2010, 06-08 Permit App: 10001619 ResidenceProject Number: 10001619 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/8/2010 Page 1 of 3
Project Information:
Permit Use: NEW SFR - SEWER Contact: HAYDEN HOMES
Address: 2464 SW GLACIER PLC
C - S - Z: REDMOND, OR 97756
Setbacks: Front Left: Right: Rear: Phone: (541) 923-6607
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: East
Parcel Number: 55202.2501 Block:
SiteAddress: 19412 E CECILIA AVE
Location:: CSV
Lot:
Owner: Name: WASHINGTON TRUST BANK
Address: PO BOX 2127
SPOKANE, WA 99210-2127
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 6,760 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: • 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Released By:
Originally Released:
Landuse/Zoning/HE Conditions
6/7/2010 By: tmelbourn
Released By:
Sewer Review
Originally Released: 6/8/2010 By: MPALANIU
Released By:
Operator: jmm Printed By: jmm
Print Date: 6/8/2010
. Project Number: 10001619
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/8/2010 Page 2 of 3
Contractor
Address:
HAYDEN HOMES LLC
2464 SW GLACIER PL STE 110
REDMOND OR 97756
Description
I&2 FAMILY
DECK OPEN
GAR WOOD
Gro Tvoe Notes
R-3 VB
R-3 VB
U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Building Permit
Firm: HAYDEN HOMES LLC
Phone: (541) 923-6607
This Application: Total Project:
Se Ft Valuation Su Ft Valuation
1,235 $122,203.25 1,235 5122,203.25
24 $360.00 24 $360.00
407 $7,733.00 407 57,733.00
Totals: 1,666 $130,296.25 1,666 5130,296.25
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Contractor: COMPLETE HEATING & SHEET
Address: PO BOX 3934
SPOKANE, WA 99220
Item Description
DUCT WORK SYSTEM
GAS APPLIANCE<=100,000BTU
GAS PIPING
GAS LOG OR GAS INSERT
HOOD -TYPE I1
VENTILATION SYSTEM
Fee Amount
$1,167.35
$4.50
5466.94
Permit Total Fees: 51,638.79
Mechanical Permit
Firm: COMPLETE HEATING & SHEET
Phone: (509) 533-9528
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 # OF UNITS
2 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Operator: jmm Printed By: jmm
Permit Total Fees:
Print Date:
Fee Amount
$11.00
513.00
$1.00
522.00
$11.00
$39.00
$97.00
6/8/2010
Project Number: 10001619 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/8/2010
Contractor: C & K PLUMBING
Address: 5231 W NAVAJO
SPOKANE, WA 99208
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
MISCELLANEOUS FIXTURES
Plumbing Permit
Page 3 of 3
Firm: C & K PLUMBING
Phone: (509) 489-3906
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$78.00
Notes •
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,638.79
$97.00
$78.00
Invoice Amount
$1,638.79
$97.00
$78.00
$1,813.79 $1,813.79
Amount Paid
$466.94
$0.00
$0.00
Amount Owine
$1,171.85
$97.00
$78.00
$466.94
$1,346.85
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: jmm Printed By: jmm Print Date: 6/8/2010
*Wane
_#Valleyµ
PERMIT NUMBER:
PERMIT FEE:
(Staff Use Only) j
/0/►lolg
CITY OF SPOKANE VALLEY RECE!Vi5
Community Development Department CSV PFw11- CENTER
Permit Center
11703 East Sprague Avenue, Suit B-3 JUN (j 4/ 0
/ectSpokane Valley, WA 99206 'Pro)# � sVf _
Tel: (509) 688-0036
•
Fax: (509) 688-0037 Ngo
permitcenterCalspokanevallev.orq Submittal #
RESIDENTIAL CONSTRUCTIOIPERMIT APPLICATION
NEW CONSTRUCTION 0 ADDITION/REMODEL 0 ACCESSORY BUILDING
0 DECK 0 OTHER
SITE ADDRESS: 19 L-1-17 &. (p1,,jwi A t.
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
//sid e.4 Homes
ADDRESS: zit 61-/ S r 5 /4(
CITU: Red!. / ,f /-7
PHONE: S'9/ - 9e3 - (1b C7
CONTACT NAME:114/JCI /19 oO SZ°
PL. s ff< 4f llO
FAX:
PHONE: FAX:
CONTRACTOR NAME:
STATE:
oft.
sTh-071/0
CELL:
CELL:
MAILING ADDRESS:
CITY:
5th,( CTS ciba��
STATE: ZIP:
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE NO.:
EXPIRES:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
f4mi /1
PROPOSED USE:
n -
i lVr7CL. TT.i.H114 6/y7G
Effective October 28, 2007 Page 1 of 2
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Residential Construction Permit
App.l.doc
/o - /4/9
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
/ - 2- l
Dimensions:
5°)(c40
No. of Stories:Total
1
Habitable
Space: /('O %2 3
Main Floor SQ
FT: I � 1 Z3S-
Upper Floor SQ
FT: N6
Unfinished sement
SQ FT:
Finished Basement
SQ FT: kit.
Garage SQ FT: i
YO 7
Deck/Covered Patio
SQ FT: 7-4.7 ,�,-__
Impervious Surface
Area: r,*
30% Slopes on
Property: tj0
No. of
Bedrooms: 3
Construction
Type: (4/0.4
Heat Source:
Ci45 foruci gin
Sewer or
Septic:
TOTAL COST OF PROJECT: $ 75 (»j
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 pproval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required t9,be itted and subsequently approved before this application can be processed.
Signature
Date:
Method of payment; ❑ Cash 0 Check
Bankcard #:
0 Visa ❑ Mastercard
EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 2 of 2
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Residential Construction Permit
App.1.doc
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
pens itcenternsnokaneval lev.orc
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial Residential
SITE ADDRESS: 19 %I12_ E. CeGI'!R Ag,
n
Hy„l A uumng vw ..nlr
v4..r�1YK,r'L1N✓iv-v...... .._�...v� DIY «�,.:� 1 t-. cY'�s .a*i x r14.i �.. d'..A ./' If!{ A..
.M1v• .. r a m
Name:
r N/ti�deN f1QMQS Phone: 7�//yJ WI' /p// Fax: G6Ut_C7it{i
Address: �L�tlq 5 i/U r L(4ci- PL SJ `l go City:Re6"m DM % State:OR.OZip: Iq In 56
�D
::Contractor,
Name: C4M'4f plumb' co � Phone: Ln9-3yz7 Fax 466-09Jo ..��. .
Address:p c� / c�
'0. / rJDX oVZQ City: SPO%4LVe_ State: (AAA Zip alcor
License No: CIS !1i. u P +a1'1/ 1 / pea City Business Lic:
e'. Contact/Projcet Manager!'
"xkiE r F y t t n..w r
Name: MIKt- oloorp_Phone: '-7Iv-869/ri4'.:y�
,�L..����>.✓_,e)
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
2
URINALS
TUBS
I
SHOWERS (per trap)
l
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
/
CLOTHES WASHER
1
GARBAGE DISPOSAL
1
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
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
OCASH 0 CHECK 0 VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.sookanevalley.oro/ under the quick links for Forms, Master Fee Schedule.
http://wwwspokaneval ley.org/uploads/Community_Development/DocumenLs/FormsBuilding/PI umbingPerrnitApplication040309. doc
Permit Center
S1°1^0®e O 11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
jValley (509)688-0036 FAX: (509)688-0037
Community Development permitcentertspokanevallev.oro
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial Residential
SITE ADDRESS: 119 I 2- 6 - Ce(II1/` fl t._
�tBuddmg OWi r '!
Name: Yl AYDELI fQrMeS
Address: aye S.u). (+tier PL. Su-41in City: Jn,dnt!
Phone: J d c+ _?1j/_ 8 q
Name: Camn/ei t-16 y.-{- Phone: SM 9 5-1.3Address: 0.6 13o$ 313y
¶6t-07 /
City: 5001Cart
Fax: 33 -83.2?
State: wH Zip: 1IlZZa
License No: Con PL 115 OG ra 67
City Business Lic:
*Con tacUPfoject Maaa
Name: MIrtMoore
Phone: -1 / L1-1.6
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org Quick link to forms, then Master Fee Schedule
http://Ww wspokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPeritApplication040309.doe
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
i
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100.000 BTU
DUCT WORK SYSTEM
j
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
j
GAS PIPING SYSTEM (each outlet)
rt
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
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
I
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM - FREE STANDING
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org Quick link to forms, then Master Fee Schedule
http://Ww wspokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPeritApplication040309.doe
Spokane
Ya1kv
For City Use/Only
PLUS Project Num er` /v -
Project Address. ;I
7.r.•a
•
11703 E Sprague Ave Suite B 3'• Spokane Valley'WA•99206;:.,-
509.688.0036 •, Fax: 509.688.0037:• permitcent'er@'spokenevalley org,
As part of our on-going' commitment to customer service during the;. review:rocess
p'.Of your project,
application; we% are providing you witha-TARGET DATE -for the initiall:techmcalapplication"�review.: Iffor
any reason we cannot meet this date, We will contact you with a revised targe' " ''
/I/•
Your application review TARGET DATE is .
The TARGET_ DATE' is' the' date we estimate your project application will have�'had its tnittah technical.
review. It is not the date for approval; or: permit issuance.
,' Tips for Smoother Project Application Review
Submit complete, accurate plans and documents. ,
Extras lime ;nay be'ret/uired frr re-subinitta/s •as Project application reVlCiber5
•
May be several �dai�s be/ire alvei: tan look (11 -our new or reoisedinfor'mation.,
i Designate n specific'contactperson to communicate, with, the City.':. :
While the person 'designated as the applicant's contact person with-/he.Cut' cah:
nt ech�anged one:indivrdual pith Elie,'
expertise for dealing with. rerieiver comments it ould be the best choice jor'the•enth e,rei'ieti- process..
Cull staff regarding•the status 'of your project only after the target date shown ai the top of the -page,
Although you should be contacted oii w` In' the largerdate, please feel free id contact us if, t ou haven't.heard.j•ont irs
•bpp)70111 target date, Stci(l'-nam contact vciu.before the:targei date f the:ihitial tei eyi,•is complete.:6tl:following tIris
procedure, you will c0rne:lime and alba the reviewers to complete'thc a of h ntol'e c i/Keditioush •
tprk.on.niultiplecapp/ications add -it •'
I. Counter Complete. Yottr applicatiOn'.has he'en accepted as cdunter. complete.:.,This ,rrilang ',all' of the
Steps in thePermitProcess
]ii -ed
documents;' as indicated on your Pre- Application Checklist have been submitted or: h is e "been = approved ' -_tor :deterred -
submittal: This does not prevent technical staff frons requesting additional�mformation qs i 'result of their technical review.
2. Quality' Check. The next step in the process is a'quality check to make sure that thc1application is reviewable and tree
from substantiYe flaws that would prevent technical staff liom completing the, technic it review once itis started:. Wheh •
this step is complete; yotii' application will.be routed to the appropriate".staffani!:itmtin 1n. their, review queue_until it
3.'1'echnical Compliance. Once an application is administl tively'cornplttc itis'routcd to technical staff for cimtphance.•'
review. Depending on the type of projects technical staff may include;multiple i'eviewers:'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-. -
subniittals, each reviewer will approve their"section of the application and route it to°the Permit Center; When all sections
of th'e 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 (itrequired) will be provided by
the Permit Specialist at that time.
WHITE -APPLICANT PINK- BUILDING FILE REV 9/07-
SCALE: 1" = 20'
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PLANN,NG DEPT. APP
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DATE; 0/z49/O
# Igt pgns
auk
6) j.70--#,3e-oJd
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1:13 N30 11v EId ASO
BUILDING SETBACKS
FRONT HOUSE 15'
FRONT GARAGE 20'
CORNER 15'
SIDE 5'
REAR 20'
FROM PL
FROM PL
FROM PL
FROM PL
(FROM PL)
HAYDEN HOMES
2464 SW GLACIER PLACE, SUITE 110
REDMOND, OR 97756
(541) 923-6607
LOT 1 / 2
ADDRESS: 19412 E. Cecilia Ave.
COVEY GLENN
CITY OF SPOKANE VALLEY, WASHINGTON
1