2011, 10-25 Permit App: 11003354 Residence Project Number: 11003354 Inv: 1 Application Date: 10/25/2011 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW SFR W/ATT GAR Contact: SQUIRES,WILLIAM C
Address: 5621 S GLENDORA DR
C-S-Z: SPOKANE,WA 99223-1566
Setbacks:Front Left: Right: Rear: Phone: (000)000-0000
Group Name:
Site Information. Project Name:
1,4.:-s: ..,:>.. .:�,�, �.^'- ., .nr::Plat Key: Name: Range District: Sout
Parcel Number: 45211.3607 Block: Lot:
SiteAddress: 706 S WHIPPLE LN Owner:Name: SQUIRES,WILLIAM C
Address: 5621 S GLENDORA DR
Location::CSV SPOKANE,WA 99223-1566
Zoning: R-4 SF Res Urban District
Water District: 011 MODERN Hold: ❑
Area: 6,947 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: .a, ern, I m.., ., m,.an,,® oil., s� ..
Review
Building Plan Review Released By:
Originally Released: 10/25/2011 By: tmelbourn
Landuse/Zoning/HE Conditions Released By
Originally Released: 10/21/2011 By: mpalaniuk
Driveway/Approach Released By
PER TOM
Originally Released: 10/25/2011 By: jdavis
Sewer Review Released By:
Originally Released: 10/25/2011 By: jdavis
Operator: JD Printed By: JD Print Date: 10/25/2011
Project Number: 11003354 Inv: 1 Application Date: 10/25/2011 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permits: Tmgmw,m, . w, m� ca erc :_ wum- .- s r_ F .mm
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
This Application: Total Project:
Description Grn Type Notes Sa Ft Valuation Sa Ft Valuation
1&2 FAMILY R-3 VB 1,427 $144,055.65 1,427 $144,055.65
DECK OPEN R-3 VB 80 $1,200.00 80 $1,200.00
GAR WOOD U-1 VB 420 $7,980.00 420 $7,980.00
Totals: 1,927 $153,235.65 1,927 $153,235.65
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,296.15
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $518.46
SFR/DUP SITE PLN REVIEW 1 SELECT $50.00
Permit Total Fees: $1,869.11
Mechanical Permit
Contractor: MCCLEARY HEATING&A/C LLC Firm: RON MCCLEARY HEATING&A/
Address: 6507 E MALLON AVE Phone: (509)535-5915
SPOKANE,WA 99212
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 PIPING 4 #OF UNITS $4.00
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $13.00
RANGE 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $11.00
VENTILATION MECH EXHAUST 1 NUMBER OF $13.00
Permit Total Fees: $75.00
Operator: JD Printed By: JD Print Date: 10/25/2011
Project Number: 11003354 Inv: 1 Application Date: 10/25/2011 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: SONNY'S PLUMBING Firm: SONNY OLSON PLUMBING
Address: 11515 E 16TH AVE Phone: (509)924-4078
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 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER HEATER-ELECTRIC 1 NUMBER OF $6.00
MISCELLANEOUS FIXTURES 2 NUMBER OF $12.00
Permit Total Fees: $84.00
Notes r ;"e its 6 rm -'"'"V W9kk'W,af,-"'"akierik.5 u. ADI , , ".11 - lEffelnUitnri
FENCING&LANDSCAPING TO BE INSTALLED PRIOR TO FINAL INSPECTION FOR SHP-28-
05--MH
Payment Summary: Tfk _ f -4N, ,5 . ., .k.A-a 00r g� mti _ ;, k
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,869.11 $1,869.11 $498.30 $1,370.81
Mechanical Permit $75.00 $75.00 $0.00 $75.00
Plumbing Permit $84.00 $84.00 $0.00 $84.00
$2,028.11 $2,028.11 $498.30 $1,529.81
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. Su Sequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisio of th code or a y other state or local laws or ordinances.
Signature.f A
Operator: JD Printed By: JD Print Date: 10/25/2011
•
4
Community Development Department (Staff Use Only)
Permit Center
d."1\e/ai
11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: V55S1
SIR&a ne Spokane Valley, WA 99206
Tel: (509) 720-2540 PERMIT FEE:
Valley Fax: (509) 688-0037
permitcenitcenter@spokanevallev.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
"NEW CONSTRUCTION ❑ ADDITION/REMODEL ❑ ACCESSORY BUILDING
❑ DECK ❑ OTHER
SITE ADDRESS: 9. S. (A p
ASSESSORS PARCEL LEGAL DESCRIPTION: (�il� (o-f) �s
f�fjl ?H?HI
BUILDING OWNER NAME: l3 ju < <1 eS c
NAME: 73K/f�S
ADDRESS: 6---6 ca.)—'�s. C( i--
CM':
-CITY: cOneo, n e STATE: tun ZIP: 9922_3
PHONE: '—' ' 0 FAX: i CELL: • 40 `33 9
CONTACT NAME:
PHONE: ,m3-91O0 FAX: yy3 — 5 �" CELL: pS.-/— ? 9
z NTRACTOR d i t ')V) e(�
MAILING ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX: CELL:
CONTRACTOR LICENSE NO.: EXPIRES:/2/02 Od /CITY BUSINESS LICENSE NO.:
SCRIBE THE SCOPE OF WORK IN DETAIL AND INNDICATE USE & PROPOSED USE:
e-4 Lt.; LE77-19 ` 6/5-0(-0
** *YOU MUST COM TE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: Dimensions: No. of Stories: Total Habitable
CV 3(0)( / Space: A427
Main Floor SQ FT:O, Upper Floor Q FT: Unfinished Basement SQ Finished Basem nt SQ
_7€2 7 "'" � FT: FT:
Garage SQ FT: Deck/C�ov�e Patio SQ Impervious Surface 30% Slopes on
..
a rt- FT: 5F, Area: Property:
No. of Bedrooms: Construction Ty.e: Heat Source:G ' f ewer .r Septic:
TOTAL COST OF PROJECT: $ 4757300 a°
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.
Signature It JO / .1.'.j 4 Date: AO —/5---070//
Updated 1-11-11 Page 1 of 1
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Building Permit - Residential 11-
11-11.doc
Permit Center
* t 11703E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development permitcenter@spokanevalley.org
Mechanical Permit Application ElCommercial ['Residential
SITE ADDRESS: VO S. kL l t pp I e.. hJ
Building Owner I
Name: al.L u �FS Phone: 9 /_93 3 9 Fa tcya
Address: .56,c2 s ro 1 P_l-)1>0eA 7l— City:S f 0/41-h/e— State: 4641 Zip:5i9 .3
Contractor q f �--�3
Name: 14.11 C l ec / 4jeit
/ Phone: 9/'LJ O S rJ Fax:
Address: Q '{1 City: S j2 eel, State: 4.A4 Zip:9 52,;
ch-
'Z
License No: M14C-C1...--t-€61 03 � N City Business Lic:
`�
Contact/Project Manager:
Name: _ Phone: 0,5-7_
#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
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 l
APPLIANCE VENTS INSTALLATION,RELOCATION,REPLACEMENT I •
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 f
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:
OCASH erCHECK ❑VISA ❑MC
CARD#: SIGNATURE
P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc
Permit Center
, "•9 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
permitcenter@spokanevalley.org
Community Development
Plumbing Permit Application n Commercial 4esidential
SITE ADDRESS: S - 90lv I 'ipp be dI N
Building Owner
Name: /3i-u, SCS u t fe ES Phone: 9Si 33 Fax: yy3 •- 'so s--6
Address: 5 , S G ren ce)pg.
4D City: SPokQ n e State: 14.4 Zip:�a23
Contractor
Name: Phone: Fax:
Address: /%S7[� ��J yQ�O City: Sliddl�� n State: Zip:9702
License No: City Business Lic:
Contact/Project Manager:
Name: l r 1 tt�ES Phone: 7Q'33/C�,
#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, i/
SINKS Prep/Culinary Meat �J'
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 HECK ❑VISA ❑MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.sookanevalley.orci/under the quick links for Forms,Master Fee Schedule.
P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc
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Target Date sheet
For City Use Only
Sjökane S Project1 Pro -ct Address
Or I
Valley®
v 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.720-5240 ♦ 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 f
10 l ,
The TARGET DATE is the date we estimate your project application Lill haje had its initial technical review. It is
not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
C ➢ Submit complete,accurate plans and documents.
Extra time may be required for re-submittals as project applicls ion reviewers work on multiple applications and it may be
several days before they can look at your nhw 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 the7ist 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.
Althoughyou should be contacted on or bythe target date,pleasefeelfree to contact us i you haven't heard from us byyour
g g if .�'
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.
CD-003 V-7/06-21-11 Page 1 of 1