2011, 03-16 Permit App: 11000594 Remodel, Mechanical FixturesProject Number: 11000594 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/16/2011 Page 1 of 2
Project Information:
Permit Use: CONVERT AND EXISTING FINISHED ROOM
INTO BATHROOM
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: Name: Range
Parcel Number: 45141.0503
Contact: HAYWARD, R A
Address: 921 N RAVALLI DR
C - S - Z: SPOKANE VALLEY, WA 99037-9569
Phone: (509) 924-8888
Group Name:
Project Name:
District: East
SiteAddress: 921 N RAVALLI DR
Location:: CSV
Block:
Lot:
Owner: Name: HAYWARD, R A
Address: 921 N RAVALLI DR
SPOKANE VALLEY, WA 99037-956
Zoning: MF -1 MF MDR District
Water District: 010 VERA Hold: [ j
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Permits:
Contractor: OWNER
Released By:
Originally Released: 3/15/2011 By: tmelbourn
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sa Ft Valuation Sq Ft Valuation
BASEMENT R R-3 VB PLAN 0 $750.00 0 $750.00
REVIEW
FEE
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 0 $750.00 0 $750.00
Units Unit Desc Fee Amount
1 SELECT $69.25
1 SELECT $4.50
1 SELECT $27.70
Permit Total Fees: $101.45
Operator: jmm Printed By: JD Print Date: 3/16/2011
Project Number: 11000594 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/16/2011 Page 2 of 2
Contractor: OWNER
Item Description
VENTILATING FANS 1 DUCT
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Mechanical Permit
Finn: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
Fee Amount
$101.45
$11.00
$112.45
Permit Total Fees:
Invoice Amount
$101.45
$11.00
$112.45
Fee Amount
$11.00
Amount Paid
$27.70
$0.00
$27.70
$11.00
Amount Owing
$73.75
$11.00
$84.75
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: 3/16/2011
e mmunityitCenter Development Department
-- P
1103 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel:! (509) 720-2540
Fax (509) 688-0037
per itcentera@sookanevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
-RESIDEIVTIA_ C41STRUCTION PERMIT APPLICATION
N�ONSTRUCTION ADDITION/REMODEL 0 ACCESSORY BUILDING
0 DECK OTHER
SITE ADDRESS:921 N RAVALLI DRIVE
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:RICHARD A HAYWARD
NAME:RICHARD A HAYWARD
ADDREss:921 N RAVALLI DRIVE
CITY:SPOKANE VALLEY
STATE:WA ZIP:99037
PHONE:924-8888
FAX: CELL:999-7324
CONTACT NAME: -- SAME --
PHONE:
FAX: CELL:
CONTRACTOR NAME: -- NA --
MAILING ADDRESS:
CITY:
STATE: ZIP:
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
CONVERT AN EXISTING FINISHED ROOM INTO A BATHROOM WITH SINK, TOILET, AND TUB.
AN ELECTRIC HEATER, CEILING FAN, VANITY LIGHT, AND GFI OUTLET WILL ALSO BE ADDED.
****YOU MUST COMPLETE THE FOLLOWING****
IF NOT APPLICABLE
Height to Peak:
Dimensions:
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $ 7 �O
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 fo any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be re .j. ed to be sugnitted and sutsequently approved before this application can be processed.
Date: '1 I / SI
Signature
Updated 1-11-11
C:\Documents and Settings\RickH\Desktop\Permits\Building Permit - Residential 11-11-11.doc
Page 1 of 1
SOFkane
diooll;Valley
Site Address: 921 N RAVALLI DR
Parcel Number: 45141.0503
Zoning: MF -1
Fire District: FD 01
Project
Transmittal
City of Spokane Valley
Community Development
Department
11703 E. Sprague Ave, Suite B3
Spokane Valley, \VA 99206
Phone: 509.688.0036
New project 0
Previous pre -app meeting ❑
Plan revisions 0
Transmittal Date:
Tuesday, March 15, 2011
Water District: VERA
Project Number: 11000594
Applicant: HAYWARD. R A Owner: HAYWARD, R A
921 N RAVALLI DR 921 N RAVALLI DR
SPOKANE VALLEY. WA 99037-956 SPOKANE VALLEY, WA 99037-956
(509) 924-8888
e-mail: e-mail:
Contact: HAYWARD, R A Occupant:
921 N RAVALLI DR e-mail:
SPOKANE VALLEY, WA 99037-956
(509) 924-8888
e-mail:
Contractor: OWNER
( ) - 0
Arch / Engineer:
e-mail:
Project
Description: CONVERT AND EXISTING FINISHED ROOM INTO BATHROOM
Building
Landuse
Engineer
Utilities
Health
Fire Dist
Assessor
APPLICATIO
CONSTRUCTION PLAN
TD
S
Please send all plan review and project comments via e-mail to the
highlighted individuals.
Spokane
j�alley
For City Use Only
PLUS Project Number1- (. i'�' J
i (1
Project Address �.. k ,t 't _L.,
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
SO1Ile`.. 11703 E Sprague Ave, Suite B-3
P Spokane Valley, WA 99206
valley' (509)688-0036 FAX: (509)688-0037
Community Development permitcenter[7a,spokanevalley.org
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial M Residential
SITE ADDRESS:
Building Owner 1-2, ck\f 10 }{(i���,
AUI(�
Name: �"� ` , 1 `^' 71�
Address: N V I 1 L 1 om
Fax:
Phone:
City:�poLT\ VAI I f V State: ujA
Contractor T 'f\ M
Name:
Zip: 0 3)
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact/Project Manager: N
Name:
Phone:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:9
EXPIRES: VIN:
SIGNATURE ja I
http://www. spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER
0-3 TON
AIR CONDITIONER
Over 3-15 TON
AIR CONDITIONER
Over 15-30 TON
AIR CONDITIONER
Over 30-50 TON
AIR CONDITIONER
Over 50 TON
GAS WATER HEATER
GAS PIPING SYSTEM (each outlet)
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp -100,000 BTU or less
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 - 15 hp — 100,001 to 500,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 — 30 hp - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 hp —1,000,001 to 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 50 hp — over 1,750,000 BTU
AIR HANDLER (DOES NOT include ducting)
Each unit up to 10,000 cfm, including ducts
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
I
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES
Range, Clothes Washer
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:9
EXPIRES: VIN:
SIGNATURE ja I
http://www. spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc