2011, 10-13 Permit App: 11003195 Residence.0•0Vailey-
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Nkaptimmunity Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenter@sooka nevallev.orq
(Staff Use Only)
PERMIT NUMBER: -
r
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
21 NEW CONSTRUCTION Ea ADDITION/REMODEL EM ACCESSORY BUILDING
DECK M OTHER
SITE ADDRESS: /2 24 5 . & L.r_viet
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: Lo% Z p37cc.k
BUILDING OWNER NAME:
NAME:
ADDRESS:
�J/tel rilde/1 //?i es L.Z. C-
% Ri4-0 w,(4)
CITY: d Ur // et7
PHONE: 5 % - 6 %OO
STATE:
FAX: ,3-409- 9'22-c/,se-ELL:
ZIP:
g17—c.. t�
CONTACT NAME: Kr (../,
PHONE: d 1 7 - VO FAX: ' Z Z _ 6 / 9 3 -CELL:, / ? f 7 - L.200
CONTRACTOR NAME: KEW/'1 i flri jJJti /64 4' C
MAILING ADDRESS:
i 2 z. /U yM0,7-i-3
CITY: S/Qo Ka, -7 (d f/t't STATE: 6411-
PHONE: �f C2ed FAX 22- .0/9,5 -
ZIP:
CELL:
ni/7-4.`7U47'
CONTRACTOR LICENSE No.: KE vrivi- - q5-j3ExPIREs: 9 -72 -he— CITY BUSINESS LICENS NCL: Y._ , •:' ._: j.) EY
UI I Y OF SPOKANE VALLEY
DESCRIBE THE SCOPE OFORK IN DETAIL ` TD INDICA E.USE & PROPOSED USE:
jJC' X43 f 2/Cil v� cz /e 1 // f i) OCT 1 0 2011
****YOU MUST COMPLETE THE FOLLOWING**** BY: —U._
MARK N/A IF NOT APPLICABLE
Height to Peak: ,
-7
Dimensions:
30 x 4t 4t
No. of Stories:
Total Habitable A(
Space: 174. 3
Main Floor
�� �p
Upper Floor Slip
Unfinished Basement SQ
FT: 5 ?a
Finished Basement SQ
FT: O
Garage Sq II -1:
s^ > 2_
Deck/Covered ratio SQ
FT: 470ar
Impervio Surface
Area:
30% Slopes on
Property: WO_
No. of Bedrooms: 3
Construction Type: #..qc!
Heat urce: c 4 -5
Sewer or Septic: 5Ce,..7tes
TOTAL COST OF PROJECT: $ 7a pct
DISCLAIMER
The permitted verifles, 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 thls 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 subsequeptly approved before this application can be processed.
Signature
Date: 5)-0)4-- //
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
SiRikalle
Community Development
Mechanical Permit Application
Pennit Center
11703E Sprague Avr 'te B-3
Spokane Valley, WA )6
(509)688-0036 FAX: (509)688-0037
permitcentert7aspokanevallev.org
sr -z-_41
NUMBER:
roiRMIT
ERMIT FEE:
0 Commercial grResidential
SITE ADDRESS:
/2 2_4 5• f3, /1 alai --
Building Owner
Name: Ka'/4 / dd O/45- �L c
122. 0'Id .3
r4vn (i
Name: f;" %1 to-e-7s/36/1e
-1.-C.
Address:
Contractor
Address: 1 Z a /(J.
License No: Krupin9 ' 43
Phone:,7/7—le-ro� Fax. cj p /9.5 --
City: 0 1/ce ie li'[7��- 1 S
tate: 44,4
Zip: %gam
Phone: /7 -. 7v a
Fax:
/9.3'
City: 5eok e Ua!/ S
City Busin Lic:
tate:
Zip: .22d. oC
Contact/Project Manager:
Name:
Phone: J /7 _c >:;,,D
['CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
P:\Community Development\02 Administration\03 Forms - Official VersionsWermit Center\Mechanical Permit Application 04-03-09 dg.doc
rx
VALLEY
OCT 1 0 2011
r'ERNIIT CEN tun
#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
1
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 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 dm, 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
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
tr
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
I --- • '-- : VE i)
WOOD STOVE SYSTEM — FREE STANDING
el IY OF SPOKANE
['CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
P:\Community Development\02 Administration\03 Forms - Official VersionsWermit Center\Mechanical Permit Application 04-03-09 dg.doc
rx
VALLEY
OCT 1 0 2011
r'ERNIIT CEN tun
Permit Center
11703 E Sprague aSuite B-3
Spokane Valley, 206
(509)688-0036 FAX: (509)688-0037
pennitcenter@aspakanevalley.org
Community Development
Plumbing Permit Application
,, RMIT NUMBER:
PERMIT FEE:
0 Commercial
1
Residential
SITE ADDRESS:
/Z. 04 5 - /..._rvt-k
Building Owner
Name: 1,,,,,,,omb dei.e.7 /7147/545 44 c. Phone: /7 - G -700 Fax: 9' ZZ. - O / vj S_
Address: ) ZZ /v � 0'T d At- 3City: Sp p Ad, c 14 K.4, State: 4,4,04_ Zip: 72 � .
Contractor (.7...."e,,,,
Name: -C lit!! fi i (d 4 ,fizr4tl C Phone: 2 /7_6; 7 oc, Fax: aj Z-2. / �j' —
Address: / 2Z �(%. lea y/ ,,,,d ft- 3 City keeie av/G%J State: Gf/i zip: %,...2a6
License Nott vx-v/'i14- q f,(J13 City Business Lic:
Contact/Project Manager:
Name: IC t'tl,,, / held /> Phone:Ism_,/ 7.'c_ 7c,C3
-
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
7. -
URINALS URINALS
TUBS
Z
SHOWERS (per trap)
SINKS
LavlBasins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
,�[
/
DISHWASHER
/
CLOTHES WASHER
1
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Cal, 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 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
C
IlY OF SPOKANE VALLE
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.sookanevallev.org/ 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
OCT 1 0 2011
PERMIT CENTEFi
Project Number: 11003195 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW SFR w/2 CARATTACHED GARAGE Contact: KEVIN MADDEN CONSTRUCTION
Address: S. 1214 PROGRESS RD
C - S - Z: VERADALE, WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509) 217-6700
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: East
Date: 10/13/2011 Page 1 of 3
Parcel Number: 45233.4503 Block: Lot:
SiteAddress: 1224 S BOLIVAR LN
Location:: CSV
Zoning: R-3
SF Res District
Owner: Name: LOTS N LAND LLC
Address: 122 N RAYMOND RD STE 3
SPOKANE, WA 99206 -
Water District: 010 VERA Hold: ❑
Area: 7,623 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Depth: 0 Right Of Way (ft): 0
Released By:
Originally Released: 10/13/2011 By: tmelbourn
Landuse/Zoning/HE Conditions
Driveway/Approach
PER TOM'S NOTE
Released By:
Originally Released: 10/10/2011 By: mharnois
Released By:
Originally Released: 10/13/2011 By: MBonduran
Operator: MBB Printed By: MBB
Print Date: 10/13/2011
ti
Project Number: 11003195 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/13/2011 Page 2 of 3
Sewer Review
Permits:
PER COUNTY SEWER PERMIT #11002969 IN FILE
Released By:
Originally Released: 10/10/2011 By: MBonduran
Building Permit
Contractor: KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC
Address: 122 N RAYMOND #3 Phone: (509) 217-6700
SPOKANE VALLEY, WA 99206
Building Characteristics
Total Area 2335
Building Height 27
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp lym Notes Su Ft Valuation Su Ft Valuation
1&2 FAMILY R-3 VB 588 $59,358.60 588 $59,358.60
2ND FLOOR R-3 VB 649 $48,162.29 649 $48,162.29
BASEMENT U R-3 VB 526 $7,890.00 526 $7,890.00
COV DECK R-3 VB 30 $450.00 30 $450.00
DECK OPEN R-3 VB 60 $900.00 60 $900.00
GAR WOOD U-1 VB 572 $10,868.00 572 $10,868.00
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
SFR / DUP SITE PLN REVIEW
Totals: 2,425 $127,628.89 2,425 $127,628.89
Units Unit Desc Fee Amount
1 SELECT $1,150.55
1 SELECT $4.50
1 SELECT $460.22
1 SELECT $50.00
Operator: MBB Printed By: MBB
Permit Total Fees: $1,665.27
Print Date: 10/13/2011
Project Number: 11003195 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/13/2011 Page 3 of 3
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
DUCT WORK SYSTEM
GAS WATER HEATER
GAS APPLIANCE=100,000BTU
VENTILATING FANS 1 DUCT
HOOD -TYPE II
Units Unit Desc Fee Amount
1 NUMBER OF $11.00
1 NUMBER OF $11.00
1 NUMBER OF $13.00
2 NUMBER OF $22.00
1 NUMBER OF $11.00
Permit Total Fees: $68.00
Plumbing Permit
Contractor: GOLD SEAL MECHANICAL INC Firm: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE Phone: (509) 535-5944
SPOKANE, WA 99212
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
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,66527
$68.00
$72.00
$1,805.27
Permit Total Fees: $72.00
Invoice Amount
$1,665.27
$68.00
$72.00
$1,805.27
Amount Paid
$442.30
$0.00
$0.00
$442.30
Amount Owing
$1,222.97
$68.00
$72.00
$1,362.97
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: MBB Printed By: MBB
Print Date: 10/13/2011
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CiTY OF
OCT 1 0 2011
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