2005, 11-10 Permit App: 05004274 ResidenceProject Number: 05004274 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Contact: COOK, KEVIN & TERESA
Address: 6110 N RYLEY LN
C - S - Z: SPOKANE VALLEY, WA 99027
Setbacks: Front 35 Left: 10 Right: 35 Rear: 25 Phone: (509) 217-1054
Group Name:
Site Information: Project Name:
Plat Key: Name: RANGE
Date: 11/10/2005 Page 1 of 3
District: West
Parcel Number: 45151.1026
Block: Lot:
SiteAddress: 13512 E BOONE AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 11,252 Sq Ft
Urban Residential 3.5
Owner: Name: COOK, KEVIN & TERESA
Address: 6110 N RYLEY LN
SPOKANE VALLEY, WA 99027
Hold:
Width: 97 Depth: 116 Right Of Way (ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 11/10/2005 By: CJJANSSE
Released By:
Sewer Review
Permits:
Originally Released: 11/09/2005 By: TMELBOU
Released By:
Operator: CJJ Printed By: CJJ Print Date: 11/10/2005
Project Number: 05004274 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/10/2005 Page 2 of 3
Contractor: OWNER
Description gm Type Notes
GARAGE S-2 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Contractor: OWNER
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
AIR HANDLER <=10,000 CFM
HOOD -TYPE II
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application:
Sq Ft Valuation
400 $15,552.00
1,456 $108,734.08
Total Project:
Sq Ft Valuation
400 $15,552.00
1,456 $108,734.08
Totals: 1,856 $124,286.08
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
1,856 $124,286.08
Fee Amount
$1,133.75
$4.50
$453.50
$1,591.75
Firm: OWNER
Phone: (000)
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
000-0000
Fee Amount
$10.00
$12.00
$2.00
$30.00
$10.00
$12.00
$10.00
$86.00
Firm: OWNER
Phone: (000)
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
000-0000
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$6.00
$12.00
$78.00
Operator: CJJ Printed By: CJJ Print Date: 11/10/2005
Project Number: 05004274
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/10/2005 Page 3 of 3
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,591.75
$ 86.00
$78.00
Invoice Amount
$1,591.75
$86.00
$78.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,591.75
$86.00
$78.00
$1,755.75 $1,755.75 $0.00 $1,755.75
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: CJJ Printed By: CJJ
Print Date: 11/10/2005
p�Iine
Valley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokanp Valley Community Development Department
t
L.: U / II \V/ Building Division
J)
11707E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
ne: (509) 688-0036; Fax: (509) 688-0037
13
REQUIRED SITE IN 4RMATION
Street Address: (gC1D,
Assessor's Tax Parcel Number(s): I 14)2
Legal Description:
PERMIT DESCRIPTION:
Building Permit 0 Change in Use n Grading 0 Manufactured Home
0 Relocation Tenant Improvement 0 Fire Safety 0 Other
OWNER/APPLICANT INFORMATION
Owner eev Jr..) -T-C e (.9 ED Applicant:
Phone: So 9 ‘a17./or4 Fax: Phone: Fax:
Address: ik/ J. Ito Lt' Address:
9+,, 0 re14-4Nrci3L t,'ic.91027
City State Zip Code City State Zip Code
Contractor:
Phone: Fax:
Address:
City
0 Architect:
Phone: Fax:
Address:
State Zip Code City
State Zip Code
• WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: ,
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
t 4- Vo
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG: 400
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
j4-
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
70 K._
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? •sci..., ,--
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation:
Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State Zip
SPECIAL NSPECTIONS
LI BOLTING Ei CONCRETE
El REINFORCEMENT LI WELDING
Firm Name: Phone: Fax:
Inspector(s):
DISCLAIMER
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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name v Coo L Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
n Cash 0 Check 0 Mastercard 0 VISA 0 Other
Bankcard #: Expires: VIN#:
Authorized Signature:
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address: E. 3 1 a crinN
Owner. /2,U, ,a
Mailing Address:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
• Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
City
State Zip Code
Contractor. License #:
Mailing Address:
Phone #:
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
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
1-
X
$6.00
=
6
DISHWASHER
1
X
$6.00
=
7
CLOTHES WASHER
1
X
$6.00
=
8
GARBAGE DISPOSAL
/
X
$6.00
=
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6.D0
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.0D
=
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:
0 CASH 0 CHECK 0 VISA 0 MASTERCARD
DATE EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
*km
Project Address:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
3SLD. Roo
Owner: K. -<•u ,,,.) •: i r e s coo k
to ► I D Ry ter r Gn.,
Mailing Address: Al .
Contractor:
Mailing Address:
License #:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact): Sz7a i 7 - /a 54.
err. k"'CA Gv ct 990
City
State Zip Code
Phone #:
Ci
Zip Code
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
I
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
550.00
=
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
1
X
$10.00
=
15
FUEL BURNING WATER HEATER
1
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
-rt
-rt
X
510.00
=
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 1 HOOD
X
$50.00
=
24
TYPE II HOOD
X
510.00
=
-
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
26
AIR CONDITIONER
3-15 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
560.00
=
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
512.00
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR - RESIDENCE
X
519.00
=
37
INCINERATOR - COMMERCIAL
X
522.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA ElMC
CARD #:
SUBTOTAL
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
O
Q
60'
30' `F
M�
1 1 1
N
TT 1
10,461 SF
70.16'
fIJJII #13515, rn
V'
2 b 3 ;
10,461 SF
10,461 SF
77.61'
13502
5
10,462 SF
X14'
R7
N89* 57' 14"
• R%
4
lr
EP--
#13512
())rn 10,464 SF
O of
X14'
47
390.819'
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions. curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep slopesr other critical areas.
Sign..• \�
Date:
10,
90