2009, 07-21 Permit App: 09002047 Residence Project Number: 09002047 Inv: 1 Application Date: 7/21/2009 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW SFR-SEWER Contact: NICHOLSON,JEFFREY H&JONI M
Address: 5922 N ELLA RD
C-S-Z: SPOKANE,WA 99212
Setbacks:Front Left: Right: Rear: Phone: (509)624-5389
Group Name:
Site Information Project Name:
Plat Key: Name: Range District: Nort
Parcel Number: 35121.2209 Block: Lot:
SiteAddress: 7327 E RUTTER RD Owner:Name: NICHOLSON,JEFFREY H&JONI
Address: 5922 N ELLA RD
Location::CSV SPOKANE,WA 99212
Zoning: R-2 SF Res Suburban District
Water District: 002 ORCHARD AVENUE Hold: ❑
Area: 7,572 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review
Building Plan Review Released By:
Originally Released: 7/15/2009 By: tmelbourn
Driveway/Approach Released By:
Originally Released: 7/14/2009 By: WMCGAV
Landuse/Zoning/HE Conditions Released By:
Originally Released: 7/17/2009 By: cjjanssen
Sewer Review Released By:
Operator: jmm Printed By: JD Print Date: 7/21/2009
Project Number: 09002047 Inv: 1 Application Date: 7/21/2009 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: OWNER Finn: 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 Sq Ft Valuation
1&2 FAMILY R-3 VB 988 $95,668.04 988 $95,668.04
BASEMENT F R-3 VB 56 $1,120.00 56 $1,120.00
BASEMENT U R-3 VB 932 $13,980.00 932 $13,980.00
COV DECK R-3 VB 27 $405.00 27 $405.00
GARAGE U-1 VB 512 $9,728.00 512 $9,728.00
Totals: 2,515 $120,901.04 2,515 $120,901.04
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,111.35
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $444.54
Permit Total Fees: $1,560.39
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $13.00
GAS PIPING 2 #OF UNITS $2.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
Permit Total Fees: $35.00
Operator: jmm Printed By: JD Print Date: 7/21/2009
Project Number: 09002047 Inv: 1 Application Date: 7/21/2009 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 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
Permit Total Fees: $60.00
Notes: �. �:.,
,..r.9 ,. �xd�ry � .r'�i:. �'«..r.."t..-� .. �s..dxP.' '' '_ xv.�° ` ...Ardrrr.,..�
7222 E UTAH AVE--PROPERTY MUST BE DIVIDED TO ADD THE RESIDENCE IN THE SHOP.
THE EXISTING SHOP CAN BE EXPANDED TO A MAXIMUM OF 1,029 SF.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,560.39 $1,560.39 $437.82 $1,122.57
Mechanical Permit $35.00 $35.00 $0.00 $35.00
Plumbing Permit $60.00 $60.00 $0.00 $60.00
$1,705.39 $1,705.39 $437.82 $1,267.57
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: JD Print Date: 7/21/2009
Permit Center
cm nF 11703 E Spragu,e,Ave,-Suite r A( PERMIT NUMBER: -e
40,00
Valley
Spokane Valleys VIxA' ,�„','�,F VALLEY
Va11eyA (509)688-00310FgX: 500688-00
www.spokanevalley 1 0 2043 PERMIT FEE:
Community Development
Residential Construction �k Vii cEN New Construction Accessory Bldg
Permit Application MI Addition/Remodel Deck
a PAik.PA,fr Other:
SITE ADDRESS: X. for,ig . RAA.TfE-R,
ASSESSORS PARCEL NO: 3 S i gA I r 9 LEGAL DESCRIPTION: j(.. 4-TA‹.-14 E6
Building Owner: rL ,f, 4 t,t)1 r�tiC 0tsprj Contractor: az Flt1J0145 CMAAA.'�,
Name: S t f T 1-J vc-CtU 140 A-' Name:
Address: N e7,90:2, LL>s A Address: 0�
City: C%100 State: , Zip: rivi ty. . ) State: Zip:
Phone: 4 a J�� Fax:& _53s 0 Phone: Fax:
Contractor Lic No: Exp Date:
Contact Person City Business Lic.No:
Name: .mac f 1.„1 i, 0 LSU DJ
Phone: (‹,0 6.0 c s- fi TO
Describe the scope of work in detail: Cost of Project: $
qv 6 tib A iw a4vC.Nf &
1-4o 0y., 'Pao/ f/Z 'T x.
I
Proposed Use: t t\)6,1--1 1'i Y l i--y nv VV"i-
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TOS PEAK: DIMENSIONS: #OF STORIES: / TOTAL H' IcCE:
MAIN FLOOR TOSQ. 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: veer /C D 0( 0 0 2 AREA:
FINISHED BASEMENT GARAG S FT : DEC OV. PATIO `,Q. FTG: 30% SLOPES ON
SQ. FTG: 5(, 0 �' ��J 5/ 2 27 PROPERTY:
#OF BROOMS: CONSTRUCTION TYPE: HEAT s : . (SEWEtf DR SEPTIC?
X0.0 G 1C-(.7
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: 411-�� a-t'�-, DATE:
Method of Payment:
❑ Cash 0 Check El Mastercard ISA
Bankcard#: Expires: IN#:
Authorized Signature:
REVISED 2/15/07
Permit Center
C'�'�"7,a_ e 11703E Sprague Ave,Suite B-3
PO PERMIT NUMBER:
Spokane Valley,WA 99206
4•010115valleY (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development ��'��'��''sp°kanevallev.ory
Mechanical Permit Application n Commercial Residential
SITE ADDRESS: E R‘...„--111._.ve..
Building Owner Z't-�;,,,F. N \eHo LS()N
Name: _...3 Lj--esvy }-oC.7i,..3 Phone: q 3.. 3 P Fax: 642 1,4 - '�' Cc-)
Address: N Sta-,2 s I._ l-.16 City: 5pkii
"` State: *
it". Zip: :.
� `:
4s ,
,.
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 1 X $10.00 =
14 DRYER 1 X $10.00 =
15 FUEL BURNING WATER HEATER X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) a. X $1.00 =
18 DUCT SYSTEMS 3 X $10.00 =
19 VENTILATING FANS 3 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: SUBTOTAL
❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: PROCESSING FEE $35.00
CARD#: VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
—po7'�Ar e Permit Center
s1�A1C1"' e _ 11703E Sprague Ave,Suite B-3
40,0,.1rvalley Spokane Valley,WA 99206 PERMIT NUMBER:
(509)688-0036 FAX:(509)688-0037
Community Development www.spokanevallev.or,, PERMIT FEE:
Plumbing Permit Application n Commercial residential
-�
SITE ADDRESS: i IQ-tom. L 11_ -.
Building Owner i F. ,F. N l& 1.-601-
Name: '7...)10/1---- L Phone: Cr":2 _ Li t>0 0 Fax: ,;;;;/zj, S 3 ct0
Address: t Sq a-.eg- City: r r , _ State: �; Zip: r"-2 °
Contractor dw ets1
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 2 X $6.00 =
2 URINALS X $6.00 =
3 TUBS 2 X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 =
LAVS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT
6 DISHWASHER t X $6.00 =t
7 CLOTHES WASHER 1 X $6.00 =
8 GARBAGE DISPOSAL X $6.00 =
9 WATER SOFTENER X $6.00 =
10 ELECTRIC WATER HEATER NOTE: IF GAS,SEE MECHANICAL X $6.00 =
AREA,CASE,COIL,TRENCH,
11 FLOOR DRAINS CONDENSATE 1 X $6.00 =
12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 =
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER X $6.00 =
PROOFER,CARBONATOR,SWAMP
COOLER
VACUUM BREAKER,CHECK VALVE,
AND R.P.B.P.D.FOR: VATS,TANKS,
17 CROSS CONNECTION DEVICE BOILERS X $6.00 =
GREASE TRAP,SAND TRAP,
18 INTERCEPTORS 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 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
❑CASH ❑CHECK ❑VISA 0 MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
QTY orkad1011 \11111114ft Development Engineering
Eley
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: 7300 Block of E. Rutter
Project No: 9-2047
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.
Reviewed By: 1,7,e/gc r Date: 7//f�d e
1
r
•
Si)
PerCenter PERMIT NUMBER: 7`
rr of 11703 E SpragueAve,SuiteB-3
okane Spokane Valley,WA 99206 PERMIT FEE:
41000V Valley. (509)688-0036 FAX:(509)688-0037
www.spokanevalley.org
Community Development
Approach Permit Application
9 't
PROJECT ADDRESS £ /Zl4,771
START DATE -73 pp ,1 Y1ICIPATED COMPLETION DATE
Building Owner: a f_F CiV01604., Contractor: C /"
Name: Name:
Address: g Address:
City: snAkee,✓_. State:14M Zip: „)2 City: State: Zip:
Phone: 9s3- D Fax: vd --s3e17 Phone: Fax:
Contact Pera°117rEFF Il✓tL'&v Contractor Lic No: Exp Date:
Name: City Business Lic.No:
Phone:
S•• Jv L L
PROJECT DESCRIPTION (Provide site sketch)
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.6)Plans or additional information may be required to be submitted,and subsequently approved before this
application can be processed. c�
Signature %/ t , .�.i >.
Date 7-9-0 7
Method of Payment:
0 Cash 0 Check ❑ Mastercard 0 VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED mos
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PLANNING DEPT. APPROVED
i ......-
t
-4.
DATE:
07/14/2009 04:17:15 PM 5813783
Recording Fee $42.00 Page 1 of 1
Notice CITY OF THE SPOKANE VALLEY
Spokane County Washington
Return to: I 111111 IIIIIIliii111111111111111 IIIIliii111111111111I 111111111111111111
City of Spokane Valley
Community Development Department—Planning Division
11707 E.Sprague Ave Ste 106
Spokane Valley,WA 99206
RECEIVED
JUL 1 5 2009
SPOKANE VALLEY
DEPARTMENT OF
COMMUNITY DFVE__OFM7N7
TITLE NOTICE
FILED BY:
City of Spokane Valley
Community Development Department—Planning Division
11707 E. Sprague Ave Ste 106
Spokane Valley,WA 99206
Parcel No.: 35121.2209
Legal Property Owner: Jeffrey H.&Joni M.Nicholson
City of Spokane Valley has taken the following land use regulation action imposing a variety of special
development conditions on Parcel#35121.2209 located in the NW Section 12,Township 25, Range 43"East WM
in the County of Spokane, State of Washington. The property is legally described as;
This property was the subject of a land use action by the City of Spokane Valley, Community Development
Department, Planning Division on July 10,2009 regarding the Airport Hazard Overlay.
Notice is herein provided that this property is located within the Airport Hazard Overlay Zone of the City of
Spokane Valley,Washington and is subject to the provisions of Section 19.110.030 of the City of Spokane Valley
Municipal Code.
Release of this title notice can only be accomplished through the authority of the City of Spokane Valley
Community Development Department or its successor by recording of a"Title Notice Extinguishment"based upon
a finding that such release should occur.
BY CITY OF SPOKANE VALLEY COMMUNITY DEVELOPMENT DEPARTMENT
Name: Grei A Cormick,PAI/3/(, 0 Title: Plannin Man ger
Signature: / Date: ! /0 D
R.E. " ise Tax Exempt �J
D 01 I(1 20
Sp 4, e Co yeas.
•
For City Use Only
SCITY OF PLUS Project Number ,/7
pokaneProect Address
4000 V
a ®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
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