2009, 01-21 Permit App: 09000116 RemodelProject Number: 09000116 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/21/2009 Page 1 of 2
Project Information:
Permit Use: BASEMENT FINISH
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: Name: Range
Parcel Number: 55202.2314
SiteAddress: 21 S HOLIDAY RD
Location:: CSV
Block:
Contact: MCDONALD, MATTHEW W & SHALLA
Address: 21 S HOLIDAY RD
C - S - Z: SPOKANE VALLEY, WA 99016
Phone: (605) 516-8423
Group Name:
Project Name:
District: East
Lot:
Owner: Name: MCDONALD, MATTHEW W & SH
Address: 21 S HOLIDAY RD
SPOKANE VALLEY, WA 99016
Zoning: R-3 SF Res District
Water District: 134 CONSOLIDATED ID #19
Area: 7,952 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Hold: ❑
Depth: 0 Right Of Way (ft): 0
FReleased By:
Originally Released: 1/20/2009 By: tmelbourn
Permits:
Contractor: OWNER
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT F R-3 VB BASEMENT 0 $7,500.00 0 $7,500.00
FINISH
Totals: 0 $7,500.00 0 $7,500.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $153.25
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $61.30
Operator: jmm Printed By: jmm
Permit Total Fees: $219.05
Print Date: 1/21/2009
Project Number: 09000116
Notes: ,.. �,.
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/21/2009 Page 2 of 2
Payment Summary:
Permit Type
Building Permit
Fee Amount
$219.05
$219.05
Invoice Amount
$219.05
$219.05
Amount Paid Amount Owing
$0.00 $219.05
$0.00 $219.05
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: jmm
Print Date: 1/21/2009
Spokane
jValley�
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
SITE ADDRESS:
H6t
PERMIT NUMBER: V C 4•-•;
PERMIT FEE:
`— ' New Construction Accessory Bldg
Addition/Remodel Deck
Other: t 1 o i h 1 vi :i '1� ,c7f
Sp6YK. V
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
Name: I . ) 1._ .- S'.,-1. I, .� (I, A (1) eh,. ( d
Address: 2. I s (-io I' .J & y 2d
City: ,SJ7t /6,c ,,Le Vc (l eti State:kiu Zip: 11 c i (G
Phone: C 10,50- 5 i (G - 4 2...0S`^ :
( Zo%-"i-tc(-L(4 Z)3 \^�.:.
Contact Person
Name:
Phone: CO 1 - I - 2 ti
Describe the scope of work in detail:
Contractor:
DIMENSIONS:
K1k
# OF STORIES:
IV ( 6
Name:
DO, 1 q weTKk
curs-e/17rS
2NU FLOOR SQ. FTG:
LiA
Address: J
IMPERVIOUS SURFACE
AREA:
FINISHED BASE ESN 033!
SQ. FTG: N I
City:
State:
Zip:
Phone:
Fax:
HEAT SOURCE: ,'ell-i-za
k)14 Gtla-f-
Contractor Lic No:
Exp Date:
City Business Lic. No:
Cost of Project: $ 0
f fY1( 5111 d1q (it 1(1 vt(c KKcc cvr 3 brdi-oorvts ( I bdl roorvv 1 GVi flk ✓'ooy‘
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
NII1,
DIMENSIONS:
K1k
# OF STORIES:
IV ( 6
TOTAL HABITABLE SPACE:
tv/
MAIN FLOOR TO SQ.
FTG: • ��
r
2NU FLOOR SQ. FTG:
LiA
UNFIN BASEMENT SQ. FTG:
'j36O
IMPERVIOUS SURFACE
AREA:
FINISHED BASE ESN 033!
SQ. FTG: N I
GARAGE SQ. FTG:
I
DECK/COV.�PATIO SQ. FTG:
30% SLOPES ON NI A
# OF BEDROOMS: f I
-
CONSTRUCTION TYPE:
hclownkr- res,,it,:rl-ta,l
HEAT SOURCE: ,'ell-i-za
k)14 Gtla-f-
SEWER OR SEPTIC? cvi�
--ewer
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: /•—%0
❑ VISA
VIN#:
o-1
e
.000 Valley
Community Development
Plumbing Permit
SITE ADDRESS:
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.snokanevallev.org.
Application
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
zs-Ho/Ida-4i
Building Owner
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
l
X
$6.00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
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
I
X
$6.00
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
X
$6.00
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC WATER HEATER
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:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Spokane
For City Use Only
PLUS Project Number (r 0 /1
Project Address :9 { _
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.
,f:)
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 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
Spokane
j1/alley
Site Address: 21 S HOLIDAY RD
Parcel Number: 55202.2314
Zoning: R-3
Fire District: FD 01
Project
Transmittal
City of Spokane Valley
Community Development
Department
11703 E. Sprague Ave, Suite B3
Spokane Valley, WA 99206
Phone: 509.688.0036
New project El
Previous pre -app meeting D
Plan revisions ❑
Transmittal Date:
Tuesday, January 20, 2009
Project Number:
Water District: CONSOLIDATED ID #19
09000116
Applicant: MCDONALD, MATTHEW W & SHAL
21 S HOLIDAY RD
SPOKANE VALLEY, WA 99016
(605) 516-8423
e-mail:
Contact: MCDONALD, MATTHEW W & SHAL
21 S HOLIDAY RD
SPOKANE VALLEY, WA 99016
(605) 516-8423
e-mail:
Contractor: OWNER
( ) - 0
Owner: MCDONALD, MATTHEW W & SHAL
21 S HOLIDAY RD
SPOKANE VALLEY, WA 99016
e-mail:
Occupant:
e-mail:
Arch / Engineer:
e-mail:
Project BASEMENT FINISH
Description:
Building
Landuse
Engineer
Utilities
Health
Fire Dist
Assessor
APPLICATIO
N
l
CONSTRUCTION PLAN
TD
Please send all plan review and project comments via e-mail to the
highlighted individuals.