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2011, 09-01 Permit App: 11002638 Addition Project Number: 11002638 Inv: 1 Application Date: 9/1/2011 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Via-;17.01V-VC,- .<a.:h-�, u�::.. -s....:Ey, ,�.a..�. "..-`�- 'e i��2y�,i i„N., w.:, r",17 Permit Use: 1064 SQFT ADDITION TO EXISTING HOME Contact: BEN PETERSON CONSTRUCTION Address: 4504 S VAN MARTER C-S-Z: SPOKANE VALLEY WA 99206 Setbacks:Front Left: Right: Rear: Phone: (509)994-7056 Group Name: Site Information. Project Name: Plat Key: 002503 Name: STEVICK ADD District: Nort Parcel Number: 45032.0302 Block: Lot: SiteAddress: 4121 N VERCLER RD Owner:Name: TEILBORG,ISAAC&HEATHER Address: 4121 N VERCLER RD Location::CSV SPOKANE VALLEY,WA 99216 Zoning: CMU Corridor Mixed Use Dist Water District: 001 TRENTWOOD Hold: ❑ Area: 10,880 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Building Plan Review Released By: Originally Released: 9/1/2011 By: tmelbourn Landuse/Zoning/HE Conditions Released By: Originally Released: 8/30/2011 By: tschmidt Permits: Operator: MBB Printed By: JD Print Date: 9/1/2011 Project Number: 11002638 Inv: 1 Application Date: 9/1/2011 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: BEN PETERSON CONSTRUCTION Finn: BEN PETERSON CONSTRUCTION Address: 4504 S VAN MARTER Phone: (509)994-7056 SPOKANE VALLEY,WA 99206 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation So Ft Valuation 1&2 FAMILY R-3 VB 28'x38' 1,064 $107,410.80 1,064 $107,410.80 ADDITION Totals: 1,064 $107,410.80 1,064 $107,410.80 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,038.55 WSBCC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $415.42 Permit Total Fees: $1,458.47 Mechanical Permit Contractor: R&R HEATING&AIR COND INC Firm: R&R HEATING&AIR COND INC Address: 4019 E CENTRAL Phone: (509)484-1405 SPOKANE,WA 99207 Item Description Units Unit Desc Fee Amount DUCT WORK SYSTEM 1 NUMBER OF $11.00 Permit Total Fees: $11.00 Plumbing Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 1 NUMBER OF $6.00 SINKS 1 NUMBER OF $6.00 SHOWERS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 WATER HEATER-ELECTRIC 1 NUMBER OF $6.00 Permit Total Fees: $30.00 Operator: MBB Printed By: JD Print Date: 9/1/2011 Project Number: 11002638 Inv: 1 Application Date: 9/1/2011 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: L2,-a-arammaaaaa.a,ZU,,, aaaar_ .ati , ,= =„,z.., a..G3,1b ,.A . S Orr., t.".4,1,%” Payment Summary: a„-- r.a ,ArL mit- , .__ .r.n .x.f.., Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,458.47 $1,458.47 $415.42 $1,043.05 Mechanical Permit $11.00 $11.00 $0.00 $11.00 Plumbing Permit $30.00 $30.00 $0.00 $30.00 $1,499.47 $1,499.47 $415.42 $1,084.05 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: MBB Printed By: JD Print Date: 9/1/2011 1I Community Development Department (Staff Use Only) ,a' 'ermit Center ''11703 East Sprague Avenue, Suite B-3 N. '° PERMIT NUMBER: ( —Z 3 Spokane Spokane Valley, WA 99206 Tel: (509) 688-0036 PERMIT FEE: Valle Fax: 688-0037 A permitcenitcenter@spokanevalley.orq y � RESIDENTIAL CONSTRUCTION PERMIT APPLICATION 0 NEW CONSTRUCTION [ADDITION/REMODEL LI ACCESSORY BUILDING 0 DECK NI, , / 0 OTHER SITE ADDRESS: Li/24 �V., V�.,eC je-r" C17 y pF SPOKANE``4r ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: VALLEY BUILDING OWNER NAME: sGG4 C ` I eli o�J AUG 2 9 Zp» — NAME: s c1Gi C. ( IJe /r c �l�` ADDRESS: L-110,2 1 )V • `rf e Vc(f f CITY: Spr.4A?. Y�l(1e,," STATE: \AJC ZIP: 9(4up PHONE: q9 • ( ) l FAX: CELL: q 1,? 0/9 0 CONTACT NAME: �/ PHONE: FAX: CELL: CONTRACTOR NAME: jjn ft-Fes ,A • MAILING ADDRESS: 1-15 of ( ✓ �4lfl arta{- ,r CITY: ('1/Vi Va 1 I fLA STATE: \A p, ZIP: rig01,., ('‘, PHONE: FAX: CELL: ()eft I i 3`:)1C CONTRACTOR LICENSE N 0.:hE N)•'tc E 6221_r1EXPIRES: /I.3 CITY BUSINESS LICENSE NO.: 01:33s. -L'1 ).i DESCRIBE/��.�, THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: 1 C r1-(:,r . ,-In '- I/IL:>rne_ ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: , Dimensions•z� �$,.3 , No. of Stories: Total Habitable i'l • / Space: /06Y Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ /(56`1 FT: FT: Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30% Slopes on FT: Area: Property: No. of Bedrooms: 3 Construction Type: 6)0:, Heat Source: 6-15- Sewer or Septic: , , TOTAL COST OF PROJECT: $ c--;(3 t~(ac DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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. a 77 Signature / Date: er e S- (/ Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit=_Residential_11-11-11.doc RESIDENTIAL C .�K LIST DIRECTIONS: Place a check mark in box next to each document required for complete submittal. ❑ SITE PLAN o Property lines and dimensions o Setbacks to property lines o Direction arrow pointing North and orientation to streets ❑ Distance between buildings o Proposed/existing buildings (footprint and dimensions) o Right of way/easement location &sizes o Utilities, septic tank/drain field locations and distances o Driveway approach size and location BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned) ❑ Elevations (Front/Rear/Sides)with roof peak and wall height including basement: ❑ Foundation Plan (crawlspace, basement or slab on grade): o Footing sizes and locations o Supporting wood cripple walls or beams o Perimeter concrete foundation wall sizes o Thickened concrete pads supporting o Crawlspace ventilation beams or girder trusses ❑ Floor Plan of each level (finished or unfinished)with dimensions: o Floor Joist direction, size and spacing o Window and door location and sizes o Header, beam or concrete lintel sizes o Window well locations if applicable o Brace wall panel locations o Room usage labels ❑Water heater and furnace locations o Smoke detector locations o Exhaust fan locations ❑Attic and crawl space access locations ❑ Deck or concrete patio sizes and locations o Fire Wall construction ❑ Roof Plan: o Engineered truss direction and spacing o Ridge, eave and valley lines o Rafter and over frame direction, size and spacing o Beam and girder size and location ❑ Wall Section Detail including: Roof o Slope/roofing material/underlayment/ice dam protection o Truss or rafter size, spacing &connection o Sheathing size and type ❑Attic insulation/air space baffle/ventilation Ceiling o Joist size and spacing o Size of ceiling gypsum wall board Wall o Height/top plate/stud size and spacing/sole plate o Siding/exterior house wrap/anchor bolts o Exterior sheathing size and type o Insulation, vapor barrier, gypsum wall board Floor o Joist size and spacing ❑ Sheathing or concrete floor size/insulation Foundation Wall o Concrete or Masonry unit width ❑ Footing bottom to finished ground level depth o Earth to wood separation distance ❑ Horizontal &vertical reinforcement if any Footing ❑ Size o Reinforcement if any Radon o Passive system with 6mi1 vapor barrier o Active system with 6 mil vapor barrier Miscellaneous Construction Details ❑ Deck: o Floor plan/side view/dimensions o Footings/post/and beam size and locations o Floor Joist/decking direction, size and spacing O Stairway tread rise & run and nosing 0 Handrail/Guard height&spacing Community Development Department (Staff Use Only) Permit Center 2 3© 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: ' _ o Spokane Spokane Valley, WA 99206 Tel: (509) 688-0036 PERMIT FEE: Valley. Fax: 688-0037 permitcenitcenter@spokanevalley.orq RESIDENTIAL CONSTRUCTION PERMIT APPLICATION El NEW CONSTRUCTION [ADDITION/REMODEL Er ACCESSORY BUILDING 0 DECK 0 OTHER SITE ADDRESS: Lfj24 t\L Ve_y-teed,- ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: iic,e,C Tt egoo( NAME: ITS c c;f ) ie f 156 rL; ADDRESS: 1 Ii NJ' 1-ev-4(err • CITY: _Sp*A' e, \/(/� r% STATE: tiViel4ZIP: kJ PHONE: . 59 .. 0 l 9 0 FAX: CELL: qv 0 l`'i , CONTACT NAME: • • . PHONE: FAX: CELL: CONTRACTOR NAME: ft+''��----; ;A , - MAILING ADDRESS: �ICj U `( 3, V7 n MA ii 4e4,- CITY: ` 1 N VC.A Val( ie STATE: V` ZIP: � `(�l PHONE: �r' I. FAX: i� CELL: 3..,-:34(.0 CONTRACTOR LICENSE NO.:SEI\JPECiic O22LCIEXPIRES: 4--6/3 CITY BUSINESS LICENSE NO.: (0 1-711 ,9 -1' DESCRIBE T-HE SCiOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: • ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: / Dimensions: ' , No. of Stories: Total Habitable Ty2,- 3$ / Space: /06 g. Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ A J Ot Tz o w) /.004 a(' FT: FT: Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30% Slopes on FT: Area: Property: No. of Bedrooms: 3 Construction Type: 6i0::.0 Heat Source: (//S Sewer or Septic: 0 . TOTAL COST OF PROJECT: $ ..---;01 fly DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or on a dwell ng,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) The 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. Signatures-- Date: o'-' e - (/ .✓ Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit__Residential_11-11-11.doc Permit Center S okane0,009\4.411703 E Sprague Ave Suite B-3 , I PERMIT NUMBER: p Spokane Valley,W 9206 ....*Valley. (509)688-0036 FA" 0009)688-0037 PERMIT FEE: Community Development permitcenter@spokanevalley.org Mechanical Permit Application n Commercial Residential SITE ADDRESS: t'II41 K' , \ELCLe-R. Building Owner Name: � 04 C }crL'P)oQ Phone: c, ' -n Fax: Address: y 10.1 \.) . \I tfcle r Ci Y:Gild Au( \)GLEE`' State:�A Zip:erapG Contractor ttLL Name: n Cl- -- . R.1 v.. �-le.,,-r, Phone: `7n4 X056 Fax: Address \ City: State: Zip: License No: City Business Lic: Contact/Project Manager: Name: Phone: #UNITS FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Up to&including 100,000 BTU FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Over 100,000 BTU DUCT WORK SYSTEM A 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 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 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 0 VISA ❑MC CARD#: SIGNATURE ,,,,,, /Z...J___ http://wwwspokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc Permit Center Spokanes"N11703 E Sprague Ave,Suite B-3 Spokane Valley," 99206 PERMIT NUMBER: 4000 Valley' (509)688-0036 F `(509)688-0037 A:RMIT FEE: permitcenter(a�spokanevalley.org Community Development Plumbing Permit Application n Commercial ?Residential SITE ADDRESS: 4 I L( ).,}. v E j..0 LC Il Building Owner Name: -16CGC SL Px�¢s� Phone:SCFi— (.�6`5-Y) Fax: Address: Lig) !J. UELCLfc1Z City.5PoY.K.)6 \1ktik`( State: A Zip: Contractor Name: >J Coil �IFi7. Phone:"194-1056 Fax: Address: 14 S. \)N t-CC� City:Slok.k . vt\ICcY State: (,`)n Zip: 992.45(, License No: n P� 0 ) City Business Lie: MoC,Contact/Project Manager: Name: �,� ,` PC'1C�2J Phone: cAlm n OS6 tK� #OF UNITS PLUMBING FIXTURE ON A TRAP _ TOILETS URINALS TUBS _ SHOWERS(per trap) _ Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, SINKS Prep/Culinary Meat DISHWASHER _ CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER _ FLOOR DRAIN Area,Case,Coil,Trench,Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN,DRINKING WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer proofer,carbonator,swamp cooler PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas,See Mechanical INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including traps,vents except kitchen type grease interceptors functioning as fixture traps _ REPAIR OR ALTERATION Water piping,drainage or vent piping ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers MEDICAL GAS INCEPTORS _ ❑CASH 0 CHECK 0 VISA ❑MC EXPIRES: Card# VIN: SIGNATURE: CURRENT FEES AVAILABLE AT:http://www.spokanevalley.orq/under the quick links for Forms,Master Fee Schedule. http://www spokanevalley.org/uploads/Community Development/Documents/Forms/Building/PlumbingPermitApplication040309.doe • Target Date sheet For City Use Only 1011111111.#1\111111111141) PLUS Project J - re, 3g sin Project Address 1,► 2t i — �r � I r led Valley® V 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206 509.720-5240♦ Fax: 509.688.0037♦ permitcenter®spokanevaltey.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 q " 2 - I I 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 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 ermit Specialist at that time. CD-003 V-7/06-21-11 Page 1 of I I . } I I ii I I, i , PLANNING DEPT ROVED •• j PA 3v/ i 1 IQ i?SCI y