2011, 01-04 Permit App: 10004171 ResidencePermit Center
11703 E Sprague Ave, Suite B-3
4010015Valler Spokane WA 6
(509)688-0036-0036 (5 9FAX: (509)688-0037
Community Development www'spokanevalley.org
Residential Construction
Permit Application
PERMIT NUMBER:
PERMIT FEE:
11 New Construction
Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS:
ASSESSORS PARCEL NO:
128 '
LEGAL DESCRIPTION: ,Z Or 1 bc4 1
Building Owner: ✓ m / behiey./47/44,5 fix..
Name: L .-fi - j d,' ate.
Address: (21- �, kit mi7rid ejt 3
City: Spd I AC wl� State: �/� Zip051212 4
Address: j ZZ A,. j, y /I?D/1 i
4.3
City Business Lic. No:
City: sM /e , 4 G c',i�L'�( State: Zfip;�y, �/
Phone: ,.3 7_ 4 los Fax: Q22.- O//-�9+5
Contact Person
Name: /(e'1
Phone: 0/ -7 _ 67 an
Describe the scope of work in detail:
hS
Proposed Use:
Contractor:
�/
Name: 16,:i k4,kO // 4/17C5 LLC.
Address: (21- �, kit mi7rid ejt 3
City: Spd I AC wl� State: �/� Zip051212 4
Phone: /17-47 Ore) Fax: 1,22 _ d/9r
Conkr9c 9 L pi hi g����xp Date: 5;,- / 2 _ if
City Business Lic. No:
Cost of Project: $ 70 .
**************The following MUST be complete: (write N/A if not applicablel**********************
HEIGHT TO PEAK:
I /
DIMENSIONS:
57 )c. s..
# OF STORIES:
I
TOTAL HABITAB SPACE:
// Z->7
MAIN FLOOR TO SQ.
FTG: I2 4 /2 37
2N FLOOR SQ. FTG:
P 4
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BAS;71 NT
SQ. FTG: //
GARAGE SQ. FTG:i.�p
DEC OV. ATIO SQ. FTG:
/e9
30% SLOPES ON
PROPERTY: /�1�f%
# OF BEDROO
.3
CONSTRUCTION TYPE:
u/cicD
HEAT
E --5
SEWER OR SEPTIC?
`sewer -
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 reresent 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 be processed.
SIGNATURE:
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
0 Check
Mastercard
Expires:
DATE: /2- 29- /O
0 VISA
VIN#:
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
PERMIT NUMBER:
PERMIT FEE:
-1 Commercial ® Residential
SITE ADDRESS:
8aJ1udr-
Building Owner Kci(/t 4Ln / m, es �L �_
! ��
Name:
Phone:7_4700
Fax:
Address: /2 fi . RC ,tea.
�"
# 3
City: lea kevIe oi%
State: bot
Zip:79,20 c
Contractor y
Name: //", „� j4
I"vt/1r A
' n
L.L�-
Phone: l (-7 _ �'7�j
O�
Fax: 72
....e7/ `r
Address: / /t ovoid
City: ���`��`
'� /
State: (��
!�
`P: ��bL
License No: 'J2i�� i/c` p /3
11 /�
City mess Lic:
�G./7
Contact
Name: e� i 4 _ ottecie,
Phone: 211_ 6,7 ex.)
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal po or less than 100,000
X
$12.00
/Z • oU
2
FUEL BURNING APPLIANCE
ore than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal o or less than 400,000
X
$50.00
4
UNLISTED APPLIANCE (Additional Fee)
ore than 400,000
X
$100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal o or less than 400,000
X
$50.00
6
USED APPLIANCE (WSEC min. AFUE rating)
ore than 400,000
X
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
8
BOILER/REFRIGERATION
01 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
01 - 1,000M BTU
X
$25.00
10
BOILER/REFRIGERATION
1,p01 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
Mote than 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
$10.00
14
15
16
DRYER
FUEL BURNING WATER HEATER
MISC. FUEL BURNING APPLIANCE
1
X
X
X
$10.00
$10.00
$10.00
17
GAS PIPING (each outlet)
X
$1.00
2-00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
3
X
$10.00
10, GO
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
ore 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:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
XPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
let. 00
$35.00
TOTAL PERMIT FEE DUE:
119'.!30
Spo«kane^''
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-003
www.spokanevalley.org
Plumbing Permit Application Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS:
oLrvllk
Building Owner eet.A ^ �/{l - _/d11
, r �
L�.
Name: / ,.T , iV _ -t //r
�1ZZ
Phone:
/
62' 7_ (s ?co Fax:
,
73 --
'AZ z - 0 i !s
Address:
Address:
p' ie�y 41 o>nd
3
City:
`� `,ii L / si / State:
!� �/
�lf� Zip: .1O`
Contractor
J
Name:
I�cvi�� "idle.,
Phone:
��'I -L� � Fax:
922_ — o/ 9_1 --
Address: /ZZ ti . 4, (1/47..443
,ac.
City:
�,AG U//>r� State:
'^�
k./� _ Zip. %�..iaL
License No: / 'E (,r /� i4 ii p .
/`�
City
ess Lic:
Contact
Name: 11 ''
(� miff [ 4 / .9,
Phone:
.1/7 — 67 c:76
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATE
R CLOSET, BIDETS
X
$6.00
2.00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
lo
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, FOOD, PREP/CULINARY MEAT
X
$6.00
024. r�
6
DISHWASHER
1
X
$6.00
6. cc'
7
CLOTHES WASHER
X
$6.00
. c�
8
GARBAGE DISPOSAL
1
X
$6.00
to. cc'
9
WATER SOFTENER
X
$6.00
10
ELECTRIC WATER HEATER
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, 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,
CHEMIAL HOLDING Ti
NK
NITOUS,
X
$6.00
19
MEDICAL GAS (per outlet)
OXYGEN
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
lO4.W
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
10/.
Project Number: 10004171 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
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:
Project Name:
Date: 1/4/2011 Page 1 of 3
Site Information:
Plat Key: Name: Range District: East
Parcel Number: 45233.4504
SiteAddress: 1228 S BOLIVAR LN
Location:: CSV
Block: Lot:
Owner: Name: KEVIN MADDEN LLC
Address: 122 N RAYMOND #3
SPOKANE VALLEY, WA 99206 -
Zoning: R-3 SF Res District
Water District: 010 VERA Hold: ❑
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: 1/4/2011 By: JAGRISSO
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 12/29/2010 By: cjjanssen
Released By:
Originally Released: 12/29/2010 By: jdavis
Operator: JD Printed By: JD Print Date: 1/4/2011
Project Number: 10004171 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/4/2011 Page 2 of 3
Building Permit
Contractor: KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN Phone: (509) 924-6497
SPOKANE, WA 99206
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,239 $122,599.05 1,239 $122,599.05
DECK OPEN R-3 VB 100 $1,500.00 100 $1,500.00
GAR WOOD U-1 VB 666 $12,654.00 666 $12,654.00
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 2,005 $136,753.05 2,005 $136,753.05
Units Unit Desc Fee Amount
1 SELECT $1,200.95
1 SELECT $4.50
1 SELECT $480.38
Permit Total Fees:
Mechanical Permit
$1,685.83
Contractor: KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC
Address: 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
Phone: (509) 924-6497
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
3 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$11.00
$11.00
$13.00
$2.00
$33.00
$70.00
Contractor: KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN Phone: (509) 924-6497
SPOKANE, WA 99206
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 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
Permit Total Fees: $66.00
Operator: JD Printed By: JD Print Date: 1/4/2011
Project Number: 10004171 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/4/2011 Page 3 of 3
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,685.83 $1,685.83 $480.38 $1,205.45
Mechanical Permit $70.00 $70.00 $0.00 $70.00
Plumbing Permit $66.00 $66.00 $0.00 $66.00
$1,821.83 $1,821.83 $480.38 $1,341.45
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: JD Print Date: 1/4/2011
j05. oZ
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PLANNING DEPT. APPROVED
L
DATE. I D(1 I 1