2007, 04-23 Permit App: 07001402 AdditionProject Number: 07001402 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/23/2007 Page 1 of 2
Project Information:
Permit Use: 20 X 20 RES ADD
Setbacks: Front
Site Information:
Plat Key: 000040 Name: ALICE SUB TR 1 ASSESSOR'S PLAT #1
Left: Right: Rear:
Contact: MORTENSEN, ADAM W & AMANDA K
Address: 2315 N PARK RD
C - S - Z: SPOKANE, WA 99212
Phone: (509) 892-6885
Group Name:
Project Name:
District: Nort
Parcel Number: 35124.0102
SiteAddress: 2315 N PARK RD
Location:: CSV
Block:
Zoning: UR -3.5 Urban Residential 3.5
Water District: 002 ORCHARD AVENUE
Area: 11,060 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: MORTENSEN, ADAM W & AMAN
Address: 2315 N PARK RD
SPOKANE, WA 99212
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By: T
/s V/o7
Landuse/Zoning/HE Conditions
Permits:
Released By: /2z
�7 J
Operator: JD Printed By: JD Print Date: 4/23/2007
Project Number: 07001402 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/23/2007 Page 1 of 2
Project Information:
Permit Use: 20 X 20 RES ADD
Setbacks: Front
Site Information:
Plat Key: 000040 Name: ALICE SUB TR 1 ASSESSOR'S PLAT #1
Left: Right: Rear:
Contact: MORTENSEN, ADAM W & AMANDA K
Address: 2315 N PARK RD
C - S - Z: SPOKANE, WA 99212
Phone: (509) 892-6885
Group Name:
Project Name:
District: Nort
Parcel Number: 35124.0102 Block:
SiteAddress: 2315 N PARK RD
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 002 ORCHARD AVENUE
Area: 11,060 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: MORTENSEN, ADAM W & AMAN
Address: 2315 N PARK RD
SPOKANE, WA 99212
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By: "TZ(
Landuse/Zoning/HE Conditions
Permits:
Released By:
Operator: JD Printed By: JD
Print Date: 4/23/2007
Project Number: 07001402 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/23/2007 Page 2 of 2
Contractor: OWNER
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Building Height 22
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RES ADD R-3 VB D K 420 $38,371.20 420 $38,371.20
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
Notes:
Payment Summary:
Permit Type
Building Permit
Plumbing Permit
Totals: 420 $38,371.20 420 $38,371.20
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Plumbing Permit
Fee Amount
$532.65
$4.50
$213.06
$750.21
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount Invoice Amount
$750.21 $750.21
$30.00 $30.00
Fee Amount
$6.00
$12.00
$6.00
$6.00
Amount Paid
$0.00
$0.00
$30.00
Amount Owing
$750.21
$30.00
$780.21 $780.21 $0.00 $780.21
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: 4/23/2007
Permit Center
SCarr of -, 11703 E Sprague Ave, Suite B-3
pokane Spokane Valley, WA 99206
jValle (509)688-0036 FAX: (509)688-0037,-
YA www.spokanevalley.org
Community Development
Residential Construction
Permit Application
o
PERMIT NUMBER: /i D Z
PERMIT FEE:
New Construction
Addition/Remodel
Other:
Accessory Bldg
n Deck
SITE ADDRESS: 33 I S /V r k R4(
ASSESSORS PARCEL NO: 3.l I d'� 4 01C) 1 -
LEGAL DESCRIPTION: kE Q P . Au C c S Sa F t' L,
N 5Pi- of 12
Building Owner:
DIMENSIONS:
# OF STORIES:
Name:
Name: A
dik/vk
(' A/l!it nii(.
MCrreil Ser\
IMPERVIOUS SURFACE
AREA:
Address: �-?
��I—
!V. fc,.rk
kit.
Zip:
City: '46h Nat.
i/�, IIS
State:
Zip: pi). la.,
Phone: ,'.
i �U
Fax:
Contact Person
Name: / ��n.. /v161,..1'P(er\
Phone: "Y-736
Describe the scope of work in detail:
Contractor:
DIMENSIONS:
# OF STORIES:
Name:
MAIN FLOOR TO SQ.
FTG:
'44(D -ft
2"" FLOOR SQ. FTG:
NIS
Address:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: PIA
City:
State:
Zip:
Phone:
Fax:
HEAT S(OURC`E:
Gc,„1 i6r&'- A1v
Contractor Lic No:
Exp Date:
City Business Lic. No:
Cost of Project: $
(..i' 41.l /V C.1) nil '4151\ ,4V ) Y `. .r. /J ?of Y? 11;A", ] 1- 41 k1 J ( 1
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
'44(D -ft
2"" FLOOR SQ. FTG:
NIS
UNFIN BASEMENT SQ. FTG:
N1�
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: PIA
GARAGE SQ. FTG:
N %R
DECK/COV. PATIO SQ. FTG:
N1 //A
30% SLOPES ON
PROPERTY: N i A
# OF BEDROOMS: t
CONSTRUCTION TYPE:
HEAT S(OURC`E:
Gc,„1 i6r&'- A1v
;-SEWEj )OR SEPTIC?
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 processed.
SIGNATURE: ,
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
0 Check
DATE: ///p)/6
'. p )/6
0 Mastercard X] VISA
Expires: VIN#:
.•••*Valleye
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
O Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
O 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.
O 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.
O Smoke detector locations
❑ 22" X 30" attic access location
O 18" X 24" crawl space access:
❑ One-hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
O Roof framing plan and details
O Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
O Insulation information
Sti&cane
,.Valley
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.ora
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial Residential
SITE ADDRESS: ? I " PC— k R.
Building Owner AM l,Ai,.., 4e e
(J ;ntA� [AGrn
Name:
AM' Ado -- �crre Hiro
F, ItI^ M
Phone: ! CT es
a
;2 1? _ 7 6 Fax:
,
Address:City:
�,;� PJ,Jrw,
��rk�e
.o4
✓1,,I�-r
State:
F
Zip: '/2/,�
Contractor
Name: 1 p .1
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
x
$6.00
(/u
2
URINALS
X
$6.00
3
TUBS
X
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
6
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
cz
X
$6.00
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
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
X
$6.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
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
METHOD OF PAYMENT:
DCASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
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