2011, 08-11 Permit App: 11002410 Basement BathroomProject Number: 11002410 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW BATHROOM IN BASEMENT Contact: KORFF, TYLER L & APRIL J
Address: 2811 N ELLA RD
C - S - Z: SPOKANE, WA 99212
Setbacks: Front Left: Right: Rear: Phone: (509) 893-3612
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: Nort
Date: 8/11/2011 Page 1 of 2
Parcel Number: 45072.0910
SiteAddress: 2811 N ELLA RD
Location:: CSV
Block: Lot:
Zoning: R-4 SF Res Urban District
Water District: 002 ORCHARD AVENUE
Area: 7,623 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Permits:
Contractor: OWNER
Owner: Name: KORFF, TYLER L & APRIL J
Address: 2811 N ELLA RD
SPOKANE, WA 99212
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
Originally Released: 8/11/2011 By: tmelbourn
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Tvae Notes Sq Ft Valuation So Ft Valuation
BASEMENT R R-3 VB BATHROO 0 $500.00 0 $500.00
M
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 0 $500.00 0 $500.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: JD Printed By: JD
Permit Total Fees:
Fee Amount
$69.25
$4.50
$27.70
$101.45
Print Date: 8/11/2011
Project Number: 11002410 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/11/2011 Page 2 of 2
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
VENTILATING FANS 1 DUCT
Contractor: OWNER
Units Unit Desc Fee Amount
1 NUMBER OF $11.00
Permit Total Fees: $11.00
Plumbing Permit -----
Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
SHOWERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
BUILDING DRAIN CONNECTION 1 NUMBER OF $6.00
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$101.45
$11.00
$36.00
$148.45
Permit Total Fees: $36.00
Invoice Amount
$101.45
$11.00
$36.00
$148.45
Amount Paid
$27.70
$0.00
$0.00
Amount Owing
$73.75
$11.00
$36.00
$27.70 $120.75
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: JD Printed By: JD
Print Date: 8/11/2011
Spokane
Valleyw
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
Dermitcenter@spokanevalley.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICA
0 NEW CONSTRUCTION ,g] ADDITION/REMODEL
0 DECK 0 OTHER
SITE ADDRESS: Q'U11 N . L\\CA.
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:: \ N(
NAME: (pc. \ ` `O'�_ .
ADDRESS: C/(6 \ ` \�1 G \CA
CITY: fes\ to\�l),(NI ,
PHONE: SO1-������
STATE: \,/%---(:\
zxP: C G8 l
FAX: CELL:
CONTACT NAME:
\h y - FAX:
CONTRACTOR NAME: \-krjk.NQ_, j(
CELL: 1 `—S3CAS
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE No.:
EXPIRES:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
ook-,C � \o Se..v� f ; Ur�-,t� Cksd. "C\ 00n
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Dimensions:
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
eO
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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.
Updated 1-11-11 Page 1 of 1
http://www.spoka neva l ley.org/filestorage/ 124/938/210/948/ 1496/Building_Permit_-_Residentia l_11-11-11.doc
Permit Center
*Wane e • 11703 E Sprague Ave, Suite B-3
p 11Qc y�'•Spokane Valley, WA 99206
jValley(509)688-0036 FAX: (509)688-0037
Community Development permitcenter@spokanevallev.org
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial F-1 Residential
SITE ADDRESS: O a\ Q, el t \ >? O F -J1 �-, w(N "r -'(,a
Building Owner-T_Li Px)f\\cor R
Address: A‘, k- 11,
Contractor 1 A r. \ b
Phone:Fax: �—
o�}-6q3 3c>71 State: k ZipGad
City: C..)0V-4.7•--
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name:
Phone:
['CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309. doc
#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 cfm, 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
1
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/Building/MechanicalPermitApplication040309. doc
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokanevalley.org
spokanevalley.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial M Residential
SITE ADDRESS: q% (` ` `v . C, \G
Building Owner— \ 1"), •\ \ \hr) 14
`I(`\
Names Phone: Fax: —
Address: Rk\ N, ettG City: C oi,..t>.(1P.�vGaQ,�State:W Zip: (t`1a 0
Contractor t'c,MQ__ c\\0 {-
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
F UNITS
PLUMBING FIXTURE ON A TRAP
...72$
TOILETS
1
URINALS
0
TUBS
0
SHOWERS (per trap)
I
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
0
CLOTHES WASHER
r
GARBAGE DISPOSAL
WATER SOFTNER
8
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
'
ROOF DRAIN/OVERFLOW DRAINS
p
FOUNTAIN, DRINKING
o
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
iliac1
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
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
O
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmos• heric t •e vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH 0 CHECK 0 VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc