2010, 08-31 Permit App: 10002645 ResidenceProject Number: 10002645 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/31/2010 Page 1 of 3
Project Information:
Permit Use: NEW SFR - SEWER
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Contact: HAYDEN HOMES
Address: 2464 SW GLACIER PLC
C - S - Z: REDMOND, OR 97756
Phone: (541) 923-6607
Group Name:
Project Name:
Name: Range
District: East
Parcel Number: 55202.2403
Block:
SiteAddress: 19419 E CECILIA AVE
Location:: CSV
Lot:
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 1119
Area: 5,824 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By: --- - --�'• -
Originally Released: 8/31/2010 By: JAGRISSO
Landuse/Zoning/HE Conditions
Released By: -- _
Sewer Review
Pennits:
Originally Released: 8/26/2010 By: mharnois
Released By:
Operator: jmm Printed By: JD
Print Date: 8/31/2010
Project Number: 10002645
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/31/2010 Page 2 of 3
Contractor: HAYDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110
REDMOND OR 97756
DescriptionGrp 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 R V W < 7999 SQ FT
Contractor:
Address:
Building Permit
Firm: HAYDEN HOMES LLC
Phone: (541) 923-6607
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
832 $82,326.40 832 $82,326.40
90 $1,350.00 90 $1,350.00
280 $5,320.00 280 $5,320.00
Totals: 1,202 $88,996.40 1,202 $88,996.40
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
COMPLETE HEATING & SHEET
PO BOX 3934
SPOKANE, WA 99220
Item Description
DUCT WORK SYSTEM
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS 1 DUCT
HOOD -TYPE II
Permit Total Fees:
Mechanical Permit
Fee Amount
$916.75
, $4.50
$366.70
$1,287.95
Firm: COMPLETE HEATING & SHEET
Phone: (509) 533-9528
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
2 NUMBER OF
1 NUMBER OF
Operator: jmm Printed By: JD
Permit Total Fees:
Print Date:
Fee Amount
$11.00
$11.00
$13.00
$2.00
$22.00
$11.00
$70.00
8/31/2010
Project Number: 10002645 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/31/2010
Contractor: C & K PLUMBING
Address: 5231 W NAVAJO
SPOKANE, WA 99208
Item Description
TOILETS/BIDETS
SINKS
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
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
Notes:
called Hayden Homes on 8-31-10 to notify them that the permit was ready to pick up.
Payment Sun maty:
Permit Type
Building Permit
Mechanical Permit
Plumbing Pcrmit
$60.00
Fee Amount
$1,287.95
$70.00
$60.00
Invoice Amount
$1,287.95
$70.00
$60.00
$1,417.95 $1,417.95
Amount Paid
$366.70
$0.00
$0.00
Amount Owing
$921.25
$70.00
$60.00
$366.70
$1,051.25
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: JD Print Date: 8/31/2010
Spgkaane
"Valley®
• For City Use Only
PLUS Project Number / 0'' 0-7S
Project Address / 9c// <7 f Card r K
11703 E Sprague Ave Suite B-34 SpOkaneValley WA 99206
• 509.688.0036 • Fax .509.688.0037,♦ permiieenter@spok'anevalley.org •
As part of our'"on-going,,commitment to, customer service during the review,process{•of. your.project
application, weare 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.t.
•
•
/.
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 Jar re„-snlnn itals as project application /eGteners xotkoii Inuliiple:appltcgtio'/is and. it;
mar be scream dtus before they Can look a1 voin-wevi or revised infm717a1t017: ; `
Designate a specificcontact person to communicate -with the City.
While 'the person:designated as ilie applicant's contact person with the Ci i;'can be• changed• 'one individual-Vvith the -
expertise for dealing with:reviewer comments 15 wind be the best choice for the entire revieit.process.:
Call stall regarding the status ofyour project only after the target 'date shown at the fop ofthe,page..,
Although you should be contacted :on '61:, by the forget dale; please feel /vee to'contact'iis if y ou haven t licm-d %rom_us
by
),:our faget-date. Staff may contact von. before the: tar get,daiei/ihe 'initial tcvieu3is complete. a3v /ollouwing this.'
procedure, You will wive time and allow the reviewers to complete the work more etpeditiously. _ .
•
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' 'inforniation as a result of their technical review:
2. Quality Check : The next step in thc process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical'' stair from completing the technical review once it is started: t When
this step is complete, your application will be routed to the appropriate staff.andremain' 1n'then review. queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively c`otiipletc it is routed to•technical statt for compliance
review. Depending on the type- of project, technical staff may includ'e'nmtiple reviewers: You should:be contacted. by
phone, fax, email, or mail by your TARGET DATE once the initial technical.conapliance review is complete..
4. Permit. Issuance. When the technical compliance review of the application is complete' including anysubsequent re
submittals, each reviewer will approve their section of the application:and route'it to•thelPermit 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-eonstructiot meetings{if required) will be. provided by
thc Permit Specialist at that time. -•- .
WHITE -APPLICANT. PINK -BUILDING FILE
fey.
CITY OF SPOKANE VALLEY
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 5-3
Spokane Valley, WA 99206
Tel: (509)688-0036
Fax: (509) 688-0037
permitcenter(asookanevallev.orq
PERMIT NUMBER:
PERMIT FEE:
(Staff Use Only)
r-• rr j-• , ,rr-
e ra v If—. 'LP
CSV PERMIT CENTER •
• A�tO `L
Project #
Lu•
Sme #
`Submittal �# (/
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
171 NEW CONSTRUCTION EADDITION/REMODEL ACCESSORY BUILDING
DECK ® OTHER
SITE ADDRESS: IggV4 E. c&) A i�vt
ASSESSORS PARCEL NO.: S5ZoZ.2.403 LEGAL DESCRIPTION: C,BVCt,. cICIV
BUILDING OWNER NAME:
NAME: I44/N i{0MC.5 Ave..ADDRESS: Ig4l.K(q. E. Lf 1' AeLI'I
Cm: Sp&K4n>¢, Valk
Qp[_yyl/1
PHONE: 5O 1- t,
t!'7
CONTACT NAME:
STATE: UJA. ZIP: 1r1
FAx:-5C9-f$ td -0741 CELL:
PHONE: S0q-711 `WA!,
FAX:
CONTRACTOR NAME:
CELL: Sf %e. a 5 in n',g.
MAILING( ADDRESS: 2_1U46V S.w. y/G:Je(- PL. Su to -4-no
CITY: Red/nose! STATE: (,R.
PHONE: CQ/ -913-6607 FAX: JOCI-?&j5 0740 CELL:
CONTRACTOR LICENSE No.:
ZIP: 57?Sb
Sol -7/(1-304.
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
S) P.54 f bbl: t� La."
PROPOSED USE:
S.F. Marne_
Effective October 28, 2007 Page 1 of 2
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Residential Construction Permit
App.1.ddc
****YOU MUST COMPLETE THE FOLLOWING****
•
YAOv u'/w rL• �rn� .
•-•.+.. .1. n ar rrv• nrrL1l.ADLt -
Height to Peak: 1)
ii - 7
Dimensions: )
`i Os .'36
No: of j�tories:
1
Total Habitable
Space: q I,I rt
Main Floor 5Q,,
FT: b3Z
Upper Floor SQ
FT: NA
Unfinished Basement
SQ FT: 'NNk,
Finished Basement
SQ FT:ti
Garage SQ FT:
2-0Q
d
Deck/Covered Patio
SQ FT: -`o
Impervious Surface
Area: Nth
30% Slopes on
Property: &o
No. of
Bedrooms: Z
Construction
Type: (t/0
Heat Source:
tQ5
Sewer or
Septic: SeW4J-.
TOTAL COST OF PROJECT:
7o,ow
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 appr.val for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be sequently approved before this application can be processed. -
Signature
Method of payment: 0 Cash 0 Check
Bankcard #:
Date:' a- io
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.l.doc
Siielankane�
jUalley
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
perrnitcenter svokanevallev.org
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial Residential
SITE ADDRESS: • I-1.qm G• C..[.iljA Ave.
Bulldmg OWiiii t
Name: t-JAPDE*U H{rM
Address: aim s.w. r g1Gier PL. SD.4i
';,Contractdrj
Name:
corn Wit d C 'fiNcg
Address: 9,0 isOs 3'13y J
License No: Cpm it HS05 a 137
Contact/Project Manager,,,
Name: Mi M0ore
Phone: ja 4( -7/11-W6116
city: Re Prfro /
Fax: 76`6-07
State: OR
Zip: /25O
Phone: S73"9sag Fax: 5,'55qq3-032( -.
State: `i// t Zip: / / ZZ(7
city: Scpois, .t
City Business Lic:
Phone:
❑CASH D CHECK D VISA DMC
CARD#:
EXPIRES: VIN:
SIGNATURE
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq Quick link to forms, then Master Fee Schedule
http://wwwspokanevalley. orJuploads/Community_Development/Documents/Forms/Bui Id ing/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
/
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 dm - -
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
3 .2
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
1
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM - FREE STANDING
❑CASH D CHECK D VISA DMC
CARD#:
EXPIRES: VIN:
SIGNATURE
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq Quick link to forms, then Master Fee Schedule
http://wwwspokanevalley. orJuploads/Community_Development/Documents/Forms/Bui Id ing/MechanicalPermitAppl ication040309.doc
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
perm itcenternspokanevallev. org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
pp / ❑ Commercial A Residential
SITE ADDRESS: l"I.gj f^E_ C4_cJ1 Rua:
LEASH D CHECK D VISA DMC
Card#
SIGNATURE:
EXPIRES:
VIN:
J-Zs-wo
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/FormsBu i Iding/PlumbingPermitAppl ication040309. doc
Name:- ,�II^�
r�,11 d6ru Qfi s Phone:Fax:6 ai �
11yJ � e �y/
Address: 1,16,"
���U 5. VL7. ��4Lr2f
p7//y� q C/
PL so.'r llO City:lle.KPI UlYY State o . Zip:f795
Contractor,
A�-vr sa
_.n iTif: < r-,-:, ,.n _ — -. n _
_
/
Name: I-,,:_ 466-
f CANAp Phvnbl IV, / Phone: Lnir' 3L12,7 Fax:_1 66 - o5.2-b
J
Address: P.0. / 6,,X lif�ZL7
City *twilit State: L1/4.0\ Zip IGi a?
License No: Ch PL. u P ,a/ / / O!1
I'1 �'D
City Business Lic: v
ContaeUPrglectManager
4x..w < t9 .. _.,r.fi. dm
kk rf
i'nt`
Name: MIKI? �1r7Dt"P Phone: 7/y , Uq by/
t7
OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
a '
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
1
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
LEASH D CHECK D VISA DMC
Card#
SIGNATURE:
EXPIRES:
VIN:
J-Zs-wo
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/FormsBu i Iding/PlumbingPermitAppl ication040309. doc
SCALE: 1" = 20'
0
0
O
r
56.00
3
5824 SF L
TT CC
A2 L8
9.1'2'
0
L
1
H3909 1
ON vetwt�
OI Ate`
23
M
56.0C
CECI LI A AVE
t= HUED
CSV PERMIT CENTER
An 2 r 20'
Project # l_..--
t'vme
Submittal #' - _L_ —
\UE
eZ4 61
hQQN
BUILDING SETBACKS
FRONT HOUSE 15' FROM PL
FRONT GARAGE 20' FROM PL
CORNER 15' FROM PL
SIDE 5' FROM PL
REAR 20' (FROM PL)
HAYDEN HOMES
2464 SW GLACIER PLACE, SUITE 110
REDMOND, OR 97756
(541) 923-6607
LOT 3 B1k. 1
ADDRESS: 19419 E. Cecilia Ave.
COVEY GLENN
CITY OF SPOKANE VALLEY, WASHINGTON