2005, 05-03 Permit App: 05001401 ResidenceProject Number: 05001401 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/03/2005 Page 1 of 3
Protect Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 30 Left: 7 Right: 7 Rear: 55
Site Information:
Plat Key:
Contact: MADDEN CONSTRUCTION
Address: 10601 E NIXON LN
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 924-6497
Group Name:
Project Name:
Name: SHELLEY LAKE 01ST ADD PUD District: East
Parcel Number: 45241.1804
Block: Lot:
SiteAddress: 346 S SHELLEY LAKE LN
Location:: CSV
Zoning: UR -22
Water District:
Area: 9,941 Sq Ft
Urban Residential -22
Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Owner: Name: MADDEN CONSTRUCTION
Address: 10601 E NIXON LN
SPOKANE VALLEY, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 30
Review
Site Plan Review
Released By:
;4/
Plan Review
Released By
Sewer Review
Permits:
Operator: K_C Printed By: K_C Print Date: 05/03/2005
Project Number: 05001401 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/03/2005 Page 2 of 3
Building Permit
Contractor: KEVIN MADDEN Firm: KEVIN MADDEN CONSTRUCTIO
Address: E. 10601 NIXON LN Phone: (509) 924-6497
SPOKANE, WA 99206
Building Characteristics
Group: R-3 Type: VB
Total Area 2282
Building Height 33
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Gra Tvae Notes Su Ft Valuation Su Ft Valuation
2ND FLOOR R-3 VB 970 $72,439.60 970 $72,439.60
BASEMENT U R-3 VB 532 $7,980.00 532 $7,980.00
CARPORT U-1 VB 90 $1,350.00 90 $1,350.00
GARAGE U-1 VB 1,132 $21,508.00 1,132 $21,508.00
RESIDENCE R-3 VB 780 $58,250.40 780 $58,250.40
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 3,504 $161,528.00 3,504 $161,528.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,340.95
$4.50
$536.38
$1,881.83
Contractor: KEVIN MADDEN Firm: KEVIN MADDEN CONSTRUCTIO
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Phone: (509) 924-6497
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
5 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$10.00
$12.00
$3.00
$50.00
$10.00
$10.00
$10.00
Permit Total Fees: $105.00
Operator: K_C Printed By: K_C Print Date: 05/03/2005
Project Number: 05001401 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/03/2005
Contractor: KEVIN MADDEN
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Plumbing Permit
Units
2
2
1
1
1
1
1
1
2
Page 3 of 3
Firm: KEVIN MADDEN CONSTRUCTIO
Phone: (509) 924-6497
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
DO NOT ISSUE SEWER PERMIT - OK TO ISSUE HOUSE PER ROGER 10/27/98
OK TO ISSUE SEWER PERMITS FOR:
BLK 4-L 1 BLK5-L2,16,18
BLK 6 - L 1,3,5,6,9,10 BLK 7 - L 1,2
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,881.83
$105.00
$72.00
Invoice Amount
$1,881.83
$105.00
$72.00
$2,058.83 $2,058.83
Amount Paid
$0.00
$0.00
$0.00
$72.00
Amount Owing
$1,881.83
$105.00
$72.00
$0.00 $2,058.83
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: K_C Printed By: K_C
Print Date: 05/03/2005
Stiokan
.000#Valle
BUILDING PERMIT APPLICATION WORKSHEET
City of Spo e Valley Community Development Department
�� Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
hone: (509) 688-0036; Fax: (509) 688-0037
u�Cn�li���.1!
REQUIRED SITE INFORMATION
Street Address: _6416 56 elle L t ecI 4ve,
Assessor's Tax Parcel Number(s):
Legal Description: x�
PERMIT DESCRIPTION: iYeA r Sthy/E C h1. ,4 -/ed a,r'a- .. e 44-dd
Building Permit ❑ Change in Use ❑ Grading D Manufactured Home
❑ Tenant Improvement El Fire Safety ❑ Other
❑ Relocation
1
OWNER/APPLICANT INFORMATION
,l1-(�qoo
Owner: /YIcz4deM COH6-t. ❑ Applicant: game--
Phone: V.24-449 7 Fax: IVA, Phone: Fax:
Address: Z70470/ Mzo»' ka_tie Address:
S'pokan'e V& (4v'a, 94i -C
City State Zip Code City State Zip Code
❑ Contractor:
Phone: Fax:
Address:
City
State Zip Code
• WA State Contractor License #:
❑ Architect:
Phone: Fax:
Address:
City
Contact:
Spokane Valley Bus. Liscense #: Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: � �
DIMENSIONS: 7 x ���
# ��� STORIES:
MAIN FLOOR TO SQ. FTG:
70
2"" FLOOR SQ. FTG:
977
UNPIN BASEMENT. FTG:
S.2,
FINISHED BASEMENT SQ. FTG:
/yod "f,q-
GARAGE SQ. FTG:
�/,
/i__9/-
DECK/GOV. PATIO SQ. FTG:
OCCUPANCY GROUP:
7\-7, 3-
CONSTRUCTION T'PE:
a e,-
HEAT SOURCE:
i/ m'a,k, a
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURF� AREA:
ON-SITE
COST OF PROJECT:
30% SLOPES ON PROPERTY:
/1 i 4,
EW�R SEPTIC
SYSTEM? . ,.SE'-c-cJ
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler:
Tent:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
0 REINFORCEMENT
Phone:
Inspector(s):
Fax:
0 WELDING
DISCLAIMER
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) AH 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.
Ownership of resulting development rights granted by any issued permit jure to the property owner.
Print Namef 7 L4'C 4 1 1€ d d Er( Signatur
.(;
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash 0 Check 0 Mastercard
Bankcard #:
Authorized Signature:
0 VISA
Expires:
VIN#:
0 Other
PLUMBING PERMIT APPLICATION
NC Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Project Address: :._84/6 C2, Shell 4a k F dr -','e, Permit Use:
Owner. ly-gVja Madded coiist(' , Phone (Daytime Contact): Ce l l .71 7- 70 C
Mailing Address: AC/060//4 oIV Iva de 5pprka.riP Yir ON - 6 97'
City State Zip Code E'
Contractor. 4 )/
License #: Phone #:
Mailing Address:
State
City
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF NITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
1
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
1
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
'-
X
$6.00
=
6
DISHWASHER
l
X
$6.00
=
7
CLOTHES WASHER
i
X
$6.00
=
8
GARBAGE DISPOSAL
1
X
$6.00
=
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
'
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
1
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
$B.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK
DATE:
SUBTOTAL
0 VISA 0 MASTERCARD
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address:
Owner:
Mailing Address:
Contractor:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206 '
Permit Use:
Phone (Daytime Contact):
Mailing Address:
License #:
City
Phone #:
State
Zip Code
AUTHORIZED SIGNATURE:
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
1
1
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
X
$10.00
=
17
GAS PIPING (each outlet)
I
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 Tess 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
3-15 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:
0 CASH 0 CHECK 0 VISA 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
ADDRESS
ZONE
ROAD WIDTH
FRONT FLANKING A
COMMENTS
REVIEWED BY
•
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