2008, 04-10 Permit App: 08000743 ResidenceProject Number: 08000743 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/10/2008 Page 1 of 3
Project Information:
Permit Use: NEW SFR W/ ATT GARAGE ON SEPTIC Contact: KEVIN MADDEN
Address: 804 S SHELLY LAKE
C - S - Z: SPOKANE VALLEY, WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509) 217-6700
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: East
Parcel Number: 55202.0187 Block:
SiteAddress: 19013 E 2ND AVE
Location:: CSV
Lot:
Owner: Name: KEVIN MADDEN
Address: 804 S SHELLY LAKE
SPOKANE VALLEY, WA 99037
Zoning: UR -3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 24,423 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
Driveway/Approach
Originally Released: 3/10/2008 By: tmelbourn
Septic Sys Review
Originally Released: 4/10/2008 By: JLMain
Originally Released: 4/10/2008 By: BGAULKE
Landuse/Zoning/HE Conditions
Originally Released: 3/10/2008 By: mharnois
Permits:
Operator: JD Printed By: jmm Print Date: 4/10/2008
Project Number: 08000743 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/10/2008 Page 2 of 3
Contractor: OWNER
Group: R-3 Type:
Group: U-1 Type:
Total Area 1
Building Height 29
Stories 1
Dwelling Units 1
VB
VB
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Description Gtr Type
1&2 FAMILY R-3 VB
BASEMENT U R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
This Application:
Notes Sq Ft Valuation
1ST FLOOR 1,839 $174,686.61
UNPIN 1,839 $27,585.00
BSMT
ATT 728 $13,832.00
GARAGE
Contractor: OWNER
Item Description
DUCT SYSTEMS
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
RANGE
GAS APPLIANCE - MISC.
Totals: 4,406 $216,103.61
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit•Total Fees:
Mechanical Permit
Total Project:
Sq Ft Valuation
1,839 $174,686.61
1,839 $27,585.00
728 $13,832.00
4,406 $216,103.61
Fee Amount
$1,648.95
$4.50
$659.58
$2,313.03
Firm: OWNER
Phone: (000)
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 # OF UNITS
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: jmm
Permit Total Fees:
Print Date:
000-0000
Fee Amount
$10.00
$12.00
$1.00
$20.00
$10.00
$10.00
$63.00
4/10/2008
Project Number: 08000743 Inv: 1 Application Date: 4/10/2008 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
FLOOR DRAINS
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$24.00
$6.00
$6.00
$6.00
$6.00
$60.00
Notes:
3 bedrooms or 360 gallons per day. No occupancy until fmal approval
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$2,313.03
$63.00
$60.00
Invoice Amount
$2,313.03
$63.00
$60.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$2,313.03
$63.00
$60.00
$2,436.03 $2,436.03 $0.00 $2,436.03
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: 4/10/2008
Project Number: 08000743 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/10/2008 Page 1 of 3
Project Information:
Permit Use: NEW SFR W/ ATT GARAGE ON SEPTIC Contact: KEVIN MADDEN
Address: 804 S SHELLY LAKE
C - S - Z: SPOKANE VALLEY, WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509) 217-6700
Group Name.
Site Information: Project Name:
Plat Key: Name: Range
District: East
Parcel Number: 55202.0187 Block:
SiteAddress: 19013 E 2ND AVE
Location:: CSV
Lot:
Owner: Name: KEVIN MADDEN
Address: 804 S SHELLY LAKE
SPOKANE VALLEY, WA 99037
Zoning: UR -3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 24,423 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
Driveway/Approach
Originally Released: 3/10/2008 By: tmelbourn
Septic Sys Review
�Ik
Landuse/Zoning/HE Conditions
Originally Released: 3/10/2008 By: mharnois
Permits:
Operator: JD Printed By: jmm Print Date: 3/10/2008
"l"°`kane
.Va11eyR
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
PERMIT NUMBER: DS\—
PERMIT FEE:
n New Construction
n Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS:
190r3 z� /0&--
ASSESSORS
0F
ASSESSORS PARCEL NO: 5-5-92- 02- - Ol87 LEGAL DESCRIPTION: L.OT 3 ft . c54007Lidd 7�a
s 3/Lk C 2(/hs 14aW//, G 5
Building Owner:
Name: ��cjfv/ » ia6i:dPi1 /727/..7‘,.-5-.) /yam .
Address: .._"--1(7?,,, ;'
Name:
City: ' 7(1(.4 is State: ,,/ 4.
�
zip, -.--,,7,,
Address:,L
S, Jh�(I `I L ,
�61.
City: ! /�
/G State: c,7/y
Zips
Phone: _5----(;q„ ^
t 7 _ 971x' Fax:
CONSTRUCTION TYPE:
roods
Contact Person
Name: Ql (�, /dry r3IPi7
Phone:
J
Describe the scope of work in detail:
Contractor:
Name: ��cjfv/ » ia6i:dPi1 /727/..7‘,.-5-.) /yam .
Address: .._"--1(7?,,, ;'
TOTAL HABITABLE SPACE:
0
City: ' 7(1(.4 is State: ,,/ 4.
�
zip, -.--,,7,,
Phone -,.,,,, Fax:
IMPERVIOUS SURFACE
AREA: W1/4
Contractoricy N1.M l -I qn /t/3 Exp Date: 9-R- -
FINISHED BASEMENT
SQ. FTG: 0
City Busine_tyc. No: - 3.5-y /
DECK/COV. PATIO SQ. FTG:
r76
Cost of Project: $ Z: eob
Proposed Use:
ie-e5"/coir)14/ //7i,7 r
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
29 /
DIMENSIONS:
5 v'7'1367
# OF STORIES:
TOTAL HABITABLE SPACE:
0
MAIN FLOOR TO SQ.
FTG:/ `moo
2"D FLOOR SQ. FTG:
/V
UNFIN BASEMENT SQ. FTG:
/g3? ,o
IMPERVIOUS SURFACE
AREA: W1/4
939
FINISHED BASEMENT
SQ. FTG: 0
GARAGE SQ. �G:
7-2 8 0 K`
DECK/COV. PATIO SQ. FTG:
r76
30% SLOPES ON
PROPERTY: ,
# OF BEDROOMS:
CONSTRUCTION TYPE:
roods
HEAT SOU CE:
SEWER OR SEPTIC?
scr/c.
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 pro - sed.
SIGNATUR
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
DATE:
LI Mastercard ❑ VISA
Expires: VIN#:
•
Sar orkan e`••
•
jMalley.
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.ore
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS:
/q 0 /3 E Z 4t G(cU, i*ws alb
Building Owner
Name: n[9,4
i n
Phone: x'0 -117- 6700
Fax:
Address: 00[1:
'5 ` Shd/ryit.Ln .
City: (}�!Procle/Lr
State:
ever.
�'�T
Zip:
C3-7
Contractor
Name: 4(./
M�
r'Wdk-, ///1105 zLC.
Phone: f07-)/7_6700
Fax:
Address: gr -
.5.St,eik,7 Lk- &I •
City: (/>&j'k
State:
4.4;
Zip:
0637
/!
License No: f(
r�
yj J A {.L 9s'q Ng
-F / r
City BusinessinLic: 1/5!
V
6 o2 5-23
.53-9 i
Contact
Name: MA
0230/4„, i
Phone: JD? ..02 (7 - G%dip
DESCRIPTION OF WORK
1t OF UNITS X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
a
x
$12.00
/Z.oa
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
5
USED APPLIANCE (W SEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
6
s USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
7
430ILER/RE FRI GERATION'
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
SSOILER/REF.RI GERATION
1,001 - 1,750M BTU
X
535.00
11
' BOILER/REFRIGERATION
More than 1,750M BTU
X
$60:00
12
GAS LOG; GAS INSERT, GAS FIREPLACE.
13
RANGE
2
x
$10:00
x
$10.00
10,00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
A
X
$10.00
/0, 00
17
18
GAS PIPING (each outlet)
DUCT SYSTEMS
3
1
x
X
$1.00
$10.00
19
VENTILATING FANS
X
$10.00
20,00
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
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
itr
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
535.00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
510.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
X
515.00
34
VENTILATION SYSTEMS
X
512.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
519.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD ft
AUTHORIZED SIGNATURE:
REVISED 8/26105
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
/00. co
Permit Center
Siivojk `` �e7' 11703E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.org
Plumbing Permit Application ❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
® Residential
SITE ADDRESS:
190/3 E z a &ea=N z
Building Owner
Name: Ke. 1i puller,
Phone:5229).—.1,
),7 _L7prb Fax:
Address: 504,
04 ..54ego, i,
City: •/'efdbte- State: G{jfl• Zip: i%37
Contractor
Name: ,44' iert ��S Q
.eem,
r7.
Phone: _r�/7 _L�V Fax:
Address: j- % / ` 4.
City: .lti._ /_ /f State: �� Zip :1,037
License No: evr it ��jl��. /s'TN_ 3
JJJJ���� V t •
City BusinessesLic:icpar &Z St). -ry/
C7 7
Contact
Name: 4L, ihalei
Phone. 3d9 -,20_670o
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
56.00
f/OD
2
URINALS
X
56.00
3
TUBS
x
$6.00
6,00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
G -w
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
4
6
7
DISHWASHER
CLOTHES WASHER
11
X
$6.00
2q ao
X
56.00
X
56.00
8
GARBAGE DISPOSAL
X
$8.00
9
WATER SOFTENER
X
56.00
10
ELECTRIC WATER HEATER
NOTE: IF GAS, SEE MECHANICAL
X
56.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
2
X
$6.00
G -ao
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
X
56.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
56.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
56.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
56.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
56.00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
OCASH O CHECK O VISA 0 MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26105
EXPIRES:
VIN:
SUBTOTAL
60, Do
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
95, cao
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Approach Permit Application
PERMIT NUMBER:
PERMIT FEE:
PROJECT ADDRESS
START DATE ANTICIPATED COMPLETION DATE
Building Owner:
Contractor:
Name:
Name:
Address:
City:
State: Zip:
Phone: Fax:
Address:
City:
State: Zip:
Phone: Fax:
Contact Person
Name:
Phone:
PROJECT DESCRIPTION (Provide site ketch)
eResidential Driveway
Existing Curb & Gutter
Calvert Installation
Other Conditions
Contractor Lic No: Exp Date:
\ity Business Lic. No:
Commercial/Industrial Driveway
Rural Road Section.
Sidewalk Repair/Construction
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 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:
❑ Cash 0 Check ❑ Mastercard 0 VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED SISI06
Spokane
jUalley
For City Use Only
PLUS Project Number Y ?Li J
Project Address / w / ' `'" 7 ^ d
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter®spokanevalley.org
As part of our on-going c
application, we are providin
any reason we cannot meet 1
ommitment to customer service during the review process of your project
g you with a TARGET DATE for the initial technical application review. If for
:his date, we will contact you with a revised target date.
Your application review TARGET DATE is
The TARGET DATE is th
review. It is not the date for
e
date we estimate your project application will have had its initial technical
approval or permit issuance.
Tips for a Smoother Project Application Review
D 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.
WHITE -APPLICANT PINK - BUILDING FILE
REV 9/07
00
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