2009, 09-21 Permit App: 09002995 ResidenceProject Number: 09002995 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 9/21/2009 Page 1 of 3
Permit Use: SFR W/ATT Contact: KEVIN COOK
Address: PO BOX 88
C - S - Z: GREENACRES, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 217-1054
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: Nort
Parcel Number: 45161.0731 Block: Lot:
SiteAddress: 12004 E BOONE AVE
Location:: CSV
Zoning: R-3 SF Res District
Water District: 011 MODERN
Area: 8,892 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Owner: Name: KEVIN COOK
Address: PO BOX 88
GREENACRES, WA 99016
Hold: n
Depth: 0 Right Of Way (ft): 0
I Released By:
Originally Released: 9/18/2009 By: tmelbourn
Landuse/Zoning/HE Conditions
See Conditions
Sewer Review
Permits:
Released By:
Originally Released: 9/18/2009 By: mbasinger
Operator: JD Printed By: jmm
Released By:
Print Date: 9/21/2009
j
Project Number: 09002995 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/21/2009 Page 2 of 3
Contractor: OWNER
Description Grp Type Notes
1&2 FAMILY R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Sq Ft Valuation Su Ft Valuation
988 $95,668.04 988 $95,668.04
228 $4,332.00 228 $4,332.00
Totals: 1,216 $100,000.04 1,216 $100,000.04
Contractor: ANDERSON'S SHEET METAL
Address: 13903 E TRENT AVE
SPOKANE, WA 99216
Item Description
GAS APPLIANCE<=100,000B TU
HOOD - TYPE I
VENTILATION MECH EXHAUST
Contractor: ANDERSON'S SHEET METAL
Address: 13903 E TRENT AVE
SPOKANE, WA 99216
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
MISCELLANEOUS FIXTURES
Units Unit Desc Fee Amount
1 SELECT $999.35
1 SELECT $4.50
1 SELECT $399.74
Permit Total Fees: $1,403.59
Mechanical Permit
Firm: ANDERSON'S SHEET METAL
Phone: (509) 928-0960
Units Unit Desc
1 NUMBER OF
1 NUMBEROF
3 NUMBEROF
Fee Amount
$13.00
$52.00
$39.00
Permit Total Fees: $104.00
Plumbing Permit
Firm: ANDERSON'S SHEET METAL
Phone: (509) 928-0960
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
2 NUMBEROF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
8 NUMBER OF
Operator: JD Printed By: jmm
Permit Total Fees:
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$48.00
$108.00
Print Date: 9/21/2009
Project Number: 09002995 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/21/2009
Notes:
All residential driveways and off-street parking areas shall be paved with asphalt, Portland cement,
grasscrete, paver blocks, or other equivalent hard surface material.
This permit is approved with the understanding that the rear yard setback will be adjusted to a minimum
of 20'
Issue no permits without frontage improvements and pavement patch repairs completed.
Scott Wallace
Payment Summa
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,403.59
$104.00
$108.00
$1,615.59
Invoice Amount
$1,403.59
$104.00
$108.00
$1,615.59
Amount Paid
$399.74
$0.00
$0.00
$399.74
Amount Owing
$1,003.85
$104.00
$108.00
$1,215.85
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: 9/21/2009
Spokane
Community 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:
PERMIT FEE:
New Construction j Accessory Bldg
Addition/Remodel Deck
Other:
SITE ADDRESS: E 1 OD 4
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
DIMENSIONS: -
32 x 3
# OF STORES: 1 1 1
1
Name:
K.e • •.4 Go (e_
eu FLOOR SQ. FTG:
Address:
Address:
po , aolc. Ref
City:
State:
citY:),cre5
State:
Zip:
eigio go
Phone:
Fax:
5i)1 ' -,) 1 7 - 10 S.+
City Business Lic, No:
Contact Person
Name:
Phone:
Describe the scope of work in detail:
Contractor: etA,1/4.1 kJ tv,
DIMENSIONS: -
32 x 3
# OF STORES: 1 1 1
1
Name:
MAIN FLOOR TO SQ. ore-
FTG:
44-e
eu FLOOR SQ. FTG:
Address:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
City:
State:
Zip:
Phone:
Fax:
HEAT SOURCE:
AL46.; 5
Contractor Lic No:
Exp Date:
City Business Lic, No:
Cost of Project: $ 0 k.
Aleui GA14
Proposed Use: t IZ (7
**************The following MUST be complete: (write N/A if not **********************
HEIGHT TO PEAK: ,
1
DIMENSIONS: -
32 x 3
# OF STORES: 1 1 1
1
TOTAL HABITABLE SPACE:
1* -4-€7— 9i12?
MAIN FLOOR TO SQ. ore-
FTG:
44-e
eu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
. , .
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG: o(
-ErEirettfeet/. PATIO SQ. FTG:
5 *Y: )1.)
30% SLOPES ON
PRO RTY:
# OF BEDROOMS: ,
..1-
CONSTRUCTION TYPE:
HEAT SOURCE:
AL46.; 5
- -19TI
ER 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 proces d.
SIGNATURE:
Method of Payment:
LI Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
El Check
O Mastercard
Expires:
DATE:
El VISA
VIN#:
q - 7
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
❑ SITE PLAN
o Property lines and dimensions
o Direction arrow pointing North and orientation to streets
o Proposed/existing buildings (footprint and dimensions)
o Utilities, septic tank/drain field locations and distances
o Setbacks to property lines
o Distance between buildings
o Right of way/easement location & sizes
o Driveway approach size and location
BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned)
O Elevations (Front/Rear/Sides) with roof peak and wall height including basement:
❑ Foundation Plan (crawlspace, basement or slab on grade):
o Footing sizes and locations
o Perimeter concrete foundation wall sizes
o Crawlspace ventilation
o Supporting wood cripple walls or beams
o Thickened concrete pads supporting
beams or girder trusses
O Floor Plan of each level (finished or unfinished) with dimensions:
o Floor Joist direction, size and spacing
o Header, beam or concrete lintel sizes
o Brace wall panel locations
o Water heater and furnace locations
o Exhaust fan locations
o Deck or concrete patio sizes and locations
❑ Roof Plan:
o Engineered truss direction and spacing
o Rafter and over frame direction, size and spacing
❑ Wall Section Detail including:
Roof
o Slope/ roofing material/ underlayment/ ice dam protection
o Sheathing size and type
Ceiling
o Joist size and spacing
Wall
o Height/ top plate/ stud size and spacing/ sole plate
o Exterior sheathing size and type
Floor
o Joist size and spacing
Foundation Wall
o Concrete or Masonry unit width
o Earth to wood separation distance
Footing
o Size
Radon
o Passive system with 6mil vapor barrier
Miscellaneous Construction Details
❑ Deck:
o Floor plan/ side view/ dimensions
o Floor Joist/ decking direction, size and spacing
❑ Stairway tread rise & run and nosing
o Window and door location and sizes
o Window well locations if applicable
o Room usage labels
o Smoke detector locations
o Attic and crawl space access locations
o Fire Wall construction
o Ridge, eave and valley lines
o Beam and girder size and location
o Truss or rafter size, spacing & connection
o Attic insulation/ air space baffle/ ventilation
o Size of ceiling gypsum wall board
o Siding/ exterior house wrap/ anchor bolts
o Insulation, vapor barrier, gypsum wall board
o Sheathing or concrete floor size/ insulation
o Footing bottom to finished ground level depth
o Horizontal & vertical reinforcement if any
o Reinforcement if any
o Active system with 6 mil vapor barrier
❑ Footings/ post/ and beam size and locations
O Handrail / Guard height & spacing
•
Sp°`kan elle"
jvalley-
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
permitcenteraspokaneval l ey. org
Commercial
PERMIT NUMBER:
PERMIT FEE:
esidential
SITE ADDRESS: E 0 U 4
—3ra Of—)
Building Owner V
Name:
-e v ,.J ro o k
Phone:
Fax:
Address:
Contractor
Name:
J YLrc.vr An..,, Wj City:
AacJ- e .i U )
State:
Zip:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name:
Phone:
r
#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)
GAS LOG, 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 cfrn, 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
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 ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://www. spokanevalley. org/uploads/Community_Development/Documents/Forms/Bu itding/Meeh apical PermitAppl ication 040309. doc
•
sada``
4FValley`
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokanevallev.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial J2esidential
SITE ADDRESS: L i a o u 4
Building Owner Ki.V leo CLD k
Name: Phone: Fax:
Address: W,vti/ r City: State: Zip:
Contractor A ��;r, t
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
r
# OF UNITS
PLUMBING FIXTURE ON A TRAP
(0
TOILETS
D.
URINALS
TUBS
D
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
l
GARBAGE DISPOSAL
I
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
2 -
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
DCASH ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley. org/uploads/Community_Development/Documents/Forms/Building/PlumbingPerm itApplication040309. doc
?t`
w 0,4tr.
frw tr
6- a. s
'So I --IP
41,
"Of)
4— 3 o'
4,
fri
t,4
e
2_c)
4— 2—ts —4)
1
13r)r) k)e Aie.