2008, 10-23 Permit App: 08004106 Residence Project Number: 08004106 Inv: 1 Application Date: 10/23/2008 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W/ATT GAR Contact: PRICE,THOMAS M&JOY L
Address: PO BOX 48006
C-S-Z: SPOKANE,WA 99228
Setbacks:Front 100 Left: 9 Right: 14 Rear: 131 Phone: (000)000-0000
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: Nort
Parcel Number: 46344.1502 Block: Lot:
SiteAddress: 5108 N KELLER AVE Owner:Name: PRICE,THOMAS M&JOY L
Address: PO BOX 48006
Location::CSV SPOKANE,WA 99228
Zoning: R-3 SF Res District
Water District: 001 TRENTWOOD Hold: ❑
Area: 26,428 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: ,._
Review
Building Plan Review Released By:
Originally Released: 10/23/2008 By: TMELBOU
Driveway/Approach Released By:
Originally Released: 10/23/2008 By: TMELBOU
Landuse/Zoning/HE Conditions Released By:
Originally Released: 10/22/2008 By: tschmidt
Sewer Review Released By:
Permits:
Operator: JD Printed By: jmm Print Date: 10/23/2008
Project Number: 08004106 Inv: 1 Application Date: 10/23/2008 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
APPROACH-CONST IN ROW 1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Su Ft Valuation
1&2 FAMILY R-3 VB 1,833 $174,116.67 1,833 $174,116.67
BASEMENT U R-3 VB 1,826 $27,390.00 1,826 $27,390.00
DECK OPEN R-3 VB 385 $5,775.00 385 $5,775.00
GARAGE U-1 VB 1,050 $19,950.00 1,050 $19,950.00
Totals: 5,094 $227,231.67 5,094 $227,231.67
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,710.55
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $684.22
Permit Total Fees: $2,399.27
— Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
DUCT SYSTEMS 1 NUMBER OF $10.00
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE>100,000BTU 1 NUMBER OF $15.00
GAS PIPING 6 #OF UNITS $6.00
AIR CONDITIONER:4-15 TONS 1 NUMBER OF $20.00
VENTILATING FANS 5 NUMBER OF $50.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
AIR HANDLER<=10,000 CFM 1 NUMBER OF $12.00
Permit Total Fees: $153.00
Operator: JD Printed By: jmm Print Date: 10/23/2008
•
Project Number: 08004106 Inv: 1 Application Date: 10/23/2008 Page 3 of 3
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
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 6 NUMBER OF $36.00
SHOWERS 2 NUMBER OF $12.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 2 NUMBER OF $12.00
SEWAGE EJECTOR 1 NUMBER OF $6.00
MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00
Permit Total Fees: $132.00
Notes .... ....
As per SVMC 19.40.020(B)-All residential driveways and off-street parking areas must be paved with
asphalt,portland cement,grasscrete,apver blocks or other equivalent hard surface material. Condition
must be met be for final inspection.(TS)
As per Spokane Valley Fire(RF) 14 foot driveway width 100 feet long is approved.
Payment Summary: ,g5r ..._ .. _.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $2,399.27 $2,399.27 $0.00 $2,399.27
Mechanical Permit $153.00 $153.00 $0.00 $153.00
Plumbing Permit $132.00 $132.00 $0.00 $132.00
$2,734.27 $2,734.27 $0.00 $2,734.27
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: jmm Print Date: 10/23/2008
Permit Center J t
Scrrr c 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER: `'fl
poISane Spokane Valley,WA 99206 . PERMIT FEE:
jvaikv. (509)688-0036 FAX: (509)688-0037
J www.spokanevalley.org
Community Development
Residential Construction ViNew Construction Accessory Bldg
Permit Application Addition/Remodel Deck
Other:
SITE ADDRESS: ) al ji 0
(6—e/
ASSESSORS PARCEL NO: ll�n 7 git . 150,1 LEGAL DESCRIPTION:
Building Owner: Contractor:
Name: , 4 1-,/0_,c,6 Name:
Address: -726 W k.1 G'r Rtib Address:
City: f7Pcy01 State.fA Zip:ggzIy„ City: State: Zip:
Phone:60C,‘ t(6_ im Fax: Phone: Fax:
1 L Contractor Lic No: Exp Date:
Contact Person City Business Lic.No:
Name: —IC OA f�1Le
Phone: 'c1 qq(1 1a.o
Describe the scope of work in detail: Cost of Project: $ 105 K
Proposed Use: KeSaitu11v:� �0tk€
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT I O PEAK: DIMENSIONS: #OF STORIES:1 TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ. 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: :1454ilial i1 A -- (- AREA:
FINISHED BASEMENT GARAGE,. DEC .7V/. PQTIO9 Q. FTG: 30% SLOPES ON ��A
SQ. FTG: -4} 9 (4 _ ...6. PROPERTY: F1
#OF BEDROOMS: CONSTRUCTION TYPE: HEA •_ • - - : SEWER OR SEPTIC?
a yv, 1121a He, S Ile.
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 Spok. - alley Permit is not a permit or approval for any violation of federal,state or
local laws, codes or ordina - . 6) Plans or additi• al info ation may be required to be submitted, and subsequently approved before
this application can -.7- • •,e 'd. r -..
SIGNATURE: 400" /fc_e DATE:
AA
Method of Payment:
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard#: Expires: VIN#: 1 `r OW
Authorized Signature:
REVISED 2/15/07
' Ql
Permit Center J 1//`1l
cmOF 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER: "fl v�
Spol�ane Spokane Valley,WA 99206 PERMIT FEE:
Valley. (509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Residential Construction [/ New Construction Accessory Bldg
Permit Application Addition/Remodel Deck
- - Other: s kAP -(is - Cl
C`
i , JC « 1� C S`r c: C t_� -s,--
SITI�ADRESS• - . =-
i
ASSESSORS PARCEL NO: 11( LILFIS a LEGAL DESCRIPTION:
�'- - C=`-1 ` C q L.► tt
Building Owner: - Contractor:
Name: I h om to
141 c.,6 Name:
Address: I z6 Wg. G ji itt4b Address:
City: fP4,y NA
StateNt, A Ziplgjlf City: State: Zip:
Phone:5v(,y (}� .. i 1 Fax: 11%% Phone: Fax:
t Contractor Lic No: Exp Date:
Contact Person. City Business Lic.No:
Name: 10 I Ott
Phone: i qq ) l y o
Describe the scope of work in detail: Cost of Project: $ I05--
Proposed Use: vk Ike
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT i O PEAK: DIMENSIONS 93 #OF STORIES:I TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ. 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: /ray OA a AREA:
GARAGE Q. FTG' DEC • •O� .Q. FTG: 30% SLOPES ON
FINISHED BASEMENT1,41ti
SQ. FTG: -4)— f . ,'1 41_ it.-9" PROPERTY:
#OF BEDROOMS: CONSTRUCTION TYPE: HEA • - - SEWER OR SEPTIC?
a gny I t a rIe yelitte.
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 Spok- - alley Permit is not a permit or approval for any violation of federal,state or
local laws,codes or ordina 6) Plans or additi• al info ation may be required to be submitted, and subsequently approved before
this application can .- • •j4Md. --�
SIGNATURE: � It'i . DATE:
.4A
Method of Payment:
0 Cash 0 Check ❑ Mastercard 0 VISA
Bankcard#: Expires: VIN#: CCI 1 J 2,00C
Authorized Signature: 2,(1
REVISED 2/15/07 --
•
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
o SITE PLAN
o Property lines and dimensions o Setbacks to property lines
o Direction arrow pointing North and orientation to streets ❑ Distance between buildings
o Proposed/existing buildings (footprint and dimensions) o Right of way/easement location &sizes
o Utilities, septic tank/drain field locations and distances o Driveway approach size and location
BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned)
❑ Elevations (Front/Rear/Sides)with roof peak and wall height including basement:
❑ Foundation Plan (crawlspace, basement or slab on grade):
o Footing sizes and locations o Supporting wood cripple walls or beams
o Perimeter concrete foundation wall sizes o Thickened concrete pads supporting
o Crawlspace ventilation beams or girder trusses
❑ Floor Plan of each level (finished or unfinished)with dimensions:
o Floor Joist direction, size and spacing o Window and door location and sizes
o Header, beam or concrete lintel sizes ❑Window well locations if applicable
o Brace wall panel locations o Room usage labels
o Water heater and furnace locations o Smoke detector locations
o Exhaust fan locations o Attic and crawl space access locations
o Deck or concrete patio sizes and locations 0 Fire Wall construction
❑ Roof Plan:
o Engineered truss direction and spacing o Ridge, eave and valley lines
o Rafter and over frame direction, size and spacing ❑ Beam and girder size and location
❑ Wall Section Detail including:
Roof
o Slope/roofing material/ underlayment/ice dam protection ❑ Truss or rafter size, spacing &connection
o Sheathing size and type o Attic insulation/air space baffle/ventilation
Ceiling
o Joist size and spacing o Size of ceiling gypsum wall board
Wall
o Height/top plate/stud size and spacing/sole plate ❑ Siding/exterior house wrap/anchor bolts
o Exterior sheathing size and type ❑ Insulation, vapor barrier, gypsum wall board
Floor
o Joist size and spacing o Sheathing or concrete floor size/insulation
Foundation Wall
o Concrete or Masonry unit width ❑ Footing bottom to finished ground level depth
o Earth to wood separation distance o Horizontal &vertical reinforcement if any
Footing
o Size o Reinforcement if any
Radon
o Passive system with 6mil vapor barrier o Active system with 6 mil vapor barrier
Miscellaneous Construction Details
❑ Deck:
o Floor plan/side view/dimensions o Footings/post/and beam size and locations
o Floor Joist/decking direction, size and spacing
O Stairway tread rise &run and nosing 0 Handrail/Guard height&spacing
•Slie . Ic
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146301.1502
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PLANNING DEPT. / PPROVED
I- I60` --T'
• BY: Al. . •
DATE: /c-,/,9- -//55
IL
nr
ct a�yag`���t
W6`
KELLER
PERMIT CENTER
S okane 11703 E.Sprague Ave.,Suite B-3
.ValleySpokane Valley,WA 99206
509-688-0036;Fax 509-688-0037
www.spokanevall ey.ore
Affidavit in Lieu of General Contractor Registration
State of Washington )
County of pokane )
I, , PI* /7 , 1z state as follows:
(Print name as signed)
1. I have made application for a building permit from the City of Spokane Valley,Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under RCW 18.27.090, a copy of
which is printed on the reverse side of this affidavit.
3. I understand that prior to issuance of a building permit for work that is to be done by any contractor,
the City of Spokane Valley must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Spokane Valley of my compliance with this requirement,I
hereby attest that after reading the exemptions from the registration requirement of W 18.27.090,I
consider the work authorized under this building permit to be exempt under No. , and will
therefore,not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any
decis'•n to engage an unregist d cntractor to perform construction work.
/ •714e-e
APPLI ANT'S SIGNATURE
Signed and sworn to before me this
Day of CC i ,20a.
N•\‘‘"\\1111111
��� f%%%%%%i�%gQ,���//, Notary's Name Print) 1
-3,-,61F.01'4. 3 )
• T
S ,oG Notary s Signature
(i \ _
� 9 <09-11 ; � NOTARY PUBLIC in and for the State of
cWashington,residing at <�f,-;V1(.).4 County
My Commission expires: `k I`1 I
October 15,2007 Page 1 of 2 P:\Community Development\Forms\Building Forms
For City Use Only
CITY poPLUS Project Number , '�.-r�, -,
uneProject Address
4000
alle Vy®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 i
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
Page l of 1
•
Jodi Main
From: Halsey, Lance [LHalsey@spokanecounty.org]
Sent: Thursday, October 23, 2008 3:20 PM
To: Jodi Main
Subject: RE: 5108 N KELLER
Hi Jodi- They have taken out the application but have not seen a design from the Engineer, so as we get that
and visit the site we will release the building permit application-Thanks Lance.
From: Jodi Main [mailto:jmain@spokanevalley.org]
Sent: Thursday, October 23, 2008 2:33 PM
To: Demuth, Carol; Halsey, Lance; Warne, Patty
Subject: 5108 N KELLER
Looking for your approval on the above mentioned address, project #08-4106
Thanks.)
Jodi Main
Certified Permit Specialist
City of Spokane Valley
11703 E Sprague, 8-3
Spokane Valley WA 99206
P#509-688-0203
F#509-688-0037
10/23/2008
� Development Engineering
Stkikane
Valley
11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhall@spokanevalley.org
Approach Permit Application Review
TO: Building Department
Site Address: 5108 N. Keller Road
Project No: Tom Price Approach
Accepted Not Accepted
Approach X
Building Location
Paved Access
Notes: Saw cutting of existing curb is not allowed within the City's
jurisdiction. Driveway is to be inspected by the City's ROW Inspector prior
to concrete placement. Residential approaches are to be a minimum of 16'
wide, within the City's R/W.
Reviewed By: a% i ;-.4*�z� r-- Date: /CV 7 2
Permit Center PERMIT NUMBER:
CITY°F 11703 E Sprague Ave, Suite B-3
pokane Spokane Valley,WA 99206 PERMIT FEE:
Valley a (509)688-k0036 FAX:(509)688-0037
www.spokanevalley.org
Community Development
Approach Permit Application
r3-(o'� Kt it -V
PROJECT ADDRESS
START DA 1"h I(( (c ANTICIPATED COMPT.FTION DATE OCT' C9
Building Owner. Contractor:
Name: 1N011AGS Pr.iC" Name:
Address: 7, z, kid 1-1 V itci off Address:
City: Glx ..(-4 0r State: W Zip:��,1'S City: State: Zip:
Phone: (,)(y1 qq *•)1 Fax: Phone: Fax:
Contact Person
Contractor Lic No: Exp Date:
Name:—.5�iM PttCi'
City Business Lic.No:
Phone: OCI in u A090
PROJECT DESCRIPTION (Provide site sketch)
.kr Residential Driveway Commercial/Industrial Driveway
Existing Curb&Gutter Rural Road Section
Culvert Installation Sidewalk Repair/Construction
Other Conditions
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. . •lans or additio in rmation may be required to be submitted,and subsequently approved before this
application canbe ssed.
Signature00 0 Date ic��1% zcoe
Method of Payment:
❑ Cash ❑ Check ❑ Mastercard 0 VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 3/9/06