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2003, 11-06 Permit App: BLD-03-02994 Residence
Spokane �Va11ey 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit NEW SINGLE FAMILY RESIDENTIAL Job Address: 608 S SHELLEY LAKE LN SPOKANE VALLEY WA 99037 Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Subdivision: Owner: Applicant: Address: Contractor: Address: SHELLEY LAKE PUD MADDEN, KEVIN M MADDEN CONSTRUCTION 10601 E NIXON LN SPOKANE VALLEY, WA 99206 KEVIN MADDEN CONSTRUCTION 10601 E NIXON LN SPOKANE WA 99206-3794 Lot: 8 Application #: Applied: Issued: Expires: Blk: 3 Parcel No: 45242.1308 Phone: (509) 924-6497 Phone: Lic No: (509) 927-7526 KEVINMC146J5 BLD -03-02994 11/06/2003 05/04/2004 Zoning: General Information: TYPE OF RESIDENTIAL PERMIT VALUATION BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE STRUCTURES ON PROPERTY SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SHOWERS (PER TRAP) SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER PIPING/DRAIN-IN WASTE WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD sfr 141356 29 46X33 2 3 40 25 5 5 r-3 5-w 1 no no 3 3 1 51 Valley . 1 REVIEWED FOR CODE COTVIPLIANCE G DiVIS ON Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SHOWERS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER PIPING/DRAIN-IN WASTE WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER AS PIPING TILATING FANS 1 SPOKANE VALLEY BUILDIN 1 _...------ 1 2 1 1 1 1 3 4 1 Total Calculated: Deposits/Receipts: T. I Due: CITY OF SPOKANE VALLEY APPROVED FOR SUBMITT E HEVIInitials / Dates Building l—�— Planning Public Works a 491.58 1,228.95 4.50 18.00 18.00 6.00 30.00 6.00 6.00 6.00 6.00 6.00 12.00 15.00 10.00 10.00 10.00 3.00 40.00 1,927.03 0.00 1,927.03 STOkane D FOR CODE COMPLIANCE NE VALLEY BUI e GgIVISIONPr 1064 ALU tac THIS IS NOT A RECEIPT S)onliane PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206..., Phone: (509)685-0036 Fax: (509)658-0037 REQUIRED SITE INFORMATION STREET ADDRESS: 601 .9 . y' ASSESSOR'S TAX PARCEL NUMBER(S): 1-,6:7241,20 /3os/ 6 LEGAL DISCRIPTION: PERMIT DESCRIPTION: Bti*D1NG PERMIT a -RELOCATION CI CHANGE IN USE • •CI GRADING ®-SIGN la TENANT •D.iVIA ACTACTURED.HOME cj-OFJ±J R... • OWNER / APPLICANT INFORMATION ° OWNER: PHONE: 92 J l��' 4 FAX: 4 ADDRESS: CITY,STATE, ZIP CONTRACTOR: eth: Cy - PHONE: q.)-7- 7c. FAX: ADDRESS: CITY,. STATE, ZIP APPLICANT:, PHONE:92.4'-1 C(9 % FAX: 3 J+ ADDRESS:/0‘0/- 99 CITY, STATE, ZIP ® ARCHITECT: /rc-t/v.+) PHONE: 9.27-7...6:2 ' FAX: // / ADDRESS: CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # t :e !1' /V e / 41 (o S c mingommemr PERMIT/BUILDING INFORMATION COST OF PROJECT: BUILDING HEIGHT TO PEA �� BUILDING DIMENSIONS. 'NUMBER OF STORIES: / NUMBER of BEDROOMS: 3 - FLANKING SETBACK: .S FRONT SETBACK: REAR SETBACK: 1 Lep LEFT SETBACK: RIGHT SETBACK: 30% SLOPES ON PROPERTY: //D OCCUPANCY GROUP:. qj;,,g/e. 1-‘,-7/// CONSTRUCTION TYPE: STRUCTURES ON PRO ERTY: /S/0//e•- CRITICAL 5/0'e CRITICAL AREAS: ? yLd,u_ CURRENT PROPERTY SIZE: /D CURRENT PROPERTY USE: Z16...(7.1.t. , CURRENT SEPTIC USE: CURRENT WELL USE: , /9, /. IMPERVIOUS SURFACE AREA:_42-7r„ off1 MAIN FLOOR SQ FT: /yloiY2 2ND FLOOR SQ FT:- // 1. UNFIN BASEMENT: 4696195-4--2, FINISHED BASEMENT:/YoYe GARAGE: ,Off COVERED DECK: -t-R__ DECK: MANUFACTURED HOME SIGN WIDTH: LENGTH: YEAR: PIT SET: MANUFACTURER: SQ FT OF SIGN: # OF SIGNS: TYPE OF SIGN: HEIGHT O'F SIGN: AREA OF EXIST SIGN: RELOCATION FIRE SAFETY PREVIOUS ADDRESS: PROPOSED USE: FIRE SPRINKLER: FIRE ALARM: PAINT BOOTH: TENT: FIREWORKS DISPLAY: BLASTING: DATE/TIME: WA STATE NON-RESIDENTIAL ENERGY CODE PLANS EXAMINER: PHONE: FAX: ADDRESS: CITY, STATE, ZIP INSPECTOR: PHONE: FAX: ADDRESS: CITY, STATE, ZIP SPECIAL INSPECTIONS CI BOLTING ❑CONCRETE ❑ REINFORCEMENT ❑ WELDING FIRM NAME: PHONE: FAX: INSPECTOR(S): BUILDING STAFF USE ONLY IS PUBLIC SEWER AVAILABLE: . ® YES . ®NO IF YES: © COUNTY ® CITY - IS PUBLIC WATER AVAILABLE: 0 YES 0 NO IF. YES, WHICH WATER DIST/IRR: IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO IS THE PROPERTY LOCATED WITHIN ASA: 0 YES C] NO PSSA: ❑ YES 0 NO DATE: I STAFF: 1 METHOD OF PAYMENT: 0 CASH . CHECK BANKCARD # EXPIRES.* VIN # AUTHOR/ZED SIGNATURE* *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD *Wane .000Valley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 Phone Spokane Valley, WA. 99206 509-688-0037 - Fax PROJECT ADDRESS: LP Q1( r PERMIT USE: wdee,7.- ea OWNER: i3---- y.ti PHONE (Daytime Contact) 46 7_ /7.4 reo MAILING ADDRESS: .c/-2/ 41 eta -�- ci-7,, i6-44-�-)20-1f Ida- '9©. AMOUNT (street) (city/state) (ZIP) TOILETS CONTRACTOR: LICENSE # X MAILING ADDRESS: RI 2/4 to ,a (! Cfey oF Srokahre_\4t,l WcZ- iii,.. : 9�7_751 6 -- G (t 11 7--6v0 2 URINALS (street) (city/state) (ZIP) . PLUMBING FIXTURES THOD 0 CASH CE: ]KCARD NUMBER: HORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS .< X $6 - /Z 2 URINALS ® X $6 - 3 TUBS ir... X $6 - % 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT / X $6 5 SINKS LAVSBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT 46-15 / ithf X ' $6 - c),4 6 DISHWASHER / X $6 - 7 CLOTHES WASHER / X $6 - (C 8 GARBAGE DISPOSAL l X $6 - 9 WATER SOFTENER © X $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL O X $6 - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE / X $6 - 6 12 FOUNTAINS, DRINKING Q X - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP 0 X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER a: hos e bib X $6 - . la 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS • 4 X $b 17 SPRINKLER SYSTEM NA.. X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK h/ / /, # X $6 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 20 MISC. PLUMBING FIXTURE Qlytljr X $6 PAYMENT i CHECK 1111111111111 • 141 S ! ._ .. _ SUBTOTAL: g0 , a.L, PLUS PROCESSING FEE - $35.00 ® 1111.1111 ■ TOTAL PERMIT FEE DUE: / 2 09 CE: ]KCARD NUMBER: HORIZED SIGNATURE: C C OjUNT ' Site Information Project Information Site Address: 608 S SHELLEY LAKE LN VERADALE, WA 99037 Parcel Number: 45242.1308 Subdivision: Block: 3 Lot: 8 Zoning: UNK Unknown Owner: KEVIN MADDEN Address: S. 1214 PROGRESS RD VERADALE, WA 99037 Building Inspector: BOBBY STONE Water Dist: Project Number: 03007915 Inv: 1 Issue Date: 10/31/2003 Permit Use: SEWER CONNECTION - SHELLEY LAKE Applicant: KEVIN MADDEN CONSTRUCTION S. 1214 PROGRESS RD VERADALE, WA 99037 Phone: (509) 927-7526 Contact: KEVIN MADDEN CONSTRUCTION S. 1214 PROGRESS RD VERADALE, WA 99037 Setbacks - Front: Left: Right: Group Name: Project Name: Phone: (509) 927-7526 Rear: Permits Y Sewer Connection Permit Contractor: KEVIN MADDEN CONSTRUCTION License #: KEVINMC146J5 SEWER CONNECTION 1 $85.00 PROCESSING FEE Total Permit Fee: FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED. Contractor or applicant 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. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure. This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc. CALL BEFORE YOU DIG, (509)456-8000. STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY 'EXCAVATION THE'CALL BEFORE YOU DIG" CENTER BE NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2,WORKING DAYSIN ADV N`CE, (509)456-8000. Spokane County Code requires the installer comply wiith all requirements of the Washington State Dept of Labor and Industries, including those related to trench safety. $15.00 $100.00 Payment Summary Total Fees AmountPaid AmountOwing $100.00 $100.00 $0.00 Tran Date 10/31/2003 Processed By: BURRIS, ROBIN Printed By: WENDEL, GLORIA Page 1 of 1 Receipt # 6986 Payment Amt $100.00 PERMIT 11AQA" Otaiffi4N1 (Le(A\ 17r o re r-t.K ; PLANNING DEPT. APPROVED DATE: 1(77/03 eptfrft, g 81 K 3 6 CENTER helle e I to 70.0' 60e E. S!fE"LLEY LN PLANNING DEPT. APPROVED