2011, 11-03 Permit App: 11003482 ResidenceProject Number: 11003482 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/3/2011 Page 1 of 3
Project Information:
Permit Use: SFR w/2 CAR ATTACHED GARAGE
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Contact: KEVIN MADDEN CONSTRUCTION
Address: S. 1214 PROGRESS RD
C - S - Z: VERADALE, WA 99037
Phone: (509) 217-6700
Group Name:
Project Name:
District: Nort
Parcel Number: 46344.0601 Block:
SiteAddress: 5206 N MAYHEW RD
Location:: CSV
Zoning: R-3 SF Res District
Water District: 001 TRENTWOOD
Area: 6.47 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Lot:
Owner: Name: LOTS N LAND
Address: 122 N RAYMOND #3
SPOKANE VALLEY, WA 99206
Hold: [
Depth: 0 Right Of Way (ft): 0
Released By:
Originally Released: 11/3/2011 By: tmelbourn
Landuse/Zoning/HE Conditions
Driveway/Approach
Released By:
Originally Released: 11/3/2011 By: mharnois
Released By:
Sewer Review
Originally Released: 11/3/2011 By: TMELBOU
Released By:
PER SPOKANE COUNTY SEWER PERMIT #11005704
Originally Released: 11/1/2011 By: MBonduran
Operator: MBB Printed By: JD Print Date: 11/3/2011
Project Number: 11003482
Permits:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/3/2011 Page 2 of 3
Contractor: KEVIN MADDEN HOMES LLC
Address: 122 N RAYMOND #3
SPOKANE VALLEY, WA 99206
Building Characteristics
Total Area
Building Height
Stories
Dwelling Units
Description
1&2 FAMILY
2ND FLOOR
COV DECK
GAR WOOD
2201
28
2
1
gm
R-3
R-3
R-3
U-1
Building Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 217-6700
Type Notes
VB
VB
VB
VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
SFR / DUP SITE PLN REVIEW
Contractor:
This Application:
Sa Ft Valuation
729 $73,592.55
680 $50,462.80
88 $1,320.00
776 $14,744.00
Totals: 2,273 $140,119.35
Units
1
1
1
1
Unit Desc
SELECT
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC
Total Project:
Sa Ft Valuation
729 $73,592.55
680 $50,462.80
88 $1,320.00
776 $14,744.00
2,273 $140,119.35
Fee Amount
$1,223.35
$4.50
$489.34
$50.00
$1,767.19
Address: 122 N RAYMOND #3
SPOKANE VALLEY, WA 99206
Item Description
DUCT WORK SYSTEM
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS 1 DUCT
APPL VENTS 1NSTL/MOVE/RPL
Phone: (509) 217-6700
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
4 NUMBER OF
1 EACH
Operator: MBB Printed By: JD
Permit Total Fees:
Print Date:
Fee Amount
$11.00
$11.00
$13.00
$2.00
$44.00
$10.00
$91.00
11/3/2011
Project Number: 11003482
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/3/2011
Contractor: KEVIN MADDEN HOMES LLC
Address: 122 N RAYMOND #3
SPOKANE VALLEY, WA 99206
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
Notes:
Plumbing Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 217-6700
Units
3
4
2
1
1
1
1
Payment Summary: k
Permit Type Fee Amount
Building Permit $1,767.19
Mechanical Permit $91.00
Plumbing Permit $78.00
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$1,767.19
$91.00
$78.00
Fee Amount
$18.00
$24.00
$12.00
$6.00
$6.00
$6.00
$6.00
$78.00
Amount Paid
$489.34
$0.00
$0.00
Amount Owing
$1,277.85
$91.00
$78.00
$1,936.19 $1,936.19 $489.34 $1,446.85
Page 3 of 3
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: MBB Printed By: JD
Print Date: 11/3/2011
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
S15
Spokane Valley, WA 99206
451(an" Tel: (509) 688-0036
\iilley
Fax: (509) 688-0037
permitcenterOsookanevalley.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
(Staff Use Only) �/
PERMIT NUMBER: 1 ( `3 L g
y
PERMIT FEE:
(ig NEW CONSTRUCTION 0 ADDITION/REMODEL
0 DECK 0 OTHER
M
SITE ADDRESS: 5-20 c, A) I_ l k
ASSESSORS PARCEL NO.: ig,34,e./, D10 3 '.EGAL DESCRIPTION: Lo -r- 8 &C1CK i
BUILDING OWNER NAME:
0 ACCESSORY BUILDING
NAME: LO y - 4an a G. tl t/
ADDRESS: / a
2- `V • jj%%-(/ f2O e et, #3 Z
CITY: P0Vt: i ffal c j STATE: %I I ZIP: ,1,20 /6
PHONE: Ci(J / - c%l7- 4 < 47Q FAX: 51 % Z Z- OI %5 CELL: 5D7 6
c).17- .709
CONTACT NAME: i(,'/r I / d1%
PHONE: 37) / - d / 7.6 700 FAX: 50'7- 922 'CA 's -CELL: .5V/- 07/ 7-67J
CONTRACTOR NAME: /( (Jf .1 Ade/de/1 f7T1/hc5 L. Z.- C
MAILING ADDRESS:
i ! Z? AL./0/�:; 070 n c-1_ .It �+�+
CITY: O ke3 �i C (/Vii F/rll STATE: tA44. ZIP: / /) > (.
PHONE: �VC%`n /7" 7(7/) FAX:_57)7-CZ2'- 7f CELL: 509 "2/7--47o�
CONTRACTOR LICENSE NO.: KC,J.If,oI/11iic/s'f!V3 EXPIRES: 7 -Z -/Z CITY BUSINESS LICENSE NO.:
DESCRNE THE ScpPE OF WORK( IN DETAIL AND INDICATE USE & PROPOStMUSEINE VALLEY
5f C4 f ( con _S7`ftJ 1rif, 4 p
OV
****YOU MUST COMPLETE THE FOLLOWING****. 4't H�!? +�ti� i n
MARK N/A IF NOT APPLICABLE ' "C
Height to Peak: ,
.26
Dimensions:
271oXe''/
No. of Stories:
.22
Total Habitable
Space: /ID* /e___
M0 (4. -
Upper �lour S FT:
,:O 0
UnfinishedBasementSQ
Fr:
Finished Basement SQ
FT: /i% i4
Garage SQ FT:
`� 776
Deck/ ered Patio SQ
FT: e8� - o
Impervio s Surface
Area: ,"/4
30% Slopes on
Property: #44
No. of Bedrooms: 3
Construction Type: ( CD
Heat Source: 645
,eweispr Sep(ic:
TOTAL COST OF PROJECT: $ `7.5 Oz,C.
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) 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 Construction Permit
App 10.28.07.doc
//V f1 /
Signature
Method of payment: 0 Cash
Bankcard #:
Authorized Signature:
0 Check
Date: (
0 Visa 0 Mastercard
EXP: VIN#:
Effective October 28, 2007 Page 2 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
411)14 4111.°11.1\14111.4,
.0,00Vaiky
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
perm itcenternspokaneval lev. org
PERMIT NUMBER:
PERMIT FEE:
f] Commercial tkResidential
SITE ADDRESS: Pa R C- I - 4603 5" 0 4 0 1
Building Owner
2-0
13-1
L i LOC K 1
Name: i-OtS P -L -ani. LLC
Phone: .5-2y:,_,.)/ 7_ (aro
Fax: .5-09-22_O/9."
Address: 922, / fD /d t 3
Contractor /`'
City: ak+✓`hc_ Uwie ,
State: z(J#
zip '95.)‘74
Name: Kti°i/ 419 drie 01 MLS 12 L
Address p +A ale( ,#3
License /�
Phone:5 p ,_ t t 7-C704,
City: .am G
Fax: - 72z. O/%S
State: Zip: 77.20c
City Business Lic:
Contact/Project Manager:
Name:
Phone: <7 _ 7
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
1,10\1
_LEY
3Y: ,/
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc
#UNNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & induding 100,000 BTU
/
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
l
/
GAS PIPING SYSTEM (each outlet)
2
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
i
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp -100,000 BTU or Tess
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 indude ducting)
Each unit up to 10,000 cfm, induding ducts
AIR HANDLER (DOES NOT indude ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
4 -
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
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
VAa
WOOD STOVE SYSTEM - FREE STANDING
c
t i Y of F t-)kANIP
,
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
1,10\1
_LEY
3Y: ,/
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc
�ntY
dMdley
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter(a,spokanevalley. org
Community Development
Plumbing Permit Application
SITE ADDRESS:
PERMIT NUMBER:
PERMIT FEE:
tic f # 463'/y _ 060
❑ Commercial ig Residential
Lvr o 13z.
—...� ,.. •.._--k._..._
Building Owner
Name: 4,015 /L/ , talc/ L Lc Phone: - D/7-6 7oz, Fax: --2)9 .- iez- 0/9_5 --
/ySAddress:
Address:
l2 2 ,t i?ai InD/►d 3 City: 7keleic oicviel State: p/`% Zip. 7
Contractor
Name: J�ev/n ��j',, siti 'Lc Phone:as ,-^ / 7 L 7Ob Fax: ...-405_,_ x222 -0 /,5—
Address: %ZZA. j ,lea.., AIDAd 3 City'
L%t li'c State: �4 Zip: ��0
7
��'C�l
License No: //.00�� th i ��.y N3 City Business Lic:
,Il
Contact/Project Manager:
_ /`
n Ata �Glfri Phone: ..--1.6 _ )j 7— G 7�
_Name:Cir
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
2
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
r
DISHWASHER
t
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
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
MASH ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
VALLEY
tf�i1/il
f Gtb\ I rh
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc
Spokan�~
jValley.
Target Date sheet
For City Use Only
PLUS Project ! / - ; t' , , y
Project Address
>,'r hf X11
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.720-5240 ♦ 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 1
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.
CD -003 V-7/ 06-21-11 Page 1 of 1
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Site Information
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Project Information
Site Address: 5206 N MAYHEW RD
Parcel Number: 46344.0601
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning:
Owner: LOTS -N -LAND, LLC.
Address: 122 N. RAYMONI) RD. #3
SPOKANE VALLEY, WA 99206
Building Inspector:
Water Dist:
Sewer Connection Permit
Project Number: 11005704 Inv: 1 Issue Date:
Permit Use: SEWER CONNECTION
Applicant: C & L EXCAVATION
26826 N SPOTTED RD
DEER PARK, WA 99006
Contact: C & L EXCAVATION
26826 N SPOTTED RD
DEER PARK, WA 99006
11/1/2011
Phone: (509) 993-0040
Phone: (509) 993-0040
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Co ntractor: C & L EXCAVATION
SEWER CONNECTION
License #: CLEXCLE962RP
1 $125.00 PROCESSING FEE 1 $25.00
Total Permit Fee: $150.00
**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 FETES APPLY AFTER 30 MINUTES.
**INSTALLER [S RESPONSIB:.E 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 I.AW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
**CALL 1-800-424-5555 BEFO;.E 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 TI LOSE RELATED TO TRENCH SAFETY.
Payment Summary
Total Fees ,t~mountPaid AmountOwing
$150.00 $150.00 $0.00
Tran Date Receipt # Payment Amt
11/1/2011 5023 $150.00
Processed By: SHATTO, JULIE
Printed By: Force, Faith Page I of 1
REV SITh