2007, 07-20 Permit App: 07002744 RemodelProject Number: 07002744 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/20/2007 Page 1 of 2
Project Information:
Permit Use: INT REMODEL
Contact: STABEN, MATTHEW S & DAWNETTE
Address: 10920 E NIXON ST
C - S - Z: SPOKANE, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 926-8398
Group Name:
Site Information: Project Name:
Plat Key: 001852 Name: OPPORTUNITY TR # 01-354
Lot:
Parcel Number: 45163.0417 Block:
SiteAddress: 10920 E NIXON AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 15,514 Sq Ft
Urban Residential 3.5
Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 10
Review Information:
Review
Building Plan Review
Permits:
District: Nort
Owner: Name: STABEN, MATTHEW S & DAWNE
Address: 10920 E NIXON ST
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released, By:
Originally Released: 7/19/2007 By: TMELBOU
Contractor: OWNER
Building Permit
Finn: 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 INTERIOR 0 $1,500.00 0 $1,500.00
REMODEL
Totals: 0 $1,500.00 0 $1,500.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $69.25
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $27.70
Permit Total Fees: $101.45
Operator: JD Printed By: jmm Print Date: 7/20/2007
Project Number: 07002744
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/20/2007
Contractor: OWNER
Item Description
VENTILATING FANS
CLOTHES DRYER
RANGE
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER PIPING - DWV
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Mechanical Permit
Page 2 of 2
Firm: OWNER
Phone:
Units Unit Desc
1
1
1
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Plumbing Permit
(000) 000-0000
Fee Amount
$10.00
$10.00
$10.00
$30.00
Firm: OWNER
Phone: (000)
Units Unit Desc
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$101.45
$30.00
$48.00
Permit Total Fees:
Invoice Amount
$101.45
$30.00
$48.00
000-0000
Fee Amount
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
Amount Paid
$0.00
$0.00
$0.00
$48.00
Amount Owing
$101.45
$30.00
$48.00
$179.45 $179.45
$0.00 $179.45
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: JD Printed By: jmm
Print Date: 7/20/2007
Project Number: 07002744 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/17/2007 Page 1 of 2
Project Information:
Permit Use: INT REMODEL
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 001852 Name: OPPORTUNITY TR # 01-354
WeeelOPENSINENSMAVAMMVIONN
Contact: STABEN, MATTHEW S & DAWNETTE
Address: 10920 E NIXON ST
C - S - Z: SPOKANE, WA 99206
Phone: (509) 926-8398
Group Name:
Project Name:
qtrageomewea
.
District: Nort
Parcel Number: 45163.0417
SiteAddress: 10920 E NIXON AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 15,514 Sq Ft
Block:
Urban Residential 3.5
Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 10
Review Information:
Lot:
Owner: Name: STABEN, MATTHEW S & DAWNE
Address: 10920 E NIXON ST
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Permits:
Contractor: OWNER
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
1&2 FAMILY R-3 VB INTERIOR 0 $1,500.00 0 $1,500.00
REMODEL
Totals: 0 $1,500.00 0 $1,500.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $69.25
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $27.70
Permit Total Fees: $101.45
Operator: JD Printed By: JD Print Date: 7/17/2007
Spokane
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
.Val (509)688-0036 www.spokanevalley.org
Community Development
Plumbing Permit Application
n Commercial
PERMIT NUMBER:
PERMIT FEE:
esidential
Building Owner
Name:
MA �T STA -43
Phone:
sod-5z���t�j-��3'3
Fax:
Address: 1 v Cf 2,0 E. i jy i 1C d".
City., k G^e V" t (j
State:
Zip:
r%
'
Contractor
, 1
Name: `\
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
VaviTi Stab
�— 7 �/
SbtPhone:Name:
I—
DESCRIPTION OF WORK
j70ILETS
2 URINALS
K-3/TUBS
SHOWERS (PER TRAP)
NKS
# OF UNITS X
COST
TOTAL AMOUNT
WATER CLOSET, BIDETS
X
$6.00
X
$6.00
X
$6.00
/_O°
BATH, STALL, ON-SITE BUILT
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
2
X
X
$6.00
$6.00
/6 / DISHWASHER
7 CLOTHES WASHER
8 GARBAGE DISPOSAL
9 WATER SOFTENER
10 ELECTRIC HOT WATER TANK
11 FLOOR DRAINS
X
$6.00
6
X
$6.00
X
$6.00
X
$6.00
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12 ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13 FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
X
$6.00
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
19 MEDICAL GAS (per outlet)
20 MISCELLANEOUS PLUMBING FIXTURE
21 PRIVATE SEWAGE DISPOSAUSYS
22 INDUSTRIAL WASTE INTERCEPTOR
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
NITROUS, OXYGEN
X
$6.00
X
$6.00
X
$20.00
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
l
$35.00
TOTAL PERMIT FEE DUE:
3
Uri
Spokan'' ems`"`
4.Malley-
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
www.spokanevalley.org
n Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS:
Building Owner
Name:
Irniki4‹,, .,' s 34. ?,..1
Phone: Fax: 'J_
Phone:
Address: loci 2 o c()537-- N I YIy,Yy�
City: W4,6„.,,,4 (�i State: t I4--
i [x W`
Zip:`�y ( 5 (P
Contractor /V A
Name:
cg I__.----
Phone: Fax:
Address:
City: State:
Zip:
License No:
City Business Lic:
Contacts
Name: COm
,-
3 ��`2C.�‘"
Phone: is k ,97 Li _ 7T3
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
X
$10.00
RANGE
X
$10.00
DRYER
x
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
0
16
MISC. FUEL BURNING APPLIANCE
x
$10.00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
$10.00
VENTILATING FANS
X
$10.00
i0
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
4-15 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:
Project Number: 07002744
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/17/2007 Page 2 of 2
Contractor: OWNER
Item Description
VENTILATING FANS
CLOTHES DRYER
RANGE
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER PIPING - DWV
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Mechanical Permit
Firm: OWNER
Phone:
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
(000) 000-0000
Fee Amount
$10.00
$10.00
$10.00
$30.00
Finn: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$101.45
$30.00
$48.00
Permit Total Fees:
Invoice Amount
$101.45
$30.00
$48.00
Fee Amount
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
Amount Paid
$0.00
$0.00
$0.00
$48.00
Amount Owing
$101.45
$30.00
$48.00
$179.45 $179.45
$0.00 $179.45
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: JD Printed By: JD Print Date: 7/17/2007
Project
Transmittal
City of Spokane Valley
Community Development
Department
11703 E. Sprague Ave, Suite B3
Spokane Valley, WA 99206
Phone: 509.688.0036
New project
Previous pre -app meeting El
Plan revisions El
Transmittal Date:
Tuesday, July 17, 2007
Site Address: 10920 E NIXON AVE
Parcel Number: 45163.0417
Zoning: UR -3.5 Water District:
Fire District: FD 01
Project Number: 07002744
Applicant: STABEN, MATTHEW S & DAWNET Owner: STABEN, MATTHEW S & DAWNET
10920 E NIXON ST 10920 E NIXON ST
SPOKANE, WA 99206 SPOKANE, WA 99206
(509) 926-8398
e-mail: e-mail:
Contact: STABEN, MATTHEW S & DAWNET Occupant:
10920E NIXON ST e-mail:
SPOKANE, WA 99206
(509) 926-8398
e-mail:
Contractor: OWNER
( ) - 0
Arch / Engineer:
e-mail:
Project INT REMODEL
Description:
Building
Landuse
Engineer
Utilities
Health
Fire Dist
Assessor
PLAN
•1,
REV SIGN OF
F
Please send all plan review and project comments via e-mail to the
highlighted individuals.
Spokane
jValley
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spci
Community Development �=
Residential Construct fir jU
Permit Application {D)
ni�l<<
y
��• U H
I, ,5
PERMIT NUMBER: 'ill -1H
PERMIT FEE:
evG Construction
dition/Remodel
V 4err:
Accessory Bldg
Deck
SITE ADDRESS: � O C1 z o `LA -5T 1.1 iv -iv‘ Attic_ ,
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
Name: r iT H fcAJ (...,_04,c3 rG (!
nn
Address: \IC12c c.6,41- laty.bA Au -4E
City: kState: tai Zip: ci°) zct,
Phone: „of , 4e Cr ,._ 71r3 Fax:
Contact Person
Name: DNA) t
Phone: SOS - `I?` -i - 5�3
D scribe the scope of work in detail: i kl C°�d Cost of P
i� new -I„6., 04.1 mf)vg ( , o9- 04./A.t_‘;+�
- i (NO. ,,3,da \revtcln `r-"ir) - ('a,nre
Spar ,piss ct -L t-ct,o" e'S5aX ", "1 r
cod
Proposed Use: L�� , mac,,, t,Mpr t 4
Contractor:
5q )
DIMIENAIONS: >
03A 3�
# OF STORIES:
1
Name: S (L �.
J
MAIN FLOOR TO SQ.
FTG: .5(-0
2" FLOOR SQ. FTG:
N /�
Address:
IMPERVIOUS SURFACE
AREA: gt, a
FINISHED BAS MENT
--2
SQ. FTG:
City:
State:
Zip:
Phone:
Fax:
HEAT SOURCE:
t -S
Contractor Lic No:
Exp Date:
City Business Lic. No:
roject: $ f
.,.2) reN,tolit baclOieer,
Aclnc $4Vat4 a ReyvDL DC��n�se4c�
Mui /D,e�icld`Jjaws !rrx,n�i4� rop„i5
00
**************The following MUST be complete: (write N/A if not applicable)**********************_
HEIGHT TO PEAK:
12'
DIMIENAIONS: >
03A 3�
# OF STORIES:
1
TOTAL HABITABLE SPACE:
13i-3
MAIN FLOOR TO SQ.
FTG: .5(-0
2" FLOOR SQ. FTG:
N /�
UNFIN BASEMENT SQ. FTG:
i 5)
IMPERVIOUS SURFACE
AREA: gt, a
FINISHED BAS MENT
--2
SQ. FTG:
GARAGEO5 FTG:
3
DECK/COV. PATIO SQ. FTG:
2(p
30% SLOPES ON b
PROPERTY:
# OF BEDROOMS:
Z
CONSTRUCTION TYPE:
WOOS
HEAT SOURCE:
t -S
SEWER OR SEPTIC?
Scr tA4.
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 prd�essed. �\ /
SIGNATURE: / /� r DATE: 7/)))07—
Method
/)))0'-Method of Payment:
0 Cash 0 Check 0 Mastercard 0 VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 2/15/07
*Wane
doValley®
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ 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
O Foundation plan
O Insulation information
Q.
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HA`L'
LIVING AREA
726 sq ft
LIVING
11'5 x 23'3
11'5
P C"
r'
0 2A Lg
-C(1&‘rt1/4A6'V.
v
I
PROVIDE DIAGRAMS AND
ENGINEERING LAYOUTS FOR
ROOF TRUSSES, BEAMS AND
FLOOR SYSTEMS PRIOR TO FRAMING
INSPECTIONS
CITY COPY
THIS BUILDING SUBJECT
TO FIELD INSPECTION CORRECTIONS
REVIEt';L.�
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w Otey
_ C'^.MiPL_IAN CE
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