2007, 08-06 Permit App: 07002955 AdditionProject Number: 07002955 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/6/2007 Page 1 of 3
Project Information:
Permit Use: RES ADD Contact: BOLT CONSTRUCTION
Address: 6907 W JOHANNSEN AVE
C - S - Z: NINE MILE FALLS, WA 99026
Setbacks: Front Left: Right: Rear: Phone: (509) 990-0874
Group Name:
Site Information: Project Name:
Plat Key: 001288 Name: HUTCHINSONS ADD
District: Nort
Parcel Number: 45181.0120 Block:
SiteAddress: 8905 E SINTO AVE
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 005 HUTCHINSON
Area: 11,102 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: EnetelOWN4IMMV414Mi ..444
Review
Building Plan Review
Lot:
Owner: Name: HICKS, DANA B
Address: 8905 E SINTO AVE
SPOKANE, WA 99212
Hold: O
Depth: 0 Right Of Way (ft): 0
Released By:
Originally Released: 7/31/2007 By: TMELBOU
Landuse/Zoning/HE Conditions
Permits:
Released By:
Originally Released: 8/6/2007 By: mharnois
Operator: JD Printed By: JD
Print Date: 8/6/2007
Project Number: 07002955
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/6/2007 Page 2 of 3
Contractor: BOLT CONSTRUCTION
Address: P 0 BOX 875
MEDICAL LAKE, WA 99022
Building Characteristics
Building Height 18
Building Permit
Firm: GENE BOLT CONSTRUCTION
Phone: (509) 299-5305
Description Grp Int
RES ADD R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Notes
RES ADD
Contractor: BOLT CONSTRUCTION
Address: P 0 BOX 875
MEDICAL LAKE, WA 99022
Item Description
VENTILATING FANS
REPAIRS OR ADDITIONS
Contractor: BOLT CONSTRUCTION
Address: P 0 BOX 875
MEDICAL LAKE, WA 99022
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
WATER PIPING - DWV
Totals:
This Application:
Sq Ft Valuation
0 $64,000.00
Total Project:
Sq Ft Valuation
0 $64,000.00
0 $64,000.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
0 $64,000.00
Fee Amount
$741.75
$4.50
$296.70
$1,042.95
Firm: GENE BOLT CONSTRUCTION
Phone: (509) 299-5305
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Units
1
1
1
1
Operator: JD Printed By: JD
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$15.00
$25.00
Firm: GENE BOLT CONSTRUCTION
Phone: (509) 299-5305
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$6.00
$6.00
$6.00
$6.00
$24.00
8/6/2007
Project Number: 07002955 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/6/2007 Page 3 of 3
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$1,042.95 $1,042.95
$25.00 $25.00
$24.00 $24.00
$1,091.95 $1,091.95
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$1,042.95
$25.00
$24.00
$1,091.95
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: 8/6/2007
Project Number: 07002955 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/30/2007 Page 1 of 3
Project Information:
Permit Use: RES ADD
Setbacks: Front
Left: Right: Rear:
Site Information:
e#- ,'M"'R .A .� �...p ,A,s, Irv. .fr �. ✓ae..... ..
Plat Key: 001288 Name: HUTCHINSONS ADD
Parcel Number: 45181.0120
SiteAddress: 8905 E SINTO AVE
Location:: CSV
Block:
Zoning: UR -3.5 Urban Residential 3.5
Water District: 005 HUTCHINSON
Area: 11,102 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Contact: BOLT CONSTRUCTION
Address: 6907 W JOHANNSEN AVE
C - S - Z: NINE MILE FALLS, WA 99026
Phone: (509) 990-0874
Group Name:
Project Name:
District: Nort
Lot:
Owner: Name: HICKS, DANA B
Address: 8905 E SINTO AVE
SPOKANE, WA 99212
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By: —!t 7/3
Landuse/Zoning/HE Conditions
Permits:
Released By:
Operator: JD Printed By: JD Print Date: 7/30/2007
Project Number: 07002955 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/30/2007 Page 2 of 3
Building Permit
Contractor: BOLT CONSTRUCTION Firm: GENE BOLT CONSTRUCTION
Address: P 0 BOX 875 Phone: (509) 299-5305
MEDICAL LAKE, WA 99022
Building Characteristics
Building Height 18
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RES AVD R-3 VB RES ADD .$ (45 0 $64,000.00 0 $64,000.00
Cs�t' o.`T (,1 Li
"� '�' Totals: 1-'' 0 $64,000.00 0 $64,000.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $741.75
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $296.70
Permit Total Fees:
Mechanical Permit
$1,042.95
Contractor: BOLT CONSTRUCTION Finn: GENE BOLT CONSTRUCTION
Address: P 0 BOX 875 Phone: (509) 299-5305
MEDICAL LAKE, WA 99022
Item Description
VENTILATING FANS
REPAIRS OR ADDITIONS
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$15.00
$25.00
Contractor: BOLT CONSTRUCTION Firm: GENE BOLT CONSTRUCTION
Address: P 0 BOX 875
MEDICAL LAKE, WA 99022
Phone: (509) 299-5305
Item Description Units Unit Desc
TOILETS/BIDETS 1 NUMBER OF
SINKS 1 NUMBER OF
SHOWERS 1 NUMBER OF
WATER PIPING - DWV 1 NUMBER OF
Fee Amount
$6.00
$6.00
$6.00
$6.00
Permit Total Fees: $24.00
Operator: JD Printed By: JD Print Date: 7/30/2007
Project Number: 07002955 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/30/2007 Page 3 of 3
Notes: NIMISMAIVIMPWM;:4-
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,042.95
$25.00
$24.00
Invoice Amount
$1,042.95
$25.00
$24.00
$1,091.95 $1,091.95
Amount Paid Amount Owing
$0.00 $1,042.95
$0.00 $25.00
$0.00 $24.00
$0.00 $1,091.95
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: 7/30/2007
Spokan ems`
Valley
Community Development
Plumbing Permit
SITE ADDRESS:
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. sookan eval l e v. oro
Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial "Residential
51 G S/v+'D
Building Owner
/
Name: 1) 1:4 A i f
n
Phoned- 72g „3Q73
Fax:
Address: SDlin5-...5-741,17)Cib/yj 0��,iF
•
ate: 4441 Zip: 9f2 /2.....Contractor
3
/
]] M�� ��pp��
Name: l �XJc -� � �u.i� 4.1sz
Phonee,159., yi6 ,,4 7/7
Fax: 37,9 y6g — 07/
Address: a 7 [d.) y.bti..s ......,
city: du�; ie; 1a
State: _ Zip
D„/
����''CC
License No: �a�L.f0 _y_ Y i'`
City Business Lic:
Contact ,._�[- �'
Name:044.44._ {►."} tel./ S
Phone:lir 71.2 g ..
407
i --
DESCRIPTION
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
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
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
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
$6.00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 6/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Permit Center
Scm of 11703 E Sprague Ave, Suite B-3
pokane Spokane Valley, WA 99206
jValley e (509)€88-0036 FA;(: (509)68-0037
www. sp okane v a1 l ey. org
Community Development
Residential Construction
Permit Application
)
3 2007
PERMIT NUMBER:
PERMIT FEE:
New Construction Accessory Bldg
Addition/Remodel Deck
Other:
SITE ADDRESS:
S90 _
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
DIMENSIONS: / #
XZ�
Name: DAAA 7'9(Ctec%
Address:69D ? Li. thin; /V/1JSai✓
Address: V49,06-- E- q Ll4)F-O
P—5J1).-Cag'9fe Fax:,_lett-a,/S
City:C�-41 SP I J41� State:
D1r/e20
Zipt�,,./Z
�7G
Pho g,,�,,, - 3073 1Fax:
GA �,�, S,,�2. FTG:+L+1'"ti`
,� / Z"
Contact Person
Name: DAA /- (C'!/c.
Phone: -V' 52 g— 3 073
Describe the scope of work in detail:
Contractor:
DIMENSIONS: / #
XZ�
Name: ane- 61,EUC(�ul.:
Address:69D ? Li. thin; /V/1JSai✓
Cityjusi . 4 jr Zs. mi State:isixi_ Zip
P—5J1).-Cag'9fe Fax:,_lett-a,/S
Contractor N9 Iei4 k jeiAxp Date: y �G ` Os/
d
City Businessss7Liiicc. No:
Cost of Project: $
G d00•CO
p tS5D 49.17.134A .40W:7`D.i
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS: / #
XZ�
OF STORIES:
/
TOTAL HABITABLE SPACE:
MAIN FLOO RQ.SQ. ,
FTG: ,
/.5-5-6- �
2N° FLOOR SQ. FTG:
4#
UNFIN BASEMENT SQ. FTG:
3Z
IMPERVIOUS SURFACE
AREA: 4
FINISHED BASEMENT
SQ. FTG: /�-G�
GA �,�, S,,�2. FTG:+L+1'"ti`
,� / Z"
30% SLOPES ON
PROPERTY:Iy/j4-
DEC C FTG:
�i'�O S Si ��
# OF BEDR OMS:
3
CONSTRUCTION TYPE:
Cvoeal j0,.
HEAT SOURCE:
6033
SEWER OR SEPTIC?
�E P'P
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed. ,' Z X Z (e C,,�, r'a.0 T = 3 / 2-
r�- y
SIGNATURE:
DATE:
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
0 Check
0 Mastercard
Expires:
eS' X f 3 6--,t' 6 y ..i
0 VISA / 4" x" `f —
VIN#: k /4-, - �� c K
S"p6kane
4•Valley®
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ cityhatl@spokanevalley.org
Residential Plan Submittal Minimums
❑ Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
D Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
O One-hour separation detail: between house and garage
O Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
O All header locations: type, size, and connections
O Foundation plan
O Insulation information
Spokan' e�`"`
jMi11ey'
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spokanevalley.org
PERMIT NUMBER:
PERMIT FEE:
n Commercial Residential
SITE ADDRESS:
Building Owner
Name: Dm* //jCV
P-hoonef� z 9 9 '_3Dz3 Fax:
Address: E39-105- `s�
1ic_S%d/ mid;ate: Lti_ Zip:9 /&
Contractor
--
Name: %gOa-
Phone: s 990 og7`T/ Fax: 6739 S//[Jg _ ,sis-
v%
6) t7'
Address:
6E9 -7 G, .D�`iA •vSpti/
City: 4./1444- /)//4. �gQ/!S States/
Zip996,c,‘
License No:OG..�44c /S/L
�� OO
City Business Lic:
Contact
Name: 'DWI 4/(e/ZS
Phone: 4-01, _ 3 e031
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
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
1
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
4-15 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:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Project Number: 07002955 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/30/2007 Page 1 of 3
Project Information:
Permit Use: RES ADD
Setbacks: Front
Site Information:
Left: Right: Rear:
.M.,``M4s,T'rs�`.z
Plat Key: 001288 Name: HUTCHINSONS ADD
Contact: BOLT CONSTRUCTION
Address: 6907 W JOHANNSEN AVE
C - S - Z: NINE MILE FALLS, WA 99026
Phone: (509) 990-0874
Group Name:
Project Name:
District: Nort
Parcel Number: 45181.0120 Block:
SiteAddress: 8905 E SINTO AVE
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 005 HUTCHINSON
Area: 11,102 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:._
Lot:
Owner: Name: HICKS, DANA B
Address: 8905 E SINTO AVE
SPOKANE, WA 99212
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released''.
Landuse/Zoning/HE Conditions
Permits:
Operator: JD Printed By: JD Print Date: 7/30/2007