2008, 10-30 Permit App: 08003822 ResidenceProject Number: 08003822 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/30/2008 Page 1 of 3
Project Information:
Permit Use: SFR
Setbacks: Front
Site Information:
Plat Key:
Contact: BURNS, BETTY K
Address: 9304 E SINTO AVE
C - S - Z: SPOKANE, WA 99206
Left: Right: Rear: Phone: (000) 000-0000
Group Name:
Project Name:
Name: Range
District: Nort
Parcel Number: 45161.0626 Block:
SiteAddress: 12017 E BOONE AVE
Location:: CSV
Lot:
Owner: Name: BURNS, BETTY K
Address: 9304 E SINTO AVE
SPOKANE, WA 99206
Zoning: R-3 SF Res District
Water District: Hold: ❑
Area: 19,500 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:
Driveway/Approach
9/29/2008 By: tmelbourn
Released By:
Originally Released: 10/30/2008 By: jdavis
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released:
9/29/2008 By: cjjanssen
Released By:
Operator: JD Printed By: JD Print Date: 10/30/2008
Project Number: 08003822 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/30/2008 Page 2 of 3
Approach
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
APPROACH -CONST IN ROW
Units Unit Desc Fee Amount
1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Gr Type Notes Sq Ft Valuation Su Ft Valuation
1&2 FAMILY R-3 VB 2,066 $196,249.34 2,066 $196,249.34
COV DECK R-3 VB 360 $5,400.00 360 $5,400.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Totals: 2,426 $201,649.34 2,426 $201,649.34
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,564.95
$4.50
$625.98
Permit Total Fees: $2,195.43
Mechanical Permit
Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
GAS PIPING 1 # OF UNITS $1.00
BOILER/REFER 1-100M BTU 1 NUMBER OF $12.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
HOOD -TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $83.00
Operator: JD Printed By: JD Print Date: 10/30/2008
Project Number: 08003822 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/30/2008
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER HEATER - ELECTRIC
MISCELLANEOUS FIXTURES
WATER PIPING - DWV
Notes:
Plumbing Permit
Firm: OWNER
Phone:
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
4 NUMBER OF
Permit Total Fees:
(000) 000-0000
Fee Amount
$12.00
$24.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
$24.00
$108.00
PURSUANT TO SECTION 19.40.020 (B) -ALL RESIDENTIAL DRIVEWAYS AND OFF-STREET
PARKING AREAS SHALL BE PAVED WITH ASPHALT, PORTLAND CEMENT, GRASSCRETE,
PAVER BLOCKS OR OTHER EQUIVALENT HARD SURFACE MATERIAL.
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$50.00 $50.00
$2,195.43 $2,195.43
$83.00 $83.00
$108.00 $108.00
$2,436.43
$2,436.43
Amount Paid Amount Owing
$0.00
$0.00
$0.00
$0.00
$0.00
$50.00
$2,195.43
$83.00
$108.00
$2,436.43
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: JD
Print Date: 10/30/2008
Spokanek
..Valley
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
vo,vw.spokanevalley.org
PERMIT NUMBER:
PERMIT FEE:
New Construction
Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS:
ASSESSORS PARCEL NO: 1/5/6 . 6,;,--1:9 LEGAL DESCRIPTION:
Building Owner:
; 44 il,
Name:
Name -t
„,,i, „,...
Address:
Address: 9-3 a Ci t_.--
eu FLOOR SQ. FTG:
A / A
/ v , .17
City:
Cityd 40,4_ zi
State:AA_
Zip:99
Pliszmf‘:_o , _ 9 j 4 _ ..
„zscs, Fax:
Contractor Lic No:
Contact Person
Name:
Phone:
Describe the s_cppe of work in detail:
Contractor:
0 w Al eit - a
; 44 il,
Name:
TOTAL HABITABLE SPACE:
cY ' zo "
Address:
MAIN FLOOR TO SQ.
FTG-• 2n
eu FLOOR SQ. FTG:
A / A
/ v , .17
City:
State:
Zip:
Phone:
Fax:
30% SLOPES ON
it,o -X, e
Contractor Lic No:
Exp Date:
HEAT RC • -.
City Business Lic. No:
L
Cost of Project: $
.3 ig 1 cs-7,4 0 Ad JA-vtd
Proposed Use: /Qc.51e.le c e
**************The followingMUST be ete: (write N/A if not a licable **********************
HEIGHT TO PEA /
PEAK:
DIMENSIONS: / •
# OF STORIES: 7
TOTAL HABITABLE SPACE:
cY ' zo "
i'zlki 6 0
MAIN FLOOR TO SQ.
FTG-• 2n
eu FLOOR SQ. FTG:
A / A
/ v , .17
UNFIN BASEMENT SQ. FTG:
-
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: 4/1,4 ,
GARAGE SQ. FTG:
1V, 11(-39PROPERTY:
DECK/ V. PATIO S . FTG:
30% SLOPES ON
it,o -X, e
# OF BEDROOMS:3
CONSTRUCTION TYPE:
64/ „lee., 124.47
HEAT RC • -.
SEWER OR SEPTIC?
L
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 2/15107
Check
fl Mastercard
Expires:
5aivkA-
DATE:
El VISA
VIN#:
SEP 25 2008
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
o 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
❑ 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
❑ Reinforcement if any
o Active system with 6 mil vapor barrier
❑ Footings/ post/ and beam size and locations
O Handrail / Guard height & spacing
Valley.
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.spokanevallev.org
SITE ADDRESS:
o6).„1.9
ASSESSORS PARCEL NO: 1/5/ LEGAL DESCRIPTION:
1 I
PERMIT NUMBER:
PERMIT FEE:
New Construction
Addition/Remodel
Other:
ir-)11 0't--v-L)
Accessory Bldg
Deck
7 ',--. '-'• - '.. 1 : :- ,-:T ;,- -
DIMENSIONS: i
(3 6 X 60
#tOF STORIES: ...z,
Nam, k
MAIN FLOOR TO SQ.
FTG:A
-%.,4 -
2' FLOOR SQ. FTG:
At . ,g ,
Address: 9-3 a 4/ L4- ,
A:7i 11-0-4,
FINISHED BASEMENT
SQ. FTG: /1<i/ ,
City:
P
Stated/,
Zip:910( jp6.
Phone: -ax.
Fax:
HEAT SOURCE: -- ,
k-, -S
CoiltdetPerstiti '
Name:
Phone:
Describe the scope of work in detail:
Cost of Project: $
36/g 6,0 ,c;- it -51 e, 007 S'A 1/444.
Proposed Use: /QeSf'cie N C e
**************The following MUST be complete: (write N/A if not a licable **********************
HEIGHT TO PEAK: /
/
DIMENSIONS: i
(3 6 X 60
#tOF STORIES: ...z,
Name:
MAIN FLOOR TO SQ.
FTG:A
-%.,4 -
2' FLOOR SQ. FTG:
At . ,g ,
Address:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: /1<i/ ,
City:
State:
Zip:
Phone:
Fax:
HEAT SOURCE: -- ,
k-, -S
Contractor Lic No:
Exp Date:
City Business Lic. No:
Cost of Project: $
36/g 6,0 ,c;- it -51 e, 007 S'A 1/444.
Proposed Use: /QeSf'cie N C e
**************The following MUST be complete: (write N/A if not a licable **********************
HEIGHT TO PEAK: /
/
DIMENSIONS: i
(3 6 X 60
#tOF STORIES: ...z,
TOTAL HABITABLE ,SPACE:
'
MAIN FLOOR TO SQ.
FTG:A
-%.,4 -
2' FLOOR SQ. FTG:
At . ,g ,
UNFIN BASEMENT SQ. FTG:
A/,./9,
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: /1<i/ ,
GARAGE SQ. FTG:
/t/ -
DECK/COV. PATIO SQ. FTG:
/7,4 ,
30% SLOPES ON
PROPERTY: No .4/ C
# OF BEDROOMS:3
CONSTRUCTION TYPE:
CAJcl ;2441
HEAT SOURCE: -- ,
k-, -S
SEWER OR SEPTIC?
. Ce ,x..) eyr
The permitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the
dwellihg 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
0 Mastercard
Expires:
DATE:
•, „
111 VISA
SEP 2,5 2008
*Wa
4000 i ey.
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.spokanevallev.orR
PERMIT NUMBER:
PERMIT FEE:
n Commercial ❑ Residential
SITE ADDRESS:
Building Owner
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
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
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
X
$10.00
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
35
VENTILATION MECHANICAL EXHAUST
36
INCINERATOR - RESIDENCE
411
X
812.00
x
$12.00
X
$19.00
37
INCINERATOR - COMMERCIAL
x
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE
REVISED 8/26/05
EXPIRES:
// /VIIN:: I
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
1
Permit Center
`ri�e' 11703 E Sprague Ave, Suite B-3
rdly Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Plumbing Permit Application
Community Development
PERMIT NUMBER:
PERMIT FEE:
n Commercial ❑ Residential
SITE ADDRESS:
Building Owner
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
i—
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
3
TUBS
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
/
/
X
$6.00
X
$6.00
X
$6.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
Li
X
$6.00
6
DISHWASHER
/
X
$6.00
7
CLOTHES WASHER
X
$6.00
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
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
San' `""vs."*".pokane
� y
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
Approach Permit Application
PERMIT NUMBER:
PERMIT FEE:
PROJECT ADDRESS
START DATE
ANTICIPA 1ED COMPI FTION DA IL
Building Owner.
Contractor:
Name:
Name:
Address:
Address:
City:
State: Zip:
Phone: Fax:
Contact Person
Name:
Phone:
PROJE T DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
City:
State: Zip:
Phone: Fax:
Contractor Lic No: Exp Date:
City Business Lic. No:
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
Bond/Insurance certification must be on file with the city.
DISCLAIMER
The permittee verifies, acknowledges and agrees by their signatures that: 1) If this pennit 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 #: Expires: VIN#:
Date
❑ Mastercard ❑ VISA
Authorized Signature:
REVISED 319/06
1