2011, 06-28 Permit App: 11001890 ResidenceCommunity Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suit B-3
Spokane Valley, WA 9920
(509)688-0036 FAX: (50'1688-0037
www.spokanevalley.org
•
PERMIT NUMBER: t— /f' 0
PERMIT FEE:
I5erNew Construction
Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS: 13 07
ASSESSORS
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION: Zcir 10 5. 4 (X- /
Building Owner:Kcal Adde, 4. ZIC
DIMEIONSi..
Name: tors ziefil 6 LLC.
AL A
# OF STORIES:
i
UNFIN BASEMENT SQ. FTG:
Address: 12 2. If . pet, //27Ael
fit3
State
City: aidezi
,z, State:o;
City: ----rolcim.c.- 14),I.7
Zip:
Zip,•••20‘
Phone: 9 d/7,c7oni Fax: la.z
_,,,,,...,_
30% SLOPES ON
PROPERTY: „./
SEWER OR SEPTIC?
Contact Person
Name: ,d''/'i ,1eltirje4,00 v7
Phone:
Contractor:
DIMEIONSi..
AL A
# OF STORIES:
i
UNFIN BASEMENT SQ. FTG:
Name:
'J•1(41 kilcieEeep -does ,4,C
Address:
laz fl MI
State
City: aidezi
....
FINISHED BARNT
SQ. FTG:
tt
Zip,•••20‘
/
Phone: c•,/ 7- t..-7cAt Fax:
„
30% SLOPES ON
PROPERTY: „./
SEWER OR SEPTIC?
Contrator Lic No:
r7vm /4 1.-ryivixp Date:
CON TRUCTION TYPE:
1
- 17,.... / f
City Business Lic. No:
Describe the scope of work in detail:
kr5 / 7 /
Proposed Use: vea.r law)
**************The following MUST be co lete: (write N/A if **********************
Cost of Project: $
HEIGHT TO PEAK:
DIMEIONSi..
AL A
# OF STORIES:
i
UNFIN BASEMENT SQ. FTG:
TOTAL HABIT-' :LE SPACE:
0-3 0 '
IMPERVIOUS SURFACE
AREA:
MAIN FLOOR TO§Q.
FTG: 330 rA
2Nu FLOOR SQ. FT
1014
:
FINISHED BARNT
SQ. FTG:
tt
GARAGE Q. Q. FjG:
D w' a
(c_. -
DECK/CO/P' Q. FTG:
<az) 0,—
HEAT SOURCE:
30% SLOPES ON
PROPERTY: „./
SEWER OR SEPTIC?
# OF BET M :
CON TRUCTION TYPE:
The permitee 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 Spokan
local laws, codes or ordinances. 6) Plans or additional
this application can be processed.
SIGNATURE:
Method of Payment:
D Cash 0 Check 0 Mastercard
Bankcard #: Expires:
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) AD 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
Authorized Signature:
REVISED 2/15/07
DATE:
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.spolcanevalley.org
PERMIT NUMBER:
PERMIT FEE:
Commercial Residential
SITE ADDRESS:
Do -7
s. ,aoIt Vc '
Building Owner 04.1 /141e' -t 1 A
s DX.
Name: LU 15 -iv_ L,44D LLC
Phone: (7.. i , 00
Fax:
9 ZZ - O � %�
Address:
/ �, N • 1,
"/'v'"/
3
City: vo kv,� d. Voyirei
State:
�4, Zip: c�+730L
Contractor
�^'
Name:
)(CV; i1 / G/)
Phone: �' (�'7cp)
Fax:
ZZ r 0, gS
Address:
j? p .
City: �O�d A1C- i��i1G�
State:
4. Zip:`frf-'�L
License No:
�/eot" ,,,, 15-y N3
/�
City Business Lic:
Contact
Name:
(/p,4 n "`4
Phone: _2' "7„ `7Qts,
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
x
$12.00
1z•00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal 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
14
DRYER
I
X
$10.00
X
$10.00
15
FUEL BURNING WATER HEATER
x
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
10 • cx)
1O.00
10. oO
17
GAS PIPING (each outlet)
Z
X
$1.00
2, art'
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
3
x
$10.00
3D. oo
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
EXPIRES:
VIN:
SUBTOTAL
ao
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
/1q.cO
ley
Community Development
Plumbing Permit Application n Commercial
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0031
www.spokanevalley.org
(tancirc. .4gWver-
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS:
130 5 .
OLsVP
Building Owner I/ 4 �/In - t i,t
! �O
�� Air,
Name:1�
LOT -rv- c��� lie_
Phone:
Fax:
LIZ "Z–
o/ 73.—
sAddress:
Address:
/2Z p . Ret, 41 avid
43
City: 5.�iceIi L "e
State:
amir,
Zip: 1.47.1(261.47.1(26Contractor
//
Name:
Phone: :j crt.
Fax:
ZZ - of 9_r—
Address: / ZZ A, • 4 p,
Pt 3
Cityj�iI1G 1)df€
State:
�� _
Zip. c��a6
/'
License No: qtr , ��� 421Y/4
`� v1 � 3
City Briny ess Lic:
Contact J
Name: 1,,,;,010,44,....„, Jam„
Phone: ..1/7 — 4i7(7122
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATE CLOSET, BIDETS
X
$6.00
/Z•00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
/ Z •
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
X
$6.00
ay.or,
6
DISHWASHER
X
$6.00
G• 00
7
CLOTHES WASHER
/
X
$6.00
G•cc,
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC WATER HEATER
NOTE: IF eAS, 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 C c 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,
CHEMI4 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
$20.00
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
.W
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
/01.
r.
_ �s��p Permit Center
Sp"� �',' 511703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
e (509)688-0036 FAX: (509)688-0037
4011.
www.spokanevalley.org
Community Development
Approach Permit Application
PERMIT NUMBER: //—/(fo
PERMIT FEE:
PROJECT ADDRESS
START DA I'L ANTICIPATED COMPLETION DATE
Building Owner: Kuloud� itott4s LLC.
Name: Lor- Lit4 1.A .0 •
Address: / 22„ Ai. Al /Y or d
City: 4y, k6„6f�i/i
Project Number: 11001890 Inv: 1
Application
Date: 6/28/2011 Page 1 of 3
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
Parcel Number: 45233.4510 Block: Lot:
SiteAddress: 1307 S BOLIVAR LN
Location:: CSV
Owner: Name: KEVIN MADDEN
Address: 122 N RAYMOND
SPOKANE VALLEY WA 99206
Zoning: R-2 SF Res Suburban District
Water District: 010 VERA
Area: 9,379 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released: 6/28/2011 By: tmelbourn
Landuse/Zoning/HE Conditions
Released By:
Driveway/Approach
Originally Released: 6/28/2011 By: tschmidt
Released By:
NOT REQUIRED
Sewer Review
Originally Released: 6/28/2011 By: JLMain
Released By:
Originally Released: 6/28/2011 By: JLMain
Operator: JD Printed By: jmm Print Date: 6/28/2011
Project Number: 11001890
Permits:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/28/2011 Page 2 of 3
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Description Grp Type Notes
1&2 FAMILY 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
Contractor:
Approach
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Building Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
This Application: Total Project:
Su Ft Valuation Su Ft Valuation
1,230 $124,168.50 1,230 $124,168.50
100 $1,500.00 100 $1,500.00
440 $8,360.00 440 $8,360.00
Totals: 1,770 $134,028.50 1,770 $134,028.50
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,189.75
$4.50
$475.90
$1,670.15
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
CLOTHES DRYER
RANGE
Units
1
1
1
2
3
1
1
Operator: JD Printed By: jmm
Phone: (509) 924-6497
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$11.00
$11.00
$13.00
$2.00
$33.00
$10.00
$10.00
$90.00
6/28/2011
Project Number: 11001890
Inv: 1
Application
Date: 6/28/2011
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
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:
Plumbing Permit
Units
2
4
2
1
1
1
Page 3 of 3
Finn: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Payment Summary:
Permit Type Fee Amount Invoice Amount
Building Permit $1,670.15 $1,670.15
Mechanical Permit $90.00 $90.00
Plumbing Permit $66.00 $66.00
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$6.00
Amount Paid
$475.90
$0.00
$0.00
$66.00
Amount Owing
$1,194.25
$90.00
$66.00
$1,826.15 $1,826.15
$475.90 $1,350.25
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: 6/28/2011
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