Loading...
2004, 06-22 Permit App: BLD-04-04680 ResidenceSpokane �,,,,.•'�Malley 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: 810 S SHELLEY LAKE LN VERADALE WA Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Subdivision: Owner: Applicant: Address: Contractor: Address: 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: Blk: Parcel No: Application #: BLD -04-04680 Applied: 06/22/2004 Issued: Expires: 12/19/2004 Zoning: Phone: (509) 924-6497 Phone: Lic No: (509) 927-7526 KEVINMC146J5 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 CURRENT PROPERTY SIZE 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 RANGE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD sfr 238564 32 41 x 58 2 3 30 63 6 6 r-3 5-n 1 75 X 132 no no 2 2 1 5 1 1 1 1 1 3 1 2 0 1 1 L 3 3 1 Fees: PLAN CHECK FEE TYPE II HOOD 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 GAS PIPING VENTILATING FANS ... • .. !!j; c/yp{,�OFVED FOR SUBMYA F� D/V/s/oNE initia,ls / Qat -ter Total Calculated: Deposits/Receipts: Total Due: 708.86 10.00 1,772.15 4.50 12.00 12.00 6.00 30.00 6.00 6.00 6.00 6.00 6.00 18.00 15.00 20.00 10.00 10.00 3.00 30.00 2,691.51 0.00 2,691.51 Public Works HIS IS NO RECEIPT LH( n CITY [IF 000 Spokane .,,,•'Malley 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 THIS IS NOT A RECEIPT Application #: BLD -04-04680 BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: 8/0 5, S�c�/r-y , . Assessor's Tax Parcel Number(s): Legal Description: floc., ( 3 he c`1 laic scc ani. 4 -da. PERMIT DESCRIPTION: /Cie / CS% dC'i' E Building Permit ❑ Relocation ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Tenant Improvement 0 Fire Safety ❑ Other OWNER/APPLICANT INFORMATION O Owner: , a_d.dE Phone: /7—(07c6 Fax: Address: City State Zip Code 0 Applicant: Phone: Fax: Address: City State Zip Code ❑ Contractor: e yin/ A14_4 i ✓ cetv_56.. ❑ Architect: Phone:V.24_ 75.2.(P Fax: Phone:. Fax: Address: Si 21 L( Pw a y:, c ss Rd Address: S•pckt,4 e V4. -tit om. 4J4' 99d.3 7' City / State Zip Code City State Zip Code WA State Contractor License #: 9ret.rM PIC /9Q"Contact: PERMIT/BUILDING INFORMATION • HEIGHT TO PEAK: ' l a IK. DIMENSIONS: 4/x,,5 —23 # OF STORIES MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: "te' GARAGE SQ. FTG: //6119 DECK/COV. PATIO SQ. FTG: /-1-D OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: # OF BEDROOMS: . TOTAL HABITABLE SPACE: 30% SLOPES O[ PROPERTY: -6)"_ IMPERVIOUS SURFACE AREA: SEWER OR O� E SEPTIC SYSTEM? ,, ice. (lif,"' COST OF PROJECT: &O.,. MANUFACTURED HOME Width: Length: Year: Manufacturer: Pit Set: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth: Tent: 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 ❑ REINFORCEMENT Firm Name: Phone: I nspector(s): Fax: ❑ 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) 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. Ownership of resulting development rights granted by any issued permit inure t e property owner. Print Name %11'1 GgeA Signature -^-" Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard 0 .VISA ❑ Other Bankcard #: Authorized Signature: Expires: VIN#: •"*. Sixiane doo/Valley Project Address: Owner: Sa�Z PLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Permit Use: Phone (Daytime Contact): Mailing Address: City State Zip Code Contractor: License #: Phone #: Mailing Address: City State BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code DESCRIPTION OF WORK # OF UNITS X COST - TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6.00 = ) • CO 2 URINALS X $6.00 = 3 TUBS 2 X $6.00 = ,1 . CO 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT i X $6.00 = 4, , 07.7 5 SINKS LAVSIBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY/MEAT X $6.00 = 3 6 DISHWASHER / X $6.00 = ,�^ G - w 7 CLOTHES WASHER X $6.00 = 8 GARBAGE DISPOSAL / X $6.00 = // L / 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 / X $6.00 = l' `� 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, PLUMBING, REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS / X $6.00 = 4..7-0VENT, 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 3 X $6.00 = ,,�/� " ' W 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 $6.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA 0 MASTERCARD DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: / '7. (Y' BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code Project Address: ? 10 5 • '51\qC•7 It L Owner: <cc.) • i1 /''�.�_c A ea' 1-, Mailing Address: ID 6, Contractor: p'1d,4� 4- Mai ing Addatep MECHANICAL PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Caryl Permit Use: Phone (Daytime Contact): .54lke-1c t/.1Nll City State U I Cir C't License #: int v/ ^ / I C: / 4/G133hone #: Address: l Cil C - o <•et- tisra k. nC L Ile trv4 City State R.14 -4<,r5'7 • ode Code 9)y27p a.O . AUTHORIZED SIGNATURE: Zip Code DESCRIPTION OF WORK # OF UNITS X COST TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 / X $15.00 = /S- 6U 2 FUEL BURNING APPLIANCE More than 100,000 X $19.00 = 3 UNLISTED APPLIANCE (Additional Fee) Equal b 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 $15.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $28.00 9 BOILER/REFRIGERATION 501 -1 000M BTU X $39.00 = 10 BOILER/REFRIGERATION 1 001 -1 750M BTU X $57.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $95.00 12 GAS LOG, GAS INSERT, GAS FIREPLACE 2 X $10.00 = - . 13 RANGE ELE t X $10.00 = /0 - cia 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER 1 X $10.00 = /0 - (5D 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) 3 X 57.00 = 3 . « 18 DUCT SYSTEMS / 3 X X $10.00 $10.00 = = /Q . 017 3 . 00 19 VENTILATING FANS 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 $19.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE !HOOD X $50.00 = 24 TYPE II HOOD / X $10.00 = 0 , 00 25 ' HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 AR 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 = METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA © MC CARD #: DATE: SUBTOTAL PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: //3, AUTHORIZED SIGNATURE: Zip Code N M L.045.4, V'- 70. 19 1 - This site plan is ing submitted for the purpose of (,,,!,ening a buildirr permit and is a true and correct ',,1=esentation of he proposal. All known property iines,d!mensions, curb lines, structures and easements have been identified. Also indiceNd are wetlands, bodies of er, steep slopes or other critics} Heal. Signe* -r x)3-1 ., Date: .2.' _ n 375f--0" I \III 2-,51`oRN/ E FotJ E 9/4 >rf-toSEN�Lr UNixRi _a_____ r--- ADORE j 1 OS, r i �. I� ZONE ROADDTH 3 - LN FRO T N COMME TS REVIEW D = •�� t �'� 8o /f31( gaLt r -i c 291 70,00 S tt LLEV L f LA -Ni EN ()El_ t �u 0