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2010, 10-05 Permit App: 10003227 Plumbing Fixtures
Project Number: 10003227 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/5/2010 Page 1 of 2 Project Information: Permit Use: INSTALL PLUMBING FOR BATHROOM IN BASEMENT/HOOK UP TO SEWER Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 000750 Name: EVERGREEN ACRES ADD Contact: BERSAGEL, CRAIG, Address: 14019 E NIXON AVE C - S - Z: SPOKANE VALLEY, WA 99206 Phone: (509) 926-0598 Group Name: Project Name: District: East Parcel Number: 45143.2623 Block: SiteAddress: 14019 E NIXON AVE Location:: CSV Zoning: R-3 SF Res District Lot: Owner: Name: BERSAGEL, CRAIG Address: 14019 E NIXON AVE SPOKANE VALLEY, WA 99206 Water District: 010 VERA Hold: ❑ Area: .00 Acres Width: 8500 Depth: 154 Right Of Way (ft): 50 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: Review Building Plan Review Permits: Released By: Originally Released: 10/4/2010 By: tmelbourn Contractor: OWNER Building Permit Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Description Grp kat Notes Sq Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB PLAN 0 $3,000.00 0 $3,000.00 REVIEW FEE Item Description RESIDENTIAL PERMIT FEE WSBCC SURCHARGE SF PLNS RVW < 7999 SQ FT Totals: 0 $3,000.00 0 $3,000.00 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Fee Amount $83.25 $4.50 $33.30 Permit Total Fees: $121.05 Operator: JD Printed By: JD Print Date: 10/5/2010 Project Number: 10003227 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/5/2010 Contractor: OWNER Item Description TOILETSBIDETS SINKS SHOWERS FLOOR DRAINS MISCELLANEOUS FIXTURES Notes: Payment Summary: Permit Type Building Permit Plumbing Permit Plumbing Permit Firm: OWNER Phone: (000) Units 1 2 1 1 1 Fee Amount $121.05 $36.00 $157.05 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Invoice Amount $121.05 $36.00 $157.05 000-0000 Fee Amount $6.00 $12.00 $6.00 $6.00 $6.00 Amount Paid $33.30 $0.00 $33.30 $36.00 Amount Owing $87.75 $36.00 $123.75 Page 2 of 2 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: 10/5/2010 Stio'liane Community Development Department Permit Center 11703 East Sprague Avenue, Suite 6-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 permitcenter@spokanevalley.orq (Staff Use//Only) PERMIT NUMBER:/ <3 PERMIT FEE: RESIDENTIAL CONSTRUCTION PERMIT APPLICATION NEW CONSTRUCTION KADDITION/REMODEL 0 DECK 0 OTHER SITE ADDRESS: , / Lf 0 ( cj Npeo q ASSESSORS PARCEL NO.: L/S-/ iy3 +2 6-2i LEGAL DESCRIPTION:, f/c/ 4(i l [�Vp-�, X,, /I BUILDING OWNER NAME: ( 4 cAg- 5 0 ACCESSORY BUILDING NAME: del '' , /( j4 ( �j e ,- ADDRESS: £ / Ci& IO //� ,/ \f let Crrv: cs) "(/7 Wt //Q y A STATE:: ZIP: PHONE: 72 6-- 0 r7 5 O FAX: 7 z. -CJ 2 c/ 7 2_ CELL: C/-7 c- 7 S" Z CONTACT NAME:i'1 z -/G PHONE: 474 f CONTRACTOR NAME: FAX: ie/ A? CELL: MAILING ADDRESS: yvt CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE NO.:C/A /, C•Xr2 f/1MGXPIRES: ✓ 4,/iLcm' BUSINESS LICENSE NO.: 60 ( c2 5—r9 S DESCRIBE THE SCOPE OF WORK IN DETAIL AND „INDICATE USE & PROPOSED USE: IkAte r -2 v PAX)--x-Y1- rte-, t- Lb.o :c /700 k o y0 ,d °St /=r) T , (a -4- 5-f,, ****YOU MUST COMPLETE THE FOLLOWING**** NOT_AP_ PLICABLE Height to Peak: k(A /�1 Dimensions: N A No. of Stories: / l Total Habitable Space: Main Floor SQ FT• - J -- 1-1 Upper Floor SQ FT: k, !X N Unfinished Basement SQ FT: / 4 Al Finished Basement SQ FT: Garage SQ FT: ( r\IFT: Deck/Covered Patio SQ pVA Impervious Surface , j A v Area: et 30% Slopes on Property: No. of Bedrooms: _3 Construction Type: F Heat Source: git 5 Sewer or Septic: TOTAL COST OF PROJECT: $ L:,)7C (5d 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 appr. - . . y dation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be required,p.be s - • and sub - • ently approved before this application can be processed. ctober 28, 2007 e opment\02 A Page 1 of 2 ration\03 Forms - Official Versions\Permit Center\Residential Construction Permit App 10.28.07.doc III II 4000 Val leY Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 pernitcenter."a;spokancvalleV ore Community Development Plumbing Permit Application PERMIT NUMBER: PERMIT FEE: ❑ Commercial Ea Residential SITE ADDRESS: E./40? 0(0(1 Building Owner C �p �, f 1 C )15.1 Cyr.4 L, 0' �� Name: ,7) --Am,.., Phone: Fax: Address: City: State: Zip: Contractor Lfie41, (- . ^( C'47 1Name: (M1)T�g.iA� % Phone: Fax: Address: (4 9/AfixofCity: ../c_)/r� //7 /k/ State: Zip: �92/ 6 License No: e lk. fliN, City Business Lic: 6'0 j © ? 5—F75-- -F75—Contact/Project Contact/Project Manager: e14 -d] 15Name: Phone: 7,2,6_,.(D5-1.3, # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS p....c- URINALS TUBS SHOWERS (per trap) ////// " ! SINKS Lav/Basins, ar, Floor, Kitchen, n ;Utility, Janitor, Photo, X-ray, Food, Prep/ Meat DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate, ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE ♦ 1 Installatio Aiteratiorjs, Repair, Reversals WATER USING DEVICE Ice and/or Coffee maker, hoseeamer 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 th pheric type vacuum breakers k r MEDICAL GAS INCEPTORS ❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: Card# VIN: SIGNATURE: P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc Valley Site Address: 14019 E NIXON AVE Parcel Number: 45143.2623 Zoning: R-3 Fire District: FD 01 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 0 Previous pre -app meeting 0 Plan revisions 0 Transmittal Date: Monday, October 04, 2010 Water District: VERA Project Number: 10003227 Applicant: BERSAGEL, CRAIG 14019 E NIXON AVE SPOKANE VALLEY, WA 99206 (509) 926-0598 e-mail: e-mail: Contact: BERSAGEL. CRAIG Occupant: 14019 E NIXON AVE e-mail: SPOKANE VALLEY, WA 99206 (509) 926-0598 e-mail: Owner: BERSAGEL. CRAIG 14019 E NIXON AVE SPOKANE VALLEY, WA 99206 Contractor: OWNER () - 0 Arch / Engineer: e-mail: ECIEU9LE -_-� OCT 04 MG M11=LOJfG Project Description: INSTALL PLUMBING FOR BATHROOM IN BASEMENT/HOOK UP TO SEWER Building Landuse Engineer Utilities Health Fire Dist Assessor APPLICATTIO CONSTRUCTION PLAN F. 3 TD S Please send all plan review and project comments via e-mail to the highlighted individuals. SpokaneValley® For City UseOnly PLUS Project Number i` i.1= Project Address 1 4 D ! `ij 11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206 509.688.0036 ♦ 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 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. WHITE -APPLICANT PINK - BUILDING FILE REV 9/07