2010, 11-15 Permit App: 10003748 ResidenceProject Number: 10003748 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/15/2010 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR Contact: MATTESON CONSTRUCTION
Address: PO BOX 1060
C - S - Z: OTIS ORCHARDS WA 99027
Setbacks: Front Left: Right: Rear: Phone: (509) 723-8873
Group Name:
Project Name:
Site Information:
• • 4°1'4' P!14 5C, kJ04,:w.',V;tiorrk,',X 4 ?.."V
Plat Key: Name: Range District: East
Parcel Number: 55074.3815
SiteAddress: 2105 N EDEN RD
Location:: CSV
Block: Lot:
Owner: Name: PAKIBA II LLC
Address: 712 S MOEN ST
GREENACRES, WA 99016
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19
Area: 7,096 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Hold: Lil
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released: 11/15/2010 By: tmelbourn
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 11/10/2010 By: tschmidt
Released By:
Originally Released: 11/15/2010 By: jdavis
Operator: JD Printed By: JD Print Date: 11/15/2010
Project Number: 10003748 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/15/2010 Page 2 of 3
Building Permit
Contractor: MATTESON CONSTRUCTION Firm: MATTESON CONSTRUCTION
Address: PO BOX 1060 Phone: (509) 723-8873
OTIS ORCHARDS WA 99027
This Application: Total Project:
1Esiplion_Type Notes Sp Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 827 $81,831.65 827 $81,831.65
2ND FLOOR R-3 VB 1,197 $88,829.37 1,197 $88,829.37
COV DECK R-3 VB 26 $390.00 26 $390.00
DECK OPEN R-3 VB 48 $720.00 48 $720.00
GAR WOOD U-1 VB 509 $9,671.00 509 $9,671.00
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 2,607 $181,442.02 2,607 $181,442.02
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,452.95
$4.50
$581.18
$2,038.63
Contractor: MATTESON CONSTRUCTION Firm: MATTESON CONSTRUCTION
Address: PO BOX 1060 Phone: (509) 723-8873
OTIS ORCHARDS WA 99027
Item Description
DUCT WORK SYSTEM
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS 1 DUCT
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
4 NUMBER OF
Fee Amount
$11.00
$11.00
$13.00
$2.00
$44.00
Permit Total Fees: $81.00
Operator: JD Printed By: JD Print Date: 11/15/2010
Project Number: 10003748
Inv: 1 Application Date: 11/15/2010 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: MATTESON CONSTRUCTION
Address: PO BOX 1060
OTIS ORCHARDS WA 99027
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
Notes: . ,,,:.„.
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
3
5
3
1
1
1
1
Fee Amount
$2,038.63
$81.00
$90.00
Firm: MATTESON CONSTRUCTION
Phone: (509) 723-8873
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$2,038.63
$81.00
$90.00
Fee Amount
$18.00
$30.00
$18.00
$6.00
$6.00
$6.00
$6.00
Amount Paid
$500.54
$0.00
$0.00
$90.00
Amount Owing
$1,538.09
$81.00
$90.00
$2,209.63 $2,209.63 $500.54 $1,709.09
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: 11/15/2010
Spokane �w
_ Valley
Community Development
Residential Construction ►'New Construction
Permit Application Addition/Remodel
Other:
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: /3- 3796-e
PERMIT FEE:
Accessory Bldg
Deck
SITE ADDRESS: kCC EoC
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
DIMENSIONS:
x-
Name: perp, II C -l.rL
S"'02.,u0N>.
Address: ro gox 6 -)
�`
City:Q. s LAi wA
State: Zip:��� co
Phone:Fax:
��-Esq-g"��5
Sv��-32�ks
Contact Person
Name: ��a.,`S (2AkSl<4._
Phone: 2 l
Describe the scope of work in detail:
Contractor:
DIMENSIONS:
x-
Name: MAL 4,y'' C
S"'02.,u0N>.
Address: 'S i_e_.:1 s
�`
City: M I w C., ,jL
State: l..7i Zip: 9S.012_,
Phone: 56i -.22,3,g-73
Fax: s_ v5(-2.1zs
Contractor Lic No:
Exp Date: 3 _--.) _ `Z
City Business Lic. No:
CONSTRUCTION TYPE:
�rtc x --i-c24,-"OC)GflS
Cost of Project: $ ,o 6�
Proposed Use: c i -.c) -1-t__
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
.Z3'
DIMENSIONS:
x-
# OF STORIES:
2-
TOTAL HABITABLE SPACE:
-7-07-.1 aK.
MAIN FLOOR TO SQ.
FTG: 1.1,57.1..--e27
2ND FLOOR SQ. FTG:
119.7
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEM T
SQ. FTG: i/4-'
GARAGE SQ. FTG:
5O2
DEC i - + . PAT SQ. FTG:
e z
30% SLOPES ON lA
PROPERTY: j�
# OF BEDROOMS:
1
CONSTRUCTION TYPE:
�rtc x --i-c24,-"OC)GflS
e . 'CE:_
,ca-NYAC.
SEWER OR SEPTIC?
SE, '`!z.
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 . ances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application ca be • • cessed.
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
0 Check
❑ Mastercard
Expi res:
DATE: l Ib
❑ VISA
VIN#:
Project #
Name
Sub mitt,-
R E Msd E u U..... Mx/�
NOV B 2
4
Spokane
jValley®
For City Use Only
PLUS Project Number
Project Address
11703 E Sprague Ave Suite 8-3 • Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
Submit complete, accurate plans and documents.
Extra time may be required for re -submittals as project application reviewers work on multiple applications and it
pray be several days before they can look at your new or revised information.
Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise. for dealing with reviewer comments would be the best choice for the entire review process.
Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if :von haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre -Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re -
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE -APPLICANT PINK - BUILDING FILE REV 9/07
SpokaneValleyo
For City Use Onl
PLUS Project Number k �►
Pro ect Address
0314(6
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
Submit complete, accurate plans and documents.
Extra time may be required ,for re -submittals as project application reviewers work on multiple applications and it
niay be several days before they can look at your new or revised information.
Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date. please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By,following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre -Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re -
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE -APPLICANT PINK - BUILDING FILE REV 9/07
Spokan' ems'~`
.Ma11ey°
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter(cr�spokanevalley.org
Mechanical Permit Application
n Commercial
PERMIT NUMBER:
PERMIT FEE:
t4"Residential
SITE ADDRESS: Z k M�
Building Owner
Name: Pb.A i- L,c_
Phone: ��g
Fax: %.c._ Z`iK
Address: fv gaR `O-7
City:t4s
State: A
Zip: 90101
Contractor
Name: ,mss CfoYvSkeir l\ort LAX_
Phone: --1z3_
Fax: _ Z51`6 S
Address: is3t,9
City: M I t.!_ C�e.L'e--
State: LA
Zip:1(s',N
License No: (\.nicvTt : c L I�1:�-
City Business Lie:
Contact/Project Manager:
Name: tS Pc.
Phone: —r®_
—�z; —Z1-)3
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
http://wwwspokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermi
VIN:
Project ##._
iStibmittal
#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
9
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
http://wwwspokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermi
VIN:
Project ##._
iStibmittal
Spokane
40,,,OValley°
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter(a�spokanevalley.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial (Residential
SITE ADDRESS: 2-1-3
Building Owner
Name: PA!~.,,-\ a#, ��. Phone: z56- 1375 Fax: - 2.9$S
Address: Fb go' 19-i City: Sf,k-0,,,, - L,AL� State: w01 Zip: c of
Contractor
Name: (yy0�Cl��aa'") �i,t(b..� TVo..� l�� Phone: �Z 3 - RE -7 3 Fax: 3- Zc
Address: `S �t9ir-c51.. s-- City' MIS Ce.e.e.K. State: ts.2t Zip: 98cy2.
License No: n,1„\ r cL c1, .c.....res, City Business Lic:
Contact/Project Manager:
: ,j\._�
Name` ( Jim (N,niijC` ;.t,,. Phone: -2.91<t _....9 3 -. / -72,3 - g E -2.3
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
3
URINALS
TUBS
3
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
(
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
i
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
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
❑CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES:
Card# VIN:
SIGNATURE:
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/PlumbingPermitApplication040309. doc
PLANNING DEPT. APPROVED
BY: