2010, 09-01 Permit App: 10002679 ResidenceProject Number: 10002679 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/1/2010 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR Contact: HAYDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110
C - S - Z: REDMOND OR 97756
Setbacks: Front Left: Right: Rear: Phone: (541) 923-6607
Group Name:
Project Name:
Site Information:
Plat Key: Name: Range
District: East
Parcel Number: 55202.2504
Block: Lot:
SiteAddress: 19420 E CECILIA AVE
Location:: CSV
Owner: Name: HAYDEN HOMES LLC
Address: 2464 SW GLACIER PL SUITE 110
REDMOND OR 97756
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 7,153 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
9/1/2010 By: tmelbourn
Released By:
Originally Released:
Sewer Review
9/1/2010 By: mpalaniuk
Released By:
Permits:
Operator: JD Printed By: jmm
Print Date: 9/1/2010
Project Number: 10002679 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/1/2010 Page 2 of 3
Building Permit
Contractor: HAYDEN HOMES LLC Firm: HAYDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110 Phone: (541) 923-6607
REDMOND OR 97756
This Application: Total Project:
Description Gro Type Notes Sq Ft Valuation So Ft Valuation
1&2 FAMILY R-3 VB 1,032 $102,116.40 1,032 $102,116.40
COV DECK R-3 VB 24 $360.00 24 $360.00
GAR WOOD U-1 VB 398 $7,562.00 398 $7,562.00
Totals: 1,454 $110,038.40 1,454 $110,038.40
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,055.35
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $422.14
Permit Total Fees:
Mechanical Permit
$1,481.99
Contractor: HAYDEN HOMES LLC Firm: HAYDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110 Phone: (541) 923-6607
REDMOND OR 97756
Item Description
DUCT WORK SYSTEM
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS 1 DUCT
HOOD -TYPE II
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
3 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: jmm
Fee Amount
$11.00
$11.00
$13.00
$2.00
$33.00
$11.00
Permit Total Fees: $81.00
Print Date: 9/1/2010
Project Number: 10002679 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/1/2010
Contractor: HAYDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110
REDMOND OR 97756
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
MISCELLANEOUS FIXTURES
Units
2
3
2
1
1
1
3
Plumbing Permit
Page 3 of 3
Firm: HAYDEN HOMES LLC
Phone: (541) 923-6607
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$18.00
$78.00
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
r
Fee Amount
$1,481.99
$81.00
$78.00
Invoice Amount
$1,481.99
$81.00
$78.00
Amount Paid
$422.14
$0.00
$0.00
Amount Owing
$1,059.85
$81.00
$78.00
$1,640.99 $1,640.99
$422.14 $1,218.85
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: JD Printed By: jmm Print Date: 9/1/2010
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
permitcenter(Bsookanevallev.orq
la NEW CONSTRUCTION Q ADDITION/REMODEL
El DECK m ®ACCESSORY BUILDING
OTHER
SITE ADDRESS: 19 H Zo . Ceci 11 lA fw .
ASSESSORS PARCEL NO.: 55Zd2.'a_501-1 LEGAL DESCRIPTION: Cave-in DIM
PERMIT NUMBER:
PERMIT FEE:
(Staff Use Only)
0
797
RECEIVIMU
CSV PERMIT CENTER
AUG 27 ,20
Project JL�
I i,tm2
-ubmittal ?r
'RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
1
BUILDING OWNER NAME:
NAME:
Pic4„Ad m L-!(,me5
ADDRESS:
Cm:'
PHONE: 50et— 71Y_tab
STATE: / ,.--
ZIP:
CONTACT NAME:
Fax: 501- 6t-0791 CELL:
PHONE:. Soq-7/c( —f64b
Fax:
CELL:
CONTRACTOR NAME: Oct
eu R o/ne5
rme 45 pl,n,rUt
MAILING ADDRESS:
246/ S.cu. 9kc:er PL. SU;t.. '4//o
Cm: Rerint0Nl:1 STATE: fIss
PHONE: S44/-923-6607 FAX: S0Cf-g -0'-y f CELL:
CONTRACTOR LICENSE No.: EXPIRES:
ZIP: q 75-6
So9-71y - 86Nb
Cm BUSINESS LICENSE NO.: .
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: S) tt5k Amu, nw _ /tN,
PROPOSED USE: HOnle-
AI5G 3 is .:Dili
1U[1DD51�
Effective October 28, 2007 Page 1 of 2
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Residential Construction Permit
App.1.doc
-2679
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak: i I
i5i— 6
Dimensions:
3(,X Li%
No: of Stories:'
'
Total Habitable
Space:-)/o3Z
Main Floor SQ
FT: 1 (^�� rs-3Z
Upper Floor SQ
FT:
Unfinished Basement
SQ FT: NA
Finished Basement
SQ FT: W-� pl
r/
Garage SQ p,
i tiaa-3 gO
Deck/ vered Patio)Impervious
SQ FT , y `7f
Surface
Area:
30% Slopes on
Property: su.�
No. of
Bedrooms: 2,
Constr ction�
Type: (,�0o 0
Heat Source:
C1.t5
Sewer or c
Septic: Jtk,er
TOTAL COST OF PROJECT: $
aoo
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 b- -.bmied a bsequently approved before this application can be processed. -
Signature
Method of payment: 0 Cash 0 Check
Bankcard #:
Date: V Z4_,/-)
❑ Visa 0 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
Sp icaanee
• jValley.
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
pernitcenteraspokaneval lev.oro
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial Residential
SITE ADDRESS: I Q L
omitting urn ncl •
Name
r Ntivderu rights Phone 7/�yyf y/ Fax Rs 0,7 /
Nam
Address:
z`(64 5.w, LikGtl( PL so.I/D City:R 111 WY State:�?
Zip ( q 7 7.56_
µ p
°Contrator -" c
.
Name 9.
C4AulK P)umb;soy / Phone: l.fiq_3q Fax 466- o(.
�7 • J^
Address: Q 0 l
'll. X � Lo CICity: Sr .tune State:(AA
ZIP eiciuc/
License No: chi) U P iq 1 / 9 City Business Lic:
1'1
4Contact/ProtectM'aiiagper rR $ + 'rrr tppo ,tra 5 r jjam.-'
ft? fin 1F„ ..,e.Nk .ri.Rw� }iµj. t4...i4 1kw'_^ ..-,. .,,. •. rfy
t (4 n'"
Name: MI IQ_ MoorP Phone: .7/y_16,i b
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
',
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
I 1
CLOTHES WASHER
l
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
❑CASH D CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
1
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://wwwspokanevalley.org/uploads/Community_Development/Documents/FormsBu i Iding/PlumbingPermitAppl ication040309.doc
....iscUaHey
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter( spokanevalIev.ori
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial Residential
SITE ADDRESS: • f (NZ E (-IL; 0 slue_
RdildrrigOWtt:Li
Name: H AYL3E*.i Hc MPS Phone: Go i _ /ti- 017L10
Address: a46f S.i,)- r-/Liet- PL. Su•4Iln City Kjibe"
Name a M/�../wl.
Address: P.6 t Jr1o'33139
Fax: 86t-ao
State: 0R.
Zip:
7256
City: So°oK4r1
License No: Corn ei HS c a 67
City Business Lic:
Fax: 5 33 -03.2?
State: wit Zip' I I ZZO
itt ntact/Pr•glect Manager i
Name: MI M- fl l(002
Phone:
OCASH E CHECK E VISA EMC
CARD #:
EXPIRES:
SIGNATURE
VIN: p-
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq Quick link to forms, then Master Fee Schedule
http://www. spokaneval ley.org/uploads/Community_Developmen VDocuments/FormsBurlding/MechanicalPermitApplicatron040309.doe
#UNITS
FURNACES 8 SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100000 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
I
GAS PIPING SYSTEM (each outlet)
2
GAS LOG, FIREPLACE, 8 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 cfrn, 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
Type I
HOOD
Type II
/
LP STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
OCASH E CHECK E VISA EMC
CARD #:
EXPIRES:
SIGNATURE
VIN: p-
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq Quick link to forms, then Master Fee Schedule
http://www. spokaneval ley.org/uploads/Community_Developmen VDocuments/FormsBurlding/MechanicalPermitApplicatron040309.doe
Spokane
Valley��
For
For City Use Only
PLUS.Project Number ( (HCl 2/`-72
Project Address d l
Hr (t3 ±CoC' a`1 et"
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley: WA 99206'
509.688.0036 ♦ Fax 509.688.0037♦permitcehter®spokanevatley.org
As part of our on=going ,commitment to customer service during. the revtew:`process .cif ;'your .project
application, we are providing you with a TARGET DATE for the initial jechnical application review: If for
,any reason we cannot meet thisdate, we will 'contact you with a revtsed•target date.
1 j
Your application review TARGET DATE is I �' 'l IN
The TARGET DATE isthe date we, estimate your project application w.11 have
review. It is not the date for approval or permit issuance.
had, its initial technical
• Tips for a SmootherProleet Application Review •
Submit complete, accurate plans and:documents.:
En'a time ntgv be requirto for re -submittals as project application rev1C%t6/stwork on nwltipleapplications and it
may be,sereral days before they can look at your new or revised information.
Designate a spccilic-contact person to communicate•withthe Qity! ' '
While the person designated as the applicant's contact,person 11/1/7 the City:can be:changed one individual with the .
expertise for dealing with_ reviewer. comments Ti nube'the•best choice for the encu e review iew pt occas:`
•
�cckt�-
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 jive to contact us if i:oa7taven't heardfi omn us
by you' target date. Stiff May contact you before thelarger dateif the iniiial t e* iew is.cbmplete. Big fol/giving• this
procedure, yon will save thne and allow the reviewow to coMplete the work More expeditiously. ' - .' :
Steps in the Permit Process
1. Counter .Complete, Your application lhas been accepted Us •counter" complete; This -means all' -of the -required '
documents, as indicated on your Pre -Application Checklist have been si bmiticd or have -been app• royd
e -'for deferred
submittal. This docs not prevent technical staff from requesting additional information asa result of their technical review. •
2. Quality. Check. The next step in the process is Inquality check to make sure'that the application' is. reviewable and tree
from substantive flaws that:would prevent technical staff from, completing the technical review once itis:Started. When '
this step is complete, your application' will be -'routed to the, appropriate staff 'and remain;in their reviewj'queue until it
comes up Mr 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 state may include multiple re.vieeers.'.You should contacted by, •
phone, fax, email, or mail by your TARGET DATE ince the inmaftechnical compliance_ review is.complete . • •
4: Permit Issuance. When the technical compliance review of theapplication -is complete; including any subsequent re-
•
submittals, each reviewer will approve their section of the application and rout€ itto the Permit Center. When all sections
of the application are received, a Permit Specialist.will process die' 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
PLANNING
BY.7eZ,,, -
DEPT. APPROVED
DATE: ,///zcvo
0
b`�
2lOc
70.50
SCALE: 1" = 20'
F EC IVCD
:SV PFRAAIT CENTLr,
Sir 1) 1 2010
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 4 blk 2
ADDRESS: 19420 E. Cecilia
COVEY GLENN
CITY OF SPOKANE VALLEY, WASHINGTON