2011, 10-14 Permit App: 11003196 ResidenceProject Number: 11003196 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 10/14/2011 Page 1 of 4
Permit Use: NEW SFR W/ ATTACHED 3 -CAR GARAGE Contact: ERIC MADSEN HOMES
Address: PO BOX 48502
C - S - Z: SPOKANE WA 99228
Setbacks: Front Left: Right: Rear: Phone: (509) 638-8456
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: East
Parcel Number: 45244.3528 Block:
SiteAddress: 1011 S CARNINE LN
Location:: CSV
Zoning: R-4 SF Res Urban District
Water District: 010 VERA
Area: 13,658 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: SHELLEY LK RES DEV/SHELLEY
Address: 8225 N DIVISION
SPOKANE, WA 99208
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Other Reviews
Originally Released: 10/13/2011 By: tmelbourn
Released By:
Landuse/Zoning/HE Conditions
Released By:
Driveway/Approach
Originally Released: 10/10/2011 By: mharnois
Released By:
NOT REQUIRED PER TOM 10-13-2011
Originally Released: 10/14/2011 By: MBonduran
Operator: MBB Printed By: MBB Print Date: 10/14/2011
Project Number: 11003196 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/14/2011 Page 2 of 4
Sewer Review
Permits:
Released By:
Building Permit
Contractor: ERIC MADSEN HOMES Firm: ERIC MADEN HOMES
Address: PO BOX 48502 Phone: (509) 638-8456
SPOKANE WA 99228
Building Characteristics
Total Area 2817
Building Height 22
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Su Ft Valuation
1&2 FAMILY R-3 VB 1,866 $188,372.70 1,866 $188,372.70
2ND FLOOR R-3 VB 266 $19,739.86 266 $19,739.86
COV DECK R-3 VB 74 $1,110.00 74 $1,110.00
DECK OPEN R-3 VB 155 $2,325.00 155 $2,325.00
GAR WOOD U-1 VB 685 $13,015.00 685 $13,015.00
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
SFR / DUP SITE PLN REVIEW
Totals: 3,046 $224,562.56 3,046 $224,562.56
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,693.75
$4.50
$677.50
$50.00
Permit Total Fees: $2,425.75
Operator: MBB Printed By: MBB Print Date: 10/14/2011
Project Number: 11003196 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/14/2011 Page 3 of 4
Contractor: DANCAR MECHANICAL INC.
Address: 311 N HODGES RD
GREENACRES, WA 99016
Item Description
DUCT WORK SYSTEM
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS 1 DUCT
HOOD -TYPE II
Contractor: PACE PLUMBING
Address: PO BOX 2827
SPOKANE WA 99220
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER PIPING - DWV
Mechanical Permit
Firm: DANCAR MECHANICAL INC.
Phone: (509) 924-9921
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Units
2
4
1
2
1
1
1
3
Operator: MBB Printed By: MBB
Fee Amount
$11.00
$11.00
$13.00
$2.00
$13.00
$33.00
$11.00
$94.00
Firm: PACE PLUMBING
Phone: (509) 489-0824
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$12.00
$24.00
$6.00
$12.00
$6.00
$6.00
$6.00
$18.00
$90.00
10/14/2011
*name
Valley
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
oermitcentersookanevallev.oro
(Staff Use Only)
PERMIT NUMBER: // V7
PERMIT FEE:
NEW CONSTRUCTION
0 DECK
0 ADDITION/REMODEL 0 ACCESSORY BUILDING
0 OTHER
SITE ADDRESS: Itip ( 4. eo.p -
ASSESSORS PARCEL NO.: 4.Z44zE; 2?).4---9_, LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
Lc- Nirld
ADDRESS: f a . 4-, c -c:7 --
CITY: Q/9 r-44.J0-
PHONE:c44-c-op
CONTACT NAME:
STATE:
ZIP: lqgz_--e
FAX: - 1' 54i5 CELL:
PHONE:
FAX:
CELL:
CONTRACTOR NAME:
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
CONTRACTOR LICENSE No.: eigtc.,1.41,4 117 EXPIRES:
CELL:
aft&
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
U L L-tp. j 1 m Wt.)
****YOU MUST COMPLETE THE FOLLOWING****
MARK N A IF NOT APPLICABLE
Height to Peak: vz.
Main Floor S
Dimensions:
Upper FIoQi 61 141"?(
SQ FT:
No. of Stories:
Unfinished Basement SQ
FT: -----
Total Habitabl 2/32
Space: 'X-
FinishedBasement SQ
FT:
Garage S
o. of Bedrooms:
Dec
it)
C, ered Patio SQ
ii
_ - Tit
e• struettp i
Impervious Surface
Area:
30% Slopes on
Property:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $ 01::2
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.
Signature
Date:
c/t
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.orgifilestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc
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Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 9'-^6
(509)688-0036 FAX: 588-0037
permitcentera,spokanedatiey.org
PERMIT NUMBER:
_ iZMIT FEE:
n Commercial n Residential
SITE ADDRESS: o IA J " 6464244 I,1- V�
Building Owner
Name:
Address: f (.7 plc)` _ , ` A
Da -V\ C✓�'2 M�c�
Contractor
�-N1.41-e,
1-' Phone: G 7 '"setc ax. l —413 _ I l c
zip: 9Q Z7�
Name: / ^ ts4 A �. ist-y,at-"V
Address:
City: tt.c State: 14 A
Phone:
Fax:
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
t
HEAT PUMP/AIR CONDITIONER
0-3 TON
AIR CONDITIONER
Over 3-15 TON
1
AIR CONDITIONER
Over 15-30 TON
4,
AIR CONDITIONER
Over 30-50 TON
AIR CONDITIONER
Over 50 TON
GAS WATER HEATER
t
GAS PIPING SYSTEM (each outlet)
Le.
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
leAr
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
t
LP 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
Skane11703 E Sprague Ave, Suite B-3
P Spokane Valley, WA '106
jva�ey (509)688-0036 FA) ))688-0037
permitcenter@a,spokanevalley.ore
Community Development
Plumbing Permit Application
PERMIT NUMBER:
1 . vIIT FEE:
Commercial {/Residential
SITE ADDRESS: 104 t t4l t
QC/ Art --t V i—!i` '{crt 0
Building Owner
Name: '-R (G MA, 14 440 M S Phone..)61,4,
,vi,. a ii" �6o Fax: _ i t.g ` I, k 1...;* *
Address: pa x 4 92 I City: 6 po v_ State: ` k Zip: q� 7
1� l
ContractorffAl
ac_C t T
1" 4) t.�
Name: w Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
/�
' G�
URINALS
TUBS
Z–
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
/f
m^
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
1
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
3
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 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/PlumbingPermitApplication040309.doe
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