2011, 07-06 Permit App: 11001889 Residenceof ick ane .
,0%Hey.
Community Development
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: //— /El
PERMIT FEE:
Residential Construction X' New Construction
Permit Application Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS:
1319 5. t3D /(Qc
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: L 6459 .1?L aG /
Building Owner:%tf _ p ,- L ?„d az,-
�(/
Contact
Name: //evil /�
t'll/le 1 1- S /IC
Address: 1Z2 /0Y /d enmci , 3
�
City: vo Ke,), (4.1(e.7State: U'4 Zip: .)04
'T
Phone .....11.7_ 60700 Fax:09 e 9Z2 -Q/95-
Q,9S
Contact Person
Name: K vel f A.60,1
Phone: ,57X' .2 i7- 70o
Contractor:
/ /
Name: ,1 s Mrl��4I�'j1 t S LL
Address: i ZZ 4,,.. eG``i,,, Ohs F#.3
City: k fiC 61417 State: 4 Zip:9,'"),m
Phone:J-07_ 17_G70c, Fax: 537_,, .0/c --
Conte r LiH 15,E N3 Exp Date: 9 /Z /
City Business Lic. No:
Describe the scope of work in detail: Cost of Project: $ 7v o_0O
Pef>idcal-fi
Proposed Use:
/(Ma/ /fD/hr
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT -7PEAK:
DIMEN IONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG: �� Z 171OK-
2"" FLOOR SQ. FTG:
6 9a U K-
UNFIN BASEMENT SQ. FTG:
/4
IMPERVIOUS SURFACE
AREA: / ///Ii
FINISHED BAS XT
SQ. FTG:
GARAGE4VG: 2•
”
T) DECK/CO SQ. FTG:
30% SLOPES ON A/�
PROPERTY: /v
# OF BEDRO MS:
CONSTRUCTION TYPE:
woob
HEAT SOURCE:SEWER
OR SEPTIC?
(,(/ePc'
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
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
❑ Mastercard
Expires:
DATE: 7 if
❑ VISA
VIN#:
jMalley
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. spokaneval l ey. o rg
n Commercial
PERMIT NUMBER:
PERMIT FEE:
X Residential
SITE ADDRESS:
,319 5- 13o wee"
Building Owner J Offs- ,ice .4 e/ 41-C
Name:
Kei i . /_ 16k/e f timer LLC
Phone: 5o)I7".4-7p0 Fax:
,fes'- 2Z - O19S-
Address:
/ZZ- %V, 1 ia,,,,Da cd Ft 3
City:, .:(41C (Alffi'f State: Lai-
C
Zip: 72.)0C
Contractor
Name:
/ ' / ,,
K�. -1 f Ply) fity I'�S a(
<�
Phone: 7/ 7- G 70v Fax:
5.22
- 0/55-
15S
Address:
Address:
/ Z4 iv. c ,✓yj 0,14,3
City: 5 p0 p2.7t Va//ii�f State:
(jl// .
Zip: 17..1OL
License No:
Kc»%'- /h 93-q,v3
City Business Lic:
Contact
Name:
/�G(/'rAirld 1 "eel
Phone: 52)9 - .2 /.--7_ X10
r
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
x
$12.00
jZ , 00
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
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
r
X
$10.00
/0. 00
14
DRYER
i
x
$10.00
1 a da
15
FUEL BURNING WATER HEATER
X
$10.00
is
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
Z
X
$1.00
18
DUCT SYSTEMS
1
X
$10.00
ld•ere'
19
VENTILATING FANS
3
X
$10.00
j0. °
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
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
86i,oa
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
fi 9,00
',n, iikerne
Community Development
Plumbing Permit Application ❑ Commercial
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:
PERMIT FEE:
Residential
SITE ADDRESS:
)3/9 5- 4
Building Owner Lo f 4" .,,t ,,`� �1 LLC
Name: gt. /'1 nr, Its 1--i-C
Phone: 3c6 —.)/ % ..6 ?co Fax: 3-49- 92C- 0/F5 --
Address: / Z2 /u. lea7"0"d 44-3
State: z.,4,4 Zip: 9s., g 4
City: d l a` -
Contractor[
!
,
Name: rail t t ld at-) ICJ L C_
Phone:! _ at%7 4 Ivo Fax: p S - 92e. - O/ `7 $r_
Address:
/ZL p . ��' A �4 ��
City dl�d�le 0��1 State:� Zip: 77...227 �
License No: `(t i h ,4) 41 7751 A/3
1
City Bu mess Lic:
Contact
Name: L( /"/
1 osd1e 1
7
Phone: 'j - .c17-47 ao
,--
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
3
x
$6.00
/u • 00
2
URINALS
X
$6.00
3
TUBS
Z
X
$6.00
/Z ,OC)
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
30.00
6
DISHWASHER
1
X
$6.00
7
CLOTHES WASHER
X
$6.00
8
GARBAGE DISPOSAL
/
X
$6.00
C 0"'
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
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
2. a'
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
/079 ce>
Project Number: ' 11001889 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/6/2011 Page 1 of 3
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: 45233.4508 Block: Lot:
SiteAddress: 1319 S BOLIVAR LN Owner: Name: LOTS N LAND LLC
Address: 122 N RAYMOND RD STE 3
Location:: CSV SPOKANE, WA 99206 -
Zoning: R-3 SF Res District
Water District: 010 VERA Hold: ❑
Area: 12,237 Sq Ft 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: 6/29/2011 By: tmelbourn
Landuse/Zoning/HE Conditions
Sewer Review
Permits:
Released By:
Originally Released: 6/28/2011 By: tschmidt
Released By:
Originally Released: 6/29/2011 By: JLMain
Operator: JD Printed By: jmm
Print Date: 7/6/2011
Project Number: ' 11001889
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/6/2011 Page 2 of 3
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Description Grp Type 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:
Sp Ft Valuation Sp Ft Valuation
752 $75,914.40 752 $75,914.40
680 $50,462.80 680 $50,462.80
85 $1,275.00 85 $1,275.00
520 $9,880.00 520 $9,880.00
Totals: 2,037 $137,532.20 2,037 $137,532.20
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
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
CLOTHES DRYER
RANGE
Permit Total Fees:
Mechanical Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Fee Amount
$1,206.55
$4.50
$482.62
$1,693.67
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: jmm
Permit Total Fees:
Print Date:
Fee Amount
$11.00
$11.00
$13.00
$2.00
$33.00
$10.00
$10.00
$90.00
7/6/2011
Project Number: '11001889 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/6/2011 Page 3 of 3
Plumbing Permit
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
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
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
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,693.67
$90.00
$78.00
$1,861.67
Permit Total Fees: $78.00
Invoice Amount
$1,693.67
$90.00
$78.00
$1,861.67
Amount Paid
$480.38
$0.00
$0.00
$480.38
Amount Owing
$1,213.29
$90.00
$78.00
$1,38129
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: 7/6/2011
PLANNING DEPT. APPROVED
F --
LOT 75 Sc38 /09
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BOJ-TUA
1-07- /a -z3-7
1741,21
PLANNING DEPT. AP