2009, 12-31 Permit App: 09004130 Fire Damage RepairProject Number: 09004130 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/31/2009 Page 1 of 2
Project Information:
Permit Use: REPLACE FIRE DMG Contact: KLEIN'S HOME IMPROVEMENTS
Address: PO BOX 3002
C - S - Z: HAYDEN, ID 83835
Setbacks: Front Left: Right: Rear: Phone: (208) 772-7734
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: Sout
Parcel Number: 45203.1106
Block: Lot:
SiteAddress: 1320 S ROBINHOOD ST
Location:: CSV
Owner: Name: PACKER, TIMOTHY J
Address: 1322 S ROBINHOOD ST
SPOKANE VALLEY, WA 99206
Zoning: MF -1 MF MDR District
Water District: 101 SPO CO WATER DIST#3B Hold: ❑
Area: 12,150 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
Permits:
Released By:
Originally Released: 12/31/2009 By: tmelbourn
Building Permit
Contractor: KLEIN'S HOME IMPROVEMENT Firm: KLEIN'S HOME IMPROVEMENT
Address: PO BOX 3002
HAYDEN ID 83835
Phone:
(208) 772-7734
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB REPAIR 0 $70,000.00 0 $70,000.00
FIRE DMG
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 0 $70,000.00 0 $70,000.00
Units Unit Desc Fee Amount
1 SELECT $783.75
1 SELECT $4.50
1 SELECT $313.50
Permit Total Fees: $1,101.75
Operator: jmm Printed By: jmm Print Date: 12/31/2009
Project Number: 09004130 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/31/2009 Page 2 of 2
Notes: SICSIWIWANNOMMOVXMIC
Payment Summary:- ..r tS....:
Permit Type Fee Amount Invoice Amount
Building Permit $1,101.75 $1,101.75
$1,101.75 $1,101.75
Amount Paid
$313.50
Amount Owing
$788.25
$313.50 $788.25
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of thfl code or of any other state or local laws or ordinances.
Signature:
Operator: jmm Printed By: jmm Print Date: 12/31/2009
SCRVO
cane
PERMIT NUMBER:
PERMIT FEE:
(Staff Use Only) ;
•
Cr
i
CITY OF SPOKANE VALLEY
CSCommunity Development Department 1 fiiM_r. :.__,; t
l E D
Permit Center V PEF-04,41T CENTER
11703 East Sprague Avenue, Suite B-3 i
Spokane Valley, WA 99206 EC r 09
Fax: (509) 688-0037
Tel: (509) 688-0036 Prof #% j __--
permitcenter@spokanevalley.orq ; ,4 moi,�
..
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 ACCESSORY BUILDING
❑ NEW CONSTRUCTION
0 DECK
❑ ADDITION/REMODEL
[- THER
SITE ADDRESS: / 32 o S, £08, 1-100 S,A.
ASSESSORS PARCEL NO.: 4S-203. /Jp 6 LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS:
770164,4/ iAc et
/3//''2o 44:-1/404 S. 6
, ,
CITY: ,KA,JC 1/4JIe•( STATE: f1JASA:.#1tot) ZIP: 99,70 4
PHONE: FAX: / CELL:
CONTACT NAME: T,e1 ift•14 ))a
PHONE:
aot 64c), - 90 3,
FAX: Ao E - 74,2 - 77 3
CELL:
CONTRACTOR NAME: k`et'#i s 6;5 AS4ct k1Cct✓Hl-
MAILING ADDRESS: p. o. 6og 300 2.
CITY: }4416e../ /(
PHONE: a D 8 — 77a. 173 4
CONTRACTOR LICENSE NO.: kG 6 -747
STATE: 1-1440 ZIP: 8 3 8.36
FAX: 2o 8 - 772- 6 Z$b CELL:
EXPIRES: JD // 0 CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
_,2e/14 .0 kiYe.. D4m.45c
PROPOSED USE:
Effective October 28, 2007 Page 1 of 2
F.Hn. /7.....n.nrn la nm.++..n:F., r1",,,11,.,mnnFinn.-...++n..Mn/cnr w-tn ID. .:Iil: ,.-,IO :rinnF:-.1 !'nnn4 r...w:n.. nn ...:«
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Dimension: No. of Stories:
241 38
Height to Peak:
1'»
Total Habitable
Space:2-
Main Floor SQ
FT:
Upper Floor SQ
FT: cis&
Unfinished Basement
SQ FT:
Finished Basement
SQ FT: 62#
Garage SQ FT:
344
Deck/Covered Patio
SQ FT: ftp
Impervious Surface
Area:
30% Slopes on
Property:
No. of 3
Bedrooms:
Construction
Type:
Heat Source:
Sewer or
Septic:
TOTAL COST OF PROJECT: $ 7B+i bb D
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 submiJted and subsequently approved before this application can be processed.
Signature
1;{
Date: /2 -3o -D?
Method of payment: 0 Cash 0 Check
Bankcard #:
0 Visa 0 Mastercard
EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 2 of 2
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For City Use Only
PLUS Project Number t / t,,? U
Project Address i 1" a COC
�Ua11ey°
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.
/ // ///I
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
D 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
Project Number: 09004130 Inv: 2
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/7/2010 Page 1 of 2
Project Information:
Permit Use: REPLACE FIRE DMG
Setbacks: Front
Site Information:
Plat Key:
Contact: KLEIN'S HOME IMPROVEMENTS
Address: PO BOX 3002
C - S - Z: HAYDEN, ID 83835
Left: Right: Rear: Phone: (208) 772-7734
Name: Range
Group Name:
Project Name:
xtssownwzm
District: Sout
Parcel Number: 45203.1106
Block: Lot:
SiteAddress: 1320 S ROBINHOOD ST
Location:: CSV
Owner: Name: PACKER, TIMOTHY J
Address: 1322 S ROBINHOOD ST
SPOKANE VALLEY, WA 99206
Zoning: MF -1 MF MDR District
Water District: 101 SPO CO WATER DIST#3B Hold: ❑
Area: 12,150 Sq Ft
Nbr of Bldgs: 0
Review Information:
Width: 0
Nbr of Dwellings: 0
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released: 12/31/2009 By: tmelbourn
Permits: MOMMONSIT,TANEMALTPSIMMA
/
4v7Sfa,(J
0q— oo4-(3c
Building Permit
Contractor: KLEIN'S HOME IMPROVEMENT Firm: KLEIN'S HOME IMPROVEMENT
Address: PO BOX 3002 Phone: (208) 772-7734
HAYDEN ID 83835
This Application: Total Project:
Description Grp I'm Notes Su Ft Valuation Su Ft Valuation
1&2 FAMILY R-3 VB REPAIR 0 $70,000.00
FIRE DMG
Item Description
HOURLY REVIEW FEE
Totals: 0 $70,000.00
Units Unit Desc
1 # OF HOURS
Fee Amount
$61.00
Permit Total Fees: $61.00
Operator: jmm Printed By: jmm Print Date: 4/7/2010
Project Number: 09004130 Inv: 2
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/7/2010 Page 2 of 2
PaymentSummary: M.W.I,,:.. 7_ .MMER4 V-MNOW;a.. _ -- .;
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $61.00 $61.00 $0.00 $61.00
$61.00 $61.00 $0.00 $61.00
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: jmm
Print Date: 4/7/2010
Spokane
Va11ey�
PERMIT NUMBER:
PERMIT FEE:
(Staff Use Only)
C)9CO 1 -SO
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@spokanevalley. orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTIONR" A
❑ ER
DDITIO /R ODEL 111 ACCESSORY BUILDING
111 DECK
SITE ADDRESS: '3,20 5, ,46\,),1-10.0i S�' !)2Z 5, £D�,r✓ Nocci 5) -
ASSESSORS
)-
ASSESSORS PARCEL NO.: 4 S�0 3, / / o 6 LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS: /3 2 0 S , /o o /`i 00
CITY:
PHONE:
5 0 ie4r' V4 Pei
5f,
STATE: W4 Sh. /,,� 7c2 ZIP:
FAX: CELL:
CONTACT NAME: / � �G-{41),✓
,20b- Z40 - i o 3
PHONE:
CONTRACTOR NAME:
FAX: CELL:
MAILING ADDRESS:
51 el w aX 3 0o
CITY: )1,-11 V e
d0g - 77.2- 7734
PHONE:
STATE: 7714 )0 ZIP: 3383,6
FAX: CELL:
CONTRACTOR LICENSE No.: /C- et - 74 7 EXPIRES: / O -" 13 CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
perm k\- OR06
PROPOSED USE:
Effective October 28, 2007 Page 1 of 2
I.4+... 11........ n....�. �......•. u.... ......1....I.. -al.- I/`.............;4.. f'1.....J..n..•...r.��nnn....�....�.-�r..�.�... �D..:I.1:..../o..n:.l....F:..� /"......�.-....F:...+ n.....+.:�
****YOU MUST COMPLETE THE FOLLOWING****
MARKKA 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:
c'
TOTAL COST OF PROJECT: $
pISCLAIMER
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 subsequently approved before this application can be processed.
Signature
Method of payment: 0 Cash 0 Check
Bankcard #:
Date: - / - /
0 Visa ❑ Mastercard
EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 2 of 2
�.�...r6........ n....�,-.......-.ii.... ...... I.... nn. -1.. I irIo....:.4....4:-.i r^....�r.....w:.... n.. �....:�
SPOKE COUNTY
Site Information
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Project Information
Site Address: 1320 S ROBINHOOD ST
Parcel Number: 45203.1106
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning:
Owner: PACKER, TIMOTHY J
Address: 1322 S ROBINHOOD ST
SPOKANE, WA 99206
Building Inspector:
Water Dist:
Project Number: 10001539 Inv: 1 Issue Date: 4/8/2010
Permit Use: SEWER CONNECTION
Applicant: KLEIN'S DISASTER KLEENUP
PO BOX 3002
HAYDEN, ID 83835
Contact: KLEIN'S DISASTER KLEENUP
PO BOX 3002
HAYDEN, ID 83835
Phone: (208) 772-6250
Phone: (208) 772-6250
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: KLEIN'S DISASTER KLEENUP License #: KLEINDK912OM
PROCESSING FEE 1 $15.00 SI SEWER CONNECTION 1 $125.00
Total Permit Fee: $140.00
**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.
**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.
**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.
Payment Summary
Total Fees AmountPaid AmountOwing
$140.00 $140.00 $0.00
Tran Date Receipt # Payment Amt
4/8/2010 1250 $140.00
Processed By: DOMPIER, DAWN
Printed By: Force, Faith Page 1 of 1
PERMIT
NOTICE
It is the responsibility of the applicant/permittee to see to it that the use described on the front of this permit complies with applicable codes and
requirements and that required inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before
progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the applicant's/permittee's
or property owner's expense. At a minimum, the following inspections ARE REQUIRED by County Code:
1. FOOTING - all structures, including manufactured homes when forms and reinforcement are in place and prior to placement of concrete.
NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning
regulations. Front, flanking, side and rear yard setbacks are measured from property lines. Curb lines and fence lines are not necessarily indicative
of property lines. In some residential areas, the County can own as much as 20 feet of right-of-way between your property and the actual improved
street/curb. The responsibility to comply with applicable setback provisions lies solely with the permittee—neither Spokane County nor its authorized
representatives assume any responsibility for the verification or location of your property lines. Please verify their location prior to locating your
structure. Failure to properly locate the structure may require its relocation at the owner's/permittee's expense.
2. FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete.
3. FRAMING - after all framing, bracing and blocking is in place, plumbing, mechanical rough -in inspections have been approved, and prior to
concealing.
4. INSULATION - prior to the installation of drywall.
5. PLUMBING - after rough -in, before covering, and final.
6. MECHANICAL - rough -in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL - all permits - when complete and prior to occupancy and/or use. Please provide 24 hours notice.
NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site
plan) required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access,
on-site drainage ("208 swales"), road improvements, parking, and landscaping are common requirements of a permit/site plan which
must be completed prior to final approval of a building or issuance of a Certificate of Occupancy.
8. MANUFACTURED HOMES - foundation inspections prior to pouring pads, inspection of blocking/tie-downs, when completed per manufacturers
installation instructions. Final Inspection approval prior to occupancy: stairs, handrails, skirting, etc., installations completed WAINS Tag(s) must be
affixed to the home, completed inspection record card and manufacturer's installation instructions must be available on site.
9. SEWERS - prior to cover
10. RIGHT-OF-WAY/APPROACH - prior to placement of concrete, or, if gravel approach, after completion.
In addition to the above, any plumbing or mechanical systems or material which would be concealed by framing, drywall, concrete, etc., must be inspected
prior to cover. Check with the department for "special inspections" in conjunction with commercial projects.
FOR INSPECTIONS:
TO INSURE PROMPT SERVICE, PLEASE GIVE ONE WORKING DAY/24 HOUR NOTICE .
PARTS OF YOUR PROJECT MAY REQUIRE PERMITS AND INSPECTIONS
FROM MORE THAN ONE AGENCY.
• Building, plumbing, mechanical and fire inspections, Department
of Building & Planning 477-3675
• Construction in a flood plain, Division of Engineering & Roads 477-3600
• Electrical wiring, State Department of Labor and Industries 324-2640
• On-site waste disposal system, Spokane Regional Health District
324-1560
• Road cuts for utilities or driveways, Division of Engineering &
Roads - 48-HOUR NOTICE REQUIRED 477-3600 or
State Department of Transportation 456-3000
• Sewer connection, Division of Utilities 477-3604 or City Public
Works Department 625-6300
PERMIT EXPIRATION
Unless otherwise noted, building, plumbing, fire and mechanical permits will be considered null and void by limitation if the work authorized by
the permit is not commenced within 180 days or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and
approved by the Building Department prior to expiration. At a minimum an inspection should be requested at least once every 180 days to assure the
validity of the permit. Please call if you have any questions.
REFUNDS
All requests for building permit refunds must be made in writing by the applicant/permittee (shown on the reverse) no later than 180 days after the
date of fee payment. Refunds of not more than 80% of the permit fee paid may be authorized when no work has been done under the permit. No
refunds may be authorized more than 180 days after fee payment. Please contact the other agencies with respect to their refund policy on all other permit
types.
MISTAKE?
If you think we've made an error in processing this permit or find erroneous information on the permit, please bring it to our attention immediately by filing
a written request for correction within 10 working days of discovery. All such requests should be directed to the Department of Building and Planning at:
Spokane County Department of Building & Planning
1026 West Broadway Avenue Spokane, WA 99260
Phone: (509) 477-3675 Fax: (509) 477-4703 TDD: (509) 477-7133
REVISED 02/10 BLDG PERMIT