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2007 09-12 Permit App: 07003191 Addition Project Number: 07003191 Inv: 1 Application Date: 9/12/2007 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: ADD 22 X 20 ADDITION OFF GARAGE Contact: PAUL DAVIS RESTORATION Address: 13812 E 21ST C-S-Z: SPOKANE VALLEY WA 99216 Setbacks:Front Left: Right: Rear: Phone: (509)999-0884 Group Name: Site Information Project Name: k'MWi'kb'a,�M.§4d F.'WS S.U:ak?re";x.^.a- F ,Sswrotw=e Jt�d'�'ilkaM`.•k^a+i@'�X%.d%s' &d�hc✓wYRk:i:"*A"A tYn,,. . m+.n%a*Rm rf',t'^,L,V;4ti�k6"[m'.�p#"R_ r 6�"x. ,.. a -n_..... u?.a••';„-_ .... ,ri^.. Plat Key: CONY Name: CONVERTED CNTY DATA District: Sout Parcel Number: 45332.2506 Block: Lot: SiteAddress: 3512 S WOODWARD RD Owner:Name: POTTS,DONALD M&SHERYL L Address: 3512 S WOODWARD RD Location::CSV SPOKANE VALLEY,WA 99206-59 Zoning: UR-3.5 Urban Residential 3.5 Water District: 007 MODEL Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: Review Building Plan Review Released'B * Originally Released: 8/22/2007 By: TMELBOU Landuse/Zoning/HE Conditions — " Originally Released: 9/12/2007 By: CJJANSSE Operator: jmm Printed By: jmm Print Date: 9/12/2007 Project Number: 07003191 Inv: 1 Application Date: 8/14/2007 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project In formation:Permit Use: ADD 22 X 20 ADDITION OFF GARAGE Contact: PAUL DAVIS RESTORATION Address: 13812 E 21ST C-S-Z: SPOKANE VALLEY WA 99216 Setbacks:Front Left: Right: Rear: Phone: (509)999-0884 Group Name: Project Name: Site Information: setwratawwwastaxer, .ffigtiONNIESffla,4 - . Plat Key: CONV Name: CONVERTED CNTY DATA District: Sout Parcel Number: 45332.2506 Block: Lot: SiteAddress: 3512 S WOODWARD RD Owner:Name: POTTS,DONALD M&SHERYL L Address: 3512 S WOODWARD RD Location::CSV SPOKANE VALLEY,WA 99206-59 Zoning: UR-3.5 Urban Residential 3.5 Water District: 007 MODEL Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: W .. ._ :, � Review Building Plan Review f Released By: Landuse/Zoning/HE Conditions Released By: Permits: ffemeammammuessawswasunt. 16202$100VMMAWSPIAMME40Zekintalfati“. ;, ;.. ,,..t Operator: jmm Printed By: jmm Print Date: 8/14/2007 , Project Number: 07003191 Inv: 1 Application Date: 8/21/2007 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: x . _.r .. . ; ._ . Permit Use: ADD 22 X 20 ADDITION OFF GARAGE Contact: PAUL DAVIS RESTORATION Address: 13812 E 21ST C-S-Z: SPOKANE VALLEY WA 99216 Setbacks:Front Left: Right: Rear: Phone: (509)999-0884 Group Name: Site Information: Project Name Plat Key: CONV Name: CONVERTED CNTY DATA District: Sout Parcel Number: 45332.2506 Block: Lot: SiteAddress: 3512 S WOODWARD RD Owner:Name: POTTS,DONALD M&SHERYL L Address: 3512 S WOODWARD RD Location::CSV SPOKANE VALLEY,WA 99206-59 Zoning: UR-3.5 Urban Residential 3.5 Water District: 007 MODEL Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Building Plan ReviewRteasefBi Landuse/tonin Conditions 0,471 C.114913 Permits: Operator: jmm Printed By: jmm Print Date: 8/21/2007 Project Number: 07003191 Inv: 1 Application Date: 9/12/2007 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VB 22 X 20 440 $40,198.40 440 $40,198.40 ADDITION Totals: 440 $40,198.40 440 $40,198.40 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $552.85 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $221.14 Permit Total Fees: $778.49 Mechanical Permit - Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount BOILER/REFER 1-IOOM BTU 1 NUMBER OF $12.00 HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00 VENTILATING FANS 2 NUMBER OF $20.00 CLOTHES DRYER 1 NUMBER OF $10.00 VENTILATION MECH EXHAUST 1 NUMBER OF $12.00 Permit Total Fees: $66.00 Notes: 7WOUNPIZROWIENOWSEMIIMEMILINV � .� av��:� � . �, r� ��xn d �. > .�, ..,.�� ,, wasavale Payment Summary: F : u : , , r s,.. matt w : IffinigMBROMN Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $778.49 $778.49 $0.00 $778.49 Mechanical Permit $66.00 $66.00 $0.00 $66.00 $844.49 $844.49 $0.00 $844.49 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: 9/12/2007 Permit Center Silikane 11703 E Sprague Ave,Suite .j5 BYPERMIT NUMBER: J 3 f• Spokane Valley,WA 9 FF pi BEY jValle (509)688-0036 FAX:WO} s`V-tl037 PERMIT FEE: J , www.spokanevalley.o: 14 2041 Community Development l7 Residential Construction pERM►T GEArIew onstruction Accessory Bldg Permit Application Addition/Remodel n Deck Other: SITE ADDRESS: 3 s t a s. t,,,)oo C) U) fj d) n // ASSESSORS PARCEL NO: PS 45332.2SOLLEGAL DESCRIPTION:1i ( 2 GQoe. loi-62 i 2 4 1/3 Building Owner: Contractor: Name: silev al. r!. 6-45 Name: .�)a..L). LS .---9r (_ ''�Q�� Address: .3Si 5-ti(-()0 W Address: `� . . (QI ` City: 4,yeztLe 0061 .C:t State: Zip:9c City: ke Wief State: ( i J Zip:?9 Phone: C9 5 Fax: 7 Phone: Fax: "`^^^"'`KKK l/o� ect Contractor Lic No: Exp Date: (f d 7 Conta Person City Business Lic.No: 0401-D6 4 L a Name: IJeuie .4r . Phone: t ' l 0 Describe the scope of work in detail: Cost of Project: $ ROD ga"yob- {oolr 6FF G' Y 9-AB on RADF Proposed Use: cq,64-k/2(r I-1 ut/2 i K **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAI HABITABLE SPACE: MAIN FLOOR TO SQ. 2ND FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: /446--* Nis., NA AREA: FINISHED BA FKENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON K6 SQ. FTG: 66``�( rX(N 40 PROPERTY: #OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE': SENA/.R Qs SEPTIC? FRlt('1CD {ERT --Putz\P //1Ec_ g.Y riC 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. SIGNATURE: DATE: Method of Payment: 0 Cash 0 Check 0 Mastercard 0 VISA Bankcard#: ,Expires: VIN#: Authorized Signature: / REVISED 2/15/07 / /1/2m //' i SCITY pokane Valle Y 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206 509.688.0036 ♦ Fax: 509.688.0037 ♦ cityhall@spokanevalley.org Residential Plan Submittal Minimums O Completed Building & Mechanical application with: Accurate address, Parcel Number and/or Legal Description, description of work, owner and contractor information, signature, and date. El 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. ❑ 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: ❑ One-hour separation detail: between house and garage ❑ Floor framing details: Joist type, size, spacing and installation details ❑ Roof framing plan and details ❑ Furnace and hot water heater location. ❑ All header locations: type, size, and connections ❑ Foundation plan ❑ Insulation information Permit Center Siiiik'„e 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: P ritlllSpokane Valley,WA 99206 ....*Valley- (509)688-0036 FAX:(509)688-0037 PE Community Development www.spokanevalley.org , UEIVE� tqv CITY OF SPO C VA! Mechanical Permit Application pplicatioon n mmerc' l n Residential KANE VAS SITE ADDRESS: 3 .7 l 0, ..? . /0i .�i`: e c"4v AUG 14 1001 Building Owner PERMIT CENTER Name: C. cm-sPhone: t. S Ztv� Fax:' Address: 3� 3. S Lo ) ,� City: it.Q ,t State: rya Zip: ,, • f�/ Contractor �L)� VLS Q ``V`'I p Name: Phone: TQ L� .I I Fax: CO ( L'(-(- Address: I '3 o- C_)L City: �11 L + State: ( Zip: C83/( License No: - R)CDR. c t. L d City Busines Lic: Contact >' Name: N-lke f._alik(- Phone: Ct CtQ� Lt 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 f 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 3 ( 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 2. 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 r X $10.00 = F 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: SUBTOTAL ❑CASH ❑CHECK ❑VISA r v 'IRE PROCESSING FEE $35.00 ri CARD#: IN. TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: r " ` REVISED 8/26/05 \l' Spokane Valley® 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206 509.688.0036 ♦ Fax: 509.688.0037 ♦ cityhall®spokanevalley.org Fax Cover Sheet Permit Center To: Paul Davis Restoration Company: Phone Number: 509-777-1080 Fax Number: Date: From: Jodi Main Phone: 509-688-2030 Fax: 509-688-0037 Email address: No. of Pages Including Coversheet: 2 Re: Building Permit Comments: This is in reference to the project that Christina from our planning division called you about this morning. I am sending you a copy of the application we received from Dave Clark stating he was working under your contractor's license. I am trying to get contact the homeowner to see what she knows about Mr. Clark. I will also be notifying Labor and Industries. 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