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2011, 07-01 Permit App: 11001966 Residence Project Number: 11001966 Inv: 1 Application Date: 7/1/2011 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: mt, _ ...P. ._ ._ ti;'Fw&:r„ y ,..%-jo Permit Use: NEW SFR-SEWER Contact: GROVER,RICHARD L&JULIA M Address: 11421 E 46TH AVE C-S-Z: SPOKANE VALLEY,WA 99206 Setbacks:Front Left: Right: Rear: Phone: (509)475-9453 Group Name: Site Information. Project Name: u . t Plat Key: Name: Range District: Sout Parcel Number: 45214.9009 Block: Lot: SiteAddress: 1216 S WILBUR RD Owner:Name: GROVER,RICHARD L&JULIA M Address: 11421 E 46TH AVE Location::CSV SPOKANE VALLEY,WA 99206 Zoning: R-3 SF Res District Water District: 007 MODEL Hold: ❑ Area: 14,000 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: .. Review Building Plan Review Released By: Originally Released: 7/1/2011 By: TMELBOU Landuse/Zoning/HE Conditions Released By: Originally Released: 6/9/2011 By: MPALANIU Driveway/Approach Released By: Originally Released: 5/24/2011 By: WMCGAV Sewer Review Released By: Operator: jmm Printed By: jmm Print Date: 7/1/2011 Project Number: 11001966 Inv: / Application Date: 7/5/2011 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-SEWER Contact: GROVER,RICHARD L&JULIA M Address: 11421 E 46TH AVE C- S-Z: SPOKANE VALLEY,WA 99206 Setbacks: Front Left: Right: Rear: Phone: (509)475-9453 Group Name: Site Information: Project Name: Plat Key: Name: Range District: Sout Parcel Number: 45214.9009 Block: Lot: SiteAddress: 1216 S WILBUR RD Owner:Name: GROVER,RICHARD L&JULIA M Address: 11421 E 46TH AVE Location::CSV SPOKANE VALLEY,WA 99206 Zoning: R-3 SF Res District Water District: 007 MODEL Hold: ❑ Area: 14,000 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Released By: Originally Released: 7/1/2011 By: TMELBOU Landuse/Zoning/HE Conditions Released By: Originally Released: 6/9/2011 By: MPALANIU Driveway/Approach Released By: Originally Rel 24/2011 By: WMCGAV Sewer Review Released By: 1‘...3)61? Permits: Operator: jmm Printed By: jmm Print Date: 7/5/2011 Project Number: 11001966 Inv: 1 Application Date: 7/1/2011 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount APPROACH-CONST IN ROW 1 NUMBER OF $52.00 Permit Total Fees: $52.00 Building Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 This Application: Total Project: Description Grp Type Notes So Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB 1,640 $165,558.00 1,640 $165,558.00 2ND FLOOR R-3 VB 1,789 $132,761.69 1,789 $132,761.69 DECK OPEN R-3 VB 170 $2,550.00 170 $2,550.00 GAR WOOD U-1 VB 1,448 $27,512.00 1,448 $27,512.00 Totals: 5,047 $328,381.69 5,047 $328,381.69 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $2,276.15 WSBCC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $910.46 Permit Total Fees: $3,191.11 Mechanical Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 1 NUMBER OF $11.00 GAS PIPING 3 #OF UNITS $3.00 BOILER/REFER 1001-175OBTU 1 NUMBER OF $37.00 VENTILATING FANS 1 DUCT 4 NUMBER OF $44.00 CLOTHES DRYER 1 NUMBER OF $10.00 RANGE 1 NUMBER OF $10.00 Permit Total Fees: $115.00 Operator: jmm Printed By: jmm Print Date: 7/1/2011 • y ' Project Number: 11001427 Inv: 1 Application Date: 07/05/2011 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Contractor: OWNER Finn: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount APPROACH-CONST IN ROW 1 NUMBER OF $52.00 Permit Total Fees: $52.00 Building Permit Contractor: OWNER Finn: OWNER Phone: (000)000-0000 This Application: Total Project: Description Grp Type Notes Sa Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB 1,610 $162,529.50 1,610 $162,529.50 2ND FLOOR R-3 VB 1,848 $137,140.08 1,848 $137,140.08 DECK OPEN R-3 VB 170 $2,550.00 170 $2,550.00 GAR WOOD U-1 VB 1,448 $27,512.00 1,448 $27,512.00 Totals: 5,076 $329,731.58 5,076 $329,731.58 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $2,281.75 WSBCC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $912.70 Permit Total Fees: $3,198.95 Mechanical Permit Contractor: OWNER Finn: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 1 NUMBER OF $11.00 GAS PIPING 3 #OF UNITS $3.00 BOILER/REFER 1001-175OBTU 1 NUMBER OF $37.00 VENTILATING FANS 1 DUCT 3 NUMBER OF $33.00 CLOTHES DRYER 1 NUMBER OF $10.00 RANGE 1 NUMBER OF $10.00 Permit Total Fees: $104.00 Operator: jmm Printed By: MT Print Date: 07/05/2011 Project Number: 11001966 Inv: 1 Application Date: 7/5/2011 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount APPROACH-CONST IN ROW 1 NUMBER OF $52.00 Permit Total Fees: $52.00 Building Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB 1,640 $165,558.00 1,640 $165,558.00 2ND FLOOR R-3 VB 1,789 $132,761.69 1,789 $132,761.69 DECK OPEN R-3 VB 170 $2,550.00 170 $2,550.00 GAR WOOD U-1 VB 1,448 $27,512.00 1,448 $27,512.00 Totals: 5,047 $328,381.69 5,047 $328,381.69 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $2,276.15 WSBCC SURCHARGE I SELECT $4.50 Permit Total Fees: $2,280.65 Mechanical Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 1 NUMBER OF $11.00 GAS PIPING 3 #OF UNITS $3.00 BOILER/REFER 1001-175OBTU 1 NUMBER OF $37.00 VENTILATING FANS 1 DUCT 4 NUMBER OF $44.00 CLOTHES DRYER 1 NUMBER OF $10.00 RANGE 1 NUMBER OF $10.00 Permit Total Fees: $115.00 Operator: jmm Printed By: jmm Print Date: 7/5/2011 • Project Number: 11001427 Inv: 1 Application Date: 07/05/2011 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 3 NUMBER OF $18.00 SHOWERS 2 NUMBER OF $12.00 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 FLOOR DRAINS 1 NUMBER OF $6.00 MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00 WATER PIPING-DWV 1 NUMBER OF $6.00 Permit Total Fees: $96.00 Payment Summary: ... � Mudr, m � , _ Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $52.00 $52.00 $0.00 $52.00 Building Permit $3,198.95 $3,198.95 $912.70 $2,286.25 Mechanical Permit $104.00 $104.00 $0.00 $104.00 Plumbing Permit $96.00 $96.00 $0.00 $96.00 $3,450.95 $3,450.95 $912.70 $2,538.25 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: jmm Printed By: MT Print Date: 07/05/2011 Project Number: 11001966 Inv: 1 Application Date: 7/1/2011 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 3 NUMBER OF $18.00 SHOWERS 2 NUMBER OF $12.00 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 FLOOR DRAINS 1 NUMBER OF $6.00 MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00 WATER PIPING-DWV 1 NUMBER OF $6.00 Permit Total Fees: $96.00 Notes: .. � � �_.. �� AVAlg,d.. . , �,e ,�.u��„ ._ ti Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $52.00 $52.00 $0.00 $52.00 Building Permit $3,191.11 $3,191.11 $0.00 $3,191.11 Mechanical Permit $115.00 $115.00 $0.00 $115.00 Plumbing Permit $96.00 $96.00 $0.00 $96.00 $3,454.11 $3,454.11 $0.00 $3,454.11 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: jmm Printed By: jmm Print Date: 7/1/2011 Project Number: 11001966 Inv: 1 Application Date: 7/5/2011 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 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 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 FLOOR DRAINS 1 NUMBER OF $6.00 MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00 WATER PIPING - DWV 1 NUMBER OF $6.00 Permit Total Fees: $96.00 Notes: APPROACH APPROVED WIDTH IS 30'.NOTIFIED CONTRACTOR-RICK GROVER Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $52.00 $52.00 $0.00 $52.00 Building Permit $2,280.65 $2,280.65 $0.00 $2,280.65 Mechanical Permit $115.00 $115.00 $0.00 $115.00 Plumbing Permit $96.00 $96.00 $0.00 $96.00 $2,543.65 $2,543.65 $0.00 $2,543.65 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: (t(,t 11. Operator: jmm Printed By: jmm Print Date: 7/5/2011 Community Development Department (Staff Use Only) Permit Center . �/_y�/ • �' i 11703 East Sprague Avenue, Suite B-3 / -2 �- PERMIT NUMBER. S �F A.,eQ�� .pokane Valley, WA 99206 1 I el: (509) 688 0036 PERMIT FEE: ax: (509) 688-0037 Proj 7 x ermitcenter. s.okanevalle .or. __ N. �--- � 7 Submittal#________ ___. RESIDENTIAL CONSTRUCTION PERMIT APPLICATION 111 NEW CONSTRUCTION 0 ADDITION/REMODEL ET ACCESSORY BUILDING 0 DECK J OTHER SITE ADDRESS: - \ Soy w;\t5 Jr CA- e.. SvozC0.5-Ne 00.\\e ,u.A \ck2-k Co ASSESSORS PARCEL NO.: Cf L) (4. ctooc( LEGAL DESCRIPTION:Col- Z. Slnbnk- P r-S'AP-3f,-0'7 BUILDING OWNER NAME: s%onu c 5ux o, C9t o`1e/ NAME: \)- Ncir•CTS _)vim..\ CDSOL)'re- ADDRESS: \\ -v2` lel l'c.,' (;) 14._ . CITY: _Cf.d cJ.cia— 1/4...)0...\\-n STATE: \.,..37 ,-- ZIP: 9 c17-0 CP PHONE: (5so(2‘) (-I --1 S- 9 . J 3 FAX: - CELL: ' cJ..�Y-%-e_ r-PCONTACT NAME: C..)e-- c9-c' ..s€/ PHONE: ((cUck)°-(-I'S-Cl -r 5- 3 FAX: CELL: 17S-`, 4753 CONTRACTOR NAME: '‘ \4,_ C. C-0Q't_7-7 .t(The1 c.\ - MAILING ADDRESS: \ `.c-k Z.` ( ` 1 Ca'' eN 1 1k— -- CITY: CS<c t.).-''-_lit-L\ ' STATE: j 1- ZIP: AZO//�P PHONE: (SU G\) `-fZS- 1 .3 FAX: CELL: SCS YL--- CONTRACTOR LICENSE NO.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: nj t.).:‘.3 n47,-v. $-�4;)�s-f -"or- a�1 v c�.c c,�-,�- \v�-- \��MC vJ:�\ \O Q_ 0c.f-�;-Q e2 $� D� 6c...,.s� a. `.�S .�.;�� (2 o,..6,..„1,e, , 2c' ..,,y.c1\ J (PVk -i) ****YOU MUST COMPLETE THE FOLLOWING**** MARK K N/A IF NOT APPLICABLE .R.yv,,Be_ t. &rN\>es' Height to Peak: Dimensions: No. of Stories: Total Habitable 31 ' - 3 " y/O 3" x VO o Space: I — Main Floor Q C7- 165 7v Upper Floor S FT: . r/ Unfinished Basement SQ Finished Basement SQ I � 7d FT: I\ FT: JJ,- Garage SQ FT: ' aK Deck/Covered Patio SQ Impervious Surface 30% Slopes on __‘-l_, ...--- - . . FT: 1-1 OOiA Area: (y Q0 Property: N4 No. of Beedroom5s: Construction Type: )fcap Heat Source:c-e{aYZojgs.Arm Sewer or Septic: S. t TOTAL COST OF PROJECT: $ 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 _t_ � --N. Date: S-f 2_cVt I Updated 1-11-11 Page 1 of 1 http://www.spoka nevalley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc Permit Center �r}U 1170703E Sprague Ave,Suite B-3 PERMIT NUMBER: ►�/ � Spokane Valley,WA 99206 j (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development www.spokanevalley.org Mechanical Permit Application n Commercial r>t Residential SITE ADDRESS: 11--l (-! S pvk.h-1r1 l).3: \\a1/4..t.r Q0.04) J pc\e-c r t Ck`‘42_ LOA- et ck.2_0(P Building Owner Phone: Fax: Name: 1r \Lha c�} i 1 u.\:� C� `o,-� `Som L11 _qys 3 Address: k`c\Z\ l_ q(.04." czV-� City: 1\ct_,.nt J a\\-!) State: CV Zip:(i e12o (40 Contractor Name: lex L� V(-0.1t_r Phone:(5-oq)4-T,S_q�.6--) Fax: Address: "ci21 ( ..4 j \ (, City: ,cJpc:\c_c�,� State: wcAr_ Zip: c`nao(0 License No: City Business Lic: Contact Name: r\).,‘Ce._ (5 Cv�S-e.J Phone: (cF ) y-7r- 9,4% 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 1 X $35.00 = 35 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = 12 GAS LOG,GAS INSERT,GAS FIREPLACE X $10.00 = 13 RANGE I X $10.00 = 10 14 DRYER I X $10.00 = I b 15 FUEL BURNING WATER HEATER t X $10.00 = l0 16 MISC.FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING(each outlet) 3 X $1.00 = 3-- 18 .18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS ,eYYX $10.00 = 11- 0 --- 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 = I 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 ❑CASH ❑CHECK ❑VISA 0 MC EXPIRES: PROCESSING FEE $35.00 CARD#: VIN: TOTAL PERMIT FEE DUE: tt 3 .6a AUTHORIZED SIGNATURE: REVISED 8/26/05 Permit Center `"'°` 11703 E Sprague Ave,Suite B-3 r Spokane Valley,WA 99206 PERMIT NUMBER: (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development www.spokanevalley.org Plumbing Permit Application n Commercial ryi Residential SITE ADDRESS: V.Z.-1 (o C a v. vJ%\b ti-e CI tn CAC' S? *urs �_N._ ,s1.1 9 c Zk(p Building Owner Name: \I\;C\^C,C t, \y\:e). (.9C C1vP� s--.0 ("1-7s--._ Phone:� el) y53 q Fax: Address: `\Li 2 l a �( � ,N^4._ City: S Q 6cu.+1�J G\\1) State: Dr. Zip: G 9 20 C Contractor Name: -,---a,k Cs.< �.v„1/4 ,..1,ey Phone: ( co et),115-._ 9 4 c.- Fax: Address: \«2\ rt._ q Ci. . c." 1/434...._ City: `„6�„. �,t. �c.x..\\_t_..) State:w pr- Zip:9 c zoc0 License No: City Business Lic: Contact Name: Cf- �r t) 7 Phone: (.sesc9c1\ `'t ZS 9y S-', DESCRIPTION OF WORK l #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS Z X $6.00 = 1 7 2 URINALS X $6.00 = CO3 TUBS I X $6.00 = C 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT Z X $6.00 = ( Z LAYS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, 3 2 X $6.00 = p p X-RAY,FOOD,PREP/CULINARY MEAT I . 6 DISHWASHER 1 X $6.00 = (n • 7 CLOTHES WASHER I X $6.00 = Co 8 GARBAGE DISPOSAL \ X $6.00 = (Q 9 WATER SOFTENER X $6.00 = 10 ELECTRIC WATER HEATER NOTE: IF GAS,SEE MECHANICAL X $6.00 = AREA,CASE,COIL,TRENCH, CO11 FLOOR DRAINS CONDENSATE ` X $6.00 = C 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 I X $6.00 = l¢ 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 I COOLER v VACUUM BREAKER,CHECK VALVE, AND R.P.B.P.D.FOR: VATS,TANKS, 17 CROSS CONNECTION DEVICE 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 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = SUBTOTAL METHOD OF PAYMENT: PROCESSING FEE ❑CASH ❑CHECK ❑VISA ❑MC EXPIRES: $35.00 Card# VIN: TOTAL PERMIT FEE DUE: A 131 O0 — AUTHORIZED SIGNATURE: REVISED 8/26/05 Spokane Development Engineering . Valley 11707 E Sprague Ave Suite 106 • Spokane Valley WA 99206 509.921.1000 ♦ Fax: 509.921.1008 • cityhall@spokanevalley.org Approach Permit Application Review TO: Building Department Site Address: 1216 S. Wilbur Rd. Project No: 11-1427 Accepted Not Accepted Approach *X Building Location Paved Access Notes: Saw cutting of existing curb is not allowed within the City's jurisdiction. Driveway is to be inspected by the City's ROW Inspector prior to concrete placement. *Approach approved width is 30'. Notified Rick Grover (Contractor). f Reviewed By: % l Date:_47 / 4. • 7 Community Development Department I (Staff Use Only) ` Permit Center f SUTY OF 11703 East Sprague Avenue,Suite B-3 PERMIT NUMBER: ~ 4,1) / ® ae Spokane Valley,WA 99206 Tel: (509) 688-0036 Valley* perPax: 509)688-0037 88 00 z7nevallev.orq PERMiT FEE: APPROACH PERMIT APPLICATION - PROJECT ADDRESS: \2-<<a Sov. v1,\bv..r c,,`c s•c 6n.\.lk , cc99.21 START DATE: ,ctju ep it sit t ANTICIPATED COMPLETION DATE: t2 BUILDING OWNER NAME: l- .„i C\r\cuc1 S 3 v,1. ). N-'6...K./ MAILING ADDRESS: ,l(4 2, t`� "T c 5t '. — CITY: SPULc.Q�rQ V C)` f STATE: „/T, / ZIp: 4'17_0(O • CONTACT PERSON NAME: - L9a(A l J PHONE: (S.-0(k) (-ri .-q c3 FAX: CELL: Spc'-N-k_ CONTRACTOR NAME: (-- .N i-6 t.__ C9-rC,,,r-c� • • • , MAILING ADDRESS: t 'L\ t. (t ' • •• CITY:cPokw.,n-O___.&.1\. STATE: LK 3- • ZIP: aIQ2O 1C3 . PHONE: (7 v `) TIC-- VJ�� FAX CELL: SO�`r'1' -- J CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: •, ' . .. PROJECT DESCRIPTION (Please Provide Site Sketch) • ®®t Residential Driveway Et Commercial/Industrial Driveway . . • • El Existing Curb &Gutter DRural Road Section • : • - Culvert Installation • 0 Sidewalk Repair/Construction Other Conditions: . Bond/Insurance certification must be on file with the City. pxSCLAIMER 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 } c � � Date: S720)1( Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Approach_PermIt 1-11-11.doc • 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: O Sidewalk 0 Drainage Ditch ft wide 0 Drywell (show location on sketch) ft from back of curb ❑ Other (please describe below) ❑ Streetside Swale w!DISTANCE FROM z NEAREST PROPERTY LINE I I sM�AY'BE LEFT OR RIGHT SIDE) 1 �--€J FT(SEE TABLE) a / ecI• ai ' CONCRETE CURB APPROACH RETURN CURB 'WNG THROB EE TABLE) ' FT WING I NF CORNER LOT, DISTANCE FROM STREET NAME \to0,(-- CURB RETURN I—I FT(SEE TABLE) STREET WITH CURB w! DISTANCE FROM I- - NEAREST PROPERTY LINE MAY BE LEFT OR RIGHT SIDE) r FT(SEE TABLE) �! 'CLI ASPHALT 15'RADIUS RADIUS al APPROACH I /RETURN /� I EDGE OF J THROAT WIDTH I1 FT ---I I- ASPHALT (SEE TABLE) IF CORNER LOT, DISTANCE FROM STREET NAME RADIUS RETURN ID 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' , 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: 0 Sidewalk ❑ Drainage Ditch ft wide ❑ Drywell (show location on sketch) ft from back of curb ❑ Other (please describe below) ❑ Streetside Swale DISTANCE FROM NEAREST PROPERTY LINE AY BE LEFT OR RIGHT SIDE) FT(SEE TABLE) w 0. 2 0.i I. CONCRETE Ct�2B APPROACH RETURN CURBI I--4'---I---TI- tOATWIDTH�FT-- 4' 4 WINO (SEE TABU) ' WING \IF CORNER LOT, �{,to�r I DISTANCE ARETURNti STREET NAME FT(SEE TABLE) STREET WITH CURB zI. DISTANCE FROM z - NEAREST PROPERTY UNE AY BE LEFT OR RIGHT SIDE) FT(SEE TABLE) ce ___.) ASPHALT 15 RADIUS RADIUS a. APPROACH RETURN EDGE OF✓ I--—THROAT WIDTH n FT---II (SEE TABLE) —IN CORNER LOT; ASPHALT DISTANCE FROM STREET NAME RADIUS RETURN =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(fiat 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' • Heather Morris From: Wayne McGavran Sent: Tuesday, May 24, 2011 11:06 AM To: Permit Center; Scott Wallace Subject: RE: APPROACH 11 1427 I approved this approach,today, at 30' Max. Wayne From: Jodi Main On Behalf Of Permit Center Sent: Monday, May 23, 2011 10:03 AM To: Permit Center; Scott Wallace; Wayne McGavran Subject: APPROACH 11 1427 7aanl48 7odi Main,OPT Permit SpaciaCist \\o'' 11703 e Spragaa,$-3 Spol4ana Va88ay WA 99206 ` �J P:509-720-5314 F:509-688.0037 1 For City Use Only Sjökane TY PLUS Project Number Project Address 4000 a'ly®e11703E Sprague Ave Suite B-3 • Spokane Valley WA 99206 50 9.688.0036 • 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 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 Permit Specialist at that time. 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