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2011, 01-11 Permit App: 11000036 RemodelProject Number: 11000036 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/11/2011 Page 1 of 2 Project Information: Permit Use: FINISH BASEMENT Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Name: Range Contact: JACKSON, DAVID S & PAULA J Address: 18119 E SHANNON AVE C - S - Z: SPOKANE VALLEY, WA 99016 Phone: (509) 000-0000 Group Name: Project Name: District: East Parcel Number: 55074.4003 Block: SiteAddress: 18119 E SHANNON AVE Lot: Owner: Name: JACKSON, DAVID S & PAULA J Address: 18119 E SHANNON AVE SPOKANE VALLEY, WA 99016 Location:: CSV Zoning: R-4 SF Res Urban District Water District: 134 CONSOLIDATED ID #19 Area: 7,367 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information:.. Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Permits: Released By: Originally Released: 1/11/2011 By: TMELBOU Building Permit Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Description Grp Lug Notes Sq Ft Valuation Sq Ft Valuation BASEMENT R R-3 VB FINISH 0 $8,121.00 0 $8,121.00 BASEMENT Item Description RESIDENTIAL PERMIT FEE WSBCC SURCHARGE SF PLNS RVW < 7999 SQ FT Totals: 0 $8,121.00 0 $8,121.00 Units Unit Desc Fee Amount 1 SELECT $167.25 1 SELECT $4.50 1 SELECT $66.90 Permit Total Fees: $238.65 Operator: JD Printed By: JD Print Date: 1/11/2011 Project Number: 11000036 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/11/2011 Contractor: OWNER Contractor: OWNER Item Description TOILETS/BIDETS SINKS SHOWERS WATER PIPING - DWV Notes: Payment Summary: Permit Type Building Permit Plumbing Permit Mechanical Permit Page 2 of 2 Firm: OWNER Phone: (000) 000-0000 Plumbing Permit Units 1 1 1 1 Firm: OWNER Phone: (000) 000-0000 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount Invoice Amount $238.65 $238.65 $24.00 $24.00 $262.65 $262.65 Fee Amount $6.00 $6.00 $6.00 $6.00 $24.00 Amount Paid $66.90 $0.00 Amount Owing $171.75 $24.00 $66.90 $195.75 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: 1/11/2011 *Wane .,, 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©spokanevallev.orq i (Staff Use Only) PERMIT NUMBER: PERMIT FEE: i RESIDENTIAL CONS RUCTION PERMIT APPLICATION 0 NEW CONSTRUCTIONADDITION/REMODEL 0 ACCESSORY BUILDING 0 DECK 0 OTHER SITE ADDRESS: /fl//cr,J ///2--c `s�✓�J� �%2/ C/ ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: J BUILDING OWNER NAME: 0‘, • --, L- NAME: ADDRESS: CITY: PHONE: / /g/7 �:� X54 _, I z(01 ' / �J STATE: it/1 ZIP: f77/(,. C3--e,s) 3e5 --7j. 23 FAX: CELL: CONTACT NAME: a� C( �/' Rt zz/A PHONE: CONTRACTOR NAME: .,(7,/ FAX: 4,c scii--) CELL: 5a,4-ce 4 S G Se ei e - MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND IN KATE USE & PROPOSED USE: //4e4rao rGs?a/ ,0"l'fr2' L ✓I • ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE No. of Stories;, Height to Peak: Dimensions: Total Habitable Space: ,5 7o 5QP1 Main FI` FT: Upper Floor SQ V Garage SQ FT: /v /, No. of Bedrooms: / / Deck/Covered Patio SQ /1V FT: FT:finishedas�j�SQ Impervious a e Area: , Construction Type: ex,;)-. Finished Basement SQ FT: 570 O F< 30% Slopes on Property: /v/,, Heat Source: (1,K, W,rr> elder or Septic: Sc�Gr TOTAL COST OF PROJECT: $ $ /o? / 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 City of Spokane Spokane Valley Development code. Referenced fors e voationle offor review at federal, statetorlocal laws, codes orlley Permit orrdi ances.C6)ter. 5) The City of Plans or additional Spokane Valley permit is not a permit or approvalany information may be required to be submitted and subsequently approved before this application can be processed. Page 1 of 2 Effective October 28, 2007 P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit App 10.28.07.doc Signature Method of payment: ❑ Cash Bankcard #: Authorized Signature: ❑ Check ❑ Visa Date: ] ,Tu_,. ❑ Mastercard VIN#: Effective October 28, 2007 Page 2 of 2 P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit App 10.28.07.doc Malley Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcente spokann'alleV.ora Community Development Plumbing Permit Application /I//9 // , 54e4.444.4‘91 �1' - .4a) 1/4 7/e f If/4 79O /G PERMIT NUMBER: PERMIT FEE: 0 Commercial 0 Residential SITE ADDRESS: Building Owner Fax Name: � _ !G GX! - 75;23 Phone(59) S!ia3 38� Zip:9%0/// ----City: 5x,o,te¢/tate: u/� Address: ari1y�. �4uN��� /.42. Zip: Contractor Fax: Name: ,47/4Phone: State: Address: City: License No: City Business Lic: Contact/Project Manager: Name:Phone: /94irir" v C./.tw # OF UNITS PLUMBING FIXTURE ON A TRAP / TOILETS URINALS TUBS / SHOWERS (per trap) Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat / SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER Area, Case, Cal, Trench, Condensate FLOOR DRAIN DRAINS ROOF DRAIN/OVERFLOW DRINKING FOUNTAIN, WASTE Installation, Alterations, Repair, Reversals WATER PIPING/DRAIN-IN DEVICE Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler WATER USING DISPOSAL SYSTEM PRIVATE SEWAGE If Gas, See Mechanical WATER HEATER INDUSTRIAL WASTE PRETREATEMENT Including traps, vents except kitchen type grease interceptors functioning as fixture traps INCEPTORS Water piping, drainage or vent pipingr REPAIR OR ALTERATION ATMOSPHERIC TYPE VACUUM BREAKER FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers BACK GAS MEDICAL INCEPTORS ❑CASH 0 CHECK 0 VISA 0 MC Card# SIGNATURE: EXPIRES: VIN: P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc Spokane jUalley Project Transmittal City of Spokane Valley Community Development Department 11703 E. Sprague Ave, Suite B3 Spokane Valley, WA 99206 Phone: 509.688.0036 New project D Previous pre -app meeting 0 Plan revisions 0 Transmittal Date: Monday, January 10, 2011 Site Address: 18119 E SHANNON AVE Parcel Number: 55074.4003 Zoning: R-4 Fire District: FD 01 Project Number: 11000036 Water District: CONSOLIDATED ID #19 Applicant: JACKSON, DAVID S & PAULA J 18119 E SHANNON AVE SPOKANE VALLEY, WA 99016 (509) 000-0000 e-mail: Contact: JACKSON, DAVID S & PAULA J 18119 E SHANNON AVE SPOKANE VALLEY, WA 99016 (509) 000-0000 e-mail: Contractor: OWNER ( ) - 0 Owner: JACKSON, DAVID S & PAULA J 18119 E SHANNON AVE SPOKANE VALLEY, WA 99016 e-mail: Occupant: e-mail: Arch / Engineer: e-mail: Project Description: FINISH BASEMENT Building Landuse Engineer Utilities Health Fire Dist Assessor applicatio r site pla r plan Please send all plan review and project comments via e-mail to the highlighted individuals. pokane jUalley® For City Use Only PLUS Project Number } ` I Project Address 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 ; - �\ t�) 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 thec�plicant's contact person with the City can be changed, one individual with the expertise for dealing with reviewer c ments 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„atate, 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