2005, 04-07 Permit App: 05001099 AdditionProject Number: 05001099 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/07/2005 Page 1 of 3
Project Information:
Permit Use: RESIDENCE ADDITION - MASTER BEDROOM & Contact: RICHEY, LUKE & JENNIFER
BATH ABOVE EXISTING GARAGE Address: 1809 S EASTERN RD
C - S - Z: SPOKANE VALLEY, WA 99212
Setbacks: Front EXI Left: EX Right: EX Rear: EX Phone: (509) 535-3631
Group Name:
Site Information: Project Name:
Plat Key: 002720 Name: VALLEY VIEW HILLS 01ST ADD District: Sout
Parcel Number: 35252.0503 Block:
SiteAddress: 1809 S EASTERN RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: RICHEY, LUKE & JENNIFER
Address: 1809 S EASTERN RD
SPOKANE VALLEY, WA 99212
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Lir
Review
Site Plan Review
Released By:
EiAcug
.,iik.44;ev\ku(c,L(
Plan Review
% Vt.1+`' Lt. -L'L
acEc
Released By:
Septic System Review
0-'
Permits:
Released By:
Operator: K_C Printed By: K_C Print Date: 04/07/2005
04/07/2005 13:45 5093241567
APR 07 2005 11:12 FR
Project Number: 0$001099 Inv:1
SRHD EHS PAGE 01/02
TO 3241567 P. 02/23
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/07/2005 Page 1 of 3
Proiectinfomigtiorli
Permit Use: RESIDENCE ADDEION - MASTER BEDROOM & &ma= RICHEY, LUXE & JENNIFER
BATH ABOVE EXISTING GARAGE Address: 1809 $ EASTERN RD
C!- S - Z: SPOKANE VALLEY, WA 02:t2
Setbacks: Front EXI Left: EX Right: EX Rear: EX 'Phone: (509) 5.35-3631
Group' Name:
Inform_atiegi Project Name:
tnanampr.=4:-..z=1:=7,=.72 • zazowlammcv=tzarnnzw:::...-r,==,.::::::-....,-zw....z.:7:-.1... ;;'!..71.7==71-1
Plat Key; 002720 Name: VALLEY VIEW HILLS 01ST ADD District: Sut
Parcel Number. 35252.0503 Block
SiteAddress: 1809 S EASTERN RD
Lot:
Owner; Name; RICHEY, LUKE & JENNIFER
Addresg: 1809 S EASTERN RD
Location:: CSV SPOKANE VALLEY, WA 99212
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: Ej
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (f1): 0
Nbr of Bldgs: 0 ?4 ofDwellings' 1
Review Information; :77:1
Review
Sits Plan Review
^ . •
Re
aced By:
Plan Review
Pennib: ItaffictThkavgarrimicialDEAVW9102144.M.M6=0023azuzcaguAtraZThIlli
Operator; X_C Printed K_C
ZSCOVentallatEZ/C7ZiOCI.t.:3,1:7.2":4=:-.%Z.: Igra :41.7301.7.747.0=
Print Da : 04/07/1005
APR 07 2005 14:53 5093241567 PAGE.01
Project Number: 05001099 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/07/2005 Page 2 of 3
Contractor: OWNER
Group: R-3 Type: VB
Total Area 624
Building Height 27
Stories 1
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application: Total Project:
Description Grp Type Notes So Ft Valuation So Ft Valuation
RES ADD R-3 VB 624 $46,600.32 624 $46,600.32
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 624 $46,600.32 624 $46,600.32
Units Unit Desc Fee Amount
1 SELECT $613.45
1 SELECT $4.50
1 SELECT $245.38
Permit Total Fees:
Mechanical Permit
$863.33
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 2 NUMBER OF $20.00
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
Permit Total Fees:
Plumbing Permit
$20.00
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$12.00
$12.00
$6.00
$6.00
Permit Total Fees: $36.00
Operator: K_C Printed By: KS Print Date: 04/07/2005
Project Number: 05001099
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/07/2005
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$863.33 $863.33
$20.00 $20.00
$36.00 $36.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$863.33
$20.00
$36.00
$919.33 $919.33 $0.00 $919.33
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: K_C Printed By: K_C
Print Date: 04/07/2005
Spokane..„0017aHey
Street Address: 309
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
ECET L , 'i 11707 E. Sprague Avenue, Suite 106
• Spokane Valley, WA 99206
hone: (509) 688-0036; Fax: (509) 688-0037
UIRED $I
ORMATION
{a fer•Q .
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: '-1)/
•
eco
Auf
Ei Building Permit ❑ Change in Use ❑ Grading ❑
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑
Manufacture Home
Other
OWNER/APPLICANT INFORMATION
Owner:
Phone: '
Address: \Ei
❑ Contractor:
Phone:
Address: _74=4'0
City
entli FC
Fax:
state CI
Zip Code
epAtcr"
/ti—
Fax: 6,7 241—Cc
9772
State Zip Code
2 -
WA
WA State Contractor License #: f ThL. 67)7 L)f'
❑ Applicant:
Phone: Fax
Address:
City
State Zip Code
❑ Architect:
Phone: Fax:
Address:
City • State
Contact:
,S.
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK 9�
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO S4, G:
f"'} FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMEQ. FTG:
GARAGE S FTG:
j L
A
• DECK/COV. PATIO S.Q. FTG:
OCCUPANCY GROUP:
CONSTRUCTION P •
HEAT SOURCE:
# OF BERO.OMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT: '•
30% SLOPES 0[ PLi ROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
Width:
Manufacturer:
Length:
Year:'
Pit Set:
• RELOCATION
. Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent:
Fireworks Display: Blasting:
Valuation: . Above/Underground Storage Tank Size:
Paint.Booth:
Dote/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City
Inspector: Phone:
Address:
State
Zip
Fax:
City
SPECIAL INSPECTIONS
❑ BOLTING 0 CONCRETE
Firm Name:
State
Zip
0 REINFORCEMENT
Phone:
Inspector(s):
F
•
0 -WELDING
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 jj'te y Oar Signature
Method of Payment: (Faxed permit applications .will only be accepted with major bankcard).
❑ Cash [Z, Check 0 Mastercard . • 0 VISA 0 Other
• Bankcard #: Expires: VIN#:
Authorized Signature:
r,
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
VLut , FOR INSPECTIONS, CALL (509) 688-0054
9 9 aij, Permit Use:
Project Address: 'Fen Fost-e(
1,),Lu. 4 fnoirer
Owner:
Mailing Address.
taci FOqelf
Phone (Daytime Contact): 5159,
,)-f) kccyLY
State
4e
Q
Zip Code
Contractor: License #: Phone #:
Mailing Address:
City
State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
*OF
UNITS
X
COST
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
cz:
X
56.00
if ID .
2
URINALS
X
$6.00
3
TUBS
X
*6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
L____
X
56.00
S 1 0.
5
SINKS
LAVSIBASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
56.00
=
----
11 ig ,
6
DISHWASHER
X
56.00
=
—
7
CLOTHES WASHER
X
58.00
-
8
GARBAGE DISPOSAL
X
56.00
=
9
WATER SOFTENER
X
58.00
=
—
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
58.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
56.00
—
12
ROOF DRAINS/OVERFLOW DRAINS
X
56.00
=
13
FOUNTAINS, DRINKING
X
58.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT PLUMBING, REVERSAL
INSTALLATION, ALTERATION,
REPAIR REVERSALS
X
$8.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
' 58.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER,
HOSE Be, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLER
X
$8.00
=
—
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK
VALVE, AND R.P.B.P.D. FOR:
VATS,--
TANKS,BOILF_RS
X
96.00
=
_
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
, CHEMICAL HOLDING TANK
X
56.00
=
_
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
58.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
58.00
----- ,
METHOD OF PAYMENT:
El CASH X CHECK 0 VISA 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
1 31-e •
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
il 11 1 , —
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
n
j�
Project Address:
Owner:
Mailing Ad• ress:
rr
P
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone (D time Contact):
Contractor: License #:
Mai ing Address:
City
NAN_ ,_ • S'
.j.1111Wan
State
one #:
r
ip Code
c
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
515.00
=
-
2
FUEL BURNING APPLIANCE
More than 100,000
X
$19.00
=
--
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
=
-
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
=
_
5
USED APPLIANCE (WSEC min. AFUE
rating)
Equal to or fess than 400,000
X
550.00
=-
6
USED APPLIANCE (WSEC min. AFUE
rating)
More than 400;000
X
5100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
515.00
=-
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$28.00
=
9
BOILER/REFRIGERATION
501 -1,000M BTU
X
539.00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
557.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
595.00
=
'
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510.00
=
13
RANGE
X
$10.00
=
14
DRYER
X
$10.00
=
-
15
FUEL BURNING WATER HEATER
X
510.00
=
16
MISC. FUEL BURNING APPLIANCE
X
510.00
=
_
17
GAS PIPING (each outlet)
X
51.00
=-
18
DUCT SYSTEMS
X
510.00
=
---
19
VENTILATING FANS
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or Tess than 10,000 CFM
X
512.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
519.00
=
'
22
EVAPORATIVE COOLERS
X
510.00
=
23
TYPE I HOOD
X
550.00
=
-
24
TYPE II HOOD
X
510.00
=
25
HEAT PUMPIAIR CONDITIONER
03 TON
X
512.00
26
AIR CONDITIONER
3-15 TON
X
$20.00
=
27
AIR CONDITIONER
15-30 TON
X
525.00
=
--
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
510.00
=
---
32
WOOD STOVE - FREE STANDING
X
525.00
=
METHOD OF PAYMENT:
0 CASH CHECK 0 VISA 0 MC
CARD #:
DATE:
SUBTOTAL
-
PROCESSING FEE
$35.00
EXPIRES.
TOTAL PERMIT FEE DUE:
-
AUTHORIZED SIGNATURE:
Zip Code
01
PRIVATE DRIVE
This Ms pint Is being submitted for the purpose of
Wad*. a SYUding permit and is a true and correct
repmegolglissi of the proposet:11f known property
curb i structures and easements
d. Also i -ted are wetlands,
other critical areas.
z
CC
W
(n
W
3
DRIVE
19'
Y \ 14. -
10'
PROPERTY LINE
100'
8'
SHED
HOUSE
DECK
XISTING 900 GALLON TANK
NOTE: 5. EASTERN
93-1930
FINAL 12-15-93
THE LOCATION OF THE ON-SITE SEWAGE
SYSTEM REPRESENTED BY THE DRAWING
IS NOT TO BE CONSTRUED AS AN
EXACT LOCATION OF THE SYSTEM.
SITE PLAN
RICHEY RESIDENCE
1809 S. EASTERN RD
SPOKANE VALLEY WA 99212
PROPERTY UNE
SCALE: 1" = 20'
x
20'
DISTANCES AND MEASUREMENTS ARE ESTIMATES ONLY
AND ARE NOT ACURATE FOR LEGAL PURPOSES.