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2008, 10-15 Permit App: 08001703 Residence Project Number: 08001703 Inv: 1• Application 411: 10/15/2008 Page 1 of 5 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW 4,333 SF,1 STORY,BLDG Contact: RND ARCHITECTS PLLC Address: 2593 W BOLIVAR AVE C-S-Z: COEUR D'ALENE ID 83815 Setbacks:Front Left: Right: Rear: Phone: (208)861-6928 Group Name: Site Information: Project Name: MISSION MEADOWS COMMUNITY CENTER Plat Key: Name: MISSION MEADOWS MHP MFG HOME PK 123 UNITS District: East Parcel Number: 55083.9066 Block: Lot: SiteAddress: 19312 U E NORA LN Owner:Name: MISSION MEADOWS LLC Address: 15918 E CAMERON CT Location::CSV SPOKANE VALLEY,WA 99037 Zoning: R-4 SF Res Urban District Water District: 134 CONSOLIDATED ID#19 Hold: ❑ Area: 11.74 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: r ,�� a� y � �� . _ Review Bldg Plan Review Released By Originally Released: 9/8/2008 By: NBENTLE Water District Review Released By: OK PER EMAIL DATED 9/9/08 Originally Released: 9/9/2008 By: JLMain Fire District Review Released By Originally Released: 8/18/2008 By: THARVEY Operator: jmm Printed By: jmm Print Date: 10/15/2008 Project Number: 08001703 Inv: 1 Application • 10/15/2008 Page 2 of 5 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Health Dist Review Released By: ,;� , Food service area for potlucks and catered events. Originally Released: 8/26/2008 By: emeyer . .................... ........ Land Use Review Released By: SEE CONDITION Originally Released: 10/15/2008 By: mharnois DE Plan/Site Drainage Review Released By' Originally Released: 8/27/2008 By: RBrodwater DE Stormwater Review �7„ : . �” Released By.: Originally Released: 8/27/2008 By: RBrodwater DE Approach ReviewReleased By Originally Released: 8/27/2008 By: RBrodwater DE Concurrency-Traffic Released By: ' Originally Released: 8/27/2008 By: RBrodwater SCAPCA Review Released By: OK PER LETTER DATED 5/9/08 FROM CHUCK STUDER @ SRCAA Originally Released: 5/9/2008 By: JLMain Operator: jmm Printed By: jmm Print Date: 10/15/2008 Project Number: 08001703 Inv: 1• Application • 10/15/2008 Page 3 of 5 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit County Utilities(Sewer) ReleasedBy: PER B.URHAUSEN-UTILITIES-VIA PHONE-9/17/2008-MT Originally Released: 9/17/2008 By: mturbak Permits: . 'swamp AMP' itSIONISPES2 Building Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Building Characteristics Group: A-3 Type: VB Total Area 4912 Building Height 22 Stories 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation ASSM GEN A-3 VB 1ST FLOOR 4,525 $462,002.50 4,525 $462,002.50 REC BLDG ASSM GEN A-3 VB COVERED 386 $39,410.60 386 $39,410.60 PORCHES Totals: 4,911 $501,413.10 4,911 $501,413.10 Item Description Units Unit Desc Fee Amount COMMERCIAL PERMIT FEE 1 SELECT $3,243.25 COMMERCIAL PLANS REVIEW 1 SELECT $2,108.11 WSBC SURCHARGE 1 SELECT $4.50 OTHER FIRE REVIEW 1 SELECT $60.00 SITE PLAN REVIEW 1 SELECT $550.00 Permit Total Fees: $5,965.86 Operator: jmm Printed By: jmm Print Date: 10/15/2008 Project Number: 08001703 Inv: 1 • Application I. 10/15/2008 Page 4 of 5 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Mechanical Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount DUCT SYSTEMS 1 NUMBER OF $10.00 GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE>100,000BTU 2 NUMBER OF $30.00 GAS PIPING 1 #OF UNITS $1.00 HEAT PUMP OR A/C 0-3 TONS 2 NUMBER OF $24.00 VENTILATING FANS 2 NUMBER OF $20.00 RANGE 1 NUMBER OF $10.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $125.00 Plumbing Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 3 NUMBER OF $18.00 SINKS 4 NUMBER OF $24.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 FLOOR DRAINS 2 NUMBER OF $12.00 URINAL 1 NUMBER OF $6.00 FOUNTAINS,DRINKING 2 NUMBER OF $12.00 MISCELLANEOUS FIXTURES 5 NUMBER OF $30.00 Permit Total Fees: $114.00 Operator: jmm Printed By: jmm Print Date: 10/15/2008 Project Number: 08001703 Inv: 1. Application • 10/15/2008 Page 5 of 5 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: SMINDMOMMOWNWAVONWEIMININNESSe. Food preparation area for potlucks and catered events only. PRIOR TO CO-A REVISED SITE PLAN FOR THE MISSION MEADOWS MANUFACTURED HOME PARK MUST BE SUBMITTED SHOWING THE LOT WIDTH OF LOT 90 TO BE 108 FEET-MH Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $5,965.86 $5,965.86 $200.00 $5,765.86 Mechanical Permit $125.00 $125.00 $0.00 $125.00 Plumbing Permit $114.00 $114.00 $0.00 $114.00 $6,204.86 $6,204.86 $200.00 $6,004.86 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: 10/15/2008 • • CITY of (Staff Use Only) Spokaiie PERMIT NUMBER:4.jVai ley PERMIT FEE: Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 ,, 4 Tel: (509) 688-0036 `tr Fax: (509) 688-0037 permitcenter@spokanevallev.orq t-+'• ' COMMERCIAL (NONIIR DENTIAL) CONSTRUCTION PERMIT APPLICATION ® NEW CONSTRUCTION 0 TENANT IMPROVEMENT 0 OTHER SITE ADDRESS: 19312 E.Nom LN ASSESSORS PARCEL NO.: 55083.9066 LEGAL DESCRIPTION: LOT 90 MISSION MEADOWS PHASE 1 ,5 c7T .2SN. 1e456 BUILDING OWNER NAME:MISSION MEADOWS, LLC MAILING ADDRESS: 15918 E.CAMERON CT CITY: SPOKANE VALLEY STATE: WA ZIP: 99037 CONTACT PERSON NAME: RICHARD MASON PHONE:509 928-5160 FAx: 509 927-6757 CELL:928-5160 CONTRACTOR NAME:OWNER MAILING ADDRESS:15918 E.CAMERON CT CITY: SPOKANE VALLEY STATE: WA ZIP: 99037 PHONE:509 928-5160 FAX:509 927-6757 CELL:928-5160 CONTRACTOR LICENSE No.:N/A OWNER BUILD EXPIRES: NA CITY BUSINESS LICENSE NO.: NA ARCHITECT/COMPANY NAME:RNDARCHITECTS, PLLC MAILING ADDRESS: 2593 W. BOLIVAR AVE CITY: COEUR D'ALENE STATE: ID ZIP: 83815 PHONE: 208 664-5282 FAX: 208 769-7172 CELL(208)861-6928 NAME OF OCCUPANT OF STRUCTURE:MISSION MEADOWS COMMUNITY CENTER PHONE:509 928-5160 FAX: 509 927-6757 CELL: 928-5160 CONTACT PERSON NAME:RICHARD MASON PHONE:SAME AS ABOVE FAX:SAME AS ABOVE CELL:SAME AS ABOVE DESCRIBE THE SCOPE OF WORK IN DETAIL 4,333 SF COMMUNITY CENTER TO BE CONSTRUCTION WITHIN THE EXISTING MISSION MEADOWS MANUFACTURED HOME COMMUNITY. BUILDING WILL CONTAIN AN DINING AREA,A OFFICE,KITCHEN AND EXERCISE AREA. THIS PROJECT ALSO INCLUDES A SMALL PARKING AREA AND LIMITED SITE WORK. Effective October 28, 2007 Page 1 of 2 C:\RnD\Mission Meadows Community Center\Permit Applications\Commercial (Nonresidential) Const. Permit App.1.doc • • TYPE OF PROJECT:COMMERCIAL BLDG TOTAL BUILDING SQ FT: 4,333 HEAT SOURCE:GAS FA FURNACE FIRE SPRINKLERS:NO PRIMARY OCCUPANCY:A-3 SQ FOOTAGE: 4,333 SECONDARY OCCUPANCY:N/A SQ FOOTAGE:N/A TOTAL COST OF PROJECT: $250,000 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. Signature Date: Method of payment: 0 Cash ® Check 0 Visa 0 Mastercard Bankcard #: EXP: VIN#: Authorized Signature: Effective October 28, 2007 Page 2 of 2 C:\RnD\Mission Meadows Community Center\Permit Applications\Commercial (Nonresidential) Const. Permit App.1.doc S,,Y a PERMIT CENTER pokane 11703 E.Sprague Ave.,Suite B-3 jValleySpokane Valley,WA 99206 509-688-0036;Fax 509-688-0037 www.spokanevalley.org Affidavit in Lieu of General Contractor Registration State of Washington ) County of Spokane ) I, iii %ovi'1L J/- )1'i , state as follows: (Print name as signed) 1. I have made application for a building permit from the City of Spokane Valley,Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under RCW 18.27.090,a copy of which is printed on the reverse side of this affidavit. 3. I understand that prior to issuance of a building permit for work that is to be done by any contractor, the City of Spokane Valley must verify either that the contractor is registered by the State of Washington,or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Spokane Valley of my compliance with this requirement,I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,I consider the work authorized under this building permit to be exempt under No. w , and will therefore,not be performed by a registered contractor. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. .....—APPA • ''LICANT'S SIGNATURE Signed and sworn to before me this Day of ,20_. bil5 Pc3r ��11FE/� I'ii No . Name(Print) Signature glirr co to q�% , Soo _ NOTARY PUBLIC in and for he State of /4 cc\ Soo 1 2 Washington,residing at: iCounty \�� t H\N\\�<� My Commission expires: \CA October 15,2007 Page 1 of 2 P:\Community Development\Forms\Building Forms Revised Code of Washington 18.27.090 Exemptions. The registration provisions of this chapter do not apply to: 1) An authorized representative of the United States 11) An owner who contracts for a project with a registered government, the state of Washington, or any contractor,except that this exemption shall not deprive incorporated city, town, county, township, irrigation the owner of the protections of this chapter against district, reclamation district, or other municipal or registered and unregistered contractors.The exemption political corporation or subdivision of this state; prescribed in this subsection does not apply to a person 2) Officers of a court when they are acting within the scope who performs the activities of a contractor for the of their office; purpose of leasing or selling improved property he or 3) Public utilities operating under the regulations of the she has owned for less than twelve months; utilities and transportation commission in construction, 12) Any person working on his or her own property,whether maintenance, or development work incidental to their occupied by him or her or not,and any person working own business; on his or her personal residence,whether owned by him 4) Any construction,repair,or operation incidental to the or her or not but this exemption shall not apply to any discovering or producing of petroleum or gas,or the person otherwise covered by this chapter who constructs drilling,testing,abandoning,or other operation of any an improvement on his or her own property with the petroleum or gas well or any surface or underground intention and for the purpose of selling the improved mine or mineral deposit when performed by an owner property; or lessee; 13) Owners of commercial properties who use their own 5) The sale or installation of any fmished products, employees to do maintenance, repair, and alteration materials,or articles of merchandise that are not actually work in or upon their own properties; fabricated into and do not become a permanent fixed 14) A licensed architect or civil or professional engineer part of a structure; acting solely in his or her professional capacity, an 6) Any construction,alteration,improvement,or repair of electrician licensed under the laws of the state of personal property performed by the registered or legal Washington,or a plumber licensed under the laws of the owner,or by a mobile/manufactured home retail dealer state of Washington or licensed by a political or manufacturer licensed under chapter 46.70 RCW who subdivision of the state of Washington while operating shall warranty service and repairs under chapter 46.70 within the boundaries of such political subdivision.The RCW; exemption provided in this subsection is applicable only 7) Any construction, alteration, improvement, or repair when the licensee is operating within the scope of his or carried on within the limits and boundaries of any site or her license; reservation under the legal jurisdiction of the federal 15) Any person who engages in the activities herein government; regulated as an employee of a registered contractor with 8) Any person who only furnished materials, supplies, or wages as his or her sole compensation or as an employee equipment without fabricating them into,or consuming with wages as his or her sole compensation; them in the performance of,the work of the contractor; 16) Contractors on highway projects who have been 9) Any work or operation on one undertaking or project by prequalified as required by RCW 47.28.070, with the one or more contracts, the aggregate contract price of department of transportation to perform highway which for labor and materials and all other items is less construction,reconstruction,or maintenance work; than five hundred dollars,such work or operations being 17) A mobile/manufactured home dealer or manufacturer considered as of a casual, minor, or inconsequential who subcontracts the installation,set-up,or repair work nature.The exemption prescribed in this subsection does to actively registered contractors.This exemption only not apply in any instance wherein the work or applies to the installation, set-up, or repair of the construction is only a part of a larger or major operation, mobile/manufactured homes that were manufactured or whether undertaken by the same or a different sold by the mobile/manufactured home dealer or contractor, or in which a division of the operation is manufacturer; made into contracts of amounts less than five hundred 18) An entity who holds a valid electrical contractor's dollars for the purpose of evasion of this chapter or license under chapter 19.28 RCW that employs a otherwise.The exemption prescribed in this subsection certified journeyman electrician, a certified residential does not apply to a person who advertises or puts out specialty electrician,or an electrical trainee meeting the any sign or card or other device which might indicate to requirements of chapter 19.28 RCW to perform the public that he or she is a contractor,or that he or she plumbing wprte that is incidentally, directly, and is qualified to engage in the business of contractor; irnmedia6y apRopgier to the like-in-kind replacement 10) Any construction or operation incidental to the of a lArsetipla whaifice or other small household construction and repair of irrigation and drainage ditches utilizailrf int==ent that requires limited electric power of regularly constituted irrigation districts or reclamation and 144 waste✓qpd/or water connections. An districts;or to farming,dairying,agriculture,viticulture, electrical-trainee)ni t be supervised by a certified horticulture,or stock or poultry raising;or to clearing or electrician while;pei tin=ning plumbing work. other work upon land in rural districts for fire prevention 'r, purposes; except when any of the above work is ` $ performed by a registered contractor; October 15,2007 Page 2 of 2 P:\Community Development\Forms\Building Forms • • Plan Review Evaluation Information Date: 9/8/08 Permit No# 08001703 Name of Site: Mission Meadows Rec. Building Address: 19312 E. Nora Ln. Use of Building: A-3 Type of Construction: VB Fire Suppression System: No Floor Area 1st Floor: (A-3) 4,525 sq. ft. Covered Porches 386 sq. ft. Occupant Load 1st Floor: (A-3) Kitchen .90, Dining/Gaming 214, Office 1.62, Card Rm. 21.10, Storage .53, Mech. Rm. .32, Exercise Rm. 6.64. Total: 247 Roof Height Eave: Peak: 22'-7" NREC: Yes, R&D Architects HB 1848 All Weather Protection: N/A Other Conditions: Plan Reviewer: Nik Bentley • • For City Use Only CITY OF PLUS Project Number poane Project Address r 440000 alle ° y 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 • Or City Use Only sjo TY PLUectNulrle Project Address ;40000 iT -* a e y 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. F 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 •F PROJECT TRACKING LOG PROJECT INFORMATION PLUS #: Address: �� _ O1C� 1 Gti��K, �,� 1.1( Contact: 1) 111ctL(COS: T -1J Name: IZ k Phone number:,`) .4 , email address: Fax number: 114H"1y1mW ��IVVON� �yFa�I'r �-'�r7SJ noto r i �'AV :� �y{y` �f 11 4 1 F i f''IY {' '1r�1� c l -�9��u��jfb��4�1 1FxJt AYi �jalial NOTES: r a6c a ui a • . Jodi Main From: Micki Harnois Sent: Wednesday, October 15, 2008 9:56 AM To: Jenna Davis; Jodi Main; Mary Kate McGee Cc: Mike Turbak Subject: FW: Mission Meadows FYI- Project#08001703 Micki From: Micki Harnois Sent: Wednesday, October 15, 2008 9:41 AM To: 'Ryan Neary' Subject: RE: Mission Meadows The lighting plan looks fine. I am signing off on the permit this morning. From: Ryan Neary [mailto:ryan.neary@adelphia.net] Sent: Monday, October 13, 2008 1:58 PM To: Micki Harnois Subject: Mission Meadows Micki, I was just checking in to see if everything looked OK with the lighting plan I submitted last week for Mission Meadows? Any chance we can get a sign off today. Thanks, -Ryan Ryan Neary,aia RND ARCHITECTS, P.L.L.C. 2593 w.Bolivar Ave Coeur d'Alene,ID 83815 ryan.nearv_(a>adelnhia.net (208)861-6928 cell (208)664-5282 fax 10/15/2008 • Jodi Main From: Consolidated Ir. District[consolidatedirrigation@comcast.net] Sent: Tuesday, September 09, 2008 11:12 AM To: Jodi Main Subject: Re: COMM'L RADAR lodi: The four projects are existing customers and do not require additional water service. There are no other requirements from ►ur District. Let me know if you need something more. 3ob Ashcraft-Mngr. Original Message From: Jodi Main To: consolidated irrigation(a�comcast.net Cc: Mike Turbak ; Jenna Davis Sent: Tuesday, September 09, 2008 9:23 AM Subject: COMM'L RADAR Bob We are looking for your approval on a few projects that we have in at this time. Can you give me an update or approval on the following: 19223 E APPLEWAY - VIRTUAL GOLF 19312 E NORA - MISSION MEADOWS COMMUNITY CENTER 2315 N DISCOVERY- WA ST FISH & WILDLIFE 17702 E SPRAGUE-NEW RETAIL BUILDING Thanks :) Jodi Main Certified Permit Specialist City of Spokane Valley Permit Center 11703 E Sprague, Ste B-3 Spokane Valley WA 99206 Phone: 509-688-0203 Fax: 509-688-0037 9/9/2008 rage i 01 1 • 0 Jodi Main From: Ryan Brodwater Sent: Wednesday, August 27, 2008 3:40 PM To: Jodi Main Cc: Mike Turbak Subject: Mission Meadows Community Center, Project#08001703 Jodi, Development Engineering has no further requirements for this project. I've signed it off in PLUS. Ryan Brodwater Assistant Development Engineer City of Spokane Valley (509)688-0296 rbrodwater(a.spokanevalley.org 8/28/2008 Fpf- _k DFpf 9f��uP 4) FIRE FNE IRE 4 DEPARTMENT 10319 EAST SPRAGUE AVE. •SPOKANE VALLEY,WA 99206-3627•(509)928-1700• FAX(509)892-4127 www.spokanevalleyfire.com PREVENTION DIVISION August 18, 2008 Permit#: 08001703 Project Address: 19312 E. Nora Lane Project Description: Community Center—Mission Meadows Applicant: RND Architects 2593 W. Bolivar Avenue Coeur d'Alene, ID 83815 861-6928 RE: Permit Acceptance The Spokane Valley Fire Department approves the issuance of the permit for the new construction for 19312 E. Nora Lane(Mission Meadows Community Center). If there are any questions please do not hesitate to call. Sincerely, Traci Harvey Fire Protection Engineer Spokane Valley Fire Department Cc Jodi Main City of Spokane Valley Jenna Davis City of Spokane Valley C:\Documents and Settings\jmain\Local Settings\Temporary Internet Files\OLK97D\Nora E 19312 Mission Meadows Comm Ctr Permit Acceptance.doc PROJECT # "8- I1o3 COMM'L PRE- APP ATTENDANCE SHEET DATE 5 IX -11 ob ®/ c%..3 NAME COMPANY INFORMATION (Qba-PHONE/EMAIL CPol( `f .lo0- . /?Y4IJ Nt R, Pi//._ ./f i -z- �� d -s, - c:.9,„1,)› /2, c.1 Alsok) L m;ss;o0 maa, <)s & (5-0?) 9 3 —? 23 lx_ LiI /'(1'/ %j' 7$ CS !/ i-- P/& / /z //y . fie /'6': -- 1-17‘0 1 1/ 7 I I(re'6,- l' SV/ de elcoii6i,d, &.5. (oP) - 03,4-c: Mrlia9-46-vbewkis,61-3/ViL 05A/72 -6V Sva-p/Nls- 4188- S i New project Proj ect Prezious pre-app meetingne r.!TV Transmittal --- Plan recisions ley City of Spokane Valley Transmittal Date: ommunity Development Friday,August 15,2008 Department 11703 E.Sprague Ave,Suite B3 Spokane Valley,WA 99206 Phone:509.688.0036 Site Address: 19312 E NORA LN Project Number: 08001703 Parcel Number: 55083.9066 Zoning: R-4 Water District: CONSOLIDATED ID #19 Fire District: FD 01 Applicant: RND ARCHITECTS PLLC Owner: MISSION MEADOWS LLC 2593 W BOLIVAR AVE 15918 E CAMERON CT COEUR D'ALENE ID 83815 SPOKANE VALLEY, WA 99037 (208) 861-6928 e-mail: e-mail: Contact: RND ARCHITECTS PLLC Occupant: 2593 W BOLIVAR AVE COEUR D'ALENE ID 83815 e-mail: (208) 861-6928 e-mail: Contractor: OWNER Arch/Engineer: ( ) - 0 e-mail: Project NEW 4,333 SF, 1 STORY, BLDG Description: Building Landuse Engineer Utilities Health Fire Dist Assessor COMPLETE SUBMITTAL PACKAGE SITE PLAN 1 1 ' l 1 TDS r PTL ) ) 1 Please send all plan review and project comments via e-mail to the highlighted individuals. May. 9. 2C08 2:43PM SPOKANE CLEAN AIR No. )o)y 1. L • / ; �,,: P Spokane Regional Clean Air Agency Signs Off On This Project. Spokane i\N Regional//�� . �(� Clean AirAgency 1101 W.College Ave..Suite 403.Spokane,WA 99201 .(509)477-4727. Fax(509)477-6828 •www.spokanecleanair.org Date: May 9,2008 To: City of Spokane Valley Community Development.Department 11707 E.Spraque,Suite 106 Spokane Valley,WA 99206 From: Chuck Studer,Air Quality Engineer I RE: SPOKANE REGIONAL CLEAN AIR AGENCY REQUIREMENTS FOR: File No 08001703 Proponent/Project Name RND ARCHITECTS PLLC © 1811 N MEADOWS PL, PARCEL 55083.9066 FOR A 4004 SF COMMUNITY CENTER Comments on Pre-Application Transmittal on 5/27/08 2 10:30 AM The following Is a list of concerns/issues that may need to be addressed for this project as determined from Information received by this office. The list is provided as a brief summary of general requirements and does not relieve the proponent from meeting all local, state, and/or federal regulations. For additional information or clarification, contact Spokane Clean Air at(509)477-4727. Copies of Spokane Clean Air regulations are available for purchase in our office or can be viewed and downloaded from hffp://wwwsookanec/eenair.orp. Construction related requirements • Dust emissions during demolition, construction and excavation projects must be controlled. This may require the use of water sprays,tarps,sprinklers, or suspension of activity during certain weather conditions. • Measures must be taken to avoid the deposition of dirt and mud from unpaved surfaces onto paved surfaces. If tracking or spills occur on paved surfaces, measures must be taken immediately to clean these surfaces. • Debris generated as a result of this project must be disposed of by means other than burning. • Spokane Clean Air strongly recommends that all traveled surfaces (i.e. ingress, egress, parking areas, access roads, etc.)be paved and kept clean to minimize dust emissions. • If objectionable odors result from this project, effective control apparatus and measures must be taken to reduce odors to a minimum. • Special attention should be given to proper maintenance of diesel powered construction equipment to reduce the impact of diesel exhaust, a suspected carcinogen. Additional requirements • A Notice of Construction and Application for Approval is required to be submitted and approved by Spokane Clean Air prior to the construction, installation, or establishment of an air pollution source. This includes emergency generators rated at 500 hp(375 kW)or higher, natural gas heating equipment units rated at 4 MMBTU/hr or higher(input), and heating equipment units fired with other fuels (e.g. diesel)rated at 1 MMBTU/hr(input)or higher. Contact Spokane Clean Air for a Notice of Construction application. • A Notice of Intent must be submitted to Spokane Clean Air prior to any demolition project or asbestos project. An asbestos survey must be done by an AHERA accredited building inspector prior to the demolition or renovation of buildings to determine if asbestos-containing material is present at the site. Contact Spokane Clean Air for a Notice of Intent application. 7 1 n}v?r7f-r-..‘N-1 working with you for clean 8i1SEPA Docs\DENERAL COMM➢NTS ORIGINAL.doa J ra . MAY 09 2008 14:51 509 477 6828 PAGE.02 0 S Commercial Development Permit Application Submittal Requirements Sjiökane Valley® New Commercial/Industrial/Multi-Family Buildings or Commercial Additions Project Name 4004 SF COMMUNITY CENTER Project Address 1811 N MEADOWS PL ' c i 3 i Z C I to r.f-\ Spokane Valley Project No. 08 1703 Parcel Number 55083.9066 Project Engineer RND ARCHITECTS PLLC Phone: 208-861-6928 Project Applicant RND ARCHITECTS PLLC Phone: 208-861-6928 Applicant Billing Address 2593 W BOLIVAR AVE, COEUR D'ALENE ID 83815 Pre-Application Date&Time MAY 27, 2008 © 10:30 AM Important Note: All materials indicted below must be included at the time of permit submittal. Failure to include ALL materials will result in rejection of the permit application. ALL materials MUST be submitted to**11703 E Sprague, Suite B-3** ONLY ANY PLANS SUBMITTED TO ANYWHERE OTHER THAN SUITE B-3 WILL BE NOT BE ACCEPTED A=Applicant P=Provided D=Deferred E=Exempt BUILDING DIVISION PACKAGE TO INCLUDE: A STAFF . P D E Item Description Al2 Complete Sets of Stamped Working Drawings including Civil and Site Plan 2 Sets of Stamped Structural Calculations 2 Sets of Stamped Soils Report or Approved by Engineer/Architect letter 2 Copies of NREC Calculations U 5 11 CopyCopy ofof Testing Stamped Laboratory HB Designation Form 1848 Weather Protection PLANNING DIVISION PACKAGE TO INCLUDE A STAFF . P D E Item Description 4- El1 Grading Plan 4-1 m J i 3 Landscape Plans including irrigation system jiti 1 Landscaping Promissory Letter IA 1 Nursery Estimate 1 Floor Plan 1 Exterior Lighting Plan(include specification of typical fixtures) �j" 1 Building Elevation m4 1 Copy of Environemental Checklist w/an attached 8 1/2" by 11"site plan 3 Copies of Critical Materials List ENGINEERING DEPARTMENT PACKAGE TO INCLUDE: A STAFF MPD E Item Description 1 Set Civil Plans(Prepared and Stamped by a Washington licensed -4 Professional Engineer)-24"x 36" only 1 Copy of Drainage Report(Prepared and Stamped by a Washington licensed Professional Engineer 1 Copy of Erosion and Sediment Constrol Plan (Prepared and Stamped by a Washington licensed Professional Engineer) 1 Copy of Landscape Plan-Specifically for Swale and Drainage _ N/-.1 Trip Distribution and Generation Letter(Prepared and Stamped by a �1�► Washington licensed Professional Traffic Engineer) Access Point Study(including sight distance analysis)-(Prepared and mped by a Washington licensed Professional Traffic Engineer) RE-CONSTRUCTION CONFERENCE FIRE DISTRICT 1 PACKAGE TO INCLUDE: A STAFF • P D E Item Description 1 Copy of Site and Civil plan to include Site water lines and Fire Hydrants Fire Suppression equipment(Ply, FDC, vault) 1 copy of Floor Plan and Reflected Ceiling/Lighting Plan to include: Fire Extinguisher locations Exit signs and Emergency Lighting ..I Fire Alarm panal &annunciator location Sprinkler riser room location copy of Fire Alarm Plan to include: location of initiating devices Location of annunciating devices 1 Copy of Fire Suppression Plan to include: Below Ground Fire Suppression system Above Ground Fire Suppression system 1 copy of Hazardous Materials Management F A STAFF . P D E Items Descriptions 9 Copies of Site Plans Multi Family or Commercial Construction Permit Application Plumbing Application Mechanical Application 9hproach Application/Right of Way Application $200 Plan Review Fee Deposit Representative initials received f'jt/ Date initialed 5---,,,,27-67? COMMENTS PROVIDED AT THIS PRE-APPLICATION MEETING WILL EXPIRE ON NOVEMBER 27,2008 6 MONTHS FROM MEETING DATE DATE COUNTER RECEIVED: w i COMPLETE .._:_ BY. . ; „. DEP, 00.NE VA/` 0. DFP, fll r �Q FIRE ��- $f° DEPARTMENT 10319 EAST SPRAGUE AVE. •SPOKANE VALLEY,WA 99206-3627•(509)928-1700•FAX(509)892-4127 www.spokanevalleyfire.com PREVENTION DIVISION June 27, 2008 Permit#: 08001703 Applicant: RND Architects Project Address: 1811 N. Meadows Place 2593 W. Bolivar Avenue Project Description: Community Center Coeur d'Alene, ID 83815 (208)861-6928 VERIFICATION OF AVAILABLE WATER FLOW A Pre-Application meeting for this proposed project was held on May 27, 2008 with the City of Spokane Valley Building Department. During that meeting the Spokane Valley Fire Department provided you with a list of comments that need to be addressed for your permit application. Item #7 stated that the required fire flow for a 4,004ft2 building of a Type V-B construction is estimated to be 1,750 g.p.m.for a duration of 2 hours.At the time of the meeting, the Spokane Valley Fire Department did not have any flow date for the recently installed hydrants in the proximity of your proposed project.We have since completed a flow test for the new hydrants and have determined that the fire flow is adequate for your proposed construction. Sin rely, or-1...exi,-;,,-.1„..../7:--- Norman Lof n, D , ICC-Certified Fir: rshal Spokane Valley ire Department ra ,ct01i • Tricia Prince From: Meyer, Eric[EMeyer@spokanecounty.org] Sent: Thursday, May 22, 2008 4:36 PM To: Permit Center Subject: May 27 Pre-Application Comments Good afternoon- I am sending the Health District comments for the Pre-Application meetings being held on May 27. Project 08001703-1811 N. Meadow Place-No Requirements Project 08001728-10 N.Argonne-No Requirements Project 08001719-2020 N. Argonne-Requirements attached We are unable to attend the meetings. Thank you. Eric D. Meyer,R.S. Administrative Technical Advisor Environmental Public Health Division Spokane Regional Health District 1101 W.College Ave. Suite 402 Spokane,WA. 99201-2095 Phone:(509)324-1582 Fax: (509)324-3603 mailto:emeyer@spokanecounty.org www.srlid.org Public Health -Always Working for a Safer and Healthier Community CONFIDENTIALITY NOTICE:This e-mail message and any attachments are for the sole use of the intended recipient(s)and may contain proprietary, confidential or privileged information.Any unauthorized review,use,disclosure or distribution is prohibited and may be a violation of law.If you are not the intended recipient or a person responsible for delivering this message to an intended recipient,please contact the sender by reply e-mail and destroy all copies of the original message. 5/30/2008 • • To: Spokane Valley Unassigned (City of Spokane Valley-Community Development) CC: From: Jim Red (Spokane County- Division of Utilities) Date: Thursday, May 22, 2008 Subject: 08-01703 Stage: Pre-Application Phase: SV Mission Meadows Community Center 1811 N Meadows PI SS09 As per the development regulations/zoning code of the governing authority as amended, a wet (live)sewer connection to the area-wide Public Sewer System is to be constructed. Sewer connection permit is required. Commercial developments shall submit historical and or estimated water usage prior to the issuance of the connection permit in order to establish sewer fees. SS12A Applicant shall submit expressly to Spokane County Division of Utilities "under separate cover", only those plan sheets showing sewer plans and specifications for the public sewer connections and facilities for review and approval. Commercial developments shall submit historical and or estimated water usage as part of the sewer plan submittal. SS12F Sewer plans acceptable to the Division of Utilities shall be submitted prior to the issuance of the sewer connection permit. Community• Center • PLUS Project Number: 08001703 1811 N.Meadows Place 05/27/2008: 10:30 AM 1. Use of Pre-Application Conference Notes These notes are prepared as a courtesy for the purpose of discussing concept drawings provided by the applicant. Review staff will provide comments that are relevant to design concept issues affected by the codes listed below to the extent that the information provided by the applicant allows. Staff will address specific questions regarding code interpretations when they are included in the pre-application conference materials. These notes reflect a review of the project concept and should not be construed as code review of the project design. No approvals are intended or implied. 2. Building Division(Nik Bentley,509-688-0205,nbentley@spokanevalley.org) 2.I. Codes 2.1.1. International Building Code(IBC),2006 edition Washington State Amendments WAC 51-50 2.1.2. International Mechanical Code(IMC),2006 edition Washington State Amendments WAC 51-52 2.1.3. International Fuel Gas Code(IFGC),2006 edition Washington State Amendments WAC 51-52 2.1.4. Uniform Plumbing Code(UPC),2006 edition Washington State Amendments WAC 51-56&WAC 51-57 2.1.5. International Fire Code(IFC),2006 edition Washington State Amendments WAC 51-54 2.1.6. National Electric Code(NEC),2005 edition 2.1.7. Washington State Energy Code WAC 51-11,2006 edition 2.1.8. Washington State Ventilation and Indoor Air Quality Code WAC 51-13 2.2. Building Criteria Occupancy Classification: New Bldg/Addition: A-3 Type of Construction: New Bldg/Addition: V-B Building Area: New Bldg/Addition: 4,698 sq.ft. Number of Stories: 1 Fire Protection: Non-sprinkler Design Criteria: Basic wind speed Wind Exposure Zone Ground Snow load Seismic Design Category 85 mph B 39 psf C TIT?ART TIT?A RT YID ART • • Community Center PLUS Project Number: 08001703 1811 N. Meadows Place 05/27/2008: 10:30 AM 2.3. Building Permit Requirements 2.3.1. Submit complete application obtained from packet 2.3.2. Submit 2 complete sets of drawings and specifications. Specifications shall include: X Soils report X Structural calculations X Energy calculations X Ventilation calculations. 2.3.3. Submit 2 copies with Spokane County Regional Health District approval stamp for all projects which include food service facilities, septic systems or other elements within the project which require health department approval. 2.3.4. All sheets of one set of plans intended for submittal must bear the wet stamp and signature of a Washington State licensed architect. Structural drawings and calculations must be similarly stamped by a Washington State licensed engineer except the calculations may be stamped on the cover sheet only. Subsequent submittals must be similarly stamped. 2.3.5. First comment letter can be expected within 4 weeks of submittal date. 2.3.6. Recheck will occur in one to three weeks after resubmittal. 2.3.7. Construction documents must include plumbing and mechanical systems 2.3.8. Changes to documents shall be accomplished by one of the following methods,redline,8-1/2"x 11", or full size sheets and submitted prior to plan approval. 2.3.9. When required,special inspections shall be performed by WABO approved agencies or by agencies approved by the building official prior to permit issuance. Construction must be approved by all reviewing departments prior to final building division inspection. 2.3.10. All concerned departments must sign off before the building division will conduct a final inspection. Building fmal must be approved prior to the issuance of a Certificate of Occupancy. The City of Spokane Valley does not issue temporary C.O.'s. 2.3.11. All Engineers and Architects involved in the design of the structure(s)must have valid seals,sign, and stamp the submitted plan sheets,details,and calculations as per Washington State Board of Technical Registration. 2.3.12. Need to verify setbacks between buildings and property line as per IBC,Table 601 and 602, pertaining to fire wall separations. 2.3.13. Provide emergency lights and lighted exit signs.This can be accomplished through transfer from the electrical plans or submit a single layout sheet on its own,as per IBC,section 1004 and 1011. 2.3.14. Facility must meet accessibility requirements for restrooms,primary use areas,and employee work areas,as per IBC,Chapter 11. 2.3.15. Need premises identification(Addressing)to be clearly visible and legible from the street or roadway fronting the property as per IBC, section 501.2. 2.3.16. Need the occupant load included on the cover sheet to the plans and posted within the structure after receiving the Certificate of Occupancy as per IBC, section 1004.3. T1AAT:T llDAtT 1lTTA'GT • • Community Center PLUS Project Number: 08001703 1811 N. Meadows Place 05/27/2008: 10:30 AM Site specific information: To determine the adequacy of the exiting system,a full floor plan will be required. See minimum construction drawing submittal requirements for details for submittal. Pre-Construction Conference is required for this project. When a pre-con meeting is required,all subs,the general or representative,the architect or representative,the engineer or representative,electrical contractor and any other interested party, should attend this meeting. Meetings will occur at the building department and will be scheduled by the inspector of record for the project 7lP A1~T Dl? AVT Dl? Al T Vat P. OK \N E Vq;4 \aE D�.•W f 4) FIRE F� �f DEPARTMENT 10319 EAST SPRAGUE AVE. •SPOKANE VALLEY,WA 99206-3627•(509)928-1700•FAX(509)892-4127 www.spokanevalleyfire.com PREVENTION DIVISION May 27, 2008 Permit#: 08001703 Applicant: RND Architects Project Address: wo1 a LCUY 2593 W. Bolivar Avenue Project Description: Community Center Coeur d'Alene, ID 83815 (208)861-6928 PRE-APPLICATION COMMENTS 1. FIRE APPARATUS ACCESS: [IFC 503 and 1410.1] Routes of travel around the buildings shall be adequate for fire apparatus. Fire apparatus access shall be maintained during construction. Clearly show fire department access on site plan. 2. BUILDING IDENTIFICATION: [IFC 505.1]Approved numbers or addresses shall be provided in such a position to be plainly visible and legible from the road fronting the property. Provide an elevation showing how the numbers will be posted shall be shown on the drawings. a. The site address shall be posted during construction. 3. OCCUPANCY LOAD: The occupant load for the entire building shall be noted on the floor plan. Any rooms with an occupant load greater than 10 shall be listed. 4. KNOX BOX: [IFC 506.1]A fire department lock box shall be installed for building access. See attached application and cover letter. Note location of lock box on floor plan. 5. FIRE EXTINGUISHER: Portable fire extinguishers shall be installed and shall be noted on the floor plan (generally, one 2A1 OBC rated extinguisher for every 75ft. of travel distance and a Class K rated extinguisher located within 30ft. of commercial cooking equipment). 6. CRITICAL MATERIALS:A critical materials list and a Hazardous Materials Management Plan shall be submitted for review or a letter stating that no critical or hazardous materials will be on the property. 7. FIRE FLOW & HYDRANTS:IIFC App. B and 1412.1] Based on the site plan, the type of construction(Type V- B), and building size(4,004ft ); the required fire flow is estimated to be 1,750 g.p.m.for a duration of 2 hours. One(1)fire hydrant is needed to meet the required fire flow. The location of all hydrants within 300'and the water supply lines shall be indicated on the site plan. Maintain a space clear of structures and landscaping for 3ft.around hydrants.The hydrants in this area are newly installed and there currently is no flow test data. 8. FIRE PROTECTION SYSTEM(s): Based on available information no Fire Protection systems are expected. If new information becomes available that changes this position the applicant will be notified. Fire Protection Systems are submitted under a separate permit. 9. WATER PLANS: Once plans have been reviewed a final copy signed by both the fire department and water department is necessary for issuance of the permit. Provide two copies of water plan for the fire department to sign, one copy will be kept for the file. The second plan will then go to the water department for signing. Send two copies of the signed water plan(with both signatures)to the permit center, one copy for the city file and one copy for the fire department file. Sincerely, Traci Harvey Fire Protection Engineer Spokane Valley Fire Department R • • I SOU 0,1\11.111114) akane Valley Development Engineering 11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206 509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhall®spokanevalley.org May 27, 2008 Ryan Neary RND Architects PLLC 2593 W. Bolivar Avenue Coeur d'Alene, Idaho 83815 RE: Mission Meadows Community Center (181 N. Mcaaows Place, #08001703) /93/ - . rlorcL Pre-Application Comments Development Engineering has reviewed the preliminary site plan submitted for the above referenced project. The following is a preliminary list of items to be addressed for the project at time of application. All submittals shall be sent through the City of Spokane Valley Building Division. Design 1. All documents described below that require engineering (including street plans, drainage plans drainage reports, etc.) shall be prepared by a Professional Engineer, licensed in the State of Washington. Plans shall conform to the Spokane County Standards for Road and Sewer Construction, 2001 Edition (or as amended),the 2008 Spokane Regional Stormwater Manual (or as amended),the City of Spokane Valley Uniform Development Code and all other federal, state and local regulations, as applicable. (lark, afN, 2. Frontage Improvements: Meadows Plac ity designated a local Access street located in a residential zone. At this location,pave ent, curb, gutter, swale and sidewalk have been constructed and no further improvements are required at this time. 3. A site plan shall be submitted for review. All items on the Commercial Development Permit Minimum Site Plan Requirements list, given to you during the pre-application meeting shall be on the site plan, including parking and traffic circulation patterns with appropriate pavement markings and signage. 4. The site plan shall include the following impervious area calculations: a. Rooftop area: existing, new and total; • • Mission Meadows Community Center May 27,2008 1811 N.Meadows Place;#08001703 Pre-Application Comments b. Pavement area: existing, new and total; c. Gravel area: existing, new and total; and, d. Total impervious area. 5. Runoff from this area will need to be treated. A drainage plan and drainage report shall be submitted at time of civil plan submittal. 6. A Temporary Erosion and Sedimentations Control (TESC) plan shall be submitted with the civil plans. 7. A thorough search for all survey monuments shall be conducted. Any found monuments shall be referenced on the civil plans. 8. The permittee is responsible for arranging all necessary utility adjustments, relocations, or improvements as required for completion of the project. The developer shall contact the purveyors of each affected utility regarding private service, utility improvement, and any relocation and adjustment costs. All rigid objects shall be located out of the clear zone. Clear zone requirements can be found in the Spokane County Standards for Road and Sewer Construction, 2001 edition(or as amended). 9. If the installation or alteration of utilities requires work in the City of Spokane Valley roadway system,the applicant shall submit civil plans showing: the extent of pavement removal and replacement; cross sections showing existing and replacement lane widths, pavement thickness,top course thickness and cross slope; and profiles showing centerline, right and left edges of pavement, grades, changes in elevation from existing, and how the replaced roadway ties into the existing(tapers, etc.). 10. Any new dry wells and other injection wells (e.g. existing) must be registered with the Underground Injection Control program(UIC) at the Department of Ecology prior to use and the discharge from the well(s)must comply with the ground water quality requirement(non-endangerment standard) at the top of the ground water table. Contact the UIC staff at UIC Program, Department of Ecology, P.O. Box 47600, Olympia, WA 98504-7600, (360) 407-6143 or go to: http://www.ecy.wa.gov/programs/wq/grndwtr/uic/registration/reg info.html for registration forms and further information. Copies of the registration(s) for wells which receive stormwater runoff from public streets are to be sent to the Spokane Valley Development Engineering Department. The City of Spokane Valley NPDES Permit Number is WAR04-6507. Construction 11. TESC structures (such as filter fence, silt ponds, silt traps) are to be installed prior to the start of site work. TESC measures are to be implemented and maintained throughout the duration of construction and until the site has stabilized. Page 2 • • • Mission Meadows Community Center May 27,2008 1811 N.Meadows Place;#08001703 Pre-Application Comments 12. All survey monuments shall be protected during construction. Any disturbed or damaged monuments shall be replaced prior to certification/final plat. Certificate of Occupancy 13. Upon completion of all improvements, (including civil, site and stormwater facilities), a letter prepared by the Professional Engineer who prepared the plans for said facilities, shall be submitted. The letter shall state that the Professional Engineer has inspected the improvements and that the improvements are constructed according to the project's plans and specifications. The improvements will then be inspected and approved prior to Certificate of Occupancy signoff from Development Engineering. 14. Copies of the Washington State Department of Ecology (DOE)drywell registrations (existing and proposed) for drywells which receive stormwater runoff from public streets shall be submitted with construction certification. 15. Note: Additional requirements for Certificate of Occupancy may be given after civil plan acceptance. General 16. Review of civil plans and supporting documents cannot proceed until an application for a grading permit has been received. 17. All documents (plans, reports, etc)must be submitted through the Building Department Permit Center located at 11703 E Sprague Avenue, Suite B-3. 18. Note: These comments are preliminary and reflect requirements in place at the time of this meeting. Requirements may change by the time of the formal application submittal. If you have additional questions, please contact me at mmay@spokanevalley.org or(509) 688- 0242. Sincerely, Mary E. MO, AICP (11 Development Enginee#ing Technician cc: Spokane Valley Planning Division Spokane Valley Building Division- Permit Specialist Spokane Valley Development Engineering—Project File Page 3 • SCITYok pane ValleY 11707 E.Sprague Ave. • Suite 106• Spokane Valley,WA 99206 (509)921-1000 • Fax(509)921-1008 • cityhall@spokanevalley.org 1 o po .ne I a ey epa men o ommuni .. ._w t eve opmen Pre-Application Meeting Land Use Review Comments May 27, 2008 Reference No.: BLD-08001703 Applicant: RND Architects, PLLC Proposal: Community Hall Parcel No.: 55083.9066 Address: 19312 E Nora Lane Zoning: R-4 Related Land Use Actions: MHP-4-96 The City of Spokane Valley Department of Community Development has completed a review of the above referenced project. The following information must be submitted in order for this office to proceed with our review to determine compliance of the project with all applicable standards and conditions. Please submit all revised information to the Permit Center for circulation of the information to all implementing departments and agencies. A. The number of off-street parking stalls required for this proposal is sixteen(16). Eleven(11) off-street parking stalls are shown on the submitted site plan. Off-street parking requirements will be based on the following ratios: a. Office: One(1) space per two hundred fifty (250) gross square feet b. Community Hall, club or lodge: One (1) space per two hundred(200) gross square feet. The required five(5) off-street parking stalls not shown on the site plan shall be waived as the community center will be utilized mainly by the residents of the Mission Meadows Manufactured Home Park who will most likely be walking to the facility. Note the paving of all parking areas and traveled areas as required by code. Dimension a typical off-street parking stall and all travel surfaces as per the Zoning Code standards. One (1) accessible off-street parking space is required for this proposal and it most be van accessible. • • Locate and describe all traffic control devices (painted parking stalls on asphalt,wheel stops, curbing, etc.). B. The City of Spokane Valley encourages the retaining of all existing landscaping, if possible. A detailed landscape plan (per the standards set forth in Section 22.70.100) shall be submitted indicating the following: 1. The maximum of ten percent (10%) of the number of required parking spaces may be replaced with landscaping. Ten(10)points of landscaping shall be required for each substituted parking space. Each parking lot island and/peninsula shall be a minimum of one hundred thirty(130) square feet with a minimum average width of five (5) feet a contain a minimum of one (1)medium tree. The distance between any parking space and landscaped area shall be mo more than seventy-five (75)feet. of a landscaped area consisting of one hundred thirty(130) square feet in area with a minimum width of five (5) feet. This landscaping shall be located between parking stalls, at ends of parking columns or between stalls and the property line. Landscaping located between a parking lot and a recreational area or building will not satisfy these conditions. 2. All landscaping must provide a three (3)foot clear area around all fire protection equipment. 3. Note an approved automatic irrigation system will be installed to maintain the plantings. 4. A nursery estimate shall be submitted for review which itemizes the cost of all landscape materials, labor and the automatic irrigation system along with a promissory letter on company letterhead ensuring the installation of all required landscaping as illustrated on the approved landscape plan. 5. Prior to the issuance of a Certificate of Occupancy a registered landscape architect will certify that the irrigation systems and landscaping has been installed in accordance with approved plans and specifications. 6. The landscaping plan shall be prepared and sealed by a registered landscape architect and include the size and type of landscaping materials, lot area, parking spaces that are required and proposed and a point calculation showing compliance with this provision.The minimum amount of landscape points for this proposal is one hundred twenty nine (129). C. Although the submitted site plan is generally acceptable,the Department of Community Development is requesting a revised site plan with additional information in i S order to confirm compliance of the proposal with all applicable zoning criteria. This information includes: 1. The building height in feet and stories. Include a note identifying basements and/or mezzanines. 2. Illustrate fencing (existing and proposed).Note the height and type of fencing. Fences over six(6)feet in height require a building permit and/or zoning variance. 3. Signage is addressed through a separate review and permit. New free-standing sign structures serving a new development shall provide a landscaping area. 4. Provide a specific lighting plan for the entire parcel per the outdoor lighting standards set forth in Section 22.60. 5. The Planning Division and Development Engineers requires a commercial site plan review fee of$550.00 payable to the City of Spokane Valley. This is required to be paid prior to issuance of building permits. 6. A Critical Materials List is required to be submitted to the Planning Division and Spokane Valley Fire Department. Only after all the information and requirements listed above have been supplied and completed and the necessary review has been accomplished will your building permit be released. The above listed requirements are to provide the applicant with primary agency comments to assist the applicant and aid in the process of receiving building permit approval. The above listed information provides a review of the proposal as shown on the submitted site plan. Alterations to that site plan may effect the Department of Community Development requirements. If you have any questions or concerns,please feel free to contact this office at(509) 688- 0048. /2 4 Micki Harnois Associate Planner City of Spokane Valley Department of Community Development May. 9. 1U08 1:4.3FM SNKAINt ULtAN AIK i40. )077 r. • • ?.,>>`' �''NSpokane Regional Clean Air Agency Signs Off On This Project. Spokane '� r‘k,NRegional Clean Ai rAgency 1101 W. College Ave..Suite 403.Spokane,WA 99201 • (509)477-4727. Fax(509)477-6828 •www.spokanecleanair.org Date: May 9,2008 To: City of Spokane Valley Community Development.Department 11707 E. Sprague,Suite 106 Spokane Valley,WA 99206 From: Chuck Studer,Air Quality Engineer I RE: SPOKANE REGIONAL CLEAN AIR AGENCY REQUIREMENTS FOR: File No 08001703 Proponent/Project Name RND ARCHITECTS PLLC © 1811 N MEADOWS PL, PARCEL 55083.9066 FOR A 4004 SF COMMUNITY CENTER ® Comments on Pre-Application Transmittal on 5/27/08 2 10:30 AM The following Is a list of concerns/issues that may need to be addressed for this project as determined from Information received by this office. The list is provided as a brief summary of general requirements and does not relieve the proponent from meeting all local,state, and/or federal regulations. For additional information or clarification, contact Spokane Clean Air at(509)477-4727. Copies of Spokane Clean Air regulations are available for purchase in our office or can be viewed and downloaded from htrp://www.spokanec(eanarr.orq. Construction related requirements • Dust emissions during demolition, construction and excavation projects must be controlled. This may require the use of water sprays,tarps,sprinklers, or suspension of activity during certain weather conditions. • Measures must be taken to avoid the deposition of dirt and mud from unpaved surfaces onto paved surfaces. If tracking or spills occur on paved surfaces, measures must be taken immediately to clean these surfaces. • Debris generated as a result of this project must be disposed of by means other than burning. • Spokane Clean Air strongly recommends that all traveled surfaces (i.e. ingress, egress, parking areas, access roads, etc.)be paved and kept clean to minimize dust emissions. • If objectionable odors result from this project, effective control apparatus and measures must be taken to reduce odors to a minimum. • Special attention should be given to proper maintenance of diesel powered construction equipment to reduce the impact of diesel exhaust, a suspected carcinogen. Additional requirements • A Notice of Construction and Application for Approval is required to be submitted and approved by Spokane Clean Air prior to the construction, installation, or establishment of an air pollution source. This includes emergency generators rated at 500 hp(375 kW)or higher, natural gas heating equipment units rated at 4 MMBTU/hr or higher(input), and heating equipment units fired with other fuels (e.g. diesel)rated at 1 MMBTU/hr(input)or higher. Contact Spokane Clean Air for a Notice of Construction application. • A Notice of Intent must be submitted to Spokane Clean Air prior to any demolition project or asbestos project. An asbestos survey must be done by an AHERA accredited building inspector prior to the demolition or renovation of buildings to determine if asbestos-containing material is present at the site. Contact Spokane Clean Air for a Notice of Intent application. ff` �( "rt?LJ' working with you for clean ailSEPA Docs\GENERAL common ORIGINAL.dO& MAY 09 2008 14:51 509 477 6828 PAGE.02 • • o ane Pre Application Transmittal Meeting Date/Time 4Valley City of Spokane Valley Community Development Department 5/27/08 @ 10:30 AM 11703 E. Sprague Ave,Suite B3 Spokane Valley, WA 99206 Transmittal Date: 5/6/2008 Site Address: 1811 N MEADOWS PL Project Number: 08001703 Parcel Number: 55083.9066 Zoning: R-4 Fire District: FD 01 Water District: CONSOLIDATED ID #19 Applicant: RND ARCHITECTS PLLC Owner: MISSION MEADOWS LLC 2593 W BOLIVAR AVE 15918 E CAMERON CT COEUR D'ALENE ID 83815 SPOKANE VALLEY, WA 99037 (208) 861-6928 Contact: RND ARCHITECTS PLLC Occupant: 2593 W BOLIVAR AVE COEUR D'ALENE ID 83815 (208) 861-6928 Project Description: COMM'L PRE APP-MAY 27, 2008 @ 10:30 AM--RND ARCHITECTS-RYAN NEA Notes: Comments: 4004 SF COMMUNITY CENTER Transmitted to the following agencies O Plan Review 0 Spokane Regional Clean Air Agency Landuse 0 Water District O Fire District 1 ❑ City of Spokane Water 0 Division of Engineering ❑ City of Spokane Sewer 0 Division of Utilities ❑ Wa Dept of Transportation O Environmental Health District ❑ ❑ Liberty Lake Sewer ❑ ❑ Development Assistance Coor. ❑ Inspector The intent of a pre-application meeting is to provide the applicant with the necessary information to develope a complete submittal, identify those regulations that may impact the project and enumerate other permits/licenses that may be required. This transmittal is to serve as an invitation to attend the meeting on the date and time indicated above and comment on this proposal. All comments should be in writing and must be provided to the Project Coordinator prior to the meeting. ' YES I. NO PLANNING DIVISION SIGNATUR LEe\r,(R- ,1‘.4 . I � � .t' SO:WanenT DATE: `> 4 CZ CCA"vv��iuNtt [L F �CIL�� tvt- (till l 5 \Taller _ 2� i o13Q4 11703 E.Sprague Ave., Suite B-3❑ Spokane Valley,WA 99 509.688.0036 ❑ Fax:509.688.0037 ❑ permitcenter@spokanevalley.org V- /703 Pre-Application Conference Application Form +-t v MAY 06 200E VI< COMMERCIAL BUILDING LAND USE -J SITE ADDRESS(ES): 19312 Nora Lane `/�� /h��O��5 11" - ----- PARCEL NUMBER(S) LOT SIZE(S) (acres or square feet) 5-04?-34 93G 5r= EXISTING USE OF SITE: i/AGAA/ EXISTING NUMBER OF LOTS: / FOR COMMERCIAL BUILDING ONLY: Occupancy Group: ,ISA ❑B ❑E ❑F ❑H ❑1 ❑M OR OS EIU Construction Type: ype Type IV Type III Type II Type I OA ®B ❑A OA OB OA OB ❑A DB Square Footage: -itie Number of Stories: / Automatic Fire Suppression System: ❑Yes 15No Fire Alarm System: ❑Yes -No Building Waste Disposal: .Disposal: 43Sewer 0 Septic Proposed Food Service Facility: 0 Yes CE(No Effective Date: 09.01.2007/Revised 04-30-2008 Page 1 of 2 http://www.spokanevalley.org/uploads/Community_Development/Documents/FormsBuilding/COMM BLDG LAND USE APPLICATION FOR PRE APP(2).doc • I 1111 • CHECK BOX IF PRIMARY CONTACT PROPERTY OWNER: ,h,/LS/c,(, /Y2�-)/L -' ,SLG COMPANY: /2V55/d.V /l J ri 5 LLr ADDRESS: 6q171-, l' z 72..- (/ i 3-1- �(4-ittL--- 1/-tLG6 r 99'037 PHONE:( O) 95FAX: 6o% 9Q-7- (757 EMAIL: /1/04/&--- t'.5 4f h'/7L C T SIGNATURE: _��d'��-er ' OWNER'S REPRESENTATIVE g, CHECK BOX IF PRIMARY CONTACT ❑ Contractor ( - Architect ❑ Engineer 111 Other(please specify) NAME: £mLJ /17 .418 J AZ"( COMPANY: /Pit//, A./acHjrr---) Fizz- ADDRESS: 02523 l.tr g®Llirrf/' A-1/L- j S.4> d- /5 PHONE:6c3) eg✓ ._ F'9 FAX: (`y2e0 GGic_p& EMAIL: ! an,Bleu . ade/phi . /7e7` SIGNATURE: PROPOSED PROJECT DESCRIPTION • • PROPOSAL: Provide a detailed description of the proposed project including, but not limited to, the changes to the site, landscaping, and land use. Convfric4t//7- T/YE' /f'// s/ A/ Proposed name of project(e.g. subdivision): /MO'iti / 4 L> s CciM47�..v>>y e7Z� Effective Date: 09.01.2007/Revised 04-30-2008 Page 2 of 2 http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/COMM BLDG LAND USE APPLICATION FOR PRE APP(2).doc PRISM - Windows Internet Explorer File Edit View Favorites Tools Help nr9 CZ Page Tools • -' Tabular Results Drill Down Results Parcels Parcel ID Site Address ACO Owner (lame In Care of Address 1 Address 2 Owner City State zip Country 55083.9066)1811 N MEADOWS PL Commissioner Districts COMMDIST COMMHAME Fire Districts FIREDIST 20030506 MISSION MEADOWS LLC 15918E CAMERON CT VERADALE 99037 School Districts SCHOOLDIST Water Districts PUBWATER WATERDIST Comp Plan (Valley) COMP_CAT COMP_CODE CPA_DATE CPA_DESC CPA_ORD Zoning (Valley) (12 Records) Precincts (2 Records) Local intranet ''y 100% // Tuesday, May 06, 2008 09:31 AM rPRISM - Windows Internet Explorer • 14_, http://siriusimoxStindex.cfm?action=mox5f frameset 41.1 x _ I s 125.1 Live Search File Edit View Favorites Tools Help 6'1 • - - L''Page • -fools • Tools PRISM , 1916 1 1 11 1017 1913 1907 593831434 swarm 55003.100, 553831233 55383.1831 55021833 55083.1805 553831403 11117 119121 )11125 19131 r 0 1, 1902 119215 119221 119225 09303 115111 119323 59*1 feralimit 55211003 553811237 . 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Nora-PN08-01703 Jay or Bob RE: Final-19312 E. Nora (Mission Meadows Community Center)-PN08-01703 We have no objections to the C of 0 for this building. 1. They have requested a waiver for installing a Knox Box due to not having a fire sprinkler system or a fire alarm system. We are granting that waiver. 2. The bollards were installed to protect the gas meter. 3. The fire extinguishers were install. CC: Richard Mason Paul Chase, Assistant Fire Marshal Spokane Valley Fire Department 10319 E. Sprague Ave. Spokane Valley, WA 99206-3627 Phone (509) 892-4121 Fax (509) 892-4127 chasep( spokanevalleyfire.corn "Fire Sprinklers Save Lives" 1 • Bob Bebout From: Rodney Pegram Sent: Wednesday, April 28, 2010 10:45 AM To: Bob Bebout Cc: Dev Eng; Henry Allen; Gloria Mantz; Micki Harnois Subject: RE: 19312 E Nora-08-1703 Bob, Development Engineering does not have any requirements for this project. Were okay with CofO. Thanks, Rodney D. Pegram Development Inspector City of Spokane Valley rpegran spokanevalley.org 509/720-5324 Original Message From: Bob Bebout Sent: Wednesday, April 28, 2010 7:39 AM To: Rodney Pegram Subject: 19312 E Nora - 08-1703 Is this project ok for a C of O.Thanks 1 GRADY LANE LOT 93 LOT 94 TYPICAL 108 00' 7/71 1..) SPACES ; /// INFORMATION PARCEL #: 55083.9066 ZONING: R-4 PROPERTY SF = 9938 SF BLDG FOOTPRINT COVERAGE = 49% PROPOSED BLDG HT. = 22-7" (1 STORY) CONST. TYPE: V -B OCCUPANCY TYPE: A-3 E. NORA AVE MEADOWS PLACE EXISTING FENCING SITE LAYOUT SCALE: 1.10-0" VICINITY MAP LOT 89 EXISTING FENCING z 2 w o 1-74 Oz 51011.1Eigl w>. 21— icsiz b co2 2 0 COPAN 2005 CONTACT INFORMATION , ARCH TOG, (L,c OKA BOLINNO AVE. COEUR oOktErvE, ID 82815 (OM 881.6.8 (CANA) ^1 I 9 9 I a N Epoo CONTACT, RICHARD NASON ISON)023,1190 ,OFNLE) CONTRACTOR LONER DRAWN REVISIONS SHEET TITLE SITE PLAN SHEET NUMBER A0.2 4. _ 14'-0 11-6" 07'-0' 1I-6" 10,-0„ COVERED DECK OFFICE 13'X'10' BULLE'IN 660113(0 KITCHEN '.. 24' X 12' MENS RES RO0 X4001, TAB"_E MISSION MEADOWS COMMUNITY CENTER MAIN FLOOR PLAN SCALE: 1/" = 1,0" 13x0" COVERED DECK 13'-0" EXERCISE ROOM 2()((0 AREA SUMMARY MAIN FLOOR FINISHED = TOTAL FINISHED = 4_:004 SO. F1. '.. COVERED PORCH = 694 SO. FT. 4,004 00 FT. 108.00' VICINITY MAP PROJECT SITE 11; SPACES SIDEWALK SIDEWALK MISSION MEADOWS COMMUNITY CENTER 108.00' 0 Q INFORMATION ZONING: B-1 WATER DISTRICT: TBD IMPERVIOUS SURFACE AREA: 2,626 SF SITE LAYOUT MISSION MEADOWS COMMUNITY CENTER 1 SCALE: E Permit Center • �,SI 4.0"44.14, 11703 E Sprague Ave,Suite B-3 Spokane Valley,WA 99206 PERMIT NUMBER:�� (509)688-0036 FAX:(509)688-0037 PERMIT FEE: www.spokanevalley.org Community Development Plumbing Permit/�Application ,Commercial ❑ Residential SITE ADDRESS: /9322. E. /1%0724 41,E Building Owner Name: 41S6VA/ /#ifi e Phone: 9.2/.. .57‘0'/ Fax: (, 7 c,75-7Address: ism E. ��f &parove GT City:rs./247hLE K4.4.6*/ State: w/_ Zip: g 7a1?7 Contractor „pwA Name: Phone: Fax: P�GfI.tf2p / �'O�N —$/60 9,427_, G 7.5? Address: /SIB a C,,,tMigkc.✓ cT" city:TP®�r(7 s. Kazoo., State: ` Zip: 99037 License No: 44- City Business Lic: 4/x_ /* Contact £ '5' ap /eiI�t,o/ Name: Phone: [Li)a_siCa DESCRIPTION OF WORK 7 #OF UNITS X COST TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6.00 = 2 URINALS I X $6.00 = 3 TUBS 0 X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 0 X $6.00 = LAYS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = X-RAY,FOOD,PREP/CULINARY MEAT Al 6 DISHWASHER / X $6.00 = 7 CLOTHES WASHER Q X $6.00 = 8 , GARBAGE DISPOSAL r X $6.00 = 9 WATER SOFTENER Q X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 = AREA,CASE,COIL,TRENCH, �f 11 FLOOR DRAINS CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS C.) X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 = WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS Q X $6.00 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = ICE AN/OR COFFEE MAKER,HOSE BIB, 16 WATER USING DEVICE STEAMER X $6.00 = PROOFER,CARBONATOR,SWAMP COOLER 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 0 VISA 0 MC EXPIRES: $35.00 Card# VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 • Permit Center • Siiiikane`` 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: Spokane Valley,WA 99206 jley (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development www.spokanevalley.org Mechanical Permit Application [ -Commercial n Residential SITE ADDRESS: /93/.Z 4" Nee* Building Owner Name: /600/4 /1J1:4D4*-7I4CS LAC�-coPhone: [y)�1-5,la0 Fax: 9a 7 6757 }� Address: 1597e? A', CAin Gry c- City:3-tv, N� ma?.State: 7wA_ Zip: 7 A 7 p,ce Contractor OWN ift Name: eaf ,0-4340,41 Phone: ve.5-ca Fax: 9.27" G76 7 Address: 159/ GAn L v City: - vA/1i f State: v/A. Zip: 99,43/ License No: 44 _ YISAIip7 W/STifTAtir L!S City Business Lic: N/ Contact Zit m Pj P0/.45OW Name: Phone: 9 _sigo _ 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 5 X $15.00 = 30 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 = /0 13 RANGE / X $10.00 = 10 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER l X $10.00 = /Q 16 MISC.FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING(each outlet) 4, X $1.00 = / 18 DUCT SYSTEMS / X $10.00 = /p 19 VENTILATING FANS c2. X $10.00 = e20 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 = /0 25 HEAT PUMP/AIR CONDITIONER 0-3 TON p2, X $12.00 = .24 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: SUBTOTAL ❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: PROCESSING FEE $35.00 CARD#: VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05