2008, 03-20 Permit App: 08000922 AdditionProject Number: 08000922 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: ADD BATHROOM IN BASEMENT Contact: STINEBAUGH, KENNETH D & ROBIN
Address: 16018 E BROAD AVE
C - S - Z: SPOKANE, WA 99216-1597
Setbacks: Front Left: Right: Rear: Phone: (509) 892-0482
Group Name:
Site Information: Project Name:
Date: 3/20/2008 Page 1 of 2
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Plat Key: 002846 Name: WELLESLEY MANOR ADD
4l0711415:" re.-vpignm V md.IfAl4
District: East
Parcel Number: 46363.0106
Block: 1 Lot: 6
SiteAddress: 16018 E BROAD AVE
Location:: CSV
Owner: Name: STINEBAUGH, KENNETH D & RO
Address: 16018 E BROAD AVE
SPOKANE, WA 99216-1597
Zoning: R-3 SF Res District
Water District: 001 TRENTWOOD Hold: ❑
Area: 12,288 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: :.0 cax '"Yr : .: ,o = ak- sras r "+ :,� "u. ,: s".� r.���'rs �� :... , tze-7"i„,, .7<ler' ::TOca,c.+11A s
Review
Building Plan Review
Permits:
Released By:
Originally Released: 3/20/2008 By: tmelbourn
Contractor: OWNER
•�f-`'2:.^i stirtik4.10F!;44Vn r,NF.r xr'r :...+"�<4'C ��:•.:. .wwr ..<:t `..' •.!•,»•• r< �.;,r,-j �:: 'r"B Pa�-?, Wigrz a
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation So Ft Valuation
BASEMENT R R-3 VB 180 $900.00 180 $900.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 180 $900.00 180 $900.00
Units Unit Desc Fee Amount
1 SELECT $69.25
1 SELECT $4.50
1 SELECT $27.70
Permit Total Fees: $101.45
Operator: JD Printed By: jmm Print Date: 3/20/2008
Project Number: 08000922 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/20/2008 Page 2 of 2
Contractor: OWNER
Mechanical Permit
Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 1 NUMBER OF $10.00
Contractor: OWNER
Permit Total Fees:
Plumbing Permit
$10.00
Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc
TOILETSBIDETS 1 NUMBER OF
SINKS 1 NUMBER OF
SHOWERS 1 NUMBER OF
Notes:
Payment Summary: .......: z... , ..... w ... tT,
Permit Total Fees:
Fee Amount
$6.00
$6.00
$6.00
$18.00
,'Gt9Fitt.4:..'A.:t:.4411,1'L• tK?Y1111 AICA: tneitS1437G'tl ;i 1V.:4 ,zi.,.1.o ,,.: '.'4::.,,.� ,_r� �T . ::f', �. :'_'�At'.C'.4..:ii•:(AK!rir i10 i4
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $101.45 $101.45 $0.00 $101.45
Mechanical Permit $10.00 $10.00 $0.00 $10.00
Plumbing Permit $18.00 $18.00 $0.00 $18.00
$129.45 $129.45 $0.00 $129.45
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: 3/20/2008
oF
Siiikane
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Sp.te 7,...1\IED BY
Spokane Valley, WA 99t c.:,c-_,0KANE VALLEY
(509)688-0036 FAXAR) 68'8-0037 ri,
www.spokanevalley.org MAR 1 buo
NT Eti
PERMIT NUMBER:
PERMIT FEE:
uction
XAddition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS: /tt eS'
r
ASSESSORS PARCEL NO: 'r LEGAL DESCRIPTION:
Building Owner:
,r- - ---
DIMENSIONS:
ill id.
. - -- - - - -
# OF STORIES:
r i A
Name:
MAIN FLOOR TO SQ.
FTG:
2Nu FLOOR SQ. FTG:
Name:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: 47 3
City:
State:
Zip:
Address: / / , / -
ter
0
V
Exp Date:
Ci ,...-.., , 1..:‘,.,,,,e,
,
State:
,jj
Zip:t42 ,/i'..
Phone: 3- 0.,„... e72 7,
14.-:
•
Fax:
Contact Person
Name: el 6 1
(4(.i
Phone: :;-o
41/1- 7 5 -
Describe the scope of work in detail:
Contractor:
,r- - ---
DIMENSIONS:
ill id.
. - -- - - - -
# OF STORIES:
r i A
Name:
MAIN FLOOR TO SQ.
FTG:
2Nu FLOOR SQ. FTG:
Address:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: 47 3
City:
State:
Zip:
Phone:
Fax:
HEAT SOURCE:
Contractor Lic No:
Exp Date:
City Business Lic, No:
Cost of Project: $
A- d) 1344.4, r oorp
84sc 4- — Fr" we
•leLj12o G
Proposed Use:
47% 41 +-•(O0 roN.
************** not a licable **********************
HEIGHT TO PEAK:
,r- - ---
DIMENSIONS:
ill id.
. - -- - - - -
# OF STORIES:
r i A
TOTAL HABITABLE SPACE:
P i A-
MAIN FLOOR TO SQ.
FTG:
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: 47 3
GARAGE SQ. FTG:
i
DECK/COV. PATIO SQ. FTG:
J r
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
t ,
CONSTRUCTION TYPE:
I) - , , •
HEAT SOURCE:
SEWER OR SEPTIC?
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 #:
Authorized Signature:
REVISED 2/15/07
0 Check
0 Mastercard
Expires:
DATE:
0 VISA
VIN#:
Spokane
Valley
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 • cityhall@spokanevalley.org
Residential Plan Submittal Minimums
O Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
O Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
O Show the height of any proposed buildings or accessory structures.
O Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
O All braced wall panel types: show locations and details of installation, including
engineered design.
O Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
O Smoke detector locations
O 22" X 30" attic access location
O 18" X 24" crawl space access:
O One-hour separation detail: between house and garage
O Floor framing details: Joist type, size, spacing and installation details
O Roof framing plan and details
O Furnace and hot water heater location.
O All header locations: type, size, and connections
O Foundation plan
O Insulation information
Spokane
,00*Valley.
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokancvalley.oro
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial jeResidential
SITE ADDRESS: /,0%6 �• div o � � �-C 4/a 1 r t f 1414 992/4P
Building Owner
1
Name: v evr t' 4- I,• , . ,t C� L3 6a .
Phone: 5'04 . by •3 ` ,
33 Fax:
Address: i lI 0 I g' a, 3,0401
City: S pi, !Ica wit
()O l I) e y State: La A
Zip: 1' T '�
Contractor
r
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name: In h � �t'ri d � CW�+
_
Phone: �— 7 �+
/ '��$_"
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
1
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
X
$6.00
6
DISHWASHER
X
$6 00
7
CLOTHES WASHER
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
$6.00
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 DISPOSAL/SYS
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:
**an a
jValley•
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokane allev.ore
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
H Commercial RResidential
SITE ADDRESS: / a / 9 8 r o� .., j
vai/e w4 '192 (6
Building Owner
F �j
Name: d V\ h { 4" in K.--'1.
/+, 4,6A t,tq t'
r!
Phone _1D-7,.. 3 �r 3 Fax:
Address:) 4 0 �
8
e � r a R
City State:
:S p O ici�ri VA noy wit
Zip: 1 P2 r/.,is
Contractor
!
Name:
Phone: Fax:
Address:
City: State:
Zip:
License No:
City Business Lic:
Contact
Name: r o ra ,,
, ea f
0 44 A
Phone: 5'01 ., t1 / 7 . .7‘.--4,g5""-
# 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
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
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
_Ow
E
WHEN INTERIOR ALTERATIONS, REPAIRS OR ADDITIONS
REQUIRING A PERMIT OCCUR, OR WHEN ONE OR MORE
SLEEPING ROOMS ARE ADDED OR CREATED IN EXISTING
DWELLINGS. THE DWFI I ING UNIT SHALL BE PROVIDED
WITH SMOKE ALARMS LOCATED AS REQUIRED FOR NEW
DWELLINGS.
SMOKE ALA iM$ SHALL BE INTERCON-
NECTED,'
AND I4ARD WIRED IN SUCH A
MANNER : THAT THJE ACTIVATION OF ONE
ALARM *ILD. ACM/ATE ALL ALARMS.
(BEDRdOMS, AREAS APPROACHING
BEORO"OMS, VAULTED CEILING
WITH RISE OF 24" & ON EACH FLOOR)
EXHAUST FANS
100 CFM kitchen
50 CFM bathrooms
laundry
/775
-
3 4
177.5
11%.1_ _moi
P+Rt=S S u. J t5 '7'/ft--rcir o W e e,c7 02
aG M o 1 S T'- (S est.PJiA LR ( ca /L tics LA N r>cLvL-
Sa c.-. a 13 coq--rrr o F N eE u. u) 4- L- S
CITY COPY
THIS BUILDING SUBJECT
TO FIELD INSPECTION CORRECTION
Spokarsthey
e
REVIEWED FON (,ODE -1 COMPLIANCE
SPOKANE VALLEY r_TUfrI)N� DIVISION