2005, 05-23 Permit App: 05001720 Residence Project Number: 05001720 Inv: 1 Application Date: 05/23/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE- Contact: MADDEN,KEVIN M
NATURAL GAS Address: 10601 E NIXON LN
C-S-Z: SPOKANE VALLEY,WA 99206
Setbacks: Front 23 Left: 45 Right: 13 Rear: 145 Phone: (509)924-6497
Group Name:
Site Information: Project Name:
Plat Key: Name: SHELLEY LAKE 01ST ADD PUD District: East
Parcel Number: 45241.1813 Block: 1 Lot: 13
SiteAddress: 305 S SHELLEY LAKE LN Owner:Name: MADDEN,KEVIN M
Address: 10601 E NIXON LN
Location::CSV SPOKANE VALLEY,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 20,855 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: :.
Review
Site Plan Reviews „( t_
Released By: iiy( {iytk,
Plan Review Released By:
Sewer ReviewReleased By: S/Zf��f
o3 oO Zg 20 v;a, pile / SPo
Permits: ,. .
Operator: K_C Printed By: K_C Print Date: 05/23/2005
Project Number: 05001720 Inv: 1 Application Date: 05/23/2005 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
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 Grp Type Notes Sq Ft Valuation Sq 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 72 $1,080.00 72 $1,080.00
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
Totals: 3,486 $161,258.00 3,486 $161,258.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,340.95
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $536.38
Permit Total Fees: $1,881.83
Mechanical Permit
Contractor: KEVIN MADDEN Finn: KEVIN MADDEN CONSTRUCTIO
Address: E. 10601 NIXON LN Phone: (509)924-6497
SPOKANE,WA 99206
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $85.00
Operator: K_C Printed By: K_C Print Date: 05/23/2005
Project Number: 05001720 Inv: 1 Application Date: 05/23/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: KEVIN MADDEN Firm: KEVIN MADDEN CONSTRUCTIO
Address: E. 10601 NIXON LN Phone: (509)924-6497
SPOKANE,WA 99206
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 2 NUMBER OF $12.00
SINKS 4 NUMBER OF $24.00
SHOWERS 1 NUMBER OF $6.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $90.00
Notes
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
Payment Summary
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,881.83 $1,881.83 $0.00 $1,881.83
Mechanical Permit $85.00 $85.00 $0.00 $85.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$2,056.83 $2,056.83 $0.00 $2,056.83
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: 05/23/2005
. B[;;ILDING PERMIT APPLICATION WORKSHEET
i cell" City of Spok Valley Community Development Department
mane D I .0 LE O W E Building Division
11707 E. Sprague Avenue, Suite 106
4000
_
MAY 1 6 2005 Spokane Valley, WA 99206
p one: (509) 688-0036; Fax: (509) 688-0037
.RL11 [ n � �
REQUIRED SITE INFORMATION
//ct l
Street Address: 3 0 g g/� F f j f� e C.t ria/e-
Assessors Tax Parcel Number(s): ' L-t( , \ tS"\ 3
Legal Description: Ii Ot /S.. ,�/
PERMIT DESCRIPTION:
❑ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
N OWNER/APPLICANT INFORMATION
❑ Owner: iil f 7�-e 'c/ e CDhi -, f C 0 ❑ Applicant: • an d
aL
Phone:W. 91 Fax: Phone: - '
Fax;
Address / O /` 4.,/e' Address: /060/ 1( �N
&
Tp WI, Pi 04 let7 L, 99
2°,4
C'
State Zip Code ty State Zip Code
❑ Contractor: K-e(A tadderi--g ea- ❑ Architect: ite‘6tri /hccxdett
Phone: ,Q17-6 700 Fax: 6toixeir, Phone: Fax:
Address: ce-r9e, Address:
City State Zip Code • City State Zip Code
• WA State Contractor License Mg-Y/1d MC, Al y Contact:
Spokane Valley Bus. Liscense#: 411A. Contact:
PERMIT/BUILDING INFORMATION 1
HEIGHT TO PEAK: 33 / DIMENSIONS: 432( #OF STORIES:C t E
r
MAIN FLOOR TO SQ. FTG: gO 2"u FLOOR SQ. FTG: �� UNFIN BASEMEN SQ. FTG•
FINISHED BASEMENT SQ.FG GARAGE SQ. FTG: //. .), DECK/COV. PATIO SQ. FTG:/./4
41.
OCCUPANCY GROUP: CONSTRUCTION TYPE: -/ HEAT SOURCE:
I th a k /►
#OF BEDROOMS: TOTAL HABITABLE SPACE IMP VIOUS SURFACE AR,
P�
COST OF PROJECT: 30%SLOPES ON PROPERTY: OR ON-SITE SEPTIC
/Y4. SYSTEM? .591,,'e4-1
MANUFACTURED HOME
.
Width: Length: Year: Pit Set:
Manufacturer:
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: Phone: Fax:
Address:
City State Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING
Firm Name: Phone: Fax:
Inspector(s):
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 to the property owner.
Print Name j '('Ii*) Mad [ter( C&1. co Signature, �j'1
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check El Mastercard ❑ VISA ❑ Other
Bankcard#: Expires: VIN#:
Authorized Signature:
PLUMBING PERMIT APPLI:CATIG.N Community Development Department
rI, Building Division
De
Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106
di/Valley For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206
Project Address: Permit Use:
Owner. Phone(Daytime Contact):
Mailing Address:
City State Zip Code
Contractor. License#: Phone#:
Mailing Address:
City State Zip Code
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS o2i X $6.00 =
2 URINALS X $6.00 =
3 TUBS t 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, pl X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT
6 DISHWASHER / X $6.00 =
7 CLOTHES WASHER / X $6.00 =
8 GARBAGE DISPOSAL / 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 / X $6.00 =
ROOF DRAINS/OVERFLOW
12 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,
17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR: VATS,TANKS,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 =
MISCELLANEOUS PLUMBING
20 FIXTURE X $6.00
21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 =
INDUSTRIAL WASTE
22 INTERCEPTOR X $15.00 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
0 CASH 0 CHECK 0 VISA 0 MASTERCARD $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
MECHANICAL PERMIT APPLICATION Community Development Department
"" Building Division
?'LIL
Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106
For Inspections, Call (509) 688-0054 Spokane Valley,WA 99206
Project Address: Permit Use:
Owner: Phone(Daytime Contact):
Mailing Address:
City State Zip Code
Contractor: License#: Phone#:
Mailing Address:
City State Zip Code
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 X $10.00 =
14 DRYER X $10.00 =
15 FUEL BURNING WATER HEATER f X $10.00 =
16 MISC.FUEL BURNING APPLIANCE $ X $10.00 =
17 GAS PIPING(each outlet) / 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 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 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: SUBTOTAL
0 CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
I
WU �� , � �
ADDRESS S
ZONE f" •
�
ROAD WIDTH 30
FRONT_ � �
COMMENTS
REVIEWED SV5Ibil
This site plan is being
obtaining a buildings submitted for the purpose of
representation ntation permit and is a true and correct
represents i n of cthe proposal. All known
have been identified.urb lines,structures and easements
Navies of ia e steepAlso indicated are lents
slopes or wetlaeds,
Signed: other critical areas.
Date: 9. - ../c*
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