2010, 09-01 Permit App: 10002675 Residence Project Number: 10002675 Inv: 1 Application Date: 9/1/2010 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W/ATT GAR Contact: HAYDEN HOMES,LLC
Address: 2464 SW GLACIER WAY STE 110
C-S-Z: REDMOND,OR 97756
Setbacks:Front Left: Right: Rear: Phone: (509)714-8646
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: East
Parcel Number: 55202.2508 Block: Lot:
SiteAddress: 19409 E 3RD AVE Owner:Name: HAYDEN HOMES,LLC
Address: 2464 SW GLACIER WAY STE 110
Location::CSV REDMOND,OR 97756
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID#19 Hold: ❑
Area: 6,760 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review
Building Plan Review Released,By: =
Originally Released: 8/31/2010 By: tmelbourn
Landuse/Zoning/HE Conditions ReleasedBy:
Originally Released: 8/30/2010 By: tschmidt
Sewer Review Released',By:
d„{T"yy✓mN_:"e. .;�t`w1Y# .. . ti'. ix..nn&,,, .<. .,�vRF w �. �Y»a,. - lR'..•: _ N{ „
Operator: JD Printed By: jmm Print Date: 9/1/2010
Project Number: 10002675 Inv: 1 Application Date: 9/1/2010 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: HAYDEN HOMES LLC Firm: HAYDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110 Phone: (541)923-6607
REDMOND OR 97756
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 135 $13,358.25 135 $13,358.25
COV DECK R-3 VB 20 $300.00 20 $300.00
GAR WOOD U-1 VB 407 $7,733.00 407 $7,733.00
Totals: 562 $21,391.25 562 $21,391.25
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $349.25
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $139.70
Permit Total Fees: $493.45
Mechanical Permit
Contractor: HAYDEN HOMES LLC Firm: HAYDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110 Phone: (541)923-6607
REDMOND OR 97756
Item Description Units Unit Desc Fee Amount
DUCT WORK SYSTEM 1 NUMBER OF $11.00
GAS WATER HEATER 1 NUMBER OF $11.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $13.00
GAS PIPING 2 #OF UNITS $2.00
VENTILATING FANS 1 DUCT 3 NUMBER OF $33.00
GAS LOG OR GAS INSERT 1 NUMBER OF $11.00
HOOD-TYPE II 1 NUMBER OF $11.00
Permit Total Fees: $92.00
Operator: JD Printed By: jinni Print Date: 9/1/2010
Project Number: 10002675 Inv: 1 Application Date: 9/1/2010 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: HAYDEN HOMES LLC Firm: HAYDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110 Phone: (541)923-6607
REDMOND OR 97756
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 2 NUMBER OF $12.00
SINKS 4 NUMBER OF $24.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
MISCELLANEOUS FIXTURES 1 NUMBER OF $6.00
Permit Total Fees: $72.00
Payment Summary• g;
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $493.45 $493.45 $464.70 $28.75
Mechanical Permit $92.00 $92.00 $0.00 $92.00
Plumbing Permit $72.00 $72.00 $0.00 $72.00
$657.45 $657.45 $464.70 $192.75
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: jmm Print Date: 9/1/2010
(Staff Use Only)
*alone PERMIT NUMBER: t/ /
PERMIT FEE:
400,011FValley
CITY OF SPOKANE VALLEY
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley,.WA 99206
Tel: (509) 688-0036 C,Z( ' 7
Fax: (509) 688-0037
permitcenter@spokanevallev.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
IR NEW CONSTRUCTION M ADDITION/REMODEL M ACCESSORY BUILDING
DECK M OTHER
SITE ADDRESS: Iqttv9 a- 3 Ave,
ASSESSORS PARCEL NO.: SSZ02.250$' LEGAL DESCRIPTION: CoVC13 a�p,pj
BUILDING OWNER NAME: JJ
NAME: 144L jtQ,w kipMe.5
ADDRESS: -
CITY: ( Q STATE:648-071.11'- - - ZIP:
PHONE: Sot-71q-- 64 FAX: 6o't CELL:
CONTACT NAME: r
PHONE: Saq-7/L QOCL FAX: CELL: S[4 M(/ 45 ka,
CONTRACTOR NAME: 1 0)414 1 CThY\
MAILING ADDRESS: 21/6v S.W. Jkc.�e(' T L. sat,_ I/D
tt m
CITY: ReoNd `f STATE: �R. uP: q7175-A6
PHONE: C41/ -923-6W7 FAX: So-'fid-0w/ CELL: cocf 71 y-WU.
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: j1 Slay
/ ►i lh
PROPOSED USE: l� (� L� Q M \)
S.F. Ha inc.
AUG 31 2310
D3qiIA
(�
Effective October 28, 2007 D I L- e 1 of 2
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App.l.doc
to - Z �?J�
•
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height toPeak: Dimensions: No. of Stories: Total Habitable
161Z 4101 A 5 0 ( Space: a/2
Main Floor SQ .„ Upper Floor SQ Unfinished Basement Finished Basement
FT: )z,...5-1 J Z S FT: JA-------, SQ FT: ArA SQ Fr: M
Garage SQ FT: JDeck/ overed Pati9 Pat' Impervious Surface 30% Slopes on
L 7 SQ 10 Area: MIN Property: NA
No. of Constr Heat Source: Sewer or,..
Bedrooms: 3 Type: „rood
345 Septic: (r'
TOTAL COST OF PROJECT: $ 5 C.)DOG
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 submi and subsequently approved before this application can be processed.
Signature Date: Z2-1O
Method of payment: 0 Cash 0 Check 0 Visa 0 Mastercard
Bankcard #: EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 2 of 2
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App.l.doc
Permit Center
`rrYOF 11703E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
jValley` (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
perm itcenteraspokaneval ley.org
Community Development
Plumbing Permit Application ❑ Commercial Residential
SITE ADDRESS: 1-1_LQ(l —t•_ rat_ A _ •
Building Owne>
Name: N M /��� �q �5 Phone: 7� '��It7 Fax: V615_07zil
Address.
146q q 5.vti, s# CI State: Zip:
L�lkc� r PL• so Flo ty. (� mUn�� OR 17q56
Contractor
Lill-30,7
q..
Name: 1 C�1JL�K P1 U1111J1 N�1 � Phone:
30,7 Fax: q6 - 05./.1.
Address: p.o. j Q„X is,Gzjo City: SplikaiVe__ State: u1/4./A Zip: otd1Z2
License No: 4 SPL u P,CL// City Business Lic: (/
Contact/Project Manager:
Name: ' ç e_ ''ioo f'P Phone: `'j/Y-O p t/27j
#OF UNITS
PLUMBING FIXTURE ON A TRAP S
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, i /
SINKS Prep/Culinary Meat "/7
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL I
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
OCASH 0 CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE: F—e2—
CURRENT
FEES AVAILABLE AT:http://www.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community_Development/Documents/FormsBuilding/PlumbingPermitApplication040309.doc
Permit Center
m,"�''A 11703E Sprague Ave,Suite B-3
;i�e''^ Spokane Valley,WA 99206 PERMIT NUMBER:
.....Valley (509)688-0036 FAX:(509)688-0037
Community Development
permitcenter(a�spokanevallev.org PERMIT FEE:
Mechanical Permit( 1
Application ❑ Commercial Residential
SITE ADDRESS:. l v4"Lo 3 J/
Building Owner
Name: l AynEli Phone:
d 6 Fax:
Address: Ci State:
o°l�(� S.;,U. � motes PL. Su•�`l�b ty� � rnoM! OQ• Zip: �7�
Contractor, t
Name: C1?M Plat {-I�'C(-triN y 1 / Phone: Lj?J�q Sal Fax: S 7 O31
Address: P.6 60$ '3g39 ✓ City: C030K4 State: w,A Zip: l9ZZO
License No: Com r L S 2 City Bussmess Lic: / t
Contact/Project Manager: IJ •
Name: MI tSe., (Y)00f$ Phone: .i4-�rb
#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 j
GAS PIPING SYSTEM(each outlet) 2..
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 3
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
❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: VIN:
CARD#: SIGNATURE
—z)-0
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq Quick link to forms,then Master Fee Schedule
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PLANNING DEPT. APPROVEDBUILDING SETBACKS
FRONT HOUSE 15' FROM PL
FRONT GARAGE 20' FROM PL
BY: �, � CORNER 15' FROM PL
SIDE 5' FROM PL
�� REAR 20' (FROM PL)
SCALE: 1" = 20'
DATE: /= /l'
HAYDEN HOMES LOT 8 BLK 2
2464 SW GLACIER PLACE, SUITE 110 ADDRESS: 19409 E. 3rd. ave.
REDMOND, OR 97756
(541) 923-6607 COVEY GLENN
CITY OF SPOKANE VALLEY, WASHINGTON
%
For City Use Only
SCITY oumber
pokane Project Address
4000 valley® 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 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.
WHITE-APPLICANT PINK-BUILDING FILE REV 9/07