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2008, 01-24 Permit App: 08000161 ResidenceProject Number: 08000161 Inv: I Application Date: 1/24/2008 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Parcel Number: 55073.2212 Block: Lot: SiteAddress: 17501 E NORA LN Owner: Name: FLORA SPRINGS DEVELOPMENT Address: 721 N PINES RD Location:: CSV SPOKANE VALLEY, WA 99206 - Zoning: R-3 SF Res District Water District: 134 CONSOLIDATED ID #19 Hold: Area: 5,000 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review i Building Plan Review Released By: Originally Released: 1/18/2008 By: tmelbourn Landuse/Zoning/HE Conditions Released By: Originally Released: 1/23/2008 By: tschmidt Sewer Review Released By: Originally Released: 1/23/2008 By: jdavis Permits: Operator: jmm Printed By: JD Print Date: 1/24/2008 Project Number: 08000161 Inv: I Application Date: 1/24/2008 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Operator: jmm Printed By: JD Print Date: 1/24/2008 Building Permit Contractor: ALEX RAIDER CONSTRUCTION Firm: ALEX RAIDER CONSTRUCTION Address: 17503 N KIMBERLY RD Phone: (509) 468-1613 COLBERT, WA 99005 This Application: Total Project: Description Gra Twe Notes Sq Ft Valuation Sa Ft Valuation 1&2 FAMILY R-3 VB 1,051 $99,834.49 1,051 $99,834.49 BASEMENT F R-3 VB 1,043 $20,860.00 1,043 $20,860.00 COV DECK R-3 VB 24 $360.00 24 $360.00 DECK OPEN R-3 VB 84 $1,260.00 84 $1,260.00 GARAGE U-1 VB 440 $8,360.00 440 $8,360.00 Totals: 2,642 $130,674.49 2,642 $130,674.49 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,167.35 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW < 7999 SQ FT 1 SELECT $466.94 Permit Total Fees: $1,638.79 Mechanical Permit Contractor: R & R HEATING & AIR COND INC Firm: R & R HEATING & AIR COND INC Address: 4019 E CENTRAL Phone: (509) 484-1405 SPOKANE, WA 99207 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=I00,000BTU 1 NUMBER OF $12.00 GAS PIPING 4 # OF UNITS $4.00 HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00 VENTILATING FANS 4 NUMBER OF $40.00 HOOD -TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $88.00 Operator: jmm Printed By: JD Print Date: 1/24/2008 Project Number: 08000161 Inv: I Application Date: 1/24/2008 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: JACKSON PLUMBING Address: P.O. BOX 7272 SPOKANE, WA 99207 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS MISCELLANEOUS FIXTURES WATER PIPING - DWV Notes: Plumbing Permit Firm: RANDY JACKSON PLUMBING Phone: (509) 926-7101 Units Unit Desc Fee Amount 3 NUMBER OF $18.00 4 NUMBER OF $24.00 1 NUMBER OF $6.00 2 NUMBER OF $12.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 3 NUMBER OF $18.00 1 NUMBER OF $6.00 Permit Total Fees: $108.00 FLORA ESTATES -REFER TO ADE -19-06 FOR LOT WIDTH/FRONTAGE-MH FLORA ESTATES -SEE FILE ADE -19-06 FOR LOT FRINTAGE/WIDTH-MH Payment Summa Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,638.79 $1,638.79 $0.00 $1,638.79 Mechanical Permit $88.00 $88.00 $0.00 $88.00 Plumbing Permit $108.00 $108.00 $0.00 $108.00 $1,834.79 $1,834.79 $0.00 $1,834.79 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: JD Print Date: 1/24/2008 0110 � Spokane jva11eyb Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www. spokanevalleyorg PERMIT NUMBER: r; I(" PERMIT FEE: Residential Construction XNew Construction ❑ Accessory Bldg Permit Application ❑ Addition/Remodel ❑ Deck ❑ Other: SITE ADDRESS: I7�O/ �1 / Y I�{ / /'l o T 12 � ✓ Z 0 c�k- l ASSESSORS PARCEL NO: LEGAL DESCRIPTION: /—'L <%�f e!� 5p,01�C,S Building Owner: Name: z -x !Z Address` :0 /�,4- Cit y/j/;`S, State: Zip Phone: _4©� Fax: Contact Person Name: Phone: - 401D Q Contractor: Name: Address: City:&j,,7e �,2�a7 State: ZipC796 Phone:���v Fax: Li 02� y Exp Date•O �O City Business Lic. No: 7 Describe the scope of work in detail: Cost of Project: $ /% t`?c�� • �� �7G� Gc9l/l - : t2 Proposed Use: - S; **************The followin2 MUST be complete: write N/A if nota licable)********************** HEIGHT TO PEAK:DI NS � )N7 O # OF STORI S: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. 2 FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE > 1p4 ,--_ ---. = AREA: �G SQ� D BAS G1ARAG�QF EC OV. PAT�� Q; F 3P0% SLOPES SON # OFFBBEED BEDROOMS: CONSTR� CTIO TYPE: HEATS SOURCE: �ER SEPTIC? �� ;�W 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 prossed. SIGNATURE: , DATE: Method of Payment° ❑ Cash ❑ Check ❑ Mastercard Bankcard M Expires: Authorized Signature: REVISED 2/15/07 ❑ VISA VINM • 1111 Sjö1 ' �ane Valley® 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 ❑ Foundation plan ❑ Insulation information S CITY po mne ,m;0OValleyo For City Use Only PLUS Project Number Project Address 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206 509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenterCspokanevalley.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 i 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 L tA-) ➢ Submit complete, accurate plans and docs Extra time may be re uired or re-subm y q f _ _ ,r-..... _ � multiple applications and it may be several days before they can look ➢ Designate a specific contact person to coi While the person designated as the appli expertise for dealing with reviewer coma, ➢ Call staff regarding the status of your pro Although you should be contacted on or by your target date. Staff may contact y procedure, you will save time and allow i U BY CITY OF SPOK t,,1F \iAI I -EY JAN J 5 OF BY: PEHMIT CENT 1-H rged, one individual with the ,w process. f the page. if you haven't heard from us complete. By following this `ously. 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 %-- L u7- 1 JV� 7,12 DBY 7`J-0/ .`• A/0 ,4 Permit Center 11703 E Sprague Ave, Suite B-3 11�1`11�' Spokane Valley, WA 99206 jVdll�` (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevalley.org Mechanical Per/mit Application ❑ Commercial �C SITE ADDRESS: / �✓ �/ ( l / C l%� , i PERMIT NUMBER: PERMIT FEE: Residential k /i4oi-5 Building Owner DESCRIPTION OF WORK # OF UNITS X Name: PhoneZ 3 Q ... Fax: '7.. S Address: City: State: Zip: Contractor X $15.00 = 3 Name:R-If;�F' .y Phone: Fax: $50.00 = Address: 41 City: State: Zip: License No: City Business Lic: USED APPLIANCE SEC min. AFUE rating) Equal to or less than 400,000 Contact $50.00 = 6 USED APPLIANCE SEC min. AFUE rating) Name: Phone: `' S 7 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 SEC min. AFUE rating) Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE SEC 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 BOILERIREFRIGERATION 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 = 13 RANGE X $10.00 - 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING each outlet X $1.00 - 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS X $10.00 = 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 11 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 8/26105 EXPIRES: VIN' SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: Permit Center Sanpokane 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 ww.s �'�%11ey& 8-0036 FAX: (509)688-0037 www.spokanevalley.org Community Development Plumbing Permit Appfplication/ ❑ Commercial SITE ADDRESS: _ / 7 ` PERMIT NUMBER: PERMIT FEE: Building Owner DESCRIPTION OF WORK # OF UNITS Name: Phone: a ' Fax: TOTAL AMOUNT Address 1 TOILETS State: Zip5Z/ Contractor $6.00 - Name:7 .�. - Phone: � Fax: Address: City: State: Zip: License No: City Business Lie: Contact $6.00 - Name: Phone: tG Q' . , BATH, STALL, ON-SITE BUILT DESCRIPTION OF WORK # OF UNITS X I COST = TOTAL AMOUNT 1 1 TOILETS WATER CLOSET, BIDETS X $6.00 - 2 URINALS X $6.00 - 3 TUBS X $6.00 - 4 SHOWERS PER TRAP BATH, STALL, ON-SITE BUILT X $6.00 - LAVS/BASINS, BAR, FLOOR, KITCHEN, 5 SINKS LAUNDRY, UTILITY, JANITOR, PHOTO, /_ X $6.00 = X-RAY, FOOD, PREP/CULINARY MEAT f !� 6 DISHWASHER X $6.00 - 7 CLOTHES WASHER X $6.00 - 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X $6.00 - 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.00 = AREA, CASE, COIL, TRENCH, 11 FLOOR DRAINS CONDENSATE X $6.00 - 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 - 13 FOUNTAINS, DRINKING X $6.00 - WATER PIPING/DRAIN-IN WASTE, NSTALLATION, ALTERATION, REPAIR, 14 VENT, PLUMBING, REVERSAL REVERSALS / X $6.00 - 15 SEWAGE EJECTOR GRINDER SUMP PUMP X $6.00 - ICE AN/OR COFFEE MAKER, HOSE BIB, 16 WATER USING DEVICE STEAMERr� X $6.00 = PROOFER, CARBONATOR, SWAMP COOLER ,lrJ VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, 17 CROSS CONNECTION DEVICE BOILERS X $6.00 - GREASE TRAP, SAND TRAP, 18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 - 19 MEDICAL GAS(per outlet NITROUS OXYGEN X $6.00 - 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 - 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 - SUBTOTAL METHOD OF PAYMENT: PROCESSING FEE ❑CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES: $35.00 Card# 01 VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE:'_ REVISED 8/26/05 ,_