2010, 03-04 Permit App: 10000555 ResidenceProject Number: 10000555 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/4/2010 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR Contact: KEVIN MADDEN HOMES, LLC
Address: 10601 E NIXON LN
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 217-6700
Group Name:
Project Name:
Site Information:
Plat Key: Name: Range District: East
Parcel Number: 46354.3814 Block:
SiteAddress: 5122 N BURNS RD
Location:: CSV
Zoning: R-3 SF Res District
Water District: 001 TRENTWOOD
Area: 11,618 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: KEVIN MADDEN
Address: 10601 E NIXON LN
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released:
Landuse/Zoning/HE Conditions
3/4/2010 By: TMELBOU
Released By:
As per SVMC 19.40.020B All residential driveways shall be paved...with an approved hard surface
material.
Sewer Review
Permits:
Originally Released: 3/3/2010 By: tschmidt
Released By:
;
Operator: JD Printed By: jmm Print Date: 3/4/2010
Project Number: 10000555
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Date: 3/4/2010 Page 2 of 3
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Building Permit
Contractor KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN Phone: (509) 924-6497
SPOKANE, WA 99206
Description Grp Type Notes
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
DECK OPEN R-3 VB
GAR WOOD U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
This Application:
Si Ft Valuation
680 $67,286.00
680 $50,462.80
89 $1,335.00
444 $8,436.00
Totals: 1,893 $127,519.80
Units Unit Desc
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
DUCT WORK SYSTEM
GAS WATER HEATER
GAS APPLIANCE<=100,00OBTU
GAS PIPING
VENTILATING FANS 1 DUCT
CLOTHES DRYER
RANGE
VENTILATION MECH EXHAUST
APPL VENTS INSTL/MOVE/RPL
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Firm:
Phone:
Total Project:
Si Ft Valuation
680 $67,286.00
680 $50,462.80
89 $1,335.00
444 $8,436.00
1,893 $127,519.80
Fee Amount
$1,150.55
$4.50
$460.22
$1,615.27
KEVIN MADDEN HOMES LLC
(509) 924-6497
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBEROF
2 # OF UNITS
1 NUMBEROF
1 NUMBEROF
1 NUMBER OF
1 NUMBER OF
4 EACH
Operator: JD Printed By: j rnm
Permit Total Fees:
Print Date:
Fee Amount
$11.00
$11.00
$13.00
$2.00
$11.00
$10.00
$10.00
$13.00
$40.00
$121.00
3/4/2010
Project Number: 10000555
Inv: I Application Date: 3/4/2010 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
— — — Plumbing Permit — — — —
—
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
Notes: .,
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$24.00
$12.00
$6.00
$6.00
$66.00
As per SVMC 19.40.020E All residential driveways shall be paved...with an approved hard surface
material.
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,615.27
$121.00
$66.00
$1,802.27
Invoice Amount
$1,615.27
$121.00
$66.00
Amount Paid Amount Owing
$453.50 $1,161.77
$0.00 $121.00
$0.00 $66.00
$1,802.27
$453.50 $1,348.77
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: 3/4/2010
3kane
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokanevalley.org
PERMIT NUMBER: b
PERMIT FEE:
New Construction n Accessory Bldg
n Addition/Remodel ❑ Deck
n Other:
SITE ADDRESS:
?? iv, B uri4 .
Lof !7
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: _L(yrt/h c r" f / c: { d t=•h-s 1"
Building Owner:
DIMENSIONS:
2a'e3(4'
Name: <CViil n elC/1 !-/v,-ie
Name: '<cuIh ll1dddci
Address: 1060( C /Ul Yon L %1 •
2Nu FLOOR SQ. FTG:
'. 6.5 0
Address: (06 70 ( L l Y l )e o.J Lli
Zip:S1.1OG
Phone:,5�q7 - a/ 7, 6.7oD Fax:
City: s po (,..e,r6 votaC<'1 State: u.41.
Zip:
,
/o106
Phone:›731 , (../ _4..706 Fax:
# OF BEDRO MS:
3
CONSTRUCTION TYPE:
wood Fra, -)t
Contact Person
Name: /, /r1 adde 1,
Phone: 5o - 2/% - (-7®0
Describe the scope of work in detail:
Contractor:
DIMENSIONS:
2a'e3(4'
Name: <CViil n elC/1 !-/v,-ie
//C .
Address: 1060( C /Ul Yon L %1 •
2Nu FLOOR SQ. FTG:
'. 6.5 0
City: �odko/!e tie `/ty State: A
Zip:S1.1OG
Phone:,5�q7 - a/ 7, 6.7oD Fax:
FINISHED BASE ENT
SQ. FTG: ��
Contractor Licx//�►No: 14
cryit, 3 Exp Date:
--26// -2D//
City Business Lic. No:
# OF BEDRO MS:
3
Cost of Project: $
0,00
cO/iI-5-Ervcleoil 017 4j ha�c
Proposed Use: S it1(11-10"7-
**************The followin MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
-Z7 •
DIMENSIONS:
2a'e3(4'
# OF STORIES:
2
TOTAL HABITA�LE SPACE:
/33z t3 -6a
MAIN FLOOR TO SQ.
FTG:-eref/ d&bJ
2Nu FLOOR SQ. FTG:
'. 6.5 0
UNFIN BASEMENT SQ. FTG:
/r"
IMPERVIOUS SURFACE
AREA:
-
FINISHED BASE ENT
SQ. FTG: ��
GARAGE SQ. FTG:
'si"�� 'W7 4
DEC-iCO. PATIO SQ. FTG:
• "
30% SLOPES ON
PROPERTY: i7c'4(
# OF BEDRO MS:
3
CONSTRUCTION TYPE:
wood Fra, -)t
HEAT S• • -CE:
C7 as
SEWER OR SEPTIC?
5e4cr
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 inf.. ation may be required to be submitted, and subsequently approved before
this application can be proce
SIGNATURE:
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
0 Check
DATE: -2—(0
0 Mastercard 0 VISA
Expires: VIN#:
_ e'1"4"`
#00. -
Valley,
Community Development
Mechanical Permit Application
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permi tcenter(a,spokanevalley.org
SITE ADDRESS:
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial Ea Residential
SI Za N, aUr t G .
Building Owner
Name: KG L i dl (n ( ,i e
Address: 1 p / O 1 L, Mi x�o1 L� .
Contractor
Fax:
Phone: ,9:49_1/7„.6 700
City: Spo kd rlC V4 dState: Wl
Zip: 19.106.
Name:
IC.)(1. v filadgGe1 /-/nrlr$ //c
Address: 10100 E.
License No: K'C4'ih ri 5-5-
Contact/Project Manager:
Phone: f- Fax:
City: POkd rl c Vona ./ State: g/ 9
City Business Lic: �"'�
Zip: q a 06.
•
Phone: _ U f -1. -
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
http://wwwspokanevalley.org/uploads/Community_Development/Documents/FormsBuilding/MechanicalPermitApplication040309.doc
#UN ITS
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)
2
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
d
T
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
r
I
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES
Range, Clothes Washer
i
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/FormsBuilding/MechanicalPermitApplication040309.doc
rok ane
r cl1111. IILcI
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter(n,spokanevallev.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ErResidential
SITE ADDRESS:6-1 ZZ �� urn
Building Owner
Name: `( i 4 r, l al/ic'm Phone::, - )... ; 7 - 6.764.... Fax:
//MM
State: .s• J� . Zip: 19:). (24..w
City:/�a/1G f/4 / ICI
Address:I C7!OC� / C /UI .se D it Ln
,
Contractor
.evi Phone: Fax:
Name: nJ, l n r t nd4eA t7 ileS %105-6 _. x117'6 764:„
Address: /(740,0/ 4,-
L. City. J�t?kd AC l/el/Gy State: 14)/i Zip: 79
/t/IYoe)
License No: et. USAi 1,)1.4 9 sy A} 3 City Business Lic:
Contact/Project Manager:
Phone: ?�r+_a /7 . 6 7470
Name: r((iiJl4filaiiiste4
# OF UNITS
PLUMBING FIXTURE ON A TRAP
3TOILETS
URINALS
TUBS
2
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
'
CLOTHES WASHER
f
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
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
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.sookanevallev.ora/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/PlumbingPermitApplication040309.doc
Spokane
. Valley
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokanevalley.org
Approach Permit Application
PERMIT NUMBER:
PERMIT FEE:
PROJECT ADDRESS
START DATE
ANTICIPATED COMPLETION DATE
Building Owner.
Name: / V (f1 thadelt.4
Address: / O(&a 1 . l✓1 X on L
City: 5pt.) kar1 va, l ezi State: kVA Zip: 9i)(
Phone: 5jjgj - n - 6-7m Fax:
Contact Person
Name: Kc,))
Phone: 591 _ . (7_ L7
PROJECT DESCRIPTION (Provide site sketch
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
Contractor:
Name: SC vi h Placid lvj (70/'°ILS //c
Address: (0(0 p 1 k". Ail k% » L,
City: Spc,Kr le- volley State: wit Zip:gc)ac
hone:5599 _ a 17. 6, rp) Fax:
ntractor Lic No: KC yrNM Exp Date: 9- 12 - z ° i
Business Lic. No: s:q N3
rc
trial Driveway
Rural Road Section
Sidewalk Repair/Construction
Bond/Insurance certification must be i n with the city.
DISCLAIMER
The permittee verifies, acknowledges
dwelling is/will be served by potable
signatory is the property owner or
full compliance with the City of
Valley Permit Center. 5) This
codes or ordinances. 6) Plans
application can be processe
d agrees by their signatures that: 1) If this permit is for construction of or on a dwelling, the
ter. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
as permission to represent the property owner in this transaction. 4) All construction is to be done in
okane Valley Development Code. Referenced codes are available for review at the City of Spokane
of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws,
r additional information may be required to be submitted, and subsequently approved before this
Signature
iethod ofPayment:
0 Cash 0 Check
Bankcard # :
Authorized Signature:
REVISED 319/06
Date
❑ Mastercard 0 VISA
Expires: VIN# :
Spokane
jValley®
For City Use Only
PLUS Project Number
Project Address
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
may 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
5uM Ni ER F-eLb E4KT 4143 is1)61-rta i
Lot I`{ &Logi. 17 11 wear
5-122 N. LRNS Rb.
q .8t
PLANNING I PT. APPROVED
BY.
DATE• 3 3