2009, 06-23 Permit App: 09001799 Remodel, Reroof GarageProject Number: 09001 799 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/23/2009 Page 1 of 2
Project Information:
t,. -
Permit Use: REMODEL & REROOF EXISTING BLDG BEHIND Contact: WIESE, LAURIE A
GARAGE Address: 4905 N REES RD
C - S - Z: SPOKANE VALLEY, WA 99216
Setbacks: Front Phone: (509) 981-7015
Group Name:
Project Name:
Site Information:
Left: Right: Rear:
Plat Key: 001444 Name: LEGGE SUB TR116 WEST FARMS IRR PL#4
District: Nort
Parcel Number: 46344.0708
Block:
SiteAddress: 4915 N EVERGREEN RD
Location:: CSV
Zoning: R-3 SF Res District
Water District: 001 TRENTWOOD
Area: 20,600 Sq Ft Width: 103 Depth: 200 Right Of Way (ft): 60
Nbr of Bldgs: 3 Nbr of Dwellings: 2
Lot:
Owner: Name:
Address:
WIESE, LAURIE A
4905 N REES RD
SPOKANE VALLEY, WA 99216
Hold: ❑
Review Information: a : = _: per: -.. ; ..: •.;u E
Review
Building Nan Review
Released By:
Originally Released:
Permits: WV OWPIPWEIVA,
Contractor: OWNER
Description
1 &2 FAMILY
Grp Type
R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLANS REVIEW
WSBCC SURCHARGE
6/22/2009 By: tmelbourn
Building Permit
Notes
REROOF/RE
MODEL
HOME
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
0 $10,000.00 0 $10,000.00
Totals: 0 $10,000.00 0 $10,000.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: jmm Printed By: JD
Permit Total Fees:
Print Date:
Fee Amount
$181.25
$45.31
$4.50
$231.06
6/23/2009
Project Number: 09001799 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/23/2009
Contractor: OWNER
Item Description
GAS APPLIANCE<=100,000BTU
APPL VENTS INSTL/MOVE/RPL
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
DISH WASHERS
CLOTHES WASHER
WATER HEATER - ELECTRIC
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Mechanical Permit
Firm:
Phone:
Page 2 of 2
OWNER
(000) 000-0000
Units Unit Desc
2 NUMBER OF
5 EACH
Permit Total Fees:
Plumbing Permit
Units
1
2
1
1
1
1
1
2
Firm:
Phone:
Fee Amount
$26.00
$50.00
$76.00
OWNER
(000) 000-0000
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$6.00
$12.00
$6.00
$6.00
$6.00
$ 6.00
$6.00
$12.00
$60.00
Notes:: m_..z..,N . ft �: is .-:. _"._.
Issued home occupation Affidavit of Exemption 11/5/2007 - Mitchell Ward, "Pacific Flooring Services"
(mjP)
Payment Summary
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$231.06
$76.00
$60.00
Invoice Amount
$231.06
$76.00
$60.00
Amount Paid
$45.31
$0.00
$0.00
Amount Owing
$185.75
$76.00
$60.00
$367.06 $367.06 $45.31 $321.75
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: jmm Printed By: JD Print Date: 6/23/2009
Sikikane
jMalleyf
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valle WA 99
(509)688-0
9)688- y!9� IQ
w vw.spokal� g
gY
E{':1i( irli�E�
PERMIT NUMBER: 9 i I�
PERMIT FEE:
New Constructi Accessory Bldg
dition emodel n Deck
Other:
SITE ADDRESS:LI q s-- N L -7_0Q k (P\c
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
DIMENSIONS: , (,�� �Q
Name: 6,,s21`i i l.V l Cisia
TOTAL
Address. 0910 im, C�JI:4({"��0 Ad
2Nu FLOOR Q. FTG:
City: �1 _ . , � State: 1 , n /1
Zip: �(A (/
Phone: ��,,q- QS ( -7o(s Fax:
J
J"
.--
30% SLOPES ON
PROPERTY:
Contact Person % j
Name: 1' ' i-kT.P 0,1,611...2"4 -�f W (�GS'�
Phone: 170- tp(Q I ' 7 1 ii I - 7c
D cribe he sc pe o wo 1n et 11:
Contractor:
DIMENSIONS: , (,�� �Q
# OF STORIES:
TOTAL
Name:
2Nu FLOOR Q. FTG:
UNFIN BASE ENT SQ. FTG:
Nl'
IMPERVIOUS WRFACE
AREA:
Address:
J
J"
DECK/COV. PA° "q FTG:
�.
30% SLOPES ON
PROPERTY:
City:
CONSTRUCTION TYPE:
Rer�no&I-e
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
st of,Project: $ / 0000 , c00
0 IL—
Proposed Use: V � Al 7 iFv),11 200/Y1 6 1-4OGIS Q ; c -e -
**************The following MUST be complete: (write N/A if not applicable)************** *******
HEIGHT TO PE Ft
DIMENSIONS: , (,�� �Q
# OF STORIES:
TOTAL
MAIN FLOOR TO SQ.
FTG: � r -T
2Nu FLOOR Q. FTG:
UNFIN BASE ENT SQ. FTG:
Nl'
IMPERVIOUS WRFACE
AREA:
FINISHED BASEMENT
SQ. FTG: �f lj�[
GARAGE G:
1
DECK/COV. PA° "q FTG:
�.
30% SLOPES ON
PROPERTY:
# OF BEDROOMS: i
NM-
CONSTRUCTION TYPE:
Rer�no&I-e
HEAT SOURCE:i
►�cF .< c
SEWER OR SEPTIC?
�-ep; C.
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.
SIGNATU
Method of Pa
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
DATE: CQII�'�c(
❑ Check 0 Mastercard ❑ VISA
Expires: VIN#:
•
Sikikane
jMM11ey
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
permitcenter cr spokanevalley.org
PERMIT NUMBER:
PERMIT FEE:
n Commercial %Residential
SITE ADDRESS: -T q \
5[2 I AA' 1. C qZ% Le
Building Owner
Name:
Phone: 5,0 _CI � _ 701c- Fax:
77 State: Li I. Zip: (^!g 2/ te
Address: `1(c ry ��.�+C � J4 City: c
Contractor
Name:
Address:
License No:
Phone:
City:
City Business Lic:
Fax:
State:
Zip:
Contact/Project Manager:
Name: AA
Phone: ,
• .l v "� �V It.I' I'
1 v .
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
t,Z t OcO LdOCW
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
i
t OD d \/ - NI --
rREPAIRS
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
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 ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
http://www. spokaneval ley. org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc
oer'`
.jVal1ey
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitc,enter@spokanevalley.org
Community Development
Plumbing Permit Application
SITE ADDRESS:
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial lkj Residential
qcitC _r/ Cio.: „i_ UA 61qz/ca
Building Owner
Name: t i 1.0 \ f ii"r Phone: 9y -CIX ( - I-7
o t \-- Fax:
Address: 401 le N • ��ci p �CIJV a City: 3r�.1 r ' State: I 9 Zip: Gam! 2)
1 �l `
Contractor ,
Name: Phone: Fax:
Address:City:
State: Zip:
License No: rU 1
City Business Lic:
Contact//Project Manager:
Aw p��
Name: _L��',i�. l.t 1fJiL Phone: _4 J u� I
OF UNITS
PLUMBING FIXTURE ON A TRAP
'y#
'f
TOILETS
URINALS
TUBS
SHOWERS (per trap)
I
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
�1
�L
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 HEATER
If Gas, See Mechanical
1
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. spokaneval ley. org/upl Dads/Community_DevelopmenUDocuments/Forms/Building/Pl umbingPerm itAppl ication040309. doc
SpokaneValleyo
For City Use Only
PLUS Project Number
Project Address
11703 E Sprague Ave Suite B-3 • 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 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 _ /4
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 for re -submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ 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
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ 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 free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
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 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 free
from substantive flaws that would prevent technical staff from completing the technical review once it is 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, it 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 the Permit 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 -construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE -APPLICANT PINK - BUILDING FILE REV 9/07