HomeMy WebLinkAbout2010, 10-06 Permit App: 10003228 Addition' Project Number: 10003228 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 10/6/2010 Page 1 of 3
Permit Use: ADDITION OF 16 X 20 BASEMENT & MAIN FLR
MST BEDROOM
Setbacks: Front
Site Information:
Left: Right: Rear:
Contact: C A CONSTRUCTION
Address: 15014 E 32ND
C - S - Z: SPOKANE VALLEY WA 99037
Phone: (509) 710-3191
Group Name:
Project Name:
Plat Key: 003597 Name: GRANDVIEW ACRES
District: Nort
Parcel Number: 45044.0916 Block:
SiteAddress: 11710 E EMPIRE AVE
Location:: CSV
Zoning: MU Mixed Use
Water District: 026 IRVIN
Lot:
Owner: Name: SHRYOCK, SCOTT A & TAMARA
Address: 11710 E EMPIRE AVE
SPOKANE VALLEY, WA 99206-457
Hold: ❑
Area: 1,960.00 Acres Width: 128 Depth: 320 Right Of Way (ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: ,
Review
Building Plan Review
,Released By:,
Septic Sys Review
Originally Released: 10/5/2010 By: tmelbourn
ReleaSed'
Originally Released: 10/5/2010 By: LHALSEY
Landuse/Zoning/HE Conditions
Released>By:
Sewer Review
Originally Released: 10/5/2010 By: tschmidt
Released By
Permits:
Operator: JD Printed By: JD Print Date: 10/6/2010
Project Number: 10003228 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/6/2010 Page 2 of 3
Building Permit
Contractor: C A CONSTRUCTION Firm: C A CONSTRUCTION
Address: 15014 E 32ND AVE Phone: (509) 710-3191
SPOKANE VALLEY, WA 99037
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
BASEMENT F R-3 VB 320 $6,400.00 320 $6,400.00
BASEMENT
RES ADD R-3 VB MAIN 320 $31,664.00 320 $31,664.00
FLOOR
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 640 $38,064.00 640 $38,064.00
Units Unit Desc Fee Amount
1 SELECT $532.65
1 SELECT $4.50
1 SELECT $213.06
Permit Total Fees:
Plumbing Permit
$750.21
Contractor: C A CONSTRUCTION Firm: C A CONSTRUCTION
Address: 15014 E 32ND AVE Phone: (509) 710-3191
SPOKANE VALLEY, WA 99037
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
SHOWERS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
Permit Total Fees: $48.00
Operator: JD Printed By: JD Print Date: 10/6/2010
Project Number: 10003228 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/6/2010 Page 3 of 3
Notes:
Permit required for the connection to sewer. Utilities (509)477-3604.
Payment Summary:
Permit Type
Building Permit
Plumbing Permit
Fee Amount Invoice Amount
$750.21 $750.21
$48.00 $48.00
Amount Paid
$213.06
$0.00
Amount Owing
$537.15
$48.00
$798.21 $798.21 $213.06 $585.15
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: JD Print Date: 10/6/2010
Permit Center
crry oe 11703 E S roue Ave Suite' �3
Spolame pIS,y06
o ane Vallcy,lAA 99206 rFR
4*Va11eT 09)688-0036:T ; (50'9)d88-0037
www.spcikanevalley oig
Community Development \ t
1.1 ;D.2 113
Residential Construction p 3-----�"" Ne Construction
Project �r—
Permit Application• ition/Remodel
�
,,,rrata‘ — —n Other:
PERMIT NUMBER:
PERMIT FEE:
Accessory Bldg
Deck
SITE ADDRESS: „ //7/O
9 6"
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building' Owner:
. `
Name: SG 1- T%hOM ill ///r)C:i,
TOTAL HABITABLE SPACE:
l SiOslf—
Address: >
�' i/ 7/D �ryr.rire_
2Nu FLOOR S . FTG:
City: Sflv�a� ti�l�/ State: 4.4),27 Zip: p��
Zip:9f,,J7
Phone: Fax:
5Z)/3 Gee// 2- 2.0 tS:tee
GARAGE SQ. FTG:
Az /`7
Contact Person
Name: a1c- NA10L1
Phoneaf - 7/o 3i 9/
Describe the scope of work in detail:
Contractor:
. `
Name: d, A L�.,nST/'r.[ demi
TOTAL HABITABLE SPACE:
l SiOslf—
Address:
2Nu FLOOR S . FTG:
City: (/y,2:Ltcycje=- State: 6.0/c,
Zip:9f,,J7
Phone: Fax:
S'Z)6t 7/0 gig/
GARAGE SQ. FTG:
Az /`7
Contractor Lic No: _Exp Date:
e,eiged - os'5 Ar 7/2
/.zot i
City Business Lic. No:
60/ 7/66s ]
CONSTRUCTION TYPE:
iale -
Cost of Project: $
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
2-v
DIMENSIONS:
/1 x' 2-6'
# OF STORIES:
/
TOTAL HABITABLE SPACE:
l SiOslf—
MAIN FLOOR TO SQ.
FTG: Y2 --C)0 ✓
2Nu FLOOR S . FTG:
UNFIN BASEMENT SQ. FTG:
./1/ /7
IMPERVIOUS Sl9 ACE
AREA:
FINISHED BASEMENT
SQ. FTG: „SL0
GARAGE SQ. FTG:
Az /`7
DECK/COV. PATIO SQ. FTG:
i(l///47-
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
/
CONSTRUCTION TYPE:
iale -
HEAT SOURCE:
� v,'e�
SEWER OR SEPTIC?
bii // ,,J d4 _
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 Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This 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.
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
❑ Mastercard
Expires:
DATE: /n//c
❑ VISA
VIN#:
*Wane
.
. okane
p
. For City Use Only
PLUS: Project.Numler !0- 9,2�
Project Address 1 l I(') L ni)t)1-Q.
11703 E Sprague Ave Suite B 3 s♦ Spokane Valley WA'99206
509.688.0036 • Fax 509.688:0037•. permitcenter®spokanevalley org'
As part ' of. 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 initial tea:1*AL application review. If for
any reason we cannot, meet. this date, we will contact you -with a: revisedtarget'date
Your application review TARGET.DATE is
The TARGET :DATE: is :the 'date we estimate your;project application will have liad its initial technical
review. It is not the date for approval 'or permit issuance.
'Tips for a Smoother Project Application Review_''
. > Submitcoinplete, accurate -plans and documents:', -
• Exatrtime maybe required; for ;re-subtnittals.`as project application reviewers workon nnultiple` applications -and it ,,
may be several days before they can look at your- new;or revised infoi inatron y.
➢ Designate a specific contact person to communicate with the City:''
While the:person designated as'the applicant's contact person with' the City can be changed one individual with the
evpertise jor,dealing with reviewer co- mn?entswould.be'the best choiceJoi the entire r eview'pr",.ocess
.➢ - Call staff regarding the status of .your project only after the target date shown at the top:of the'page.i
Although you .should be contacted oh s or by the target date, please feel free to! contact us if you :havet. heard from us
n
by your target date. Staff' mav contact you before the target; date`iif the initial review rs;complete By. following this
procedure, you will save. tiMe and allow the r eviewers'to: complete the Work e expeditiously."
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 information as a result' of their, technical review.
2. Quality. Check. The -next step in the process' is a quality check,to make: sure that the application is reviewable and tree
from substantive flaws that would prevent technical staff from completing the technical reviewonce�itis,started '.When:
this step is .:complete, your application :will be routed to the appropriate staff and remain in ;their review queue until it
comes up. for.. review.
3. Technical Compliance: Once an application is'.administratively complete,rii is routed to "technical staff for compliance
review. Depending ;on the type'of project, technical staff may include.�multiple reviewers. "You should" be contacted by
•phone, fax, email, or mail by your TARGET DATE once the' initial technical compliance review•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•thePermit Center When all sections
of the application are received,. a Perrnit Specialist will process. the' application :and. contact the person specified.on .your:
application for permit pickup. information regarding tees and pre=construction meetings (if 'required) will be provided by ._
the Permit Specialist at -that time.
WHITE -APPLICANT PINK - BUILDING FILE
REV 9/07
SPOKAI\li COUNtTY
Site Information
Site Address: 11710 E EMPIRE AVE
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Parcel Number: 45044.0916
Subdivision: GRANDVIEW ACRES
Block: 6 Lot: 9
Zoning: UNK Unknown
Owner: SHRYOCK, SCOTT A & TAMARA S
Address: 11710 E EMPIRE AVE
SPOKANE, WA 99206-4579
Building Inspector: JOHN LARSON
Water Dist: IRVIN
Project Information
Project Number: 10005482 Inv: 1 Issue Date: 10/6/2010
Permit Use: SEWER CONNECTION
Applicant: TILTON EXCAVATION, LLC
4304 N CANAL
OTIS ORCHARDS, WA 99027
Contact: TILTON EXCAVATION, LLC
4304 N CANAL
OTIS ORCHARDS, WA 99027
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Phone: (509) 280-6400
Phone: (509) 280-6400
Rear:
Permits
Sewer Connection Permit
Contractor: TILTON EXCAVATION LLC License #: TILTOEL937BT
PROCESSING FEE
1 $15.00 SI SEWER CONNECTION 1 $125.00
Total Permit Fee: $140.00
• **FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
**CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
**INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
**SEWER STUBS AND DRY SIDE SEWERS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO
ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
**THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
1
Payment Summary
Total Fees AmountPaid AmountOwing
$140.00 $140.00 $0.00
Tran Date
10/6/2010
Processed By: CUMMINGS, KATHY
Printed By: Force, Faith Page 1 of I
Receipt # Payment Amt
4467 $140.00
PERMIT
S1®11ane
Valley.
Community Development
Plumbing Permit Application
110
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokanevallev.org
PERMIT NUMBER:
PERMIT FEE:
n Commercial
Residential
SITE ADDRESS:
Building Owner
Name: —ceo/ f. `tr rg»»nfv SA,4fo / Phone: p91 577, 3 Fax:
I��—
Address: City: it State: Zip
g // 7/0 ivt+li t -a zs. ¢_ �21/P.�.t,r 60/9y�ZG�A
_. .. pax
Contractor
Name: 6..- A .vrc5 /pi %l.Ji+L Phone:spy 7/0 .7/ 9 Fax:
Address:''',State:
ism/ 22rua .. City:
i ty ��A.M. Zip:4o7af 7
License No: City Business Lic:
Contact/Project Manager:
Name: p�
,1LL' l�— . „7,,,.,_,, Phone: f.?? 7/a :3/ 9i
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS...------
URINALS URINALS
TUBS
/
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
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
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER
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
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/PlumbingPermitApplication040309.doc
E,, J17 ID le,91;'Fc,
,5i49,4,11$144,- t..)041 y172114.
/11 ire-
e--
PLANNING DEPT. APPROVED
BY:
DATE:
FIFC1--:WFD
csv PEERIu'liT Cr.H.NTER