2010, 01-11 Permit App: 10000067 BathroomProject Number: 10000067 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 1/11/2010 Page 1 of 2
Permit Use: INSTALL NEW BATHROOM Contact: ACROSS THE LINE CONSTRUCTION
Address: 5414 N MALTA
C - S - Z: NEWMAN LAKE WA 99025
Setbacks: Front Left: Right: Rear: Phone: (509) 951-6812
Group Name:
Site Information: Project Name:
Plat Key: CONV Name: CONVERTED CNTY DATA District: East
Parcel Number: 46354.3004
SiteAddress: 4901 N LUCILLE RD
Location:: CSV
Block: Lot:
Owner: Name: SPILKER ETUX, J
Address: 4901 N LUCILLE RD
SPOKANE VALLEY, WA 99216-300
Zoning: R-3 SF Res District
Water District: 001 TRENTWOOD Hold: 0
Area: 10,610 Sq Ft Width: 85 Depth: 125 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 10
Review Information •
Review
Building Plan Review
Permits•
Released By: -
Originally Released: 1/11/2010 By: tmelbourn
Building Permit
Contractor: ACROSS THE LINE CONST LLC Firm: ACROSS THE LINE CONST LLC
Address: 5414 N MALTA ST Phone: (509) 226-1904
NEWMAN LAKE WA 99025
This Application: Total Project:
Description Type Notes Sq Ft Valuation Sq Ft Valuation
I&2 FAMILY R-3 VB BATHROO 0 $10,213.44 0 $10,213.44
M
REMODEL
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVVV < 7999 SQ FT
Totals: 0 $10,213.44 0 $10,213.44
Units Unit Desc Fee Amount
1 SELECT $195.25
1 SELECT $4.50
1 SELECT $78.10
Operator: jmm Printed By: jmm
Permit Total Fees: $277.85
Print Date: 1/11/2010
'
Project Number: 10000067 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/11/2010 Page 2 of 2
Plumbing Permit
Contractor: ABLE COMPANY Firm: ABLE COMPANY
Address: 4217 N JEFFERSON ST Phone: (509) 328-2700
SPOKANE WA 99205
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
SHOWERS 1 NUMBER OF $6.00
WATER PIPING - DWV 1 NUMBER OF $6.00
Permit Total Fees: $24.00
Notes ,
Payment Surnrnary•
Permit Type
Building Permit
Plumbing Permit
Fee Amount
$277.85
$24.00
Invoice Amount
$277.85
$24.00
$301.85 $301.85
Amount Paid
$78.10
$0.00
Amount Owing
$199.75
$24.00
$78.10 $223.75
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: jmm
Print Date: 1/11/2010
Permit Center
•
Spokane 11703 E S
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Spokane-Valleym-,,9206
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Val el y ooesa • (509)688
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Community Development
CSV 1-cf•N1 1
Residential Construu�' ' o
Permit Application
037
PERMIT NUMBER: /0
PERMIT FEE:
New Construction
Addition/Remodel
Other:
Accessory Bldg
Deck
7
,uomm:n
SITE ADDRESS: 1 6/ N L 40 (/e 4/
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
:Buildin 'Owner"". _�� i ; '•°�rF_ - _ - ':;•r,,•s;:�Y�%
V.,,t.'hi�t 4-1," ,1":,-;-1,::1-�;., .�_,...n.::, ,,..x: 3. R... y._ r', ., ... om' '^�.
r:.t.. +. - iiy`:+>;'�3 r...-,.. -. s.....tr:-.gra"•-,"-� is
liconfracto :N �u 7‘ "I.- l s'' - ..y'-.��•s:'=;
i. r ir; _ _ "s1)w
Name: krOSS+4c L;h' _Cols fiicb»? LLC
Address:5L114 A//wit/I
Crty.re1M19II- State. ZrprKGa
Name: j' f%i $'pr /Ke%
MAIN FLOOR TO SQ.
FTG:
Address: Levi _ .•I ie., izei
City: spyiei �/9l c State: Zip:9i
Phone: l365>,,_ t ola Fax:
Phone: J aiyi s/ 4p, i Fax: ) 62s/_ 00 2_ /
GARAGE SQ. FTG:
Contractor Lic No: Exp Date:
GontactPerson,; . ,y _ :. , .. �.''.•4
# OF BEDROOMS:
City Business Lic. No:
HEAT SOURCE:
SEWER OR SEPTIC?
Name: M :Ice , Ideg /Ker'
Phone: Ste'] 7 7 51-6 812.
Describe the scope of work in detail:
t'✓r cl/C tns fl ;h &Alt(( 9174
2._ 6; -n2la(S jOc-tc¢-0/oaf;
Cost of Project: $ i0,Z/3.11
&tit /ooni . 5; k. Moll 540 7'
Vit / -Floor; i y
oY
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2Nu 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:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
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 process
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2215/07
❑ Check
DATE: V(00
❑ Mastercard ❑ VISA
Expires: VIN#:
cossoValler
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permiteenten spokanevalley.org
Community Development --
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial /Residential
SITE ADDRESS: 14 iD ( 7Y LACrrl.
Building Owncr- r _ __ -__". _'o•.c :_•6
Name: Phone: Fax:
Address: City: State Zip:
.
Contractor 4hit: COM�J r(�
Phone: Fax
Name: 5 49 r/il Vg at
Address: T'4Cre✓SOn City: State Zip:
License No: City Business Lie.
Contaet/Project Manger,r/f('C/a'JS'-I e_, L;1,1 et Ca-511<1<'•3tto n = ".. �'.: �._.. :. _____--•-_l •; --. _-____•._._
Nae M (ke_ k tf !cc (fPhone: 5-41 --9.5- i^ 6 8" ( 2
Name
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
t
URINALS
TUBS
SHOWERS (per trap)
'/
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food
Prep/Culinary Meat
1
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
f
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 atmosphenc type vacuum breakers
MEDICAL GAS
INCEPTORS
DCASH D CHECK D VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http //www.spokanevalley org/uploads/Community_Development/DocumenWForms/Building/PlumbingPcrmitApplication040309 doc
Spokane
Valley
'For City Use Only
PLUS ProjectNumber /U—Gaol
Project Address uglT/Jnr Lb
11703 E Sprague Ave Suite B-3'• Spokane Valley WA99206 • -
509.688.0036 1 Fax: 509.688.0037 • permitcenter@spokanevalley_org
As part .of our—on—going—commitment to customer service duringthe 'review process of•your project
application,'. we are providing you with a TARGET. DATE 'for the initial technical application review. Iffor
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'tinitial'technical
review. Itis not the.date for approval or permit issuance.
Tips for a Smoother Project Application Review
i Submit complete, accurate plans and documents.
Extra time mai' be: required for re-sitbmitta/s as project application reviewers work on'multiple applications and it '
may be several days, before they can look at your new or revised information.:. '
i Designate a specific contact person to communicate with the City. - - - '
While the person designated as the applicant's contact person with the 'City cad be changed, oiie individual with the .
expertise for dealing with -reviewer contnients 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,aontacted on or by the target date, please feel fr,,ee•to contact usf votihaven'theard frpin us
by your target date. Staff mw, contact.yo'u• before the target date if the initial review is' complete. By fol(uwing_ this'
procedure, you will save time and allow the reviewers to complete the werk moreexjdeditiouslv.'..
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 r. requesting additional information as a.result of theitechnical 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 footed;tothe 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 .inultiple 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 tothe 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 pickup: 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