2011, 04-18 Permit App: 11000886 ResidenceProject Number: 11000886 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
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:
Project Name:
Site Information: r
Date: 4/18/2011 Page 1 of 3
Plat Key: Name: Range
District: East
Parcel Number: 55202.2502
Block: Lot:
SiteAddress: 19414 E CECILIA AVE
Location:: CSV
Owner: Name: HAYDEN HOMES LLC
Address: 2464 SW GLACIER PL #110
REDMOND, OR 97756
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 5,824 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: 4/18/2011 By: TM ELBOU
Landuse/Zoning/HE Conditions
Released By:
Approved per Scott Kuhta
Originally Released: 4/14/2011 By: kkendall
Sewer Review
Released By:
Permits:
Operator: jmm Printed By: jmm
Print Date: 4/18/2011
Project Number: 11000886 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/18/2011 Page 2 of 3
Contractor: HAYDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110
REDMOND OR 97756
Description Grp Type Notes
1&2 FAMILY 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
SFR / DUP SITE PLN REVIEW
Building Permit
Firm: HAYDEN HOMES LLC
Phone: (541) 923-6607
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,031 $104,079.45 1,031 $104,079.45
30 $450.00 30 $450.00
400 $7,600.00 400 $7,600.00
Totals: 1,461 $112,129.45 1,461 $112,129.45
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
1 SELECT
Contractor: COMPLETE HEATING & SHEET
Address: PO BOX 3934
SPOKANE, WA 99220
Item Description
DUCT WORK SYSTEM
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HOOD -TYPE II
VENTILATION SYSTEM
Permit Total Fees:
Mechanical Permit
Units
2
3
Operator: jmm Printed By: jmm
Fee Amount
$1,066.55
$4.50
$426.62
$50.00
$1,547.67
Firm: COMPLETE HEATING & SHEET
Phone: (509) 533-9528
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$11.00
$11.00
$13.00
52.00
$11.00
$39.00
$87.00
4/18/2011
Project Number: 11000886 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/18/2011
Contractor: A G MECHANICAL
Address: PO BOX 931
VERADALE WA 99037
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
MISCELLANEOUS FIXTURES
Units
2
3
2
1
1
3
Plumbing Permit
Page 3 of 3
Firm: A G MECHANICAL
Phone: (509) 226-3636
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
512.00
518.00
$12.00
$6.00
$6.00
$6.00
$18.00
S78.00
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,547.67
587.00
$78.00
Invoice Amount
$1,547.67
$87.00
$78.00
Amount Paid
$426.62
$0.00
$0.00
Amount Owing
$1,121.05
$87.00
$78.00
$1,712.67 51,712.67 $426.62 $1,286.05
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: jmm Printed By: jmm
Print Date: 4/18/2011
S°`le
fey`
CITY OF SPOKANE VALLEY
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509)688-0036
Fax: (509) 688-0037
perm itcenterasookanevallev. orq
RECEIVED
CSV PERMIT CENTER
APR1/I2� JpJt�
Project # /� v VJ
Name
Submittal
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
III NEW CONSTRUCTION ® ADDITION/REMODEL
1l DECK ID OTHER
SITE ADDRESS: is E.. CeAV Q.
ASSESSORS PARCEL NO.: S$Zo2.2 ;OL LEGAL DESCRIPTION: Cavey DIM
Q ACCESSORY BUILDING
BUILDING OWNER NAME:
NAME:
!-4a i nv m
140a
ADDRESS: 19HIq. E. C4.11iA
Avt.
Cm: SpoKtwe, UGhvi
PHONE: SOq-7/y-1? Wb
CONTACT NAME:
STATE: (.V �•
Fn: 509- (A-074 i
PHONE:. Sag :MI `f611b
FAX:
CELL:
CELL:
ZIP:
CONTRACTOR NAME:
m. a Phnom
MAILING ADDRESS: 246V S,W, fd./Gder PL SUITC #I/o
Cm': Red,YLoNd V
STATE: OR.
PHONE:
Cot/ -923-6607 FAX: 50,-M -0741/
CONTRACTOR LICENSE No.:
ZIP: r(775.6
CELL: SOA-71p!(tj, Ob ,
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
Q f 1i, CLJ4JItN�J
PROPOSED USE:
s • R Horne_
Effective October 28, 2007 Page 1 of 2
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Residential Construction Permit
App.l.doc
****YOU MUST COMPLETE THE FOLLOWING****
Height to eak:
5t...‘ ')
----- -- -- -- ---
Dimensions:
3Gxc`t U
- --- ----_____
No: of Stories:
1
Total Habitable
Space: 1o3)
Main Floor SQ
FT: 103 I D (4
Upper F1.28r SQ
FT: 1V / t
Unfinished Basement
SQ FT: n/c7
Finished Basement
SQ FT:
Garage SQ FT:
m a 0 IC--
Deck/Covered Patio
SQ FT: 30 cite—
Impervious Surface
Area: NA
30% Slopes on
Property: NI)
No. of
Bedrooms: 3
Construction
Type: Co{JV1
Heat Source:
tis
Sewer or
Septic: 54uxr
TOTAL COST OF PROJECT: $
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 submittej_.- d subsequently approved before this application can be processed.
Signature
Method of payment: ❑ Cash 0 Check
Bankcard #:
Date:
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
Sfidkane
#%hlley•
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley. WA 99206
(509)688-0036 FAX: (509)688-0037
penitcentedrlspokanevallev.ore
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial )1 Residential
SITE ADDRESS: _ 199L4_E.I-C iii4 4703. . Ave. 5-p ser,,t, ULill,rry u4
Building Oe'nei - - .. - ". -
...
Name: `. Nti Phone: l y� Fax:
"^'(�i �QMQS / I��Vpy �6�'a'%4�
Address:
2-464 5.vu r L,(4eltf PL. SJ. 400 City: A m;?� State: oR Zip: 1 ri �O
Contractor s.
:.._
Nam:. A.6. / Phone: SO9'2140.07Fax: Cm�L
IC 41
Address: P gram '131 City: Vefh3`rle- • State: W� p. tirig
I J
},f
License No:
M E'r+J�m goz.oN City Business Lie:
Lit/ ge
Contact/Project Manager. .!I
---..
Phone: `]ly' OO ib..
Name: MI lc MOO rP
# OF UNITS
PLUMBING FIXTURE ON A TRAP
.
TOILETS
).-,
URINALS
TUBS
2
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
I
CLOTHES WASHER
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
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 ❑ VISA ❑ MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule.
http://www. spokaneval ley.org/up loads/Community_Development/Documents/Eons/B uild in g/PlumbinePenitAppl ication040309. doe
Spokane
�Ualley
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
pemtiteenter otspokanevallev.ore
SITE ADDRESS: • /CNN L•• CAC -;111\ Ada --
Building
Wt
Building Owner I
I gay
Name: h Ay1pEti Home -7l4•-w6y6 Fax: Sot_ 07IV
e $ Phone:
t
City: RtithdlW State: OR. Zip: 1 7-.6
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial rigiResidential
5e& 4hre VV,liej
Address: alleti S•I,U• r'� Uer PL. Su•4/i6
Contractor l7�
Name: tOd+'1 ^/Q Q_ Heci±iN Phone: r)7J7-q Jag
Address. 9.G %311'r,y(-f, 3139 1 J City: 5pois4 C
License No: Conn9[ LICcG 027
City Business Lie:
Fax 5 33 -0329
State: will
Zip: /9zz(7
Contact/Project Manager: •
Name: miNe_ m00re
/ v-3'6
❑CASH 0 CHECK 0 VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq Quick link to forms, then Master Fee Schedule
http://www.spokanevalley.org/uploads/Communi[v-
_DevelopmentlDocuments/Forms/Building/MechanicalPermitAppl ication040309.doc
#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
i
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
/ t
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
3
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
Typel
't/
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM - FREE STANDING
❑CASH 0 CHECK 0 VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq Quick link to forms, then Master Fee Schedule
http://www.spokanevalley.org/uploads/Communi[v-
_DevelopmentlDocuments/Forms/Building/MechanicalPermitAppl ication040309.doc
Spokane
_. Valley®
For City Use Only
PLUS Project Number //— 06 0 O
,Project Address /9y/C/ G2e—fid• iti
E Sprague Ave Suite B-3.•, Spokane Valley,,WA 99206
509.688.0036;♦ Fax: 509:688.0037 ♦ permitcenter@spokaneyalley.org
As partof 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 initialtechnical' application review. Iffor,
any reason yve cannot meet this date, we will coritact 'you with a retjised target elate'. .• • ,,..• •
Your application review:TARGET DATE is
The TARGET DATE is the date .we estimate your project application will have had its initial ,teclinicali
review. It isnot the date for ap'p`roval or permit issuance. , ,
Tips for a Smoother Project Application.Review
Submit complete, accurate plans and'documents,'
Exn'0 time star be required /o; ./e-.i1ihmillals as projectapplication /eotetters.nork'0/1'nirt/liple applica/w/1s_(jnd if
may be several dais before iter GYtlr look'at Nota' nett' or revised informcnton -
Designatc'a'specific contact person to communicate with the City..
While the person. designated as the applicant's contact person with the tilv,can he changed, one individual u'itli the
expertise for dealing with "reviewer comments would be the best choice for the.'en!irelr'CV!CLV /3/'ocess. 't .
Call staff regarding the status of your project only alter the target date shoti n.at the -top of the page:
•
Although i-ou should be contacted ori or "h1 The targe/dam please feel free 10 contact:lts ifyou /101(1 a:hecird from us
pole''larger date. Staff may aoruact ):out before the target dine rf the initial i et taw /s; ern/ lkte. Ry Jiillowing this
procedure. you willsrive time and allow the reviewers to "complete the iror.k more etpeditious/v.,
Steps in the Permit Process'
1. Counter Complete. Your, application has- been. accepted as: counter cOrnplete.;This means all, of the.required
documents, as indicated on your Pre -Application Checklist have been submitted or have:•been .approJed'for deferred
submittal. This does not -prevent technical staff from requesting additional infonratiorias'a'result of tlieir.technical review.
•
2. Quality Check. The next step in the process is, a quality, check to make'isure'thai the application.is •_reviewable and free.
from substantive flatus i lat.would prevent technical staff from 'completing the'technical ireView once it is started: .When
this step is complete, your application will be rputed to the appropriate' .stal1•and remain: in their Yreview queue until if
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is joined to technical staff for; compliance
review. Depending on the type of project, technical stall may. include multiple reviewers.'. You should be contacted by ,
phone, tax, email, or mail,by your TARGET DATE once' the initial technical compliance'revicw 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 tlic,Permit Centcr..Whcn 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`providecl by
the Permit Specialist at that time. •
WHITE - APPLICANT PINK -BUILDING FILE
REV 9/07
SCALE: 1" = 20'
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MIT CENTER
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Project it
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Submittal 4_
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14.75' 582 SF
Li '%
RI OCK
P. L
BUILDING SETBACKS
FRONT HOUSE 15'
FRONT GARAGE 20'
CORNER 15'
SIDE 5'
REAR 20'
OM PL
FROM PL
FROM PL
FROM PL
(FROM PL)
HAYDEN HOMES
2464 SW GLACIER PLACE, SUITE 110
REDMOND, OR 97756
(541) 923-6607
LOT 2 BLK 2
ADDRESS: 19414 E. Cecilia Ave.
COVEY GLENN
CITY OF SPOKANE VALLEY, WASHINGTON