2010, 06-24 Permit App: 10001770 Residence Project Number: 10001770 Inv: / Application Date: 6/24/2010 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: ,4444 •,•....7C.W • •
Permit Use: SFR W/ATT GAR Contact: C W CONSTRUCTION
Address: 10061 BELLA RIDGE DR
C-S-Z: COEUR D ALENE ID 83814
Setbacks:Front Left: Right: Rear: Phone: (208)699-7096
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: Nort
Parcel Number: 45173.2407 Block: Lot:
SiteAddress: 9802 E SPRINGFIELD LN Owner:Name: WILHELM,JAY&LORI
Address: 10061 BELLA RIDGE DR
Location::CSV COUER D ALENE,ID 83877
Zoning: R-3 SF Res District
Water District: 011 MODERN Hold: 0
Area: 6,779 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: -..040-USZAIXL/ErrY *-,,,,,,e1V,AMWakkgRaft" 4 ""`-'
Review
Building Plan Review Released By:
Originally Released: 6/24/2010 By: TMELBOU
Landuse/Zoning/HE Conditions Released By:
Originally Released: 6/24/2010 By: LBARLOW
Sewer Review Released By:
Originally Released: 6/24/2010 By: JLMain
Operator: JD Printed By: jmm Print Date: 6/24/2010
Project Number: 10001770 Inv: I Application Date: 6/24/2010 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: C W CONSTRUCTION Firm: C W CONSTRUCTION
Address: 10061 BELLA RIDGE DDR Phone: (208)699-7096
COEUR D'ALENE ID 83814
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,117 $110,527.15 1,117 $110,527.15
BASEMENT F R-3 VB 520 $10,400.00 520 $10,400.00
DECK OPEN R-3 VB 100 $1,500.00 100 $1,500.00
GAR WOOD U-1 VB 520 $9,880.00 520 $9,880.00
Totals: 2,257 $132,307.15 2,257 $132,307.15
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,178.55
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $471.42
Permit Total Fees: $1,654.47
Mechanical Permit
Contractor: C W CONSTRUCTION Firm: C W CONSTRUCTION
Address: 10061 BELLA RIDGE DDR Phone: (208)699-7096
COEUR D'ALENE ID 83814
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $11.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $13.00
GAS APPLIANCE>100,000BTU 2 NUMBER OF $32.00
GAS PIPING 1 #OF UNITS $1.00
VENTILATING FANS 1 DUCT 3 NUMBER OF $33.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $11.00
Permit Total Fees: $121.00
Operator: JD Printed By: jmm Print Date: 6/24/2010
Project Number: 10001770 Inv: 1 Application Date: 6/24/2010 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: C W CONSTRUCTION Firm: C W CONSTRUCTION
Address: 10061 BELLA RIDGE DDR Phone: (208)699-7096
COEUR D'ALENE ID 83814
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
SHOWERS 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
CROSS CONNECTION DEVICES 2 NUMBER OF $12.00
MISCELLANEOUS FIXTURES 1 NUMBER OF $6.00
Permit Total Fees: $84.00
Notes _. ,,: ...- - <ww. •, . . _. ,.. �� . � .E. . .. . ..
FOR 212 N LOCUST,214 N LOCUST&216 N LOCUST(SHP-12-06),A 6-FOOT HIGH SIGHT-
OBSCURING FENCE,WALL OR LANDSCAPING MUST BE INSTALLED ON THE NORTH,
SOUTH AND EAST PROPERTY LINE PRIOR TO ANY BUILDING PERMITS.
Payment Summary
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,654.47 $1,654.47 $489.34 $1,165.13
Mechanical Permit $121.00 $121.00 $0.00 $121.00
Plumbing Permit $84.00 $84.00 $0.00 $84.00
$1,859.47 $1,859.47 $489.34 $1,370.13
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: jmm Print Date: 6/24/2010
Permit Center --I-1
j 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: (���J
Spokane Valley,WA 99206 PERMIT FEE:
(509)688-0036 FAX:(509)688-0037
Community Development www'spokanevallev.org
Residential Construction X New Construction Accessory Bldg
Permit Application n Addition/Remodel n Deck
n Other:
SITE ADDRESS: N$_ fen S Pt21 N4 FiE'z--D Lit NJ E
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: L 0T 7
Building Owner: Contractor: GW C-.0 14 S Tn"T 0 nJ
Name:"1-AY IAA l i{><LNA Name: c.140..
rs
.(' -tS wrc.41 EC.WI
Address: IQ B16. E• #4 amfNc7Tr,0 Address: (Od(, I ercc_ 4 R, 4E u R •
City: s., K«�wE State: wit Zip: 477ztt City: Corot. f?'A-tENE State: i p1 Zip:*Bit 4
Phone:(f>09) T�Q — 3?9 Fax: Phone(j0) 41q
-7dT G Fax.G,
Z16 -5.04?
l Contra or Lic No: Exp Date:
GN/GaWvcQz/c.c. 6,70/f!!
Contact Person City Business Lic.No:
"rloc5(o.34 3 BUS-
Name: („(-f f.(S l/JIL-#iEC-W1
Phone: (7_af)(o'Cl -70R`
Describe the scope of work in detail: Cost of Project: $ Ss/ 000 .44--
N E IN U N s ra.cTfon► of Si N4114 f.-racy S Pt(r-LCvi;L (to M E
Proposed Use: S f NyLE cil-ti(of - ?est pcnrrifit,
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: / DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
24 7 X lb 2- /C-V0F1 7
MAIN FLOOR TQ SQ. 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUSSURFACE
FTG: 0- N% N AREA:
FINISHED BASEMENT GARAGE SQ. FTG: EC COV. PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: 5-2-v 0K .7,0 SF oK-to F PROPERTY: l4
#OF BEDROOMS: CONSTRUCTION TYPE: AT SOU : SEWER OR SEPTI ?
3 SIN bs-f rf►r"cc111464 04 s rr.nr*c-G SEweK
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 Spok ne Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) T s City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ord'nan'es.6) lans or additional information may be required to be submitted,and subsequently approved before
this application can be • of-ssed.
SIGNATURE: i�"�/ DATE: 677/5710 `EC` ' -� r
�' rc Pr.-RMI- ;i--tsj cL ,
Method of Paymen :
0 Cash 0 Check 0 Mastercard ❑ VISA U p" r E� i
Bankcard#: Expires: VIN#: E
iPrcjoci;# Vb st_. _n.1 -0
Authorized Signature: !Nk8r?e.__.__�__
REVISED 2/15/07 i —
I;,Lbmltta! ;_ __
\ Permit Center
S�k!�e ! 11703E Sprague Ave,Suite B-3 PERMIT NUMBER:
p Spokane Valley,WA 99206
jVdlley` (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
communityDevelopment permitcenter@spokanevallev.ore
Mechanical Permit Application n Commercial k'( Residential
SITE ADDRESS: 131 0Z S '( .I N y FI ELb L.N •
Building Owner
Name: SA W Phone: cog q f f �,l Fax:
Address: ( f E • tmitaw G7TaiN City: C•IP0 K i4-Mi c State: w .
Zip: cfr L!Z
Contractor
Vr
Name: cffri S t if F G Phone: toe 6 fq707 C Fax: u Z l8 406
I
Address: mow7 Eccol t Dye VR , City
coEvR- • RLFNE State: Zip: 0,9(Tv
License No: G w GD til VpG QZ(L C. City Business Lic: T too 5 63 613&V s
Contact/Project Manager:
Name: G S l L F{EG-1H Phone: Zv O
#UNITS
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Up to&including 100,000 BTU
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Over 100,000 BTU Z_
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER 0-3 TON
AIR CONDITIONER Over 3-15 TON
AIR CONDITIONER Over 15-30 TON
AIR CONDITIONER Over 30-50 TON
AIR CONDITIONER Over 50 TON
GAS WATER HEATER
GAS PIPING SYSTEM(each outlet)
GAS LOG,FIREPLACE,&GAS INSERT
APPLIANCE VENTS INSTALLATION,RELOCATION,REPLACEMENT
REPAIRS OR ADDITIONS
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM 0 to 3 hp-100,000 BTU or less
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 3-15 hp-100,001 to 500,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 15-30 hp -500,001 to 1,000,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 30 hp-1,000,001 to 1,750,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 50 hp-over 1,750,000 BTU
AIR HANDLER(DOES NOT include ducting) Each unit up to 10,000 cfm,including ducts
AIR HANDLER(DOES NOT include ducting) Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST Each fan connected to a singe duct /y 3
VENTILATION AND EXHAUST Each ventilation system
VENTILATION AND EXHAUST Each hood served by mechanical exhaust
INCINERATORS Installation or relocation of residential
INCINERATORS Installation or relocation of commercial
APPLIANCES Range,Clothes Washer Z
UNLISTED APPLIANCES Under 400,000 BTU
UNLISTED APPLIANCES Over 400,000 BTU
HOOD Type I
HOOD Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM-FREE STANDING
EXPIRES: VIN:
❑CASH ❑CHECK ❑VISA ❑MC
CARD#: SIGNATURE
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc
Permit Center
"` 11703E Sprague Ave,Suite B-3
PERMIT NUMBER:
f Spokane Valley,WA 99206
�I/ (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development www.spokanevalley.org
Plumbing Permit Application ❑ Commercial alfResidential
SITE ADDRESS: _ torta- eoz 59x(N(N y F/ct n LAN.6--
Building Owner
Name: J 4 I w(L f-r`el Phone: so",Ili sit 4 Fax:
Address: t5 (,[
r`
c c , � �N 4 ro N City: S 4K 4.04"E State: Wei_ Zip: 47 z(z
Contractor
'l^
Name: (c 0/04.14 cGet Phone: zoo Gf4....Ali 4 Fax: ze45 zqe _roc ;
Address: foo(.( of ci4 R t acve Dir . City: Locals. b ACENE State: G.6.w(D EZip: Sr8(4
License No: LW Co Ni Mr L Q 2( C. ` City Business Lic: 1-100 54 3(e$ 8u5
Contact �, '
Name: c.&(jz-(sV'lc- 1--c LM Phone: .24,e (0,4 ?a9 6
—
DESCRIPTION OF WORK _ #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS L X $6.00 =
2 URINALS X $6.00 =
3 TUBS X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT Z X $6.00 =
LAYS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT
6 DISHWASHER t 1 X $6.00 =
7 CLOTHES WASHER ( X $6.00 =
8 GARBAGE DISPOSAL ( X $6.00 =
9 WATER SOFTENER X $6.00 =
10 ELECTRIC WATER HEATER NOTE: IF GAS,SEE MECHANICAL X $6.00 =
AREA,CASE,COIL,TRENCH,
11 FLOOR DRAINS CONDENSATE ' X $6.00 =
12 ROOF DRAINS/OVERFLOW 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,
AND R.P.B.P.D.FOR: VATS,TANKS,
17 CROSS CONNECTION DEVICE BOILERS Z 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 =
20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 - =
21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 =
22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Permit Center PERMIT NUMBER:
CITY°F 1\1 11703 E Sprague Ave,Suite B-3
Spokane Valley,WA 99206 PERMIT FEE:
.010ValleYe (509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Approach Permit Application
PROJECT ADDRESS iSfilittbi5 PR f NCS F AW£-
START DATE 7//7/0 ANTICIPA 1 hD COMPLETION DA 1'h ((////U
Building Owner: / Contractor: (.{N L 0v S 1^'.
Name: - A•( (/✓1L H,L W1 Name: G Eft! I S lNl L(1 G.t✓+
Address: f3//5 c. /{r�-a.�.f N( T!)/1 Address: f c 8 (4_04 R 10 4s 6 pa. .
City: Seo u rM.iE State: vvA Zip: `19z(1 City: C.0Ea2 b' f�c.E.v‘ State: to Zip:1,1,14,Phone: 5'4 4 q9 -c$4 A Fax: Phone: zd 9 G,, 7v 1G Fax: 209 t fB —Jo L r
Contact Person Contractor Lic NoDate:
�GWG+Nwc4u�p G✓l(t!
Name: GHit iS WIL. 1-tE'- i47
City Business Lic.No: ,r/0056,1 60 S
Phone: tog ` f 4 —707 6
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway Commercial/Industrial Driveway
Existing Curb&Gutter Rural Road Section
Culvert Installation Sidewalk Repair/Construction
Other Conditions
Bond/Insurance certification must be on file with the city.
DISCLAIMER
The permittee verifies,acknowledges and agrees by their signatures 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 Spok. e Valley Permit is not a permit or approval for any violation of federal,state or local laws,
codes or ordinances. 6 Plans or addition. information may be required to be submitted,and subsequently approved before this
application can be pr--c sse.
Signatu - _.�,i/� , / Date 67/6,0
1�
Method of Payment:
0 Cash 0 Check 0 Mastercard 0 VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 319106
• APPROACH PERMIT APPLICATION
REQUIRED SKETCH INFORMATION (Revised 1/25/10)
Provide required measurements (in sketch boxes), and include street name.
Check all existing conditions that apply:
❑ Sidewalk ❑ Drainage Ditch
ft wide ❑ Drywell (show location on sketch)
ft from back of curb ❑ Other (please describe below)
❑ Streetside Swale
z i DISTANCE FROM
NEAREST PROPERTY LINE
1
MAY BE LEFT OR RIGHT SIDE)
! Li FT(SEE TABLE)
w
/
EL,
w
a▪ l AE APPROACHCONCRCURB
RETURN
CURB NG (SEE TABLE) WING 1-4•-•1----THROAT
I NIF CORNER LOT,
DISTANCE FROM
STREET NAME CTURN
URB R SEE TABLE)
STREET WITH CURB
DISTANCE FROM
WI:-NEAREST PROPERTY LINE
MAY BE LEFT OR RIGHT SIDE)
1-1 11 FT(SEE TABLE)
▪ III
d; 15'RADIUS
o; ASPHALT RADIUS
0-I APPROACH
RETURN
/____------
EDGE OF �THRO(SEEIT BLE) FT— -� I NIF CORNER LOT,
ASPHALT DISTANCE FROM
STREET NAME 4JJO7._ SPA INC,Fi c"c- RADIUS RETURN
40 FT(SEE TABLE)
STREET WITH ASPHALT EDGE
Approach Requirements:
• Maximum 2 approaches per property frontage; one on arterials.
• Total width of approaches not to exceed 50%of frontage width.
Residential Approaches Commercial Approaches
Distance from Curb/Radius Return
15'minimum 75'minimum
Separation between Approaches (measured See Page 7-27
from centerline to centerline of each None specified in City Street Standards
approach)
Throat Width (flat portion) 16'min., 30'max. 30'min., 40'max.
Wing Width (at curb line) 4 feet typical 4 feet typical
Minimum Distance from Side Property Line
(@ r/w) 5.0' 5.0'
Minimum Distance from Crosswalk 5' 5'
SITE
PLN OF RECORD
PPff 1W t- 'r Iov) (9
3,oC,� >
DM 1� 10 " 11 a%o`
PROJECT 1 fil
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Zo PIVATE jcGFSS EAseMEN-r
11
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LOT 1
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1-rE PLAN!
m
For City Use Only _
CITY bF ; ` PLUS Project Number \J )C) —1
pokane Project Address
,„„„
Valley® 11703 E Sprague Ave Suite 8-3 ♦ Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
Your application review TARGET DATE is - i>''
1
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re-submittals as project application reviewers work on multiple applications and it I
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date,please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure,you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents,as indicated on your Pre-Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email,or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re-
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre-construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE-APPLICANT PINK-BUILDING FILE REV 9/07