2010, 10-04 Permit App: 10003225 RemodelProject Number: 10003225 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/4/2010 Page 1 of 2
Proiect Information:
Permit Use: BASEMENT BATHROOM
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Contact: SCHOENBERG, CHAD M & ADRIENNE
Address: 7 S HOLIDAY RD
C - S - Z: GREENACRES, WA 99016
Phone: (509) 327-4376
Group Name:
Project Name:
District: East
Parcel Number: 55202.2317 Block:
SiteAddress: 7 S HOLIDAY RD
Location:: CSV
Lot:
Owner: Name: SCHOENBERG, CHAD M & ADRIE
Address: 7 S HOLIDAY RD
GREENACRES, WA 99016
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19
Area: 9,062 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Permits:
Released By:
Originally Released: 10/4/2010 By: tmelbourn
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Gin Tips Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT R R-3 VB BATHROO 0 $4,000.00 0 $4,000.00
M
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 0 $4,000.00 0 $4,000.00
Units Unit Desc Fee Amount
1 SELECT $97.25
1 SELECT $4.50
1 SELECT $38.90
Permit Total Fees: $140.65
Operator: JD Printed By: jmm Print Date: 10/4/2010
Project Number: 10003225 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/4/2010 Page 2 of 2
Contractor: NOBLEMAN'S PLUMBING
Address: 25721 N DALTON RD
DEER PARK, WA 99006
Contractor: NOBLEMAN'S PLUMBING
Address: 25721 N DALTON RD
DEER PARK, WA 99006
Item Description
TOILETSBIDETS
SINKS
SHOWERS
FLOOR DRAINS
WATER PIPING - DWV
Notes:
Payment Summarv:
Permit Type
Building Permit
Plumbing Permit
Mechanical Permit
Units
1
1
1
1
1
Fee Amount
$140.65
$30.00
Firm: NOBLEMAN'S PLUMBING
Phone: (509) 276-8985
Plumbing Permit
Firm: NOBLEMAN'S PLUMBING
Phone: (509) 276-8985
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$140.65
$30.00
Fee Amount
$6.00
$6.00
$6.00
$6.00
$6.00
Amount Paid
$38.90
$0.00
$30.00
Amount Owing
$101.75
$30.00
$170.65 $170.65 $38.90 $131.75
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: jmm
Print Date: 10/4/2010
Spokane
alley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spoka nevallev.orq
(Staff Use Only)
PERMIT NUMBER: *U
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION .ADDITION/REMODEL ❑ ACCESSORY BUILDING
❑ DECK ❑ OTHER
SITE ADDRESS: '7 SHol I �(a ( fill,'` FSCYell CL, q`n
't U0/(0ASSESSORS PARCEL NO.: SSLaZ , 23 �/
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: Sp)oe-'
bial
ADDRESS: 7 V ! V 4(144CITY: I ,�*I[aliNolL�`,i3,l3 J
PHONE: 5-bct 32-1 -y / /n
CONTACT NAME: e r 'l.Y�
FAX:
��
STATE: (A...41 -
FAX:
\urn3Sn2t
PHONE:
CONTRACTOR NAME: 01_1 ,m(Ns.s
CELL:
zip: q D / to
50°1 615-1/ P-19to
CELL:
Sbq 96-z1eyq(o
MAILING ADDRESS:
P. 0 - j30). 3 -7
CITY:q�i 1L n
PHONE: (50c) rX /U` 6SP-S
CONTRACTOR LICENSE No.: 1Q0&„. *out/ CS
STATE: (4
FAX:
CELL:
ZIP: qc cot,
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
�1�1��('Y�(iw 1 �ur►m3;N1, Ain 'i-rvsWl„v;4 t4 TN ou,L 1-711/e, tA-
�,M.S �Oi gyp.vz! �S11t)uen 4r.11t. 14,4_ 1y A -{A GJ( . �0 i) A ,o,LS L iP kiAt I Sits - bi;rs d'n)iS ik�1
Som-hrne
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak: p
N J r ,
Dimensions:
�o f T X �' r
No. of Stories:Total
� %�
Habitable ( L
Space: `I lei t�
Main Floor SQ FT:
N
Upper Floor SQ FT:
Ntit
Unfinished Basement SQ
FT: Low
Finished Basement SQ
FT: Nt
Garage SQ FT:
a I A
Deck/Covered Patio S
(\
FT: ^) \
Impervious Surface
Area:
30% SI pes on
Property: I //6.
No. of Bedrooms: (q 1 rf
Construction Type:
Heat Source: Cia,S
Sewer or Septic: IS SPA
TOTAL COST OF PROJECT: $ LI 000
1
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 `Pae 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction PerrnPt
App 10.28.07.doc
Signature Date:
Method of payment: D Cash 0 Check 0 Visa 0 Mastercard
Bankcard #:EXP: VIN#:
Authorized Signature: C.,1 SG,"�.ii371.{
effective October 28, 2007 Page 2 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
❑n 11
kane
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
perm itcenter(a spokaneval Icy.org
Community Development
Plumbing Permit Application
SITE ADDRESS:
7
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial [ Residential
bciat ru-na treA 1 - G1 c)0 f
Building Owner `J
Name: Phone: Fax:
Chid' rj ern i Sal 1� S`D9�2� -q37(�
Address: "7S // r/a J City: ��Q Y tQ State: e i y!�_ Zip: /..
L( (��� r GY
Contractor
Name: ma Phone: Fax:
Address: '1�• 0 • \-101637 City: t 702._1L State: LOC) Zip: q0() 1.e
License No:1\703Lt • oo -s City Business Lic:
Contact/Project Manager:
Name: Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
1
SINKS
CLav/BasrnBar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
I
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
1
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
1
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
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 0 CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE: C171As\ SGC�01�31,t2�,
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc
jMi1ley
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
perm itcenterlcispokaneval ley-org
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial IN1 Residential
SITE ADDRESS: / t3 1-101101
LO)1 cj 901&
Building Owner t�l /1
Name:O 4 -tad V— .moi ries ZZ�►�t =
�
Address: l 3 ttv /'c 3
Contractor
Phone: 3.2 7 _7�
City:6re2 crRo
Fax:
State: Wit v],q_. Zip: 9, q` j j „
Name: NI o13lt mi $
Address: •
.o.3ox 3)
Phone@ -r e \ rr) (P _6 U S Fax:
City:
State: W 0
Zip: % 1oo V
LicenseNoi1/4.10;1 Lk.r * no19 C S
Contact/Project Manager:
City Business Lic:
Name:
Phone:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.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
q
tet.
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
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
Under400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type ll
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc
Spokane
_.. Val ley®
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
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 communicateeviTh he City.
While the person designated as the applicants 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