2010, 09-01 Permit App: 10002678 Residence Project Number: 10002678 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 PL STE 110
C-S-Z: REDMOND OR 97756
Setbacks:Front Left: Right: Rear: Phone: (541)923-6607
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: East
Parcel Number: 55202.2505 Block: Lot:
SiteAddress: 19421 E 3RD AVE Owner:Name: HAYDEN HOMES
Address: 2464 SW GLACIER PL SUITE 110
Location::CSV REDMOND OR 97756
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID#19 Hold: ❑
Area: 7,125 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: 9/1/2010 By: tmelbourn
Landuse/Zoning/HE Conditions Released By:
Originally Released: 8/30/2010 By: tschmidt
Sewer Review Released By:
Permits:
Operator: JD Printed By: jmm Print Date: 9/1/2010
Prdject Number: 10002678 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 1,032 $102,116.40 1,032 $102,116.40
COV DECK R-3 VB 24 $360.00 24 $360.00
GAR WOOD U-1 VB 398 $7,562.00 398 $7,562.00
Totals: 1,454 $110,038.40 1,454 $110,038.40
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,055.35
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $422.14
Permit Total Fees: $1,481.99
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
HOOD-TYPE II 1 NUMBER OF $11.00
Permit Total Fees: $81.00
Operator: JD Printed By: jmm Print Date: 9/1/2010
Project Number: 10002678 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 3 NUMBER OF $18.00
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: $66.00
Notes: ,
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,481.99 $1,481.99 $422.14 $1,059.85
Mechanical Permit $81.00 $81.00 $0.00 $81.00
Plumbing Permit $66.00 $66.00 $0.00 $66.00
$1,628.99 $1,628.99 $422.14 $1,206.85
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: jmm Print Date: 9/1/2010
' 40/101.1\ammit
(Staff Use Only)
*oliane PERMIT NUMBER: (o 'ZQ
s PERMIT FEE:
CITY OF SPOKANE VALLEY ---
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 9920.6
Tel: (509) 688-0036 ��
Fax: (509) 688-0037 ( (i` ' -
permitcenter sDokanevallev.orq .)D
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
It NEW CONSTRUCTION M ADDITION/REMODEL M ACCESSORY BUILDING
DECK M OTHER
SITE ADDRESS: 19(it( E. 3 Aue.
ASSESSORS PARCEL NO.: S S 2.02.15 05 LEGAL DESCRIPTION: Gave ce
aJ
BUILDING OWNER NAME: •l
NAME: 144tAckv 140m .5
c
ADDRESS'
Cm: '
Q _ r,1 STATE: ZIP:S 0 q—71 q_ c4 FAX: 6oL 6$��7y� CELL:
CONTACT NAME:
PHONE: Saq-71q'-��yL FAX: CELL: p 45 ��,��
CONTRACTOR NAME:
MAILING ADDRESS: 290 �.(a. ,1�caer PL. sat.,
CITY: Rtir KICINel STATE: OR. ZIP: q.795-•6
PHONE: c i -92.3-6607 FAX S�-O/6Z -O7q/ CELL: col-7i&)-Ob_iL
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: p ��
Si l- T3h►;1y dlAid rtV
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p.),3 :i ,,r :::;::,
PROPOSED USE: D
S.F. Home_ iq
Effective October 28, 2007 Page 1 of 2
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Residential Construction Permit
App.l.doc
•
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: Dimensions: No. of Stories: Total Habitable
1 S P-- C vi 3 I Space: a1� ted w3 L
Main Floor SQ Upper Floor SQ Unfinished Basement Finishe Basement
FT: ---/0?j L FT: SQ FT: j(\ SQ FT:
Garage SQ FT: Deck/C ered Patio Impervious Surface 30% Slopes pon
Lt.O5c SQ FT: -" if Area: NA Property: NtS
No. of Constru ion Heat Source: Sewer or 5,4041
Bedrooms: 2 Type: C)5 Septic: a�W
TOTAL COST OF PROJECT: $ GO
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 appro or any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be •mitt-• =nd subsequently approved before this application can be processed.
Signature Date: 8--Z(�/
/v
Method of payment: El Cash ❑ Check 0 Visa 0 Mastercard
Bankcard #: EXP: VIN#:
Authorized Signature:
Effective October 28,2007 Page 2 of 2
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Residential Construction Permit
App.l.doc
Permit Center
11703E Sprague Ave,Suite B-3
11tI.!1 Spokane Valley,WA 99206 PERMIT NUMBER:
'� alle (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development permitcenter(a,spokanevallev.ore
Mechanical Permit Application� B El Commercial Residential
p
SITE ADDRESS: f ` jZ! £- 3 L�[ L .
Building Owner .
Name: tiAVQELi rll Phone: Go
Jd) f{�7i�'w6y6. Fax: c/6�"CT7��
Address: AL1�L/ S•i,Q. !' o_ cies PL. Su•4IiO City: 11LL��1tl State: pR. Zip: 17?
Contractor= 1`"'�, 2 r
Name: Lamp/tit - .-�N / Phone: �j7�g5�$ Fax: J 35-032/
Address: f' - 602( 3' 9 City: 50;)K4.,1State: esti Zip: I/q
ZZO
License No: C„om PL H S o; o Ea City Business Lic:
Contact/Project Manager:
Name: mi 11� JY)oO(Q Phone: a♦�/—��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 I
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
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:
SIGNATURE
CARD#:
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq Quick link to forms,then Master Fee Schedule
http://www.spokanevalley.org/uploads/Community_Development/Documents/FormsBuilding/MechanicalPermitApplication040309.doc
Permit Center
S�y"lime00110 11703SpokaneE Sprague AveA,992Suite06 B-3 PERMIT NUMBER:
p
Y" € ` ( 09)688-00363C
WFAX:(509)688-0037 PERMIT FEE:
perm itcenter@spokanevallev.org
Community Development
Plumbing Permit Application El Commercial Residential
SITE ADDRESS:1411-47-d„_ d
L. _�f - ,Q
Building Ownei
Name: Phone: Fax:
r Nfrd u i QMts p 7� - y6 V6/5—a/41/ q
Address: 146q 5-iN, LAkGI�(- PC. Si- `l00 City: 12% m4,,,,[y State: OR Zip. i7,15K
Contractor
Name: Phone: Fax:
! C awl K P1 wn���� l '��9-3y��� q db- a 5,ii6
Address: p.o. /pox i%Lo City: 5 fo ha>>„_ State: gyp` Zip: 9z2-
License No: (h Pi_U P iC.111 J pe, City Business Lic:
Contact/Project Manager: 7
- __
Name: Moo
Phone:
Mi K2 MoorP7iv-16y6
#OF UNITS
PLUMBING FIXTURE ON A TRAP Y
TOILETS Z
URINALS
TUBS Z.
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, !�
SINKS Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER '
GARBAGE DISPOSAL J
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:
CURRENT FEES AVAILABLE AT:http://www.spokanevallev.orcl/under the quick links for Forms,Master Fee Schedule.
http://www.spokanevalley.ori;/uploads/Community_Development/Documents/FormsBuilding/PlumbingPermitApplication040309.doc
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PLANNING DEPT. APPROVED BUILDING 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: ` / 'Dif
HAYDEN HOMES LOT 5 BLK. 2
2464 SW GLACIER PLACE, SUITE 110
REDMOND, OR 97756 ADDRESS: 19421 E. 3rd Ave.
(541) 923-6607 COVEY GLENN
CITY OF SPOKANE VALLEY, WASHINGTON
For City Use Only
SpöCITY PLUS Project Number
karle Project Address
4000 Val l
°
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