2011, 01-07 Permit App: 10004173 ResidencePermit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
t (509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Residential Construction
Permit Application
PERMIT NUMBER: /0
/75
PERMIT FEE:
New Construction
Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS:
5. Bo I( Ja4----
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Lor 5 inoc<
Building Owner:
Name: eariA madded /h',"($ LLC
Lo T -Ad- 4/4 /lb ZLe
Address: -- firly morti 4:t 3
City: 5et) ictitz (JJ
el Statea/4 Zip,i39
Phone: •-. _
o(17 7cti:D Fax:
Contact Person
Name: l'41.4,4 Mc) ,, dee,
Phone: (4/7- 470t)
Describe the scope of work in detail:
fs rde,14 ifc2,5c-/j
Proposed Use:
Contractor:
Name: IreVii. in,4114-.7 A/sres ILL:
Address: iza Iv ga5rie70.74/ di
city:Ixbkoe A./.kl, Statewl
Zip: 2...224..
Phone: d/7 - 470C) Fax:
_ cv 95_
coarxypirapi 9.5_4/14,3 Exp Date: ?
_72 _ //
City Business Lic. No:
DECK/- *V. PAT 0 SQ. F G:
Anrer-72--
Cost of Project: $ -7-0
/tie6(I W-e",47e
**************The followingMUST be• **********************
HEIGHT TO PEA:
.
DIMENSIONS:
Z2
. - --- - -
# OF STORIES:
TOTAL HABITABLESPACE:
/ 4. 0
MAIN FLOOR TO SQ.
FTG: 6 9 a 4ipe
2N° OOR SQ. FTG:
6. 50 °- old-
UNFIN BASEMENT Q. FTG:
P
IMPERVIOUS SURFACE
AREA:
FINISHED BASE/1NT
SQ. FTG:
GARAGE Q. F :
0
DECK/- *V. PAT 0 SQ. F G:
Anrer-72--
30% SLOPES ON
PROPERTY: it/rft
# OF BEDROO S:
3
CONS UC-UON TYPE:
a/CE2/3
HEAT ' . RCE:
gur
SEWER OR SEPTIC?
5ea,e'r - -
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 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:
Cash 0 Check
Bankcard #:
Authorized Signature:
REVISED 2/15/07
0 Mastercard
Expires:
DATE: /0- 251- /
0 VISA
VIN#:
1Valley.
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.spokanevalley.org
SITE ADDRESS:
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial Si Residential
J-ost S• �3OLIV
Building Owner
ecuiA ailefe4 /OW LLC-
Name:
Name: 1-0175, N - G/�NU LLC .
Phone:
02/7_6,- -7a)
Fax:
92e -0,93 --
Address: / 2,2 , % 4" -I 3
Il`�
City: L, `/
/17
State:
�(t
,/
Zip: i� ��
Contractor 'vy�
{
Name: iol�(.4 l/ L���J /�i� OC
00.4
Phone: a' -&70e'
Fax:
-
4�
Address: / ?
/ZZ ,v. /hoed #3
City: 5�d��Gy
State:
Grr1�
Zip:�9.�0[
y
License No: Keurom ,L q ��
City Bus ess Lic:
Contact !�
,/�T /
Name: K'c //H Allege4
Phone: ,) i 7_ 6,706
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
l2 . 0D
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to 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
8
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
9
10
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
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
13
RANGE
- f -
X
$10.00
X
$10.00
10.40
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
17
GAS PIPING (each outlet)
18
19
DUCT SYSTEMS
VENTILATING FANS
I
4
X
$10.00
X
$1.00
X
$10.00
10 L70
.O0
/0 , CC'
X
$10.00
20
AIR HANDLER (DOES NOT include ductin.)
Equal to or less than 10,000 CFM
X
$12.00
21
22
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
Greater than 10,000 CFM
X
$15.00
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
28
29
AIR CONDITIONER
15-30 TON
X
$25.00
AIR CONDITIONER
30-50 TON
X
$35.00
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:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD*
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
5442
$35.00
TOTAL PERMIT FEE DUE:
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.org
Plumbing Permit Application n Commercial ,Residential
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS:
/30(. S. X30ljvat.,
Building
Building Owner
cu
it L•
/WAYCel
Name: 10.5 _/ � — L1 ,, d LL •
/'l22
/
Phone: 217._ 6,7� Fax: 5' Ze__ Q /93-
Address:
N
3
/170../170..a^O
City: '� G_ State: Zip: J��,,7
, �`J
Contractor J �
Name: i(/f //r
'
h
�is L.L�.�
Phone: Fax: ?2 Z - O i 9
f O! ii , Lc
Address: , N
/�Ov� 3
City: �AQ ^G �/ State: //4 Zi
' p: 4949,10e
License No: ilii M
q,5 -4/f , 3
City Buliiness Lic:
Contact
Name: IC fi(/I tt //M
1
11/1Phone:
�I -% —. 7C0
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
3
X
$6.00
• OD
2
URINALS
X
$6.00
3
TUBS
2
X
$6.00
lZ . .00
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
X
$6.00
6
DISHWASHER
X
$6.00
Y•Oc.
7
CLOTHES WASHER
X
$6.00
6,•to
8
GARBAGE DISPOSAL
1
X
$6.00
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, 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
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, 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 EXPIRES:
Card# VIN:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
SUBTOTAL
72. co
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
/t17. crO
Permit Center
CITY0"11703 E Sprague Ave, Suite B-3
' Spokane Valley, WA 99206
4 'g (509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Approach Permit Application
PERMIT NUMBER:
PERMIT FEE:
PROJECT ADDRESS
START DAIL
1306
5 - 3ol i var
ANTICIPA 1LD COMPLETION DATE
Building Owner: Ke' /1 /h,„ 4 -en dales LLC
LDY-
Name:
Address: i 22-
n
Contractor:
City: .f k 'le (i`%
Phone: / 7 _ G7ote
State: 04.. Zip: 9940E
Fax: 52.2 -o/ 95-
City:
s
Contact Person
/
Name: 7tut •� ".Jv1e1i
Phone: - 11 - L%
Name: YCv[n Ifricackfrol tirei _i
Address: / 2 Z ! ,ra047,...1
/City: � ,‘ G State:
hone: d i -p. 4700
Zip:9
922 -o/9.3 ---
Co actor Lic Nx Q2y�rsy r, Date: .9_/2 _ //
-'— ``City Business Lic. No:
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
Commerciand
Rural Road ecti
Sidewalk ' -pair/Construction
str%1 Driveway
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 additional information may be required to be submitted, and subsequently approved before this
application can be processed.
Signature
Method ofPayment:
❑ Cash ❑ Check
Bankcard #:
Authorized Signature:
REVISED 3/9/06
Date /2 7 �d
❑ Mastercard 0 VISA
Expires: VIN#:
Project Number: 10004173 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:
Plat Key: Name: Range District: East
Date: 1/7/2011 Page 1 of 3
Parcel Number: 45233.4505 Block:
SiteAddress: 1306 S BOLIVAR LN
Location:: CSV
Lot:
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: .00 Acres
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released: 1/7/2011 By: TMELBOU
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
Approach
Contractor: KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN Phone: (509) 924-6497
SPOKANE, WA 99206
Operator: JD Printed By: jmm Print Date: 1/7/2011
Project Number: 10004173 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/7/2011 Page 2 of 3
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Description Grp Tyne Notes
1&2 FAMILY R-3 VB
2ND FLOOR 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
Building Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
This Application: Total Project:
Sq Ft Valuation Su Ft Valuation
680 $67,286.00 680 $67,286.00
680 $50,462.80 680 $50,462.80
72 $1,080.00 72 $1,080.00
440 $8,360.00 440 $8,360.00
Totals: 1,872 $127,188.80 1,872 $127,188.80
Units Unit Desc
Contractor: 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
1
1
1
SELECT
SELECT
SELECT
Fee Amount
$1,150.55
$4.50
$460.22
Permit Total Fees: $1,615.27
Mechanical Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
4 NUMBER OF
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
Fee Amount
$11.00
$11.00
$13.00
$2.00
$44.00
Permit Total Fees: $81.00
Plumbing Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Units
3
4
2
1
1
1
Operator: JD Printed By: jmm
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$24.00
$12.00
$6.00
$6.00
$6.00
$72.00
Print Date: 1/7/2011
Project Number: 10004173 Inv: 1 Application Date: 1/7/2011 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount
Building Permit $1,615.27 $1,615.27
Mechanical Permit $81.00 $81.00
Plumbing Permit $72.00 $72.00
Amount Paid
$460.22
$0.00
$0.00
Amount Owing
$1,155.05
$81.00
$72.00
$1,768.27 $1,768.27
$460.22
$1,308.05
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: jmm
Print Date: 1/7/2011
PLANNING DEPT.
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