2011, 11-16 Permit App: 11003602 ResidenceProject Number: 11003602 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/16/2011 Page 1 of 4
Project Information:
Permit Use: SFR w/ ATTACHED 2 -CAR GARAGE
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Parcel Number: 46344.0103
Block:
SiteAddress: 5226 N MAYHEW RD
Location:: CSV
Zoning: R-3 SF Res District
Water District: 001 TRENTWOOD
Area: 3.00 Acres
Nbr of Bldgs: 0
Review Information:
Review
Building Plan Review
Width: 0
Nbr of Dwellings: 0
Contact: KEVIN MADDEN HOMES, LLC
Address: 122 N RAYMOND #3
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 217-6700
Group Name:
Project Name:
District: Nort
Lot:
Owner: Name: Lots N' Land, LLC
Address: 122 N. Raymond Ct. #3
SPOKANE VALLEY, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
Originally Released: 11/16/2011 By: tmelbourn
Landuse/Zoning/HE Conditions
Driveway/Approach
Released By:
Originally Released: 11/15/2011 By: Mharnois
Released By:
NOT REQUIRED PER TM
Originally Released: 11/16/2011 By: MBonduran
Operator: MBB Printed By: MBB
Print Date: 11/16/2011
Project Number: 11003602 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/16/2011 Page 2 of 4
Sewer Review
Permits:
Released By:
PER SPOKANE COUNTY #11005705
Originally Released: 11/14/2011 By: MBonduran
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
GAR WOOD
PORCH OPEN
1834
28
2
1
Grp
R-3
R-3
U-1
R-3
Building Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 217-6700
Type
VB
VB
VB
VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW <7999 SQ FT
SFR / DUP SITE PLN REVIEW
Notes
MAIN
FLOOR
UPPER
FLOOR
2 -CAR
FRONT
ENTRY
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
714 $72,078.30 714 $72,078.30
680 $50,462.80
440 $8,360.00
88 $1,320.00
680 $50,462.80
440 $8,360.00
88 $1,320.00
Totals: 1,922 $132,221.10 1,922 $132,221.10
Units
1
1
1
Operator: MBB Printed By: MBB
Unit Desc
SELECT
SELECT
SELECT
SELECT
Permit Total Fees:
Fee Amount
$1,178.55
$4.50
$471.42
$50.00
$1,704.47
Print Date: 11/16/2011
Project Number: 11003602 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/16/2011 Page 3 of 4
Mechanical Permit
Contractor: KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC
Address: 122 N RAYMOND #3 Phone: (509) 217-6700
SPOKANE VALLEY, WA 99206
Item Description
DUCT WORK SYSTEM
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS 1 DUCT
HOOD -TYPE II
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 #OF UNITS
4 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Contractor: KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC
Address: 122 N RAYMOND #3 Phone: (509) 217-6700
SPOKANE VALLEY, WA 99206
Fee Amount
$11.00
$11.00
$13.00
$2.00
$44.00
$11.00
$92.00
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
Permit Total Fees: $78.00
Operator: MBB Printed By: MBB Print Date: 11/16/2011
Project Number: 11003602 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/16/2011 Page 4 of 4
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,704.47
$92.00
$78.00
$1,874.47
Invoice Amount
$1,704.47
$92.00
$78.00
$1,874.47
Amount Paid
$471.42
$0.00
$0.00
$471.42
Amount Owing
$1,233.05
$92.00
$78.00
$1,403.05
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: MBB
Print Date: 11/16/2011
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcentertbsaokanevaIlev.orq
(Staff Use Only)/
PERMIT NUMBER: [ e 3 b O
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
Q ACCESSORY BUILDING
NEW CONSTRUCTION Ili ADDITION/REMODEL
13 DECK OTHER
SITE ADDRESS: 5226 p. r -m -yr -f6 --(Ai ply
ASSESSORS PARCEL NO.: 463y4 , a 103 LEGAL DESCRIPTION: jJT . k _t
BUILDING OWNER NAME:
NAME:
j -D - iu Lavyi Lt.(' -
ADDRESS: /22._ P • ,ec3.C�A7 Grid
STATE: v(/ 4 uP: 9%)06.
6.
FAX: -5 Ua- = 0/ `5 ScEu• - " 1 / 7 -7oc
CITY: 5 e n 7
(Jak
PHONE: 669 /7— E /7cQ
CONTACT NAME: I ""(f, -1 (1 d)1G i c� c�
PHONE: , - c„)/Z / — 6- 7 OC) FAX: % - / 20- 0 l / 5' cELL:�O j / 7- 6.7Ub
CONTRACTOR NAME: Ka(J(.i (naejc%/ //v/)i S LLC
MAILING ADDRESS:
122 A), a`i Th o r. -3
STATE: !i„ #
ZIP: �75J D�
PHONE: ' CJ — , / 7— 670o
0
FAX: 57;5- , 522 - O 93E—ELL: ...jty7- / 7 - L ?on
CONTRACTOR LICENSE NO.: Ke/l/...1/4 /- 951ejV3EXPIRES: % -/L- l Z CITY BUSINESS LICENSE
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOISED3444;Kn,KTF;,/,4_LEY
/esrb/=iu rtAL COAASrRLJCTT ° lc,
ss tzz
****YOU MUST COMPLETE THE FOLLOWING****
MARK N!A IF NOT APPLICABLE
f iMl l ;;Liv i
/�I,Ik 9P
Height to Peak: ,.
08jio
Dimensions•
r5//
No. of Stories:
Total Habitable
Space: /3qv
Main Floor SQ FT: �
o f 7(/
Upper Floor FT: Dr
O
Unfinished Basement SQ
FT: t(//
Finished Basem t SQ
F r: fU/4
Garage SQ FT:
OK- Hyo a-
Covered Patio SQ
Impervious Su/ rface
Area: ,(f t(
30% Slopes on
Property: xJ�4
FT: 83 'Cd' O
No. of Bedrooms:7j
Construction Type: Aievb
Heat Source: �5
�werJr Septi
TOTAL COST OF PROJECT: $
70, BOa
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.
Effectiv(October 28, 007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.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
pernitcenten spokanevallev.org
PERMIT NUMBER:
PERMIT FEE:
f Commercial k' Residential
SITE ADDRESS: 52 ) • fiM y/1 E 1L(
Badding Owner'
Name: L - N -/.14/'l LLC
Phone: (7 -4.7co
Fax: C/ ZZ'�/
Address: j ZZ N• f cii 0,1d t 3
Contractor:,
Name: " Ut i en /'toe_- !--C
Address: f2 AJ. edO d g
License No: �C UTiv r'I f i 5-5e ,v3
oatacVProject Manager: .
City: 1<dle (11e,1 ..
State: a/4
Zip: ,5-)c,
Phone: 2 / to 7oz
Fax: %ZZ - t'.S / 9 -5 ---
City: -w 076 UOffey
City Bus Lic:
State: 4,4_,4 Zip: c
Name:
Phone: 7- 7a
I nom` -',.-J I ZJ17L'6-'�
,
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 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
/
GAS PIPING SYSTEM (each outlet)
2
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 ducting)
Each unit up to 10,000 dm, including ducts
AIR HANDLER (DOES NOT indude dulling)
Each unit over 10,000 dm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
�}
4
VENTILATION AND EXHAUST
Each venNation system
VENTILATION AND EXHAUST
Each hood served by medianical 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
Typel ('Tt
)F S °KANT.
HOOD
Type II
VALLEY
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM - FREE STANDING
i y.
1 w ,61
i r
MASH 0 CHECK 0 VISA 0 MC
CARD t
EXPIRES:
SIGNATURE
VIN:
P:\Community Development)2 Administ ation O3 Forms - Official VersionsWermit Center1Mechanical Permit Application 04-03-09 dg.doc
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docVailey-
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
perm itcenter(a3spokaneval l ev. ort,
Community Development
Plumbing Permit Application �
SITE ADDRESS: 52,2o /V ' /no c 7 td
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial Il Residential
Building Owner
Name: Liden
OCASH 0 CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE: -
ii Iui TV l th
P:\Community DevelopmentO02 Administration103 Forms - Official Versions'Permit CenteriPlumbing Permit Application 04-03-09 dg.doc
. N _ Lic,Vb LLC Phone: ' a 17- 6700 Fax 9 ?2-°(93
Address: j ZZ N. (1.4 .70.10 ltd lit' 3 City: S Oil C UO iley State: a4 Zip: ` lelD1.,
Contractor
Name: Phone: Fax: 9 -5 --
�i•� I►'1ad�le-� ���cs LLC ��7-���v 9zZ—oi,s
Address:
Address: /ZZ p. A y 6,11 o -i 14, 3 City: ()IC01:1C Uo� (li y State: Zip: 5 G")..)06.License
'I. c -q to 3 City B ess Lie:
No: KCIIl 1✓M 14.95-q
Contact/Project Manager
Name: {/\ CVt,✓1 / ' t' ef'1 Phone: ,W 7- G 74U
~
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
3
URINALS
TUBS
�J
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
1
CLOTHES WASHER
1
GARBAGE DISPOSAL
1
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, sumer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
It 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 atrnospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
CI IY CF
P n KA f\JI VALLEY
OCASH 0 CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE: -
ii Iui TV l th
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Site Information
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Address: 5220 N MAYHEW RD
Parcel Number: 46314,0103
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning:
Owner: LOTS -N -LAND, LLC.
Address: I22 N. RAYMOND RD. #3
SPOKANE VALLEY, WA 99206
Building Inspector:
Water Dist:
Project Information
Project Number: 11005705 Inv: 1 Issue Date:
Permit Use: SEWER CONNECTION
Applicant: C & L EXCAVATION
26826 N SPO1-FED RD
DEER PARK, WA 99006
Contact: C & L EXCAVATION
26826 N SPOTTED RD
DEER PARK, WA 99006
Setbacks - Front: Left: Right:
Group Name:
Project Name:
1
Permits
Sewer Connection Permit
Contractor: C & L EXCAVATION
License #: CLEXCLE962RP
J
I
11/1/2011
Phone: (509) 993-0040
Phone: (509) 993-0040
Rear:
SEWER CONNECTION 1 $125,00 PROCESSING FEE
Total Permit Fee: 5150.00
1 $25.00
**FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DA`( NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
**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 13E 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 1.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 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,
Payment Summary
Total Fees kmountPaid AmountOwing Tran Date Receipt # Payment Amt
$150.00 $150.00 $0.00 11/1/2011 5023 $150.00
Processed By: SHAITO, JULIE
Printed By: Force, Faith Page 1 of 1
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