2005, 10-20 Permit App: 05003892 ResidenceProject Number: 05003892 Inv: I Application Date: 10/20/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: NEW SINGLE FAMILY RESIDENCE Contact: ANDERSON, STEPHEN M & VICKI JO
Address: 8424 E BULL PINE LN
C - S - Z: SPOKANE VALLEY, WA 99217
Setbacks: Front 71 Left: 12 . Right: 10 Rear: 40 Phone: (000) 000-0000
Group Name:
Site Information: Project Name:
Plat Key: Name: WEST VALLEY ADD
Parcel Number: 45182.0222 Block:
SiteAddress: 1503 N ELTON RD
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: .00 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review. Information:
District: Nort
Lot:
Owner: Name: ANDERSON, STEPHEN M & VICKI
Address: 8424 E BULL PINE LN
SPOKANE VALLEY, WA 99217
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Review
Released By.
Plan Review
Originally Released:
10/20/2005 By: CJJANSSE
Released -By:_
Approach / Drainage
Originally Released:
10/20/2005 By: TMELBOU
Released�By
Sewer Review
Originally Released:
10/20/2005 By: CJJANSSE
ReleasedBy :W
Permits:
Operator: CJJ Printed By: CJJ Print Date: 10/20/2005
Project Number: 05003892 Inv: I Application Date: 10/20/2005
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Contractor: OWNER
Total Area
1182
Building Height
17
Stories
1
Dwelling Units
1
Units Unit Desc Fee Amount
1 'NUMBER OF $25.00
1 NUMBER OF $25.00
Permit Total Fees: $50.00
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Description Grp Type Notes
DECK R-3 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Contractor: UNKNOWN
Address: UNKNOWN
UNKNOWN, WA UNKNOWN
Item Description
VENTILATING FANS
CLOTHES DRYER
HOOD -TYPE II
Units Unit Desc
2 NUMBER OF
1 NUMBER OF
I NUMBER OF
Permit Total Fees:
Fee Amount
$20.00
$10.00
$10.00
$40:00
Operator: CJJ Printed By: CJJ Print Date: 10/20/2005
Page 2 of 3
This Application:
Total Project:
Sq Ft Valuation
Scl Ft
Valuation
100 $1,500.00
100
$1,500.00
1,182 $88,271.76
1,182
$88,271.76
Totals:
1,282 $89,771.76
1,282
$89,771.76
Units
Unit Desc
Fee Amount
1
SELECT
$923.75
1
SELECT
$4.50
1
SELECT
$369.50
Permit Total Fees:
$1,297.75
Mechanical Permit
Firm: UNKNOWN
Phone: (000)
000-0000
Units Unit Desc
2 NUMBER OF
1 NUMBER OF
I NUMBER OF
Permit Total Fees:
Fee Amount
$20.00
$10.00
$10.00
$40:00
Operator: CJJ Printed By: CJJ Print Date: 10/20/2005
Page 2 of 3
Project Number: 05003892 Inv: 1 Application Date: 10/20/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: UNKNOWN
Address: UNKNOWN
UNKNOWN, WA UNKNOWN
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
ELECTRIC HOT WATER TANK
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: UNKNOWN
Phone: (000)000-0000
Units
Unit Desc
Fee Amount
1
NUMBER OF
$6.00
2
NUMBER OF
$12.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
Permit Total Fees:
$42.00
Fee Amount Invoice Amount Amount Paid Amount Owin
$50.00
$50.00
$0.00
$50.00
$1,297.75
$1,297.75
$0.00
$1,297.75
$40.00
$40.00
$0.00
$40.00
$42.00
$42.00
$0.00
$42.00
$1,429.75
$1,429.75
$0.00
$1,429.75
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 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: CJJ Printed By: CJJ Print Date: 10/20/2005
Permit Center
`rtWoley
e 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206 PERMIT NUMBER:
(509)688-0036 FAX: (509)688-0037 PERMIT FEE:
Community Development www.spokanevalley.org.com
Plumbing Permit Application ❑ Commercial (Residential
SITE ADDRESS 1-503 %V•
Buildin owner
Name: j Se Phone: v - 53 d Fax "
Address: ;5 2 �, tr/� City State Jae Zip l
Contractor -
Name: Phone: Fax:
Address: City State Zi
License No: City Business License No:
Contact
Name: Phone:
AUTHORIZED SIGNATURE: Z REVISED 8/26105
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
��
2
URINALS
X
$6.00
-
3
TUBS
/
(
X
$6.00
=
O
4
SHOWERS PER TRAP
BATH, STALL, ON-SITE BUILT
X
$6.00
=
5
SINKS_
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
%
X
$6.00
=
d
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
l
X
$6.00
=
to = o
8
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
/
[
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6.00
-
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
-
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
ICE.AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6.00
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
-
19
MEDICAL GAS (per outlet)
'NITROUS, OXYGEN
X
$6.00
-
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
[3 CASH [I CHECK El VISA [IMASTE CARD
Card# n�� EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
G1[j
AUTHORIZED SIGNATURE: Z REVISED 8/26105
Spokanka��
Valley
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development w-w-w-.spokanevallev.om.com
Mechanical Permit Application ❑ Commercial ❑ Residential
SITE ADDRESS �J U3gy(
Buildiu
owner r
= .= - " � �,.�;•; ,,,,
Name:
J ,
Phone:
- C-)
Fax
Address:
City
State
Zip
Contactor � -
Name:
Phone:
Fax:
Address:
City
State
Zi
License No:
City Business License No:
:Contact....
Name:
Phone:%
DESCRIPTION OF WORK
# OF UNITS X
COST =
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00 =
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00 =
3
UNLISTED APPLIANCE Additional Fee
Equal to or less than 400,000
X
$50.00 -
4
UNLISTED APPLIANCE Additional Fee
More than 400,000
X
$100.00 =
5
USED APPLIANCE SEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00 =
6
USED APPLIANCE SEC min. AFUE rating)
More than 400.000
X
$100.00 -
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00 -
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00 =
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00 =
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00 =
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00 =
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00' -
13
RANGE
X
$10.00 =
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00 -
16
MISC. FUEL BURNING APPLIANCE
X
$10.00 -
17
GAS PIPING each outlet
X
$1.00 =
18
DUCT SYSTEMS
X
$10.00 -
19
VENTILATING FANS
X
$10.00
20
AIR HANDLER DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00 =
21
AIR HANDLER DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00 -
22
EVAPORATIVE COOLERS
X
$10.00 =
23
TYPE I HOOD
X
$50.00 =
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00 -
26
AIR CONDITIONER
3-15 TON
X
$20.00 =
27
AIR CONDITIONER
15-30 TON
X
$25.00 -
28
AIR CONDITIONER
30-50 TON
X
$35.00 -
29
AIR CONDITIONER
More than 50 TON
X
$60.00 =
30
LPG STORAGE TANK
X
$10.00 -
31
WOOD OR PELLET STOVE/INSERT
X
$10.00 =
32
WOOD STOVE - FREE STANDING
X-.
$25.00 =
33
REPAIR & ADDITIONS
X
$15.00 =
34
VENTILATION SYSTEMS
X
$12.00 =
35
VENTILATION MECHANICAL EXHAUST
X
$12.00 =
36
INCINERATOR - RESIDENCE
X
$19.00 -
37
INCINERATOR -COMMERCIAL
X
$22.00 =
METHOD OF PAYMENT:
❑CASH D CHECK [I VISA ❑ MC
CARD #: n
EXPIRES:/ /
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
�%, '0'z)DATE:
$35.00
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Spokane
,;,oO Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106 D
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0 7
N ww.sUokanevallev.ore.com
Residential Construction
Permit Application
E C E H Vic
OCT � L 2015
D
- eQ(%fiSt6JhA
❑ Addition/Remodel
❑ Other:
SITE ADDRESS RJ 1
ASSESSORS PARCEL NO: y S! �oZ • L�.22 LEGAL DESCRIPTION:
48N
NUIvI4E OR, s .
.
Name: –
1kL 2t-1 lil ASO
Address:
Z
City: s
ka zL Zip: 9
Phone:
D
- eQ(%fiSt6JhA
❑ Addition/Remodel
❑ Other:
SITE ADDRESS RJ 1
ASSESSORS PARCEL NO: y S! �oZ • L�.22 LEGAL DESCRIPTION:
48N
Budding.owner:
.
Name: –
1kL 2t-1 lil ASO
Address:
Z
City: s
ka zL Zip: 9
Phone:
O -S 017ax:
=C.ontactsPersonRONMrR�_,m
Name: pi 15—
Phone: 3 O
Describe the scope of work in detail:
0--
Accessory Bldg
❑ Deck
Cgntractor. . s.y, , nT
Name:
Address:
City: Zip:
Phone: Fax:
Lic No: Ex . Date:
City Business Lic No:
Cost of Project: I $ �/& Gj570
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
3a�3$
MAIN FLOOR TO SQ.�i
2 FLOO SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
FTG: /IO ?
�) �/J
ii
�/ //J
AREA:
FINISHED BA 'E T
GARAG TG:
DEC C(/ ./P/ATIO SQ. FTG:
30% SLOPES ON
SQ. FTG:
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTId?
DISCLAINTER
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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 Valle Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City o Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or or ances. 6) Plans o additional information may be required to be submitted, and subsequently approved before
this application can j rocessed.
Signature / Date 72
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
10/18/2005 11:49 FAX 509 477 4703 SPOKANE CO BLDG.
0 001
Site Address: 1503 N ELTON RD
Parcel Number: 45182.0222
Subdivision: RANGE
Block: Lot:
Zoning: LDR Low Density Residential
Owner: ANDERSON, STEPHEN M & VICKI JO
Address: 8424 E BULL PINE LN
SPOKANE, WA 99217
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 05008003 Inv: I Issue Date: .10/18/2005
Permit Use: NEW SEWER CONNECT, WEST VALLEY
Applicant: ANDERSON, STEPHEN M & VICKI JO
8424 E BULL PINE LN
SPOKANE, WA 99217 Phone: (509) 990-5340
Contact. ANDERSON, STEPHEN M & VICKI JO
8424 E BULL PINE LN
SPOKANE, WA 99217 Phone: (509) 990-5340
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
IPermits
Sewer Connection Permit Contractor: QWNER Licensc #: OWNER
SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00
"Total Permit Fee: S100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main
sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries,
including those related to trench safety.
Payment Summary
Total Fees AmountPaid AmountOwing Tran Date Receipt #_ Payment Amt
$100.00 $100.00 $0.00 10/18/2005 6509 $100.00
Processed By: Hansen, Tom
Printed .By: HINTZ, FAITH
[Eb" V IE DD
OCT tl U 663
BUMMMS
Page 1 of 1
PERMIT
OCT 18 2005 12:04 509 477 4703 PAGE.01
OCT -18-2005 12:07 SCWD�13 P.02i02
SPOKANE COUNTY WATER D15TRICT No. 3
P.O. Box 11187 • Gpokane, Washington 99211-1187 - (509) 536-0121 FAX (509) 534-3760
October 18, 2005
City of Spokane Valley
Mr. Mike Turbak Permit Technician
1107 E Sprague Ave
Spokane, WA 99200
REF: PN# 45182.0222 1503 N ELTON WATER AVAILABILITY
Dear Mr. Turbak:
Spokane County Water District No. 3 hereby acknowledges that the above-described
property is located within our water service area. An existing water main is available to
provide potable water to the lot, after all applicable connection fees and meter
installation charges have been paid.
If you have questions or need additional information, please contact me at
(509) 536-0121.
Sincerely,
,Ao_� b@;
George F Deacon
Office Engineer
OCT u & 2055
U � L 0 0 HD
TOTAL P.02
OCT 16 2005 12:11 PAGE.02