2007, 06-06 Permit App: 07002131 ResidenceProject Number: 07002131 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/6/2007 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 30 Left: 30 Right: 6 Rear: 42
Site Information:
Plat Key: Name: Range
Parcel Number: 45252.5303 Block:
SiteAddress: 16022 E RENZ DR
Location:: VER
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA
Area: 14,061 Sq Ft
Nbr of Bldgs: 0
Review Information:
Width: 0
Nbr of Dwellings: 0
Review
Building Plan Review
Driveway/Approach
Contact: KEVIN MADDEN HOMES, LLC
Address: 801 S SHELLY LAKE LN
C - S - Z: VERADALE, WA 99037
Phone: (509) 217-6700
Group Name:
Project Name:
Lot:
VOINPIESUINMEOPMEMNIMAKOMAMANOrkel
District: East
Owner: Name: KEVIN MADDEN HOMES, LLC
Address: 801 S SHELLY LAKE LN
VERADALE, WA 99037
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
Originally Released: 6/6/2007 By: TMELBOU
Released By:
Landuse/Zoning/HE Conditions
Sewer Review
Permits:
Released By:
Operator: JD Printed By: JD
Print Date: 6/6/2007
Project Number: 07002131 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/6/2007 Page 2 of 3
Building Permit
Contractor: KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Phone: (509) 924-6497
Building Characteristics
Building Height 29.6
This Application: Total Project:
Description Grp Imp. Notes Su Ft Valuation RI Ft Valuation
1&2 FAMILY R-3 VB 1,808 $165,178.88 1,808 $165,178.88
2ND FLOOR R-3 VB 79 $5,899.72 79 $5,899.72
DECK OPEN R-3 VB 60 $900.00 60 $900.00
GARAGE U-1 VB 1,064 $20,216.00 1,064 $20,216.00
Totals: 3,011 $192,194.60 3,011 $192,194.60
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,514.55
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $605.82
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Permit Total Fees: $2,124.87
Mechanical Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Item Description Units Unit Desc
DUCT SYSTEMS 1 NUMBER OF
GAS APPLIANCE<=100,000BTU 1 NUMBER OF
GAS PIPING 1 # OF UNITS
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF
VENTILATING FANS 2 NUMBER OF
RANGE 1 NUMBER OF
GAS APPLIANCE - MISC. 1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.00
$1.00
$12.00
$20.00
$10.00
$10.00
$75.00
Contractor: KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN Phone: (509) 924-6497
SPOKANE, WA 99206
Operator: JD Printed By: JD Print Date: 6/6/2007
Project Number: 07002131 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/6/2007 Page 3 of 3
Notes: ;.V:.
Payment Summary: 52a61VX...
Permit Type
Building Permit
Mechanical Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$2,124.87 $2,124.87 $0.00 $2,124.87
$75.00 $75.00 $0.00 $75.00
$2,199.87 $2,199.87 $0.00 $2,199.87
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: JD Print Date: 6/6/2007
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VtIANNING DEPT. APPROVE
BY: `YIA L .� L �
DATE: -clSlo}
Spokane
jValley
Community Development
Residential Construction
Permit Application JUN
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
PERMIT NUMBER: tel, 1 t--)1
PERMIT FEE:
(New Construction
1 2007 n Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS:
7, /6 022,_ k-.7?
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:ea-ji
DIMEI`I�S�IOf�I�
# OF STORIES:
Name: 1 / - i(�
,/� /+ c_
/:/1 1 ,, ,1 s L 4c -
1�
Address:gem
�
, ik
City: lief ("cr6%
9ft'3 7
i.rt ,/4--.A) `7
Phone:.2, 7 - 6 7CX-
# OF BEDROOMS:
3
Fax:
�—
Contact Person
Name:
Phone:
eu 4-1
Describe the scope of work in detail:
4z1` 3 (o/c -(c /
Contractor`
DIMEI`I�S�IOf�I�
# OF STORIES:
Name: f G- �i 1
,/� /+ c_
/:/1 1 ,, ,1 s L 4c -
Addresss�:
Address:
5iie %ley l/`-
61,
,,yy%l
City: V 6•sWe
St 4r
9ft'3 7
Phone: l/ -7r G ,4,,,,
Fax:
# OF BEDROOMS:
3
CONSTRUCTION TYPE:
azod igo tic
HEAT SOURCE:
6%s
:
Co ctkvo Ln, 4 ic No44
Exp Date:
m.3 8 _23 _co
City Business Lic.
Cr fi5-frzic-fron of d 4&ems
Cost of Project: $ j f.L /,* 6 O
Proposed Use: b 'idC7 i; ; ( 413/1?
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PrF�K.
DIMEI`I�S�IOf�I�
# OF STORIES:
TOTAL ��A�,�BI�F SPACE:
S3/
MAIN FLOOR TO SQ.
FTG: I g, ''.
2ND FLOOR((�,SQ. FTG:
�' d
UNFIN BASEMENT SQ. FTG:
! ,�
IMPERVIOUS/SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: �(1�
GARAGE SQ. FT
/d(if/
DECK/CO .. PAT SQ.FTG:
- �
30% SLOPES ON
PROPERTY: /��
# OF BEDROOMS:
3
CONSTRUCTION TYPE:
azod igo tic
HEAT SOURCE:
6%s
SEWER OR SEPTIC?
_ v *
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 proce -d.
SIGNATURE:
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
❑ Mastercard
Expires:
DATE: c_57-3o—do-7
❑ VISA
VIN#:
Scifrokane
doValley®
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.
O 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.
O 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
O 18" X 24" crawl space access:
O One-hour separation detail: between house and garage
O Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
O Furnace and hot water heater location.
D All header locations: type, size, and connections
O Foundation plan
O Insulation information
Spokan''®e
Walley•
Community Development
Mechanical Permit Application
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
ww w. spokan ev al l e v. oro
SITE ADDRESS:
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial n Residential
/c022 It iZ dc14,(
Building Owner
re t/�'1 d' teide:'7 ACS ZC
Name: / j'`9y � 1 Lam' t iy%
Phone: (:),,--/ ._. c, A
Fax:
,
Address: gai 5 c 4 eq
/
�A- A
City: �,(9/17�C �1.
State:
1,
Zip:
�3'7
Contractor
Name: L ufh p1olQ/e`-)
Phone:
Fax:
Address: ')
City:
State:
Zip:
License No: frtl ^ ,41 k
954/ l J3
City Business Lic: ,(. �n
`"
Contact
. /
Name: Kj' (/1 /)
/
Phone: "a "�._ G' 'O
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
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
cl/j rfad
17
GAS PIPING (each outlet)
./
X
$10.00
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
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
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:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Permit Center
Spoka`ne 11707 E Sprague Ave, Suite 106
Valley Spokane Valley, WA 99206
40.0010
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.ore
Plumbing Permit Application n Commercial
SITE ADDRESS:
PERMIT NUMBER:
PERMIT FEE:
❑ Residential
(o 0 G e A- L (L'\(!tt
Building Owner
Name:
Phone: Fax:
Address:
City: State:
Zip:
Contractor
• 4 evoke -7 trAVICs
LZ C
Name:
.iji `1 i,7
Phone:.217 --L•% Cx„ Fax:
Address:
Ogs �-41,5, 5h,• j r`". 4/E. ,
City: tfe•" -7C% State:
a„�
Zip:
J?
License No:
L,� .,,, n h11-4 j
City Business Lic: r—_____—__—?
Contact
Name:
KV/ ti 1
Phone: •j _ 7410
!ems
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
I
X
$6.00
GP -0
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
2
X
$6.00
Z. o -c
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 GA EE 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 0 MC EXPIRES:
Card# VIN:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
1
1
1
SPOKANE COUNTY
_ DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
SPOKANE COUNTY
Site Information
Project Information
Site Address: 16022 E RENZ DR
Parcel Number: 45252.5303
Subdivision: RANGE
Block: Lot:
Zoning:
Owner: KEVIN MADDEN HOMES, LLC
Address: 801 S SHELLY LAKE LN
VERADALE, WA 99037
Building Inspector:
Water Dist:
Project Number: 07003516 Inv: 1 Issue Date: 6/4/2007
Permit Use: SEWER CONNECTION - VERA
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:
Group Name:
Project Name:
Left: Right:
Phone: (000) 000-0000
Phone: (000) 000-0000
Rear:
Permits
Sewer Connection Permit
Contractor: KEVIN MADDEN HOMES LLC License #: KEVINMH954N3
SEWER CONNECTION I $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 1N 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
6/4/2007
Receipt #
3005
Pa ment Amt
$100.00
1
1
Notes / Conditions of Approval
POSSIBLE ERODIBLE SOILS ON SITE. EROSION AND SEDIMENT CONTROL MEASURES REQUIRED IF PRESENT
Processed By: DOMPIER, DAWN
Printed By: HINTZ, FAITH
Page 1 of 1
PERMIT
1