2012, 03-20 Permit App: BLD-2012-0260 Residence"9\ftli‘
ITV Oil
;.'Mi11ey.
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
perm itcenterftsooka neva I lev. o rq
i
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
i
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
%NEW CONSTRUCTION ADDITION/REMODEL
DECK OTHER
SITE ADDRESS: 5s/016 iU0 (%/f y/tL fry
ASSESSORS PARCEL NO.: / L3L , 1101 LEGAL DESCRIPTION:
BUILDING OWNER NAME:
ACCESSORY BUILDING
NAME: Lar�j /11 " LAAJD L L v
Zia Ai V,JAAlexir( 6o
ZIp: I ! Lr D
PHONE: 1. r%-- 6,10c, FAX: ! 2Z — '/ !4.
CONTACT NAME: Kjetf/Ji lknt& 'CM ,/� pr
FAX: / v G V (94 CELL: L i (01w
CELL:
PHONE:
CONTRACTOR NAME: RO(1/ti) l'ADDedt'K> LLC.
MAILING ADDRESS: �� 1 ./Q Al. (J �i (Jtg , I 7 ri-g, �0/J,�/Cmf: � �iC%H'vrG VJLG&( S�TTATE: ZIP: 9AL G/[ep
PHONE: �! ! " `Q ((,Q FAX: 7 G'� 95. CELL: 2/74' C (Q'
CONTRACTOR LICENSE NO.: K6VaNiiet5494EXPIRES:'7•/ ../f CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE F WOR IN DETAIL AND INDI�CATE USE & PROPOSED USE:
!�/ 7�/O L Go 1,AIc1 tJ a7oA/
****YOU MUST COMPLETE THE FOLLOWING****
LE
Height to Peak: Zel
Dimensions: 40/);41/1/
Q)1 /
No. of Stories:
z
Space: (�q 141
Total Habitable/7
Main Floor
70 !
Upper Floor SQ FT: it
1,94?
Unfinished Bas
FT:
nnt SQ
Finished Basement �Q
FT: �!/�
Garage SQ FT"
10 Al
Deck/Covered atio SQ
FT: Clef (froge.40
Impervious
Area: /0,0
ace
40T./7)
30% Slopes on
Property:.
No. of Bedrooms: ?j
Construction Type: 4400,)
Heat Source:
,Q4'
(ewei or Septi
TOTAL COST OF PROJECT: $
PISCLAIMER
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 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Cori traction Permit
App 10.28.07.doc
nr
Community Development
Plumbing Permit Application /.�
SITE ADDRESS: 5-/ 2-2- L. 1+ Y / 1 t V./
Pennit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
peen itcenter@spokanev al l ey. orst
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial NrResidential
Building Owner
Name: LL/ri7 Liz. Phone: Z17- Gol Fax: Z ' Oil
Address: ,.,.�` ty. State: a _
�o Na .30a C` ' forms u�r,( Zip: Q d@
Contractor. ! , !
Phone:.._ / n, Fax: G /� ,`
Name: �(�/ )(d ik�f% In,
f ' &Mx, -! g 4 o
Address: j / J d��� i SO tr Citr eP e V d ol. State: �Q . Zip: g12lir0
License No: f[ .� i4 L1 cy 4 A T City Business Lic:
Contact/ProljeeetManager:
' .
�(A/�^-`�`'r /n
Phone: Sf ! . (70c,
Name: K ,UiN !_ [ kopeit
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
II
DISHWASHER
1
CLOTHES WASHER
1
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
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
3
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 ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
2,6Y
P:\Community Development\02 Administration\03 Forms - Official Versions\Pernit Center\Plumbing Permit Application 04-03-09 dg.doc
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
permitcenter@spokanevallev.org
PERMIT NUMBER:
PERMIT FEE:
n Commercial gResidential
SITE ADDRESS: 371 f� N , / Y H (,4
Building ()riper
Name: / „ „ Lug)
I s� Phone: A/A�. �eo
Address: Do Al JAI 5!T7 !� ?Ce, e/•Cit'r Ill—
Vau.8'f State n.
Contractor
Fax: q/1(%r / 7
Z 7'
'7 !!.. Zip: a(
Address: MUM/
�o N. uN�
Wave No'
Name: 6UIN Mio p t / r7at4(F GLC. Phone: 117'(0.r0C> Fax: cif 2' � 1cl�,s'
Address: / to A f /vm r �lii�y�X? City. MS UJL.(.Ef?i State:[Q
License Na �" f'`� City Business Lic:
�inIMH opS4/J3
Contact/Project Manager:
Zipg9?. ,
Name:
Phone:
❑CASH 0 CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
6/c— /2 —2,,e3/
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc J
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & induding 100,000 BTU
t
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
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 dulling)
Each unit up to 10,000 cfm, induding ducts
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 dm
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
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
I
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
❑CASH 0 CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
6/c— /2 —2,,e3/
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc J
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenterosookanevallev.orq
(Staff Use Only)
PERMIT NUMBER: Z--4-)/ 2
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION ADDITION/REMODEL ACCESSORY BUILDING
1 DECK El OTHER
SITE ADDRESS: 5-06 yf-f fry
ASSESSORS PARCEL NO.: ti 1,3114 . 170 i LEGAL DESCRIPTION: ,/.13 ,.L /314>r.K ,Z
BUILDING OWNER NAME:
NAME: Loi* - N — LiNAJD LL
ADDRESS:
cm:
'< hie e L U&(
PHONE Z 11-- (MCC>
CONTACT NAME: Keith) i/Anef
VOA.iJ i4E ir(' Jrr V 4
STATE: 1111. ZIP: !r 0eG,
FAX:
`22—e,194* cEu : 211-- ftolc'?e)
PHONE: �FAx:: t ' 0/95CONTRACTOR NAME: /'%tJ/ J 74Af e mig6LLG
MAILING ADDRESS: 2/D I. Widge , V500l 1 4CITY: j�ft!!Ng OLL $TATE:. ZIP: ' 2 p
ceu: Zi7�
64‘)C..)
PHONE: Z/ �' CQ/(,Q FAX: g2Z-a416° CELL: Zf ' (p(QO
CONTRACTOR LICENSE No.: rev/N/►/N950/4/9XPIREs: 7-/"./„ CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPJl O 71!' /® IN DETAIL
7/dL IN�.0 TE gcrEilllTt7�l/ OSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: nei
Dimensions: �� xjf/
No. of Stories:
TSpotalc9yattitaSie�� _ . �, �{j
Main Floor �FT`
Upper lo r SQ FT:
Unfinished B
FT:
rrt SQ
Finished Basement �Q
FT: �Jt/�
Garage SQ
D� Ill 0,4
De - Covered • a SQ
4.7 � �Kj)
Impervious
Area:
��,/�
30% Slopes on
Properly:
f A
�/
No. of Bedrooms: 5
• • , . • Type: t 9QJ
Hea Source:
,43,4 6
sewelior Seiftiai
TOTAL COST OF PROJECT: $
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) Aft 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 perml 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 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Constriction Permit
App 10.28.07.doc
SPOKANDUNTY BUILDING AND PLANNIN•
PERMIT
Application Number: SW -12-001016
Permit Issued Date:
03/29/2012
Expiration Date: 03/30/2012
Project Description:
Permit Type:
NEW SEWER CONNECTION
SEWER
Primary Contact: LOTS N LAND LLC
Applicant: LOTS N LAND LLC
Address: 122 N RAYMOND RD STE 3
SPOKANE, WA 99206
Phone:
Email:
SITE INFORMATION:
Site Address:
Parcel Number:
5128 N MAYHEW
46344.1701
Subdivision:
Assessor's Description: UNKNOWN
Inspection Area:
Owner: LOTS N LAND LLC
Address: 122 N RAYMOND RD STE 3
SPOKANE, WA 99206
Phone:
Email:
Water District: Spokane Fire District: City of Spokane
County Water District #3
Zoning: Land Area: 0.2327 acres / 10138 sqft
CONTRACTOR INFORMATION:
General Contractor
FOLSOM EXCAVATING INC
16701 E VALLEYWAY AVE
VERADALE, WA 99037
509-891-1232
DETAILS:
Class
Type
Quantity Unit Charge Value
SEWER
SEWER CONNECTION
FEE DETAIL:
Processing - Utilities
Utilities Permit
1 $125.00 $125.00
Total Fee:
$125.00
$25.94
$125.00
$150.94
CONDITIONS:
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.
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.
Date Printed: 03/29/2012 14:56:42
Printed by: IIS APPPOOL\ASP.NET v4.0
SPOKAN RUNTY BUILDING AND PLANNIN•
PERMIT
Permit Issued Date:
Application Number: SW -12-001016 03/29/2012
Expiration Date: 03/30/2012
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 AND DRY SIDE SEWERS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE
ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. 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.
Date Printed: 03/29/2012 14:56:42
Printed by: IIS APPPOOL\ASP.NET v4.0
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PLANNING DEPT.
BY: 7'17
DATE: 3--30
APPROVED
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