2007, 04-09 Pemrit app: 07001044 ResidenceProject Number: 07001044 Inv: 1
' Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/09/2007 Page 1 of 3
Project Information:
Permit Use: NEW SFR W/ATT GAR
Setbacks: Front 30 Left: 11 Right: 6 Rear: 40
Site Information:
Plat Key: Name: Range
[�.5 e".•i.F.av^(0'%kds 'X'.,3.,.�+.a'M, 3`,drt,m. ;k�sL",F.. :<a4 `:
Contact: KEVIN MADDEN CONSTRUCTION
Address: S. 1214 PROGRESS RD
C - S - Z: VERADALE, WA 99037
Phone: (509) 927-7526
Group Name:
Project Name:
District: East
Parcel Number: 45252.5302 Block:
SiteAddress: 16008 E RENZ DR
Location:: VER
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA
Area: 11,580 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: 4,,,, =
Lot:
Owner: Name: KEVIN MADDEN HOMES, LLC
Address: 801 S SHELLY LAKE LN
VERADALE, WA 99037
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Driveway/Approach
Originally Released: 04/02/2007 By: TMELBOU
Released By:
Originally Released: 04/02/2007 By: jdavis
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 04/03/2007 By: cjjanssen
Released By:
Originally Released: 04/03/2007 By: j_davis
Operator: JD Printed By: MT
Print Date: 04/09/2007
Project Number: 07001044 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/09/2007 Page 2 of 3
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
APPROACH -CONST IN ROW
Approach
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Group: R-3
Group: U-1
Total Area
Building Height
Stories
Dwelling Units
Type: VB
Type: VB
2718
30
2
1
Fee Amount
$50.00
$50.00
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Building Characteristics
Description GCp las Notes
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
COV DECK R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Operator: JD
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,808 $165,178.88 1,808 $165,178.88
79 $5,899.72 79 $5,899.72
60 $900.00 60 $900.00
1,064 $20,216.00 1,064 $20,216.00
Totals: 3,011 $192,194.60 3,011 $192,194.60
Units Unit Desc Fee Amount
1 SELECT $1,514.55
1 SELECT $4.50
1 SELECT $605.82
Printed By: MT
Permit Total Fees:
$2,124.87
Print Date: 04/09/2007
Project Number: 07001044 Inv: 1
' Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/09/2007 Page 3 of 3
Contractor:
Address:
KEVIN MADDEN HOMES LLC
E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
RANGE
HOOD -TYPE II
Mechanical Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 # OF UNITS
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$10.00
$10.00
$12.00
$1.00
$20.00
$10.00
$10.00
Permit Total Fees: $73.00
Plumbing Permit
Contractor: KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN Phone: (509) 924-6497
SPOKANE, WA 99206
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
WATER HEATER - ELECTRIC
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Units Unit Desc
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$12.00
$6.00
$6.00
$36.00
Fee Amount Invoice Amount Amount Paid Amount Owing
$50.00
$2,124.87
$73.00
$36.00
$2,283.87
$50.00
$2,124.87
$73.00
$36.00
$2,283.87
$0.00 $50.00
$0.00
$0.00
$0.00
$0.00
$2,124.87
$73.00
$36.00
$2,283.87
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: MT
Print Date: 04/09/2007
Project Number: 07001044 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/02/2007 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 30 Left: 11 Right: 6 Rear: 40
Site Information:
Plat Key:
Name: Range
41,
Contact: KEVIN MADDEN CONSTRUCTION
Address: S. 1214 PROGRESS RD
C - S - Z: VERADALE, WA 99037
Phone: (509) 927-7526
Group Name:
Project Name:
District: East
Parcel Number: 45252.5302 Block:
SiteAddress: 16008 E RENZ DR
Location:: VER
Lot:
Owner: Name: KEVIN MADDEN HOMES, LLC
Address: 801 S SHELLY LAKE LN
VERADALE, WA 99037
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA Hold: ❑
Area: 11,580 Sq Ft
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: maggiumegmou;-„
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Driveway/Approach
Originally Released: 04/02/2007 By: TMELBOU
Originally Released:
Landuse/Zoning/HE Conditions
Released By:
04/02/2007 By: jdavis
Sewer Review
Permits:
Operator: JD
Printed By: JD
L Released By:
Print Date: 04/02/2007
Project Number: 07001044 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/02/2007 Page 2 of 3
Building Permit
Contractor: KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Description Grp Type
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
COV DECK R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor:
Notes
Phone: (509) 924-6497
This Application: Total Project:
Sq Ft Valuation So Ft Valuation
1,808 $165,178.88 1,808 $165,178.88
$67,958.80 910 $67958780
'7 al 60 $900.00 60 $900.00
1,064 $20,216.00 1,064 $20,216.00
Totals: -3;842 $x2.5 2568 3,842 $ 253-68
Units
1
1
1
KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
RANGE
HOOD -TYPE II
Unit Desc
SELECT
SELECT
SELECT
Fee Amount
$1,861.75
$4.50
$744.70
Permit Total Fees: $2,610.95
Mechanical Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 # OF UNITS
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Operator: JD Printed By: JD
Fee Amount
$10.00
$10.00
$12.00
$1.00
$20.00
$10.00
$10.00
Permit Total Fees: $73.00
Plumbing Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Print Date: 04/02/2007
Project Number: 07001044 Inv: 1
" Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/02/2007 Page 3 of 3
Notes: . ** -_ I S..
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Fee Amount Invoice Amount
$2,610.95 $2,610.95
$73.00 $73.00
$2,683.95 $2,683.95
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$2,610.95
$73.00
$2,683.95
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: 04/02/2007
Spokane
jValleyA
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-09 7
www.spokanevallev.org M.AH
2
PERMIT NUMBER:
PERMIT FEE:
New Construction
n Addition/Remodel
n Other:
Accessory Bldg
Deck
SITE ADDRESS: S l 0 C it- r
ASSESSORS PARCEL NO: 05002. LEGAL DESCRIPTION:
Building Owner:
Name Ire lov /r/a.ci d e !✓ #4 A e $ 4 ,L - C'.
Address.g A70
4 S h e /k ' dict ke. e: / 11 90,54
i
City: `/ / State: , Zip:e7
O%tztie l(ci7 zdx_ 77
Phone: / Fax:
el/9i 1-(07ad 4/4.
Contact Person Kp✓%✓ fr)acid,er(
Name:
Phone: 1 /7.,— '%dsl
2�I-(04a)r(
Describe the scope of work in detail:
Contractor:
Name: /l e i/i i✓ /tiQcd P ® C' E? Al.< 1. Le
Address: 5' 7q 5% l% -f d t'I P.
Zai
City: SPta�p V/Y State: a/ Zip99o37
77
Phone , 2/7- 6 7,96
� U Fax: �%`
Contractor Lic No y y'44� Exp Date:
City Business Lic. No ji /A, , N q5V*Pa
Cost of Project: $�LgifM, 4
/i/e r t) 5/Y'!B fL»2 J /y A
Proposed Use: 40/29 e_
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
c�
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
z- 7/
MAIN FLOOR TO SQ.
FTG:
2"D FLOOR�SQ. F:�0
UNFIN BASEMENT SQ. FTG:
PAT
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: A/,/l,
FT
GARAGE SQ. G:
/c7 (o
30% SLOPES ON
PROPERTY:
DECK/COV. IO SQ. FTG:
et:, d Jam_
# OF BEDROOMS:
CONSTJUCTION TYPE:
"r, et f e_.
HEAT SOURCE:
//‚#«a/ 6e. q.• ,;,_.5
SEWER OR SEPTIC?
-S1v7c»"
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
❑ Mastercard
Expires:
DATE:
❑ VISA
VIN#:
ScOkane
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ cityhall@spokanevalley.org
Residential Plan Submittal Minimums
❑ Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
O Smoke detector locations
O 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One-hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
Spb`kanka e~"
�jMMlley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.ore
Mechanical Permit Application n Commercial
SITE ADDRESS:
/oDG ' E YC�n-
PERMIT NUMBER:
PERMIT FEE:
Residential
Building Owner
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name: r C.
lr"e ✓i+,l i'�u �d eru tfdm FS 4t
Phone:
Fax:
Address: +
„) 4 5.6 e/l A_4ii. Crowe
City:
State:
Zip:
.
License No:
/f� (� d h � K /►Z N� �JS� N 3-
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AM
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
5
USED APPLIANCE (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
13
RANGE
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
18
GAS PIPING (each outlet)
DUCT SYSTEMS
X
$1.00
X
$10.00
19
VENTILATING FANS
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
x
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
3-15 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
512.00
35
VENTILATION MECHANICAL EXHAUST
X
512.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
x
522.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
Method III Worksheet for Fresh & Combustion Air
Job Address:
Furnace model #:
Furnace brand name:
Water heater brand name:
Install Foreman: 1' -
1
Ventilation Rate Determination
Floor area (sq. ft.) of the residence (basement + 1st floor + 2nd floor + bonus room) =
BTU input:
BTU input:
Number of bedrooms in the residence
Using the table on the back of this form determine:
Minimum Ventilation Air
Maximum Ventilation Air
Formula for Combustion Air
CFM
CFM
1 - For fan assist vented furnace x 1,000 BTU input x .4 CFM/BTU = CFM
2 - Power vented water heater (use 90 CFM if rating unknown) = CFM
3 - For draft hood appliances x 1,000 BTU input x .8 CFMBTU = CFM
Total CFM Required for Combustion Air (add 1+2+3)
CFM
The ventilation/combustion air duct must provide adequate combustion air or outside combustion air must be provided
separately from ventilation air. (Outside combustion air may be provided with one duct in the upper 12 inches of the enclosure
sized at 1 sq. inch per 3,000 BTU input of all appliances in the enclosure).
6"= 50- 80
7"= 80-125
8"=115-175
Capacity of Round Metal Duct in CFM
9" = 170 - 240 Size of round duct
10" = 235 - 315 to return air drop =
12" = 395 - 495
1. For lengths over 20 feet increase the duct diameter 1 inch.
2. For elbows numbering more than 3, increase the duct diameter 1 inch.
3. Insulate the ventilation/combustion air duct within the conditioned space to a minimum R-4.
Size of opening in wall of appliance enclosure (if confined space less than 50 cubic feet per
1000 BTU input) per U.M.C. and INWHVAC Assoc. standards book (2 openings sized 1 sq. in.
per 1000 BTU input of all appliances in the enclosure) = square inch
(net free area = 65% for metal louver - 25% for wood louver)
Verification of proper drafting?
Verified by:
Company name:
YES
License #
NO
Leave copy of this form on the job site at or on the furnace!!!
Updated 7-1-2001
Ventilation rates for all group R occupancies 4 stories and Tess*
*" For residences that exceed 8
bedrooms, increase the minimum
requirement listed for 8 bedrooms
by an additional 15 CFM per bedroom.
The maximum CFM is equal to 1.5
times the minimum.
Bedrooms
Area ft2
2 or Tess
3
4
5
6
Min.
Min.
Max.
Min.
Max.
Mina
Max.
Min.
Max.
Min.
Max.
<500
50
75
65
98
80
120
95
143
110
-165
501-1000
55
83
70
105
85
128
100
150
115
173
1001-1500
60
90
75
113
90
35
105
158
120
180
1501-2000
65
98
80
120
95
143
110
165
125
188
2001-2500
70
105
85
128
100
150
115
173
130
195
2501-3000
75
113
90
135
105
158
120
180
135
203
3001-3500
80
120
95
143
110
165
125
188
140
210
3501-4000
85
128
100
150
115
173
130
195
145
218
4001-5000
95
143
110
165
125
188
140
210
155
233
5001-6000
105
158
120
180
135
203
150
225
165
248
6001-7000
115
173
130
195
145
218
160
240
175
263
7001-8000
125
188
140
210
155
233
170
255
185
278
8001-9000
135
203
150
225
165
248
180
270
195
293
>9000
145
218
160
240
175
263
190
285
205
308
*" For residences that exceed 8
bedrooms, increase the minimum
requirement listed for 8 bedrooms
by an additional 15 CFM per bedroom.
The maximum CFM is equal to 1.5
times the minimum.
Bedrooms
Area ft2
7
8
Min.
Max.
Min.
Max.
<500
125
188
140
210
501-1000
130
195
145
218
1001-1500
135
203
150
225
1501-2000
140
210
155
233
2001-2500
145
218
160
240
2501-3000
150
225
165
248
3001-3500
155
233
170
255
3501-4000
160
240
175
263
4001-5000
170
255
185
278
5001-6000
180
270
195
293
6001-7000
190
285
205
308
7001-8000
200
300
215
323
8001-9000
210
315
225
338
>9000
220
330
235
353
*" For residences that exceed 8
bedrooms, increase the minimum
requirement listed for 8 bedrooms
by an additional 15 CFM per bedroom.
The maximum CFM is equal to 1.5
times the minimum.
Sporkan '
,, . Malley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spokan ev al l e v. ore
Plumbing Permit Application
SITE ADDRESS:
PERMIT NUMBER:
PERMIT FEE:
n Commercial ❑ Residential
Building Owner
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:
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
2
URINALS
X
$6.00
3
TUBS
X
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
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 DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05 r�
EXPIRES: �✓ /
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Sik kan e�'``�
..Malley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev oro
Mechanical Permit Application ❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
❑ Residential
SITE ADDRESS: / 64' 2 0
Building Owner
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
5
USED APPLIANCE (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
13
RANGE
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
v
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
3-15 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
812.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
*Wane •••/\.,
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Approach Permit Application
PERMIT NUMBER:
PERMIT FEE:
PROJECT ADDRESS
START DATE
/ C,&'� u�0n 2 h,
ANTICIPA 1 E COMPLETION DA 1"h
Building Owner:
Contractor:
Name: ke ',W 712d d den( h OM e S Z AC,
Address: ,SO. S C y s'#4e /ley bet ke. d pi -e
City: J pDKa1// I State: Zip:
PhoneC ell 2 / 1,4, / i",e Fax: /i. 4
Name: [11 icet1 ho m 45. -1.4.e.
Contact Person Jc."e v1^/
Name:
Phone:
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
Address: smlo%i.�► g/,e//e L a,ke �(ye
City: \./,ewa. /e State: L1 Zip:9ge,V*
Phone: C e /1 A (7 _ 67c e Fax: ,4# /7.
Contractor Lic No: Exp Date:
City Business Lic. No:
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
Bond/Insurance certification must be on file with the city.
DISCLAIMER
The permittee verifies, acknowledges and agrees by their signatures 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.
Signature1�%� Date
Method of Payment:
0 Cash 0 Check 0 Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 3/9106
1
SPOKANE COY
Site Information
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Project Information
Site Address: 16008 E RENZ DR
Parcel Number: 45252.5302
Subdivision: RANGE
Block: Lot:
Zoning: UNK Unknown
Owner: KEVIN MADDEN HOMES, LLC
Address: 801 S SHELLY LAKE LN
VERADALE, WA 99037
Building Inspector: None
Water Dist:
Project Number: 07001723 Inv: 1 Issue Date: 4/2/2007
Permit Use: SEWER CONNECTION - RIDGEMONT EST NORTH
10TH
Applicant: KEVIN MADDEN HOMES, LLC
801 S SHELLY LAKE LN
VERADALE, WA 99037
Contact: KEVIN MADDEN HOMES, LLC
801 S SHELLY LAKE LN
VERADALE, WA 99037
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Phone: (509) 217-6700
Phone: (509) 217-6700
Rear:
1 Permits
Sewer Connection Permit
Contractor: KEVIN MADDEN HOMES LLC
License #: KEVINMH954N3
SEWER CONNECTION 1 $85.00 PROCESSING FEE
1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
THE INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND
MAY BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
4/2/2007 1485 $100.00
Processed By: DOMPIER, DAWN
Printed By: HINTZ, FAITH Page 1 of 1
PERMIT
PLANNING DEPT APPROVED
BY:
DATE:
-r-
K-90 LI
L,700 s
3
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