2010, 09-21 Permit App: 10002930 ResidencePermit Center
SnnY6kane 11703 E Sprague Ave, Suite B-3 _________I
Spokane V alley, A--992015
jValle 06` (96$8-0037
ipermitce terga spc kanevalleyyorgs,-,
Community Development 1
Residential Consfruttion .q % New Construction ❑ Accessory Bldg
Permit Application "�� ❑ Addition/Remodel ❑ Deck
_El Other:
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS:
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: .DO?' 7 .BoGZ I
Building Owner:
DIMENSIONS:
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Name: �C t' .4 �' a6/47 /74, �e
Name: IY
Netii/'1 i�'bltif • 7
i/_ __!<S t f l
1 c
City�yz ��
: �ir,
Address: /aW /6`�
z.
4c/ AI 3
Fax: 922 - O/9y-.
City: L .���/moi
`
State
Zip:
Phone:
_2/7 6,7c7,
Fax: 922
(....y95,..._
Contact Person
Name: O i .9 " 4.
Phone: j .2./7— Glc,
Describe the scope of work in detail:
Contractor:
DIMENSIONS:
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Name: �C t' .4 �' a6/47 /74, �e
Address: / 2 ic.." �
.4.10,,, / d 3
City�yz ��
: �ir,
State: �� Zil Z co‹.-
j
Phone: 02/7_ 4..70z,
Fax: 922 - O/9y-.
Co eaplo y /03 Exp Date: 9 _/Z _,/
City Business Lic. No:
30% SLOPES ON 0
PROPERTY:
Cost of Project: $ 75 0:70
Proposed Use:
**************The followinss MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
SvrX Si
# OF STORIES:
/
TOTAL HABITABLE SPACE:
12-30- /239
MAIN FLOOR TO SQ. c
FTG:
/ t3�/ 23 /
2"" FLOOR SQ. FTG:
PM
UNFIN BASEMENT SQ. FTG:
1-1
IMPERVIOUS SURFACE
AREA:
PM
FINISHED BASE �v T
SQ. FTG: 11.0 t
GARAGE SQ. FT
( 64
DECK/ OV. PATIO SQ. FTG:
30% SLOPES ON 0
PROPERTY:
# OF BED3ROOMS:
CONSTRUCTION TYPE:
HEATI3CE:
SEWS OR
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:
0 Cash
Bankcard #:
0 Check
Authorized Signature:
REVISED 2/15/07
❑ Mastercard
Expires:
DATE:
❑ VISA
VIN#:
C k e
1-G111111. . ci uci
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter(iU,spokanevallev.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial eResidential
SITE ADDRESS:
I3a7 5
Building Owner
Name: eet4 '1 /" !iL/imeS �-e Phone _,47"'4r7 a Fax: ...3z)i '_ %2>✓—0/93,'_"'
"dim 'IPA
Address: /ZZ I:, d 3 City: 1-PDkA, jk, State: adly Zip: '.71a4.
Contractor
Name: Phone: Fax:
�Gl.�/� /���%, �� l� �`TJ;' dr7-Gig ,...707, —.z. — cv 93...-
3"Address:
Address:
/ZZ ,4 y ri-7� ' #5 City: . ‘r! k4/4. State: Zip: 9... e
/ /
License No: rel ,p// L .25--5,,,,i3 City Business Lic:
Contact/Project Manager:
Name: Kt` ,1 i:07 Phone: ._.ii'7,_ x•70,,
rl d
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
Z.
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
/
GARBAGE DISPOSAL
l
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, 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
❑CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: httD://www.sookanevailev.ora/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community_Development/Documents/Fom-s/Building/PlumbingPermitApplication040309.doc
Community Development
Mechanical Permit Application
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokanevalley.org
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS:
3,7 s. '4
Building Owner
Name: Y "M di//264 es Z'
Address: `/' az ti p0 ` co_
Contractor �/
Phone: ,..,-6`.1/%-G�C.Y7 Fax: 3 _ v/Ss-
City: look lC lam/ State: l¢+
Zip: %5,,>_0�
Name: /44/// { rblGrll-1 /47/WS ,L.,JC Phone: �+ �/ 7 ! ia� Fax: ,j 9 _ 2z Z5
Address: /ZZ (1, /eci; 117 3
License No: p/.C--4/44 if 1.5i Ai ;1
Contact/Project Manager:
City: ��fret State: L44
City Business Lic: %�
Zip: "i1o4
Name:
Phone: � f % 1 ci
• � I v �
#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
/
/
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.-
iGAS
GASLOG, 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 cfm, 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
3
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
2
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
/
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM - FREE STANDING
['CASH 0 CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc
Project Number: 10002930 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW SFR - SEWER 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: 9/21/2010 Page 1 of 3
Parcel Number: 45233.4507 Block: Lot:
SiteAddress: 1327 S BOLIVAR LN
Location:: CSV
Owner: Name: LOTS N LAND LLC
Address: 122 N RAYMOND RD STE 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: 9/20/2010 By: tmelbourn
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Originally Released: 9/16/2010 By: mharnois
Released By:
Permits:
Originally Released: 9/16/2010 By: JLMain
Operator: jmm Printed By: JD Print Date: 9/21/2010
Project Number: 10002930 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/21/2010 Page 2 of 3
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Description Grn 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
Building Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
This Application:
Sq Ft Valuation
1,239 $122,599.05
100 $1,500.00
666 $12,654.00
Total Project:
So Ft
1,239
100
666
Valuation
$122,599.05
$1,500.00
$12,654.00
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
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
DUCT WORK SYSTEM
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS 1 DUCT
HOOD - TYPE I
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
VENTILATION MECH EXHAUST
Permit Total Fees:
Mechanical Permit
Units
1
1
1
3
1
1
1
2
1
Operator: pm Printed By: JD
$1,685.83
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$11.00
$13.00
$1.00
$33.00
$52.00
$10.00
$10.00
$22.00
$13.00
$165.00
9/21/2010
Project Number: 10002930
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/21/2010
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
Units
3
4
2
1
1
1
Fee Amount
$1,685.83
$165.00
$72.00
Page 3 of 3
Firm: 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:
Invoice Amount
$1,685.83
$165.00
$72.00
Fee Amount
$18.00
$24.00
$12.00
$6.00
$6.00
$6.00
Amount Paid
$478.14
$0.00
$0.00
$72.00
Amount Owing
$1,207.69
$165.00
$72.00
$1,922.83 $1,922.83
$478.14 $1,444.69
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: jmm Printed By: JD
Print Date: 9/21/2010
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