2009, 12-14 Permit App: 09003958 Basement Bathroom/windows Project Number: 09003958 Inv: 1 Application Date: 12/14/2009 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: BASEMENT BATHROOM/2 EGRESS WINDOWS Contact: POWELL,MICHAEL D&SARAH L
Address: 1704 S OBERLIN RD
C-S-Z: SPOKANE VALLEY,WA 99206
Setbacks:Front Left: Right: Rear: Phone: (509)714-7755
Group Name:
Project Name:
Site Information.
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Plat Key: 000382 Name: CHESTER HILLS ADD District: Sout
Parcel Number: 45291.0209 Block: Lot:
SiteAddress: 1704 S OBERLIN RD Owner:Name: POWELL,MICHAEL D&SARAH
Address: 1704 S OBERLIN RD
Location::CSV SPOKANE VALLEY,WA 99206
Zoning: R-2 SF Res Suburban District
Water District: 101 SPO CO WATER DIST#3B Hold: ❑
Area: 26,887 Sq Ft Width: 103 Depth: 269 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review
Building Plan Review Released By:
Originally Released: 12/14/2009 By: tmelbourn
Building Permit
Contractor: OWNER Finn: OWNER
Phone: (000)000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT R R-3 VB PLAN 0 $1,250.00 0 $1,250.00
REVIEW
Totals: 0 $1,250.00 0 $1,250.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $69.25
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $27.70
Permit Total Fees: $101.45
Operator: JD Printed By: JD Print Date: 12/14/2009
Project Number: 09003958 Inv: 1 Application Date: 12/14/2009 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
Permit Total Fees: $18.00
Notes a ea Mr. 6k;-WE& Neff .. ...Fffe,. . . ._ .<ga ..._ L
Payment Summary . u,m : y.... • taWAY0 <..... �. _. M« ..W... . :We,..._ F,U
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $101.45 $101.45 $27.70 $73.75
Plumbing Permit $18.00 $18.00 $0.00 $18.00
$119.45 $119.45 $27.70 $91.75
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: JD Print Date: 12/14/2009
CITY of (Staff Use Only)
C)
Spokane PERMIT NUMBER: °Si .6
,�►/�a■�e�" PERMIT FEE:
CITY OF SPOKANE. VALLEY
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spokanevallee_orq
RESIDENTIAL CONSTRUCTION PERMIT APPLIC TION-
❑ NEW CONSTRUCTION IA ADDITION/REMODEL ❑ ACCESSORY BUILDING
❑ DECK /J El OTHER L
SITE ADDRESS: /70( S 013 C R 1; v-'- 5 p61Lic.
ASSESSORS PARCEL NO.:. 115 aQ/, 00'1 LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: f I L 111“) POLY.,I I
ADDRESS: 1 70 l /C.)�f� U r
CITY: Sp p kAY► vim,//� y STATE: &)A ZIp: q y,0C
PHONE: coq- 71y- 7755 FAX: CELL:
CONTACT jNNAME:
PHONE: /,.J (, I FAX: CELL: 7/g 77$S
CONTRACTOR NAME:
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:
.ns k )I.,, a. 6�t4oc,, W� � a ; 1 4o;Jc i/ Anna( ),)6-"AA 4.
d.o;1 31- d ;-. ;II ;n dpe,r Ago(
PROPOSED USE:
USE:
Effective October 28, 2007 Page 1 of 2
C:\DOCUME-1\dan\LOCALS"1\Temp\Residential Construction Permit App.1.doc
•
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT T APPLICABLE
Height Peak: Dimensions: No. of Stories: Total Habitable
{� 30 ){ _CO / Space: /600,51,44'
Main Floor SQ Upper Flogr SQ Unfinished Basement Finished Basement
FT: /6 /r) FT: // SQ FT: /.5 W SQ FT: /500
Garage SQ FT: Deck/Covered Patio Impervious Surface 30% S16pes on
I S 1j SQ FT: 9 6 Area: Property: /VA
No. of / Construction Heat Source: Sewer or
�
Bedrooms: / Type: 6 r I( k K ICe 0 ., r Septic: S e r l
i___
TOTAL COST OF PROJECT: $ 5
or
1, V
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 subse uently approved before this application can be processed.
Signature ' �� Date: 10 Dei U q
Method of payment: 0 Cash 0 Check 0 Visa 0 Mastercard
Bankcard #: EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 2 of 2
C:\DOCUME'1\dan\LOCALS'1\Temp\Residential Construction Permit App.1.doc
;g For City Use Only
• '� PLUS Project Numbers 1 `
CITY OF ,
SProject Address
pokane `}
4iii*Va Q °
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 r ,
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 ofthe 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
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c.kno7l�„�� e Permit Center
. 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
i.7j! All Spokane Valley,WA 99206
jay' (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
pennitcenter@svolcanevalley.org
Community Development
Plumbing Permit Application �I n Commercial n Residential
SITE ADDRESS: /7 U —1 S (' V3 ICS /L/ L/
Building Owner /�
Name ✓�,1.n r( t,iC, Phone: $ 7�"!"72S S Fax:
Address: / City: / State: Zip:
/�i� s ���L 1/vL S (J�c,�C..�t 4cy `.) p •
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS /
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals
WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer proofer,carbonator,swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER If Gas,See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS Including traps,vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION Water piping,drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH ❑CHECK ❑VISA ❑MC EXPIRES:
Card# VIN: ?
SIGNATURE:
CURRENT FEES AVAILABLE AT:http://www.spokanevalley.orq/under the quick links for Forms,Master'Fee Schedule. (
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Plumb ingPermitApplicati on040309.doc