2010, 12-21 Permit App: 10004109 RemodelProject Number: 10004109 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 12/21/2010 Page 1 of 2
Permit Use: INTERIOR REMODEL TO LAUNDRY & Contact: SCHOLZ, KENNETH
STORAGE ROOM Address: 2119 N LOCUST RD
C - S - Z: SPOKANE VALLEY, WA 99206-4114
Setbacks: Front Left: Right: Rear: Phone: (509) 924-4490
Group Name:
Site Information:
Project Name:
Plat Key: 001853 Name: OPPORTUNITY PLAT # 02 District: Nort
Parcel Number: 45083.0237
SiteAddress: 2119 N LOCUST RD
Location:: CSV
Block: Lot:
Owner: Name: SCHOLZ, KENNETH
Address: 2119 N LOCUST RD
SPOKANE VALLEY, WA 99206-411
Zoning: MF -1 MF MDR District
Water District: 011 MODERN Hold: ❑
Area: 32,974 Sq Ft Width: 85 Depth: 300 Right Of Way (ft): 45
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Released By:
Originally Released: 12/21/2010 By: tmelbourn
Permits:
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp km Notes Se Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB MAIN 0 $700.00 0 $700.00
FLOOR
REMODEL
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 0 $700.00 0 $700.00
Units Unit Desc Fee Amount
1 SELECT $69.25
1 SELECT $4.50
I SELECT $27.70
Permit Total Fees: $101.45
Operator: JD Printed By: jmm Print Date: 12/21/2010
Project Number: 10004109 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/21/2010 Page 2 of 2
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
CLOTHES WASHER
Units Unit Desc
1 NUMBER OF
Fee Amount
$6.00
Permit Total Fees: $6.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $101.45 $10L45 $27.70 $73.75
Plumbing Permit $6.00 $6.00 $0.00 $6.00
$107.45 $107.45 $27.70 $79.75
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: 12/21/2010
Sane
ems'
Valley°
Perrmt Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(599)685=8036 FAX: (509)688-0037
www.spokanevalley.org
PERMIT NUMBER:-/O—/py
PERMIT FEE:
Community Development 5-0 ej ,1 ao S-0-`1 0
Residential Construction fI New Construction
Permit Application Addition/Remodel
❑ Other:
Accessory Bldg
Deck
SITE ADDRESS: 1 /J. LOCUST ea.
6Froeoµ i� ?L 2
ASSESSORS PARCEL NO: ccs be3 . 013 7 LEGAL DESCRIPTION: N 40' of +4 g 3C0' a G le 3S9
Building'Owner:
Name: efp SCkei-7
Address: 02/ Lo tus ,4
Contractor:
Name:
Address:
P /
City: 90 KhNE vA(ley State: km Zip: 416.106,
PA -
Phone: Ga+ c( t' 0
Fax:
City:
State: Zip:
Phone:
Fax:
Contact Person
Name: &/) ca /7. --
Phone: g g - cf6Gy-
Contractor jieNo: Exp Date:
City Business Lic. No:
Describe the scope of work in detail: Cost of Project: $ 700 as- 61c.
Proposed Use: afrary /Sirad'.e
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
23
DIMENSIONS:
37's" ,, yc /0"
# OF STORIES:
- _
TOTAL HABITABLE SPACE:
/4 9S
MAIN FLOOR TO SQ.
FTG: /.2707
2Nu FLOOR SQ. FTG:
<7.23—Pe
UNFIN BASEMENT SQ. FTG:
...AREA.
IMPERVIOUS SURFACE
o216 SsQ• Fr
FINISHED BASEMENT
SQ. FTG: Jif
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
2
CONSTRUCTION TYPE:
Stick Farre
HEAT SOURCE:
Guts McA4 Pu n3
SEWER OR SEPTIC?
S FeuEt2.
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 Wiley 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:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
0 Check
❑ Mastercard
Expires:
DATE: /a7--'2/_ /0
❑ VISA
VIN#:
Spokan
zostorValley
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcentera,snokanevalley.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial r24tesidential
SITE ADDRESS: ca7I/ P. 2-Oafjr 4c/
Building Owner - - -
Name: r�,) JCyOL --C--
Phone: A' q el ./qq (") Fax: /7/h
r fad City: ,S1 e l 4oE ✓/7I y State: cD09- Zip e517',0.
Address: 2/ e3 yv . L OC to
Contractor
Name: i• • • Fax:
Address: City: State: Zip:
License •-
City Business Lie:
k.
Contact/Project
�7Manager:
Name. £L/✓ XC/yo L e Phone. 36J e/4 L y
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
/ '/ _/ '/
/,cTYMI—(Zl/.'%OFF .SO 7�y CaA/4e sycccff� t,. $ ,/J:f j
e 0,0e
GARBAGE DISPOSAL
�f
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
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
El CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES:
Card# VIN:
SIGNATURE:
/-2 D
CURRENT FEES AVAILABLE AT: http-//www.spokanevalley orq/ under the quick links for Forms, Master Fee Schedule.
http:/hvww.spokancvalley org/uploads/Community_Development/Documents/Forms/Building/PlumbingPerrnitApplication040309.doc
Spokane
%hlley®
For City Use Only.
PLUS Project Number .(( (f)9
Project Address ' • `
• -2 V (CI 1.1 L.CSdr c j---
11703 E Sprague Ave Suite B-3 &Spokane Valley WA 99206 , •
509.688.0036 1 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 '• ' ' • 'i7 \ 7 ?fit l
The TARGET DATE is the date we estimate your project application will have -had its initial'technical
review. Itis not the date for approval or permit issuahce.
- Tips for a Smoother Project Application Review.
✓ Submit complete, accurate plans and documents: - - - .. - - -
E.vtra tine niav be required for re -submittals as • project application reviewers Work wrimiltiple applications' and it
may be several claps be/bre d7ev can look at fora new or revised nnfo mcitioi7..' '
i Designate a specific contact person to communicate with the City. _
IVhile die person designated as., the applicant's contact person with the City can he changed, one individual -with the,
expertise for dealing with reviewer comments would be the hest choice f or theentire 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 tocontact us'ifyou haven't heard from us
by your target date, Staff may contact you before the tcirget date if the initial review is. complete. By following this.
procedure, you will save time and allow the reviewers to -complete the work moerevpedniously:
. 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 resultof their technicafreView.
2. Quality Check. The next step in the process is a quality check to make sure that the application is re0iewable 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, renitairi -in 'their review queue'untif 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, tax, 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 Perrpit`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 pie -construction meetings or req.quired) will be provided by
the Permit Specialist at that time. •
WHITE—APPLICANT PINK—BUILDING FILE
REV 9/07