Loading...
2010, 10-01 Permit App: 10003214 AdditionProject Number: 10003214 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/1/2010 Page 1 of 3 Project Information: Permit Use: RESIDENTIAL ADDITON - MASTER BATH Setbacks: Front Site Information: Plat Key: 001860 Name: ORCHARD ACRE TRACTS Parcel Number: 45161.0132 Block: Lot: SiteAddress: 11604 E MISSION AVE Owner: Name: FEDERAL NATIONAL MORTGAG Address: 33600 6TH AVE S STE 220 Location:: CSV FEDERAL WAY, WA 98003 Zoning: R-3 SF Res District Water District: 011 MODERN Hold: [ Area: 12,610 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Contact: PHILEN, DAVID Address: 11604 E MISSION C - S - Z: SPOKANE VALLEY WA 99206 Left: Right: Rear: Phone: (509) 891-7360 Group Name: Project Name: District: Nort Review Information: Review Building Plan Review Released By: Originally Released: 10/1/2010 By: tmelbourn Landuse/Zoning/HE Conditions Permits: Released By: Originally Released: 10/1/2010 By: cjjanssen Operator: jmm Printed By: jmm Print Date: 10/1/2010 Project Number: 10003214 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/1/2010 Page 2 of 3 Contractor: OWNER Building Permit Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Description GjP "us Notes Sa Ft Valuation Sa Ft Valuation RES ADD R-3 VB PLAN 288 $28,497.60 288 $28,497.60 REVIEW FEE Item Description RESIDENTIAL PERMIT FEE WSBCC SURCHARGE SF PLNS RVW < 7999 SQ FT Contractor: OWNER Item Description GAS APPLIANCE<=100,000BTU GAS PIPING Totals: 288 $28,497.60 288 $28,497.60 Units Unit Desc Fee Amount 1 SELECT $431.65 1 SELECT $4.50 1 SELECT $172.66 Permit Total Fees: $608.81 Mechanical Permit Firm: OWNER Phone: (000) 000-0000 Units Unit Desc Fee Amount 1 NUMBER OF $13.00 2 # OF UNITS $2.00 Permit Total Fees: $15.00 Plumbing Permit Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Item Description Units Unit Desc TOILETS/BIDETS 1 NUMBER OF SINKS 1 NUMBER OF TUBS 1 NUMBER OF Operator: jmm Printed By: jmm Permit Total Fees: Fee Amount $6.00 $6.00 $6.00 $18.00 Print Date: 10/1/2010 Project Number: 10003214 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/1/2010 Page 3 of 3 Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount Invoice Amount Amount Paid Amount Owing $608.81 $608.81 $466.94 $141.87 $15.00 $15.00 $0.00 $15.00 $18.00 $18.00 $0.00 $18.00 $641.81 $641.81 $466.94 $174.87 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: 10/1/2010 Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 permitcenterPsDokanevallev. orq (Staff Use Only) PERMIT NUMBER: 10 5D r / q PERMIT FEE: RESIDENTIAL CONSTRUCTION PERMIT APPLICATION ❑ NEW CONSTRUCTION 0 DECK © ADDITION/REMODEL 0 OTHER 0 ACCESSORY BUILDING SITE ADDRESS: 11604 E MISSION ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: DAVID PHILEN SUSAN PHILEN NAME: NICOLE AND JOSH BITTNER ADDRESS: 11604 E MISSION Com: SPOKANE VALLEY PHONE: 509-891-7360 STATE: WA FAX: 509-927-1910 zip: 99206 CELL: 509-413-7270 CONTACT NAME: DAVID PHILEN SUSAN PHILEN PHONE: 509-891-7360 FAX: 509-927-1910 CELL: 509-413-7270 CONTRACTOR NAME: DAVID PHILEN SUSAN PHILEN MAILING ADDRESS: 11604 E MISSION Cm: SPOKANE VALLEY STATE: WA ZIP: 99206 PHONE: 509-891-7360 FAX: 509-927-1910 CELL: 509-413-7270 CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: 16' X 18' ADDITION, MASTER BATH ROUGH IN, GAS FURNACE PRIMARY RESIDENCE 16' X 18' ADDITION, MASTER BATH ROUGH IN, GAS FURNACE PRIMARY RESIDENCE ****YOU MUST COMPLETE THE FOLLOWING**** PLICABL Height to Peak: Dimensions: 18 X 16 No. of Stories: 1 Total Habitable Space: Mainloor SQ FT: 1318 j{6 A -D 0 Upper Floor SQ FT: NA Unfinished Basement SQ FT: Finished Basement SQ FT: Garage SQ FT:Deck/Covered NA Patio SQ FT: NA Impervious Surface Area: 30% Slopes on Property: NA No. of Bedrooms: 3 Construction Type: Heat Source: F,A,G Sewer or Septic: SEWER TOTAL COST OF PROJECT: $ / (j) oc o , 0 0 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. 0 1� 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 Signature qTte: Method of payment: 0 Cash Bankcard #: 0 Check 3 Visa 0 Mastercard EXP: VIN#: Authorized Si nature: 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 Spokan e .0. Valley Community Development Mechanical Permit Application SITE ADDRESS: 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: ❑ Commercial ['Residential 11604 E MISSION Building Owner DAVID PHILEN Name: DAVID PHILEN Phone: 509-413-7270 Fax: 509-927-1910 Address: 11604 E MISSION City: SPOKANE VALLA State: WA zip: 99206 Contractor Name: Phone: 509-413-7270 Fax: 509-927-1910 Address: 11604 E MISSION Cin': SPOKANE VALLEEj State: WA Zip: 99206 License No: City Business Lic: Contact/Project Manager: Name: Phone: ❑CASH 0 CHECK 0 VISA 0 MC CARD #: EXPIRES: SIGNATURE VIN: P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doe #UNITS FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION Up to & including 100,000 BTU 1 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 cfm, including ducts AIR HANDLER (DOES NOT include ducting) Each unit over 10,000 cfm EVAPORATIVE COOLERS(other than portables) VENTILATION AND EXHAUST Each fan connected to a singe duct /I 1 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 WOOD STOVE SYSTEM — FREE STANDING ❑CASH 0 CHECK 0 VISA 0 MC CARD #: EXPIRES: SIGNATURE VIN: P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doe • • • 1.1)biu PLANNING DEPT. APPROVED BY\aail_CLjuC DATE. IL1011° 5— 6 o E miss '0 41