ.
FTG:
iq
2 FLOOR SQ. FTG:
/1/4
GARAGE alp:
FINISHED BANNT
SQ. FTG:
If
DEC ICO . P ' k SQ. FTG:
t ck::, 0 ez--
30% SLOPES ON
PROPERTY: 41
# OF BED 0 M :
Ti
CON TRUCTIOPE:
HEA' SOURC
SEWER OR SEPTI ?
The permitee verifies, acknowledges and agrees by th
dwelling is/will be served by potable water. 2) Owners
signatory is the property owner or has permission to re
in full compliance with the City of Spokane Valley Deve
Spokane Valley Permit Center. 5) This City of Spoken
local laws, codes or ordinances. 6) Plans or additional
this application can be processed.
SIGNATURE:
ir signature that: 1) If this permit is for construction of or on a dwelling, the
ip of this City of Spokane Valley Permit inure to the property owner. 3) The
resent the property owner in this transaction. 4) All construction is to be done
opment Code. Referenced codes are available for review at the City of
Valley Permit is not a permit or approval for any violation of federal, state or
nformation may be required to be submitted, and subsequently approved before
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15107
0 Check
DATE: 2q - /45
as ercard 0 VISA
xpires: VIN#:
crnr .1�.Riv4111011..
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Approach Permit Application
PERMIT NUMBER: LI i
PERMIT FEE:
PROJECT ADDRESS
1723 5 • 301 i v r -
START DA 1 h ANTICIPATED COMPLETION DA 1 E
Building Owner: Kea, p it I fO�Gs LLC.
S`
Name: JA— � I- LI4ND LLC •
Address: l� N, Al Mord
City: v %d. i1G (i/I'i i1 State: 60 - Zip: 9 5' 404
Iv Fax: 5'72. -D/9
Phone: ,)/-1 _ G7oo
Contact Person
Contractor:
Name: /`�i�(•,\ `/1Gii
Phone: /
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
Name: A�it �1t �/n �� .
/ 2
Address:
City: lev
State: Zip:='`
Phone: ai7. 7 c Fax: I 2 -cij9Y--
Contractor Lic N*�t� �4 Date: 7_i1 _ //
City Business Lic. No:
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
Bond/Insurance certification must be on file with the city.
DISCLAIMER
The permittee verifies, acknowledges and agrees by their signatures 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 additonal information may be required to be submitted, and subsequently approved before this
application can be processed.
Signature
Method of Payment:
❑ Cash ❑ Check
Bankcard #:
Authorized Signature:
REVISED 3/9/06
Date /2..N)51--
Mastercard
7 ` �d
❑ Mastercard ❑ VISA
Expires: VIN#:
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-003
www.spokanevallev.org
PERMIT NUMBER:
PERMIT FEE:
Commercial rS4 Residential
SITE ADDRESS:
1zz3
-. oIry -i-
Building Owner revi" ine,euC,I 1 F9'.� D.C.
Name:
Lars. y- . -,v L AID ac
J
Phone: 7 ' 6 7
Fax:
G, ez _ p / "3--
3�
Address:
Address:
% az, `, , �p � . _ /
,`� �`O�'f (JNA
3
City: vo �,,‘ c vdneei
�^'
State:
�� Zip: car 730r
Contractor
Name:
Kee; '1 fi _ f /k
Phone: c)/7 - 4 7��
Fax:
c) ZZ _ O/ 9.--
Address:
If ZZ p,
4C
3
City: iv, 04c._(4, fiery
State:
e,f44. Zip: 47S•01.04
License No:
A/e00„ 451-47.. 73
t
I` /�
City Bus ess Lic:
Contact
Name:
_rev/ n . e4
Phone: , 7... 4,7CO
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal 6 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
8
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
13
RANGE
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
1
X
$10.00
10.(10
10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
Z
X
$1.00
Grb
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
3
X
$10.00
3CI. vo
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
4-15 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
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
DCASH 0 CHECK 0 VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
oo
$35.00
TOTAL PERMIT FEE DUE:
11q, c�
.00 Valley
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-003
Community Development www.spokanevalley.org
Plumbing Permit Application
SITE ADDRESS:
l
ctafick,r -doww"--
PERMIT NUMBER:
PERMIT FEE:
Commercial L)ttResidential
oisv
Building Owner let,„ �; _ _/ 1i, z /
,�,
Name: / ,�T _ iv _ /
pb //r Phone: c)' 7-• (s 700 Fax:
q
/
,
”--
— 0, !s
Address: /222. p • Rey /)tabid i3 City: 5�`,A L /,�/k(j State:
Address:
!`G� ��T /„�
AZ
�JJ�
Zip: �j9_-O6
Contractor
Name: AfC(,/!,k insze,., ,LC. Phone: ..2/14.:74,z_ Fax:
�'2L - Of 9_5--
J_S -
Address:
Address: /2z, N , e` 43 City. �^G 4)&6/State:
�1q
�� _
Zip. c?�ae
/'
q
License No: �Ct ,T-� /�I c j / p 3 City ess Lic:
/ `� �!`�
Contact
1�'Nj7
Name: t({iii / 4 ! • AJG„ Phone: x-, ._ 6.7 45715
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATE CLOSET, BIDETS
2
X
$6.00
Z.ex'
2
URINALS
X
$6.00
3
TUBS
X
$6.00
.DD
4
SHOWERS (PER TRAP)
BATH, S ALL, ON-SITE BUILT
x
$6.00
5
SINKS
LAVS/BASIN', BAR, FLOOR, KITCHEN,
LAUNDRY, U ILITY, JANITOR, PHOTO,
X-RAY, FOO), PREP/CULINARY MEAT
-1
X
$6.00
ail. vo
6
DISHWASHER
1
X
$6.00
G. ac'
7
CLOTHES WASHER
X
$6.00
•ec,
8
GARBAGE DISPOSAL
1
X
$6.00
Cp • or,
9
WATER SOFTENER
X
$6.00
10
ELECTRIC WATER HEATER
NOTE: IF CAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, C SE, COIL, TRENCH,
•ONDENSATE
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
NSTALLATIO , ALTERATION, REPAIR,
EVERSALS
X
$6.00
15
SEWAGE EJECTOR
GRIN ER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN/OR CC FFEE MAKER, HOSE BIB,
STEAMER
PROOFER, ARBONATOR, SWAMP
COOLER
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM B EAKER, CHECK VALVE,
AND R.P.B. .D. FOR: VATS, TANKS,
BOILERS
X
$6.00
18
INTERCEPTORS
GREAS TRAP, SAND TRAP,
CHEMI i AL HOLDING TANK
X
$6.00
19
MEDICAL GAS (per outlet)
NIT; OUS, OXYGEN
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
520.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
E
PIRES:
VIN:
SUBTOTAL
lot..Gt2
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
101. ao
Project Number: 10004172 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/25/2011 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR Contact: KEVIN MADDEN HOMES LLC
Address: 122 N RAYMOND RD STE 3
C - S - Z: SPOKANE, WA 99206 -
Setbacks: Front Left: Right: Rear: Phone: (000) 000-0000
Group Name:
Site Information: Project Name:
'V." • ".,..I.VOIVJAVINNYVKrA‘),Mitt
Plat Key: Name: Range District: East
Parcel Number: 45233.4512 Block: Lot:
SiteAddress: 1223 S BOLIVAR LN Owner: Name: KEVIN MADDEN HOMES LLC
Address: 122 N RAYMOND RD STE 3
SPOKANE, WA 99206 -
Location:: CSV
Zoning: R-3 SF Res District
Water District: 010 VERA Hold: [i]
Area: .00 Acres 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: 1/5/2011 By: RGUERRY
Landuse/Zoning/HE Conditions
Rele,ased By:
Sewer Review
Permits:
Originally Released: 12/29/2010 By: cjjanssen
Released By:
Originally Released: 12/29/2010 By: jdavis
Operator: JD Printed By: jmm Print Date: 1/25/2011
Project Number: 10004172
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/25/2011 Page 2 of 3
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
APPROACH -CONST IN ROW
Approach
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Units Unit Desc
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Description
1&2 FAMILY
DECK OPEN
GAR WOOD
Grp Type
R-3 VB
R-3 VB
U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Notes
Contractor:
Address:
Fee Amount
1 NUMBER OF $52.00
Permit Total Fees:
Building Permit
$52.00
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
This Application: Total Project:
Su Ft Valuation Su Ft Valuation
1,239 $122,599.05 1,239 $122,599.05
100 $1,500.00 100 $1,500.00
430 $8,170.00 430 $8,170.00
Totals: 1,769 $132,269.05 1,769 $132,269.05
Units
1
1
1
KEVIN MADDEN HOMES LLC
E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
DUCT WORK SYSTEM
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS 1 DUCT
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,178.55
$4.50
$471.42
$1,654.47
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
3 NUMBER OF
Operator: JD Printed By: jmm
Permit Total Fees:
Print Date:
Fee Amount
$11.00
$11.00
$13.00
$2.00
$33.00
$70.00
1/25/2011
Project Number: 10004172
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/25/2011 Page 3 of 3
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$52.00
$1,654.47
$70.00
$66.00
Permit Total Fees:
Invoice Amount
$52.00
$1,654.47
$70.00
$66.00
$1,842.47 $1,842.47
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$6.00
$66.00
Amount Paid Amount Owing
$0.00 $52.00
$469.18
$0.00
$0.00
$1,185.29
$70.00
$66.00
$469.18 $1,373.29
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: JD Printed By: jmm Print Date: 1/25/2011
0
DOLIVIOtcLP
LOT JZTOES 113
12.2.3 S. Box(
LorM 12151/