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2011, 02-04 Permit App: 11000242 Basement RemodelProject Number: 11000242 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/4/2011 Page 1 of 2 Project Information: Permit Use: BASEMENT REMODEL Contact: WORTHINGTON, ROBERT P & BRONW Address: 903 N DORN CRT C - S - Z: SPOKANE VALLEY, WA 99212-3703 Setbacks: Front Left: Right: Rear: Phone: (509) 928-0176 Group Name: Site Information: Project Name: Plat Key: 999999 Name: Range District: Nort Parcel Number: 45182.9042 SiteAddress: 903 N DORN CT Location:: CSV Block: Lot: Owner: Name: WORTHINGTON, ROBERT P & BR Address: 903 N DORN CRT SPOKANE VALLEY, WA 99212-370 Zoning: R-3 SF Res District Water District: 098 SPO CO WATER DIST#1 Hold: ❑ Area: .22 Acres Width: 75 Depth: 125 Right Of Way (ft): 40 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: Review Building Plan Review Permits • Released By: -_ Originally Released: 2/1/2011 By: tmelbourn Contractor: OWNER Building Permit Firm: OWNER Phone• (000) 000-0000 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT F R-3 VB PLAN 0 $9.500.00 0 $9,500.00 REVIEW FEE Item Description RESIDENTIAL PERMIT FEE WSBCC SURCHARGE SF PLNS R V W < 7999 SQ FT Totals: 0 $9,500.00 0 $9.500.00 Units Unit Desc Fee Amount 1 SELECT $181.25 1 SELECT $4.50 1 SELECT $72.50 Operator: jmm Printed By: jmm Permit Total Fees: $258.25 Print Date: 2/4/2011 Project Number: 11000242 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/4/2011 Contractor: OWNER Item Description VENTILATING FANS 1 DUCT Contractor: OWNER Item Description TOILETS/BIDETS SINKS SHOWERS WATER HEATER - ELECTRIC Notes: - : - Mechanical Permit Page 2 of 2 Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 2 NUMBER OF Permit Total Fees: Plumbing Permit Firm: OWNER Phone: Units Unit Desc 1 NUMBER OF .1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Fee Amount $22.00 $22.00 (000) 000-0000 Fee Amount $6.00 $6.00 $6.00 $6.00 $24.00 MECHANICAL PERMIT REQUIRED FOR FANS Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount $258.25 $22.00 $24.00 Invoice Amount $258.25 $22.00 $24.00 $304.25 $304.25 Amount Paid $72.50 $0.00 $0.00 Amount Owing $185 75 $22.00 $24.00 $72.50 $231 75 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 he 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 he construed to he 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: 2/4/2011 Spokane Walley Comm u n itT-Developmer Department-- n Permit Center epartment— PermitCenter t.iV t --tat t� 11703 East Sprague Avenue, Suite B-3:NTEF Spokane Valley, WA:49206=Nm'ni t v` (Staff Use Only) PERMIT NUMBER: Tel: (509) 688-0036 �1 (�� PERMIT FEE: Fax: (509)'688-0037 JAN permitcent4resookanevallev aicr Project # 'Name RESIDENTIAL CONSTRU-CTIO °PERMI rA PLICATION 0 NEW CONSTRUCTION 0 ADDITION/REMODEL 0 ACCESSORY BUILDING ❑ DECK ■❑ OTHER SITE ADDRESS: 903 N. Dorn Court, Spokane Valley, WA 99212 ASSESSORS PARCEL NO.: 45182.9042 LEGAL DESCRIPTION: BUILDING OWNER NAME: Robert P and Bronwyn L Worthington NAME: Robert P Worthington ADDRESS: 903 N. Dorn Court Cm: Spokane Valley STATE: WA zip: 99212 PHONE: (509) 928-0176 FAX: CELL: (509) 768-8908 CONTACT NAME: Robert P and Bronwyn L Worthington PHONE: (509) 928-0176 Fax: CELL: (509) 768-8908 CONTRACTOR NAME: Robert P and Bronwyn L Worthington MAILING ADDRESS: 903 N. Dorn Court, Spokane Valley, WA 99212 cm: Spokane Valley STATE: WA zip: 99212 PHONE: (509) 928-0176 FAX: CELL: (509) 768-8908 CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: Replacing: panelling, carpet, light fixture, ceiling tiles, water heater. Adding cabinets. toilet, shower, sink, outlets. Replacing: panelling, carpet, light fixture, ceiling tiles, water heater. Adding: cabinets, toilet, shower, sink, outlets. ****YOU MUST COMPLETE THE FOLLOWING**** E Height to Peak: n/a Dimensions: 40X25 No. of Stories: 1 Total Habitable 1437 Space: Main Floor SQ FT: 957 Upper Floor SQ FT: Na Unfinished Basement SQ FT: 4OU Finished Basement SQ F x:480 Garage SQ FT:�� Deck/Covered Patio SQ FT: nia Impervious Surface Area: 30% Slopes on O Property: No. of Bedrooms:2 Construction Type: Heat Source: Gas Furnace Sewer or Septic: Sewer TOTAL COST OF PROJECT: $ 9, SDO OIC 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. Effective October 28, 2007 Page 1 of 2 P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit App 10.28.07.doc Signature Method of payment: ❑ Cash Bankcard #: 0 Check ❑ Visa EXP: Date: `/ 0 Mastercard VIN#: Authorized Signature: Effective October 28, 2007Page 2 of 2 P:\Community Oevelopment\02 Administration\03 Forms - Official Versions\Permit Center\ftesidential Construction Permit App 10.28.07.doc Permit Cads 11703 E Sprague Ave, Suite B-3 j�ayssaa" Spokane Valley, WA 99206 (509)688-0336 FAX (509)688-0037 pennitcenterfaspokanevallev ore Community Development Plumbing Permit Application SITE ADDRESS: 903 N Dom Ct, Spokane Valley, WA 99212 PERMIT NUMBER: PERMIT FEE: ❑ Commercial 0 Residential Building Owner Robert P and Bronwyn L Worthington Name: Robert P Worthington Phoma 509-928-0176 Fax: Address: m314 Dom Ct Cib' Spokane Valley State: WA Zip: 99212 Contractor Robert P and Bronwyn L Worthington Name: 509-928-0176 Phone: 509-928-0176 Far Address: 803 N Dom cr citySpokane Valley State WA Zip: 99212 License No: City Baseness Lic: ContactiPrgeet Manager. Robert P Worthington Name: Robert P Worthington Phare: 509-928-0176 0 OF UNITS PLUMBING FIXTURE ON A TRAP -- TOILETS 1 URINALS TUBS SHOWERS (per trap) 1 SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food Prey Meat 1 DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area, Case, Cot Trench, Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE Installation, Alterations, Repair, Reuasats WATER USING DEVICE Ice and/or Coffee maker, hose bib, steamer Woofer, cabonmtor, swamp cooler PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas, See Mechanical 1 INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including baps. vents except kitchen type grease interceptors functioning as Mute baps 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 DCASH ❑ CHECK ❑ VISA 0 MC Cards SIGNATURE: EXPIRES: VIN: P.'Community Devclopment102 Administration \03 Forms- Official Versions \Permit CentrrkPlmnbing Permit Application 04-03-09 dgdoc T7'_�,,� Permit Center S Oi She 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 4200:001/2Her (509)688-0036 FAX. (509)688-0037 Community Development pertnrtcenter(a)sookanevallev0re Mechanical Permit Application PERMIT NUMBER: PERMIT FEE: n Commercial Residential SITE ADDRESS: ()a3 /V. i20C'�- Building Owner ' Name: R0 Ser i- P r tl:.,, Address: 103 4/ Oorn C. Phone: q2 f_ 0,-, L Fax: Contractor' City: Sa ko»_ van. -7 State: WA Zip: q1 Name: Ro)rc, d P. ldat-ILl I -o. Address: 90 3 At lir✓.. C t . Phone: 121- 0 1-1 !� Fax: License No: City S;,A'a..� \t)la7 State. �.yA City Business Lic I Zip: 99 nl z Contact/Project Manager: Name: Rej, fi e. v/or Phone: 9 tf-07-740 ❑CASH 0 CHECK 0 VISA ❑ MC CARD#: EXPIRES: SIGNATURE VIN: http.//www spokanevalley.org/uploads/Commumly_DevelopmemMocuments/Forms/Building/McchamcalPermitApphcation040309 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 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) 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 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 L P STORAGE TANK WOOD OR PELLET STOVE INSERT WOOD STOVE SYSTEM - FREE STANDING ❑CASH 0 CHECK 0 VISA ❑ MC CARD#: EXPIRES: SIGNATURE VIN: http.//www spokanevalley.org/uploads/Commumly_DevelopmemMocuments/Forms/Building/McchamcalPermitApphcation040309 doc Spokane #Ya1ktr For City Use Only • PLUS Project Number — Project Address Uj 0 [7 •J 11703 E Sprague Ave Suite B-3,♦ Spokane Vattey WA 99206 • 509.688.0036 • Fax: 509.688.0037 ♦ permitcetiter@spokanyatley,org: As part .of our on-going commitment' to customer -, service during the review process;of'yotir'project application, we are 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: • Your application review TARGET DATE is • The TARGET DATE is the date' we estimate your project application wilt have,had its:.initial technical review. It is not the date for appi'oval'or permit issuance. [• -Tipsfor a -Smoother Project Application -Review Submit complete, accurate,plans'and'documents. Ea lime maybe regidred toy re-suhinitlals cis protect application. *70//0 o Extra n iiurlliple applicutiats,nnd,it nun' he ,credal day* be/hrc.lhe r can look at your new or revised arfornnitioh... Designate a specific contact person to communicate with the City. IVhrle the person designated as the applicant's contact person' with the City can be'changed, one indii'rrirahwilh the - cvpertise for dealing with reviewer continents world be the best choice Jor the entire rerteir process. • Call staff regarding the status of your project only after the target dateshown at the top of, the page. ' Although you should be contactedon.or by the target date, please feel free 10 contact us.'if:Voir haven't en'/ heart/from us by your target date. Staff may contact you before the target date if the initial review; is complete. 81 /O/1owing this procedure, you will Saye time and allow the 1 eyietrers to complete ihe.n'ark imire.erpeditioltcly. • ` Steps in the Permit Process': I. 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"oi ' haye;.becli approved for, 'deferred submittal. This does not prevent technical staff from requesting additional information. as a result of their technical:res;ie-w. 2. Quality Check. The next step in the process is a quality check to make sure. that theapplication is reviewable and free,' from substantive tlaws 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'rentain in,iheir'review,queue until it • comes up for review. ., 3. Technical Compliance. Once an application is administratively complete, it-is.robted to technical staff for compliance , review. Depending 011 the type of project}technical staff may include -multiple reviewers. You should be„contacted by phone; fax, email, or mail by your' I' ARG ET. DATE once the initialtechhical compliance revicd` is complete. 4. Permit Issuance. When the. technical, compliance review of the application,is complcta.including any,stibsegtient're- submilttils, each reviewer will approve their section of the application and route it to the' Perrnit Center When all: sections • of the application are received, a Perntit,Specialist,tvill process the' application and contact theperson'speci1ied.011 your application for•permit pick-up. In!orntation regarding fees and pre-construction'm ectings-(if required)' will'be provided by ' the Permit Specialist at that time. WHITE -APPLICANT PINK -BUILDING FILE REV 9/07