2006, 12-12 Permit App: 06004540 DuplexProject Number: 06004540 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/12/2006 Page 1 of 3
Project Information:
Permit Use: NEW DUPLEX
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: SHP-38-05
Contact: ROD BOWEN
Address: PO BOX 544
C - S - Z: WOODINVILLE WA 98072
Phone: (425) 923-5542
Group Name:
Project Name:
District: Nort
Parcel Number: 45094.0529
Block:
SiteAddress: 11719 E MANSFIELD AVE
Location:: CSV
Zoning: UR -22
Water District:
Area: 7,225 Sq Ft
Urban Residential -22
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: ROD BOWEN
Address: PO BOX 544
WOODINVILLE WA 98072
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released: 11/21/2006 By: TMELBOU
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Originally Released: 11/16/2006 By: kkendall
Released By:
Permits: a_uz .,x..n-,0„ .Vinrr44,1 w;5r � s: Tai M SSMO
Operator: jmm Printed By: jmm Print Date: 12/12/2006
Project Number: 06004540 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/12/2006 Page 2 of 3
Contractor: OWNER
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,100 $95,007.00 1,100 $95,007.00
2ND FLOOR R-3 VB 1,432 $106,941.76 1,432 $106,941.76
GARAGE U-1 VB 440 $8,360.00 440 $8,360.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Item Description
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
GAS LOG OR GAS INSERT
Totals: 2,972 $210,308.76 2,972 $210,308.76
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,615.35
$4.50
$646.14
Permit Total Fees: $2,265.99
Mechanical Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 NUMBER OF
4 # OF UNITS
6 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$24.00
$4.00
$60.00
$10.00
$98.00
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
Units Unit Desc
6 NUMBER OF
8 NUMBER OF
4 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Fee Amount
$36.00
$48.00
$24.00
$12.00
$12.00
$12.00
$144.00
Operator: jmm Printed By: jmm Print Date: 12/12/2006
I
Project Number: 06004540 Inv: 1 Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/12/2006 Page 3 of 3
Notes: WAMESOMMEMIUMMIN
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$2,265.99 $2,265.99
$98.00 $98.00
$144.00 $144.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$2,265.99
$98.00
$144.00
$2,507.99 $2,507.99 $0.00 $2,507.99
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: 12/12/2006
Project Number: 06004540 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/15/2006 Page 1 of 3
Project Information:
Permit Use: NEW DUPLEX
Setbacks: Front
Site Information:
EVAVANAMOTOOM
r )
Plat Key: Name: 4intge-1:7HV
Parcel Number: 45094.0529 Block: if Lot:
Left: Right: Rear:
MOM MMOMPO.
Contact: ROD BOWEN
Address: PO BOX 544
C - S - Z: WOODINVILLE WA 98072
Phone: (425) 923-5542
Group Name:
Project Name:
reinIZZMWS.
a'ASIMINENEWsaginAMEMSE.MMENZWE
District: Nort
1
SiteAddress: 11719 E MANSFIELD AVE Owner: Name: ROD BOWEN
Address: PO BOX 544
Location:: CSV WOODINVILLE WA 98072
Zoning: UR -22
Water District:
Area: 7,225 Sq Ft
Urban Residential -22
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Hold:
Depth: 0 Right Of Way (ft): 0
/.111111/51HOOO.O.O.O.O.00O"..11:i.O/O.olOo'
Review
Building Plan Review
Released 13y:
Landuse/Zoning/HE Conditions
Released By
Sewer Review
Released By:
Permits: gnffg . .ZWAVAR".."" ".`SENP,Ctummgm,„ym
Operator: jmm Printed By: jmm Print Date: 11/15/2006
Project Number: 06004540 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/15/2006 Page 2 of 3
Contractor: OWNER
Description Grp Type Notes
1&2 FAMILY R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Item Description
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
GAS LOG OR GAS INSERT
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
Operator: jmm
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application:
Sq Ft Valuation
2,516 $217,306.92
440 $8,360.00
Total Project:
Su Ft Valuation
2,516 $217,306.92
440 $8,360.00
Totals: 2,956 $225,666.92
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Firm: OWNER
Phone:
Units Unit Desc
2 NUMBER OF
4 # OF UNITS
6 NUMBER OF
1 NUMBER OF
Units
6
8
4
2
2
2
Printed By: jmm
2,956 $225,666.92
Fee Amount
$1,699.35
$4.50
$679.74
$2,383.59
(000) 000-0000
Permit Total Fees:
Plumbing Permit
Firm: OWNER
Phone:
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$24.00
$4.00
$60.00
$10.00
$98.00
(000) 000-0000
Print Date:
Fee Amount
$36.00
$48.00
$24.00
$12.00
$12.00
$12.00
$144.00
11/15/2006
Project Number: 06004540
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/15/2006
Notes:T•,,Ja .: M,-- . w
Payment Summary
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
krATIMSSMENOWNE
Fee Amount
$2,383.59
$98.00
$144.00
Invoice Amount
$2,383.59
$98.00
$144.00
Page 3 of 3
taaitatiteMESISIVANNOMMETFMNIM
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$2,383.59
$98.00
$144.00
$2,625.59 $2,625.59
$0.00
$2,625.59
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: 11/15/2006
Siakane
Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
I.A vw-.spokanevallev.org,.com NCV 1 5 2
Residential Construction
Permit Application
PERMIT NUMBER: --/c110
PERMIT FEE:
to New Construction o Accessory Bldg
❑ Addition/Remodel o Deck
o Other:
SITE ADDRESS
1 n ; � L . Y'1
ASSESSORS PARCEL NO:
6- 2 -ti LEGAL ESCRIPTION: LfS-i• 1 L 's 'ai'1G�ki �' �F S' 6'r eeci ► V\
stV
Building owner
-
01,:/tNeA
Name: 4 0 rt.) Ir+(r t J
TOTAL HABITABLE SPACE:
Z-&-11- 2 s3 z
Address: .0 , ci!; 0
2Nu FLOOR SQ. FTG:
14.32_ Q(--
City: Vett,ti ,,,V1 6 a,Zip:
j jo (2„ -
Phone: z 692.-- Fax:
Fax:
Contact Person
Name:
Phone: 9. ak, Z3 SSW_
Describe
W --
Describe the scope of work in detail:
e
--
Contractor
-
01,:/tNeA
Name:
TOTAL HABITABLE SPACE:
Z-&-11- 2 s3 z
Address:
2Nu FLOOR SQ. FTG:
14.32_ Q(--
City:
Zip:
Phone:
Fax:
Lic No:
Exp. Date:
City Business Lic No:
# OF BEDROOMS:
Cost of Project:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT3O PEAK:
DIMENSIONS:
't t/ x LP
# OF STORIES:
2-
TOTAL HABITABLE SPACE:
Z-&-11- 2 s3 z
MAIN FLOOR TO SQ.
FTG:
1, "l(c.�c)
2Nu FLOOR SQ. FTG:
14.32_ Q(--
UNFIN BASEMENT SQ. FTG:
—
IMPERVIOUS SURFACE
AREA: .s
Z3J c3i5vd')
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
-{ 'j a
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY: IVO
# 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 processed.
Signature
Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash 0 Check 0 Mastercard 0 VISA
Bankcard #: Expires: VIN#:
11 114 est,
0 Other
Authorized Signature:
REVISED 8/252005
Spokane
'jUalley
11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhall@spokanevalley.org
Residential Plan Submittal Minimums
❑ Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One-hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
Spokane
. Valley
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.ore
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ❑ Residential
SITE ADDRESS:
i-) \C1
E. tV\ rt S t_/ tQ
Building Owner
Name:
Phone: itLos_Fax:
Address:
(u;41
State:
Zip:
Contractor
G ti.)i`J 6,k
I
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
$ ...
Phone: it Z
f
2 3
. 5
'Z✓
r -
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
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
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
Z
X
$6.00
8
GARBAGE DISPOSAL
Z
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
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 DISPOSAUSYS
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:
Spokan ems°""
1Valley
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.ors
Mechanical Permit Application
SITE ADDRESS: L 1 CI
PERMIT NUMBER:
PERMIT FEE: .
n Commercial ❑ ??esilential
Building Owner
Name: h0
`f
Phone: z, �_. � Fax:
�
Address:
Ur125
41
City. State:
t A.
Zip: q0-)?....,
Contractor
c) W Al 6
Name:
Phone: Fax:
Address:
City: State:
Zip:
License No:
City Business Lic:
Contact
•
Name:
RC.)
Oi 0 N V n
Phone: 14.2,s - 1Z-3 -S� T 7-
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
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
2
x
$10.00
13
RANGE
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$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
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
3-15 TON
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
$25.00
28
AIR CONDITIONER
30-50 TON
X
$35.00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
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 & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
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 COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 11719 E MANSFIELD RD
Parcel Number: 45094.0529
Subdivision: RANGE
Block: Lot:
Zoning: UNK Unknown
Owner: BOWEN, ROD
Address: PO BOX 544
WOODINVILLE, WA 98072
Building Inspector:
Water Dist:
Project Number: 06008908 Inv: 1 Issue Date: 12/15/2006
Permit Use: SEWER CONNECTION - PINECROFT/MANSFIELD
Applicant: BOWEN, ROD
PO BOX 544
WOODINVILLE, WA 98072
Contact: BOWEN, ROD
PO BOX 544
WOODINVILLE, WA 98072
Setbacks - Front:
Group Name:
Project Name:
Left: Right:
Phone: (425) 923-5542
Phone: (425) 923-5542
Rear:
1 Permits
Sewer Connection Permit
Contractor: OWNER License #: OWNER
SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
THE INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND
MAY BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
1
Payment Summary
1
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date
12/15/2006
Processed By: DOMPIER, DAWN
Printed By: Lemley, Linda Page 1 of 1
Receipt # Payment Amt
7117 $100.00
PERMIT