2011, 03-09 Permit App: 11000527 ResidenceCommunity Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
PERMIT NUMBER: //_5z7
PERMIT FEE:
New Construction
Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS:
3 0 1 5. o! (6d.f-
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: LOT 11 13 L OC K l
Building Owner:
Name: Italie 1'1.30404 Awl" I -LC
Ler -N- t./4 nb £Lr
Address: I22_ N ,AI m0 443
City: vio k i vol State Zi1,9
Phone: an -670c) Fax: 5 22 - 0/9,5.. /9,,m
Contact Person
Name:
//
((Ji /1 rat jh 1
Phone:
fa, /7_ 47vb
Describe the scope of wo
in detail:
Contractor:
DIMENSIONS:
Name:
!(/ii illidtie AsteS 1LC
Address: /22. i(/ /ed lJi17630.7d ,1 3
City: r�^c 6447 State
Zip..
Phone: df 7 — G700 Fax: 922 - O/ 5
COW ih Q cii_g e3 Exp Date:
�2 _ f
City Business Lice. No:
1
Cost of Project: $ 4o
Proposed Use: fv&
/.7/17e
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT T P AK:
DIMENSIONS:
# OF STORIES:
1.
TOTAL•I ITABLLE SPACE:
iism
MAIN FLOOR TO SQ.
2 'FLOOR SQ. FTG:
UNFIN BASE-MENT SQ. FTG:
IMPERVIOuS SURFACE
FTG:
778 et ea—
38/0°,"
1
AREA:
FINISHED BAS
GA"RAGE
SQ. FIG
DE CO\' PAT 0 SQ. FTG:
30% SLOPES ON
7NT
SQ. FTG:
`w S�0
PROPERTY:
# OF BEDROO S:
3
CONS
C ION TYPE:
Gvco•
HEA - : • : E:
SEWER OR SEPTIC?
wer-
1,45
The permitee verifies, acknowledge
dwelling is/will be served by potable
signatory is the property owner or h
in full compliance with the City of Sp
Spokane Valley Permit Center. 5)
local laws, codes or ordinances. 6)
this application can be processed.
SIGNATURE: (
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the
ater. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
permission to represent the property owner in this transaction. 4) All construction is to be done
kane Valley Development Code. Referenced codes are available for review at the City of
his City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
Tans or additional information may be required to be submitted, and subsequently approved before
❑ Chec
DATE: 3_7_ f`
❑ Mastercard 0 VISA
Expires: VIN#:
/\ Permit Center
I" �r� 11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.orq
Mechanical Permit Application n Commercial tAlesidential
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS:
1301
5 • a L,I-JA*
Building Owner/CUi 4 M
Jkfeucs L/.
D`
Name:
LG%5?t1 - L/4/D LLC •
Phone: I7_67�Fax:
- 0,93 --
Address:
/a2 / / /ea' Arc 94 3
//�"7� ��^-"
/Vy1
City: yo L. State:Wt.
~ l�
Zip: wJO6
Contractor
•X
Name:
• / '
1-4 [, Hd t/,l7 �} z_z_
Phone: a 13 . 6,7,5,::,
Fax:
c
- 0/ 13. -
Address:
u ". lea "Fed 143
City: Say ne,_ &lel
State:
40t.
Zip: 77.1.04-
7.1.0CLicense
LicenseNo
k e/t _ _
City Bus ess Lic:
Contact
Name:
ea.,. fi1 iege4
Phone: �1 / 7 _ G,7676,
DESCRIPTION OF WORK
1 FUEL BURNING APPLIANCE
2 FUEL BURNING APPLIANCE
# OF UNITS
Equal to or less than 100,000
More than 100,000
X
X
X
COST
$12.00
$15.00
= TOTAL AMOUNT
12.410
UNLISTED APPLIANCE (Additiona Fee)
Equal to or less than 400,000
X
$50.00
4 UNLISTED APPLIANCE (Additiona Fee)
More than 400,000
X $100.00
USED APPLIANCE (WSEC min. A UE rating)
USED APPLIANCE (WSEC min. A UE rating)
BOILER/REFRIGERATION
E. ual to or less than 400 000
More than 400 000
- 100M BTU
$50.00
00.00
$12.00
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
101 - 500M BTU
501 - 1,000M BTU
1,001 - 1,750M BTU
More than 1,750M BTU
GAS LOG, GAS INSERT, GAS FI -
RANGE
DRYER
FUEL BURNING WATER HEATE-4
MISC. FUEL BURNINGAPPLIAN•
GAS PIPING (each outlet)
DUCT SYSTEMS
VENTILATING FANS
$20.00
$25.00
$35.00
$60.00
$10.00
$10.00
$10.00
$10.00
$10.00
AIR HANDLER (DOES NOT includ
AIR HANDLER DOES NOT includ
ducting)
ducting
E.ual to or less than 10,000 CFM
$1.00
$10.00
$10.00
$12.00
.a, r iia
to•
44.7
Greater than 10,000 CFM
$15.00
EVAPORATIVE COOLERS
TYPE H000
TYPE II HOOD
$10.00
$50.00
$10.00
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
0-3 TON
$12.00
AIR CONDITIONER
AIR CONDITIONER
LPG STORAGE TANK
WOOD OR PELLET STOVEIINSE
WOOD STOVE - FREE STANDIN
REPAIR & ADDITIONS
4-15 TON
15-30 TON
30-50 TON
$20.00
$25.00
$35.00
More than 50 TON
$60.00
$10.00
34 VENTILATION SYSTEMS
35 VENTILATION MECHANICAL EX AUST
36 INCINERATOR - RESIDENCE
37 INCINERATOR - COMMERCIAL 111
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ■ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED Bf26/05
EXPIRES:
VIN:
$10.00
$25.00
$15.00
$12.00
512.00
$19.00
$22.00
SUBTOTAL 7-1, "
PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE: I,,
44".Nea•ft, Permit Center
11703 E Sprague Ave, Suite B-3
leY Spokane Valley WA 99206
(509)688-0036 FAX: (509)688-0037
unity Development wwwspokanevalley,ore
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
Commercial OResidential
SITE ADDRESS:
(301
• 13 °twit -
Building Owner xeui• el pukie4 44 es dr.
TOILETS
WATER CLOSET, BIDETS
2.
X
Name: Jo -p - Lelnol Lir .
Phone: 217- (7x'
Fax:
5' 22--
0 /95
Address: 22 Ad. Al 1,400,„ li 3
City: 5/2;714) re. vie,
State:
14,.ft
Zip: wax, e
Contractor
TUBS
2
X
Name: (6..4.4 pt Ades 1.1C.
Phone: fi 01 IT, 10,760
Fax:
f22./95—
SHOWERS (PER TRAP)
Address:
• - 704
,071 03
City:
0,01c6,eic. 0heel
State:
ao#,
Zip:
License No:
ev1/1 th 7 457111/
,
City Bainess Lic:
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
3
Contact
$6.00
=
18. 00
6
Name: ge, i ,n4;die,
Phone: irj, 7
X
$6.00
=
OF UNITS X COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
2.
X
$6.00
=
fc) • 00
2
URINALS
X
$6.00
3
TUBS
2
X
$6.00
=
/ Z. • 47°
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
3
X
$6.00
=
18. 00
6
DISHWASHER
X
$6.00
=
4,
7
CLOTHES WASHER
/
X
$6.00
=
40' • Ot"
8
GARBAGE DISPOSAL
1
X
$6.00
=
Z.. Co
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
56.00
=
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
56.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
DCASH 0 CHECK 0 VISA DM
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/01
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
vs. ow
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:
PERMIT FEE:
PROJECT ADDRESS 13 O ( S • & I i va r
START DATE
ANTICIPATED COMPLETION DATE
Building Owner: K MAja LeA Waco
Name: Lor- It%"4ND GLC
172. It/• , y id
City: 4y, /cone (&,/k41state: alf. Zip: 994(
Fax: r+f ZZ
Address:
Phone: / `7 — G7co
Contractor:
Contact Person
Name: /C i t s "44j"e^
Phone:
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
Name: Devin
Address: / 2 Z I / 431,
City: 5pt (MA
Phone: ail . 4700
State:
Zip f 4
Fax: 22 —0:9y
Contractor Lic Nx� �4vyDate: ��/Z _ /1
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 ha: 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 be processed.
Signature
Method of Payment:
0 Cash 0 Check
Bankcard #:
Authorized Signature:
REVISED 319100
Date 3-7-11
❑ Mastercard 0 VISA
Expires: VIN#:
Project Number: 11000527 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:
Site Information: Project Name:
Date: 3/9/2011 Page 1 of 3
Plat Key: Name: Range District: East
Parcel Number: 45233.4511 Block: Lot:
SiteAddress: 1301 S BOLIVAR LN
Location:: CSV
Zoning: R-3 SF Res District
Water District: 010 VERA
Area: 9,148 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Owner: Name: KEVIN MADDEN
Address: 122 N RAYMOND #3
SPOKANE VALLEY WA 99206
Hold:
Depth: 0 Right Of Way (ft): 0
[ Released By:
Originally Released: 3/8/2011 By: tmelbourn
Released By:
Landuse/Zoning/HE Conditions
Sewer Review
Originally Released: 3/7/2011 By: tschmidt
Released By:
Permits:
Originally Released: 3/8/2011 By: JLMain
Operator: .ID Printed By: jmm Print Date: 3/9/2011
Project Number: 11000527 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/9/2011 Page 2 of 3
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Description Grp Tvne Notes
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
COV DECK 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
Building Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
This Application:
S Ft Valuation
778 $78,539.10
381 $28,274.01
36 $540.00
510 $9,690.00
Totals: 1,705 $117,043.11
Total Project:
Sq Ft Valuation
778 $78,539.10
381 $28,274.01
36 $540.00
510 $9,690.00
1,705 $117,043.11
Units Unit Desc Fee Amount
1 SELECT $1,094.55
1 SELECT $4.50
1 SELECT $437.82
1 SELECT $50.00
Permit Total Fees: $1,586.87
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
DUCT WORK SYSTEM
GAS WATER HEATER
GAS APPLIANCE<=100,00OBTU
GAS PIPING
VENTILATING FANS 1 DUCT
Mechanical Permit
Units
1
1
1
2
4
Operator: JD Printed By: jmm
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$11.00
$11.00
$13.00
$2.00
$44.00
$81.00
3/9/2011
Project Number: 11000527
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/9/2011
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
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$1,586.87
$81.00
$60.00
Permit Total Fees:
Invoice Amount
$1,586.87
$81.00
$60.00
$1,727.87 $1,727.87
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
Amount Paid
$435.58
$0.00
$0.00
$435.58
$60.00
Amount Owing
$1,151.29
$81.00
$60.00
$1,292.29
Page 3 of 3
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: 3/9/2011
10`S?
0,004 1-01
U11.2q • ,QI
2_1 qQ__t _Lo7
B Y:
DATE:
N