2007, 06-21 Permit App: 07002357 Remodel, AdditionProject Number: • 07002357
Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/21/2007 Page 1 of 3
Project Information:
Permit Use: RES REMODEL & ADDITION Contact: CASEY JACKSON
Address: 2211 N HOUK RD
C - S - Z: SPOKANE VALLEY, WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509) 924-7351
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: Range
District: Nort
Parcel Number: 45171.1412 Block:
SiteAddress: 1116 N FELTS RD
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 21,762 Sq Ft P Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: CASEY JACKSON
Address: 2211 N HOUK RD
SPOKANE VALLEY, WA 99216
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By: -
Originally Released: 6/21/2007 By: TMELBOU
Landuse/Zoning/HE Conditions
Permits •
'ReleagedBy:`
Originally Released: 6/21/2007 By: MBASINGE
Operator: JD Printed By: JD
Print Date: 6/21/2007
Project Number: ' 07002357 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/21/2007 Page 2 of 3
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Tvpe Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT R R-3 VB 861 $4,305.00 861 $4,305.00
DECK OPEN R-3 VB 160 $2,400.00 160 $2,400.00
GARAGE U-1 VB 192 $3,648.00 192 $3,648.00
RES ADD R-3 VB RES ADD 938 $85,695.68 938 $85,695.68
Totals: 2,151 $96,048.68 2,151 $96,048.68
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $972.75
WSBC SURCHARGE I SELECT $4.50
SF PLNS RVW < 7999 SQ FT I SELECT $389.10
Permit Total Fees: $1,366.35
Plumbing Permit
Contractor: A ADVANCED PLUMBING Firm: A ADVANCED PLUMBING
Address: 2229 E MALLON Phone: (509) 325-6111
SPOKANE, WA 99218
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS '3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
SHOWERS 1 NUMBER OF $6.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER HEATER - ELECTRIC 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
SEWAGE EJECTOR 1 NUMBER OF $6.00
MISCELLANEOUS FIXTURES 1 NUMBER OF $6.00
Operator: JD Printed By: JD
Permit Total Fees: $102.00
Print Date: 6/21/2007
Project Number: 07002357
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/21/2007 Page 3 of 3
Notes •
Payment Summary:
Permit Type
Building Permit
Plumbing Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$1,366.35 $1,366.35 $0.00 $1,366.35
$102.00 $102.00 $0.00 $102.00
$1,468.35 $1,468.35 $0.00 $1,468.35
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: 6/21/2007
Project Number: ' 07002357 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit -
Date: 6/19/2007 Page 1 of 3
Project Information:
Permit Use: RES REMODEL & ADDITION Contact: CASEY JACKSON
Address: 2211 N HOUK RD
C - S - Z: SPOKANE VALLEY, WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509) 924-7351
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: Range
District: Nort
Parcel Number: 45171.1412 Block:
SiteAddress: 1116 N FELTS RD
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 21,762 Sq Ft
Nbr of Bldgs: 0
Urban Residential 3.5
Width: 0
Nbr of Dwellings: 0
Lot:
Owner: Name: CASEY JACKSON
Address: 2211 N HOUK RD
SPOKANE VALLEY, WA 99216
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review Information:
Review
Building Plan Review
Released By:
Landuse/Zoning/HE Conditions
Released BS,: �//
Permits -
Operator: JD Pnnted By: JD
Print Date: 6/19/2007
Project Number: 07002357 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/19/2007 Page 1 of 3
Project Information:..
Permit Use: RES REMODEL & ADDITION Contact: CASEY JACKSON
Address: 2211 N HOUK RD
C - S - Z: SPOKANE VALLEY, WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509) 924-7351
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: Range District: Nort
Parcel Number: 45171.1412 Block:
SiteAddress: 1116 N FELTS RD
Location:: SPO
Lot:
Owner: Name: CASEY JACKSON
Address: 2211 N HOUK RD
SPOKANE VALLEY, WA 99216
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 21,762 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: - TM ' %/ Z (/ cJ
Landuse/Zoning/HE Conditions
Permits:
Released By:
Operator: JD Printed By: JD Print Date: 6/19/2007
Project Number: ' 07002357
Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/19/2007 Page 2 of 3
Contractor: OWNER
At.M.t.ot&t__ tLY'STIN G_ Ails&«t ij?
Description Grp Type Notes
RES ADD R-3 VB RES ADD
U VC —
cPt�1 Dtct< QZ3 ✓6
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: A ADVANCED PLUMBING
Address: 2229 E MALLON
SPOKANE, WA 99218
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISFI WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER HEATER - ELECTRIC
FLOOR DRAINS
SEWAGE EJECTOR
MISCELLANEOUS FIXTURES
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application:
Sq Ft Valuation
33o
/92_
Totals: I&D 0 $80,000.00
$80,000.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Total Project:
Sq Ft Valuation
0 $80,000.00
0 $80,000.00
Fee Amount
$853.75
$4.50
$341.50
Permit Total Fees: $1,199.75
Plumbing Permit
Firm: A ADVANCED PLUMBING
Phone: (509) 325-6111
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: JD
Permit Total Fees:
Pnnt Date:
Fee Amount
$18.00
$24.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$102.00
6/19/2007
Project Number: b7002357
Notes•
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/19/2007 Page 3 of 3
Payment Summary.
Permit Type
Building Permit
Plumbing Permit
Fee Amount
$1,199.75
$102.00
Invoice Amount
$1,199.75
$102.00
Amount Paid
$0.00
$0.00
Amount Owing
$1,199.75
$102.00
$1,301.75 $1,301.75 $0.00 $1,301.75
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: JD Printed By: JD Print Date: 6/19/2007
/6
/7X.39.5=
/_3
CP l� 24,3 - Z/Z,
Car
•
Stioliane
.000 Valley
Community Development
Permit Center
11703 E Sprague -Ave, Suite -3 ryry
Spokane Va11ey,�,V� A)E
9950 6
(509)688-0036 AX: (509)688-0037
www.spokanevali4.o`}, SUN 1 f, 2007
n Ne Construction
11 f Addition/Remodel
Other:
Residential Construction
Permit Application
D
PERMIT NUMBER: 2 -sc--)
PERMIT FEE:
❑ Accessory Bldg
❑ Deck
SITE ADDRESS: ///6 lel. FEG 75
ASSESSORS PARCEL NO: y 5 [ 7 (, ('1 1/
2- LEGAL DESCRIPTION: RES/ DF41714 L HONE
Building Owner: " . -
Contractor: _- - - -
Name: CASEY JAcKSDJ
TOTAL HABITABLE SPACE:
Name: 00.90 �pY7
\
Address: 2211 iv.goat
Address:
1
City: SoozANE VALE,j State: wA Zip: /Ca
City: State: Zip:
Phone(50iB( ..9g5I Fax:
\
1 I 1
Phone: Fax:
30% SLOPES ON
PROPERTY: Nn
Contractor Lic No: Exp Date:
Contact Person
HEAT SOURCE:
t,A S
City Business Lic. No:
Name: Dods Staso/✓
Phone: f 5 Q) `fall- Yg3.551
Describe the scope of work in detail: Cost of Project: $ 80,000
.(Eflo061 KonE, Apo f9DDSTTON 7o Mac DF H0r1EE CREATE TWO cAE
GARAGE natio ATTAiLJ/ 70 HOMFf Pzr oN Afflnt EDOF
Proposed Use: RSz-DENTlfll. FAtt LY HOME
**************The followine MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES: f
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2"u FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY: Nn
# OF BEDROOMS:
S
CONSTRUCTION TYPE:
572cic FRAME
HEAT SOURCE:
t,A S
SEWER OR SEPTIC?
sE W E>!e
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
DATE: Cr t e -o
0 Mastercard f, VISA
Expires: VIN#:
spsl;ar ,
.0,00Ualley
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
www.snokanevalle v.ore
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: ///F Nr Pet is $pD,tANi JALLEp
Building Owner
--
-
-
Name: CASEY JACKSON
Phone:r0 �@IA s-' Fax.
a 9
Address: 2211
Ai . Hook_
City SPG%AN0 LLE,, State: WA_
Zip:
a
Cy/V/
Contractor
. -
. --- -
s
Name. RAgib AI
/-
Go V 5
Phone: Fax.
Address:
City: State.
Zip:
License No:
City Business Lie:
Contact •
'/
'-
Name: Dee `L•A5
Jr Seat. LOS/
7-
/,
Phone: (5015 N3N-6.1y3,O
DESCRIPTION OF WORK
# OF UNITS X 1 COST
= TOTAL AMOUNT
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 (WSEC min AFUE rating)
Equal to or less than 400,000
X
$50.00
6
• USED APPLIANCE (WSEC 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
$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
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512.00
26
AIR CONDITIONER
4-15 TON
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
525.00
28
AIR CONDITIONER
30-50 TON
X
$35.00
29
AIR CONDITIONER
More than 50 TON
X
560.00
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 8 ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
512.00
36
INCINERATOR — RESIDENCE
X
519.00
37
INCINERATOR — COMMERCIAL
X
522.00
METHOD OF PAYMENT:
CASH
CARD #
AUTHORIZED SIGNATURE
REVISED 8/26/05
❑ CHECK ❑ VISA ❑ MC
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Permit Center
11703 E Sprague Ave, Suite 13-3
SpO ne Spokane Valley, WA 99206
Y- gt ] Eley, (509)688-0036 FAX: (509)688-0037
,;;;0001/Valley,
www sopkancsallev.org
Community Development
Plumbing Permit//A //ppli�c/ationnr1. /T
SITE ADDRESS: d/ /V , r 6 .'
PERMIT NUMBER:
PERMIT FEE:
n Commercial jxi Residential
•
Building Owner
Name: CASE)' JAr,./Ies t /
Phon( q) go I _(�g851 Fax:
Address: 2211 N. tl .
City: SpinkAfE U MLLE( State: w ', rA
Zip: 992 16
Contractor
Name: A - ADVANCE O PwriRrW
Phone: Fax
Address
City:. State:
Zip:
License No
City Business Lic.
Contact
Name: Doan -AS T. SaoLLon/
Phone(' 0q) NAN—gg32
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET. BIDETS
3
X
$6.00
2
URINALS
X
$6 00
3
TUBS
2
X
$6.00
4
SHOWERS (PER TRAP)
BATH. STALL, ON-SITE BUILT
1
X
$6.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO.
X-RAY, FOOD, PREP/CULINARY MEAT
y
X
$6.00
6
DISHWASHER
1
x
$6.00
7
CLOTHES WASHER
1
X
$6.00
8
GARBAGE DISPOSAL
1
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
1
X
$6 00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
1
X
$6 00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
X
$8.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING. REVERSAL
NSTALLATION. ALTERATION, REPAIR,
REVERSALS
X
86.00
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:
DCASH
Card#
CHECK D VISA DMC
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES.
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
J
2OO'-0"J
N
N
I N '\e
1N 'k'��
I \ I
1 \ ‘Ni
.N
I
Crcj
V
T
EXIST
i SHED
-A 3^7%
EXIST 50. FT. - 1556
ADDITION 50. FT. = 1113
TOTAL FOOTPRINT SOFT. = 2469
KAMM Eo T. APPROVED
DX•.multi :A/
DATE: 9 r zo%f-.
DOCUMENT SET
CONSTRUCTION
DOCUMENTS
REVISIONS
PROJECT DATA
PROJECT NO.
DRAWN BY.
DATE:
CHECKED DY:
APPROVED BY:
CAD NO.
0-713
GDM
6 -18 -0 -
GDM
GDM
0-113 plotfile
%REPS: XREP5.