2009, 06-17 Permit App: 09001702 Residence Project Number: 09001702 Inv: 1 Application Date: 6/17/2009 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: KOHLIEBER,ROBERT D
Address: 1413 S MAMER LN
C-S-Z: SPOKANE VALLEY,WA 99216
Setbacks:Front Left: Right: Rear: Phone: (509)481-1210
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: Sout
Parcel Number: 45201.1944 Block: Lot:
SiteAddress: 10410 E 4TH AVE Owner:Name: KOHLIEBER,ROBERT D
Address: 1413 S MAMER LN
Location::CSV SPOKANE VALLEY,WA 99216
Zoning: MF-2 MF HDR District
Water District: 011 MODERN Hold: ❑
Area: 10,008 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review In formation: ,
Review
Building Plan Review Released By:
Originally Released: 6/16/2009 By: tmelbourn
Driveway/Approach Released By:
NA PER WAYNE PART OF SHORT PLAT
Originally Released: 6/17/2009 By: WMCGAV
Landuse/Zoning/HE Conditions Released By:
Originally Released: 6/12/2009 By: mbasinger
Sewer Review Released By:
Permits:
Operator: JD Printed By: jmm Print Date: 6/17/2009
Project Number: 09001702 Inv: 1 Application Date: 6/17/2009 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: LEWIS CONST&DEV INC Firm: LEWIS CONST&DEV INC
Address: 12402 N DIVISION#197 Phone: (509)951-6959
SPOKANE WA 99218
Item Description Units Unit Desc Fee Amount
APPROACH-CONST IN ROW 1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Contractor: REALITY HOMES INC Firm: REALITY HOMES INC
Address: 1620 N MAMER RD BLDG D SUITE Phone: (509)924-7969
SPOKANE VALLEY WA 99216
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,476 $142,921.08 1,476 $142,921.08
DECK OPEN R-3 VB 108 $1,620.00 108 $1,620.00
GARAGE U-1 VB 479 $9,101.00 479 $9,101.00
Totals: 2,063 $153,642.08 2,063 $153,642.08
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,296.15
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $518.46
Permit Total Fees: $1,819.11
Mechanical Permit
Contractor: REALITY HOMES INC Firm: REALITY HOMES INC
Address: 1620 N MAMER RD BLDG D SUITE Phone: (509)924-7969
SPOKANE VALLEY WA 99216
Item Description Units Unit Desc Fee Amount
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: $64.00
Operator: JD Printed By: jmm Print Date: 6/17/2009
Project Number: 09001702 Inv: 1 Application Date: 6/17/2009 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: REALITY HOMES INC Firm: REALITY HOMES INC
Address: 1620 N MAMER RD BLDG D SUITE Phone: (509)924-7969
SPOKANE VALLEY WA 99216
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
SHOWERS 1 NUMBER OF $6.00
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
WATER HEATER-ELECTRIC 1 NUMBER OF $6.00
Permit Total Fees: $66.00
(CITY OF SPOKANE VALLEY)SHP 10-07 LT 1 (AUDITORS#5665539 BK 24 PGS 48&49)
ADDITIONAL SEWER FEES NEED TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE-
CONTACT R.RIVERS 477.7682 OR B.URHAUSEN 477.7298 FOR ASSISTANCE-MT
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,819.11 $1,819.11 $516.22 $1,302.89
Mechanical Permit $64.00 $64.00 $0.00 $64.00
Plumbing Permit $66.00 $66.00 $0.00 $66.00
$1,999.11 $1,999.11 $516.22 $1,482.89
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: 6/17/2009
(Staff Use Only)Sii \h1hh1
PERMIT NUMBER:400$0
VitlJey
` PERMIT FEE'
CITY OF SPOKANE VALLEY
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@sookanevallev.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
11 NEW CONSTRUCTION ❑ ADDITION/REMODEL ❑ ACCESSORY BUILDING
0 DECK ❑ OTHER
SITE ADDRESS:10410 E.4TH,SPOKANE VALLEY,WA 99206
ASSESSORS PARCEL NO.:45201.1944 LEGAL DESCRIPTION:
BUILDING OWNER NAME:BOB KOHLIEBER
NAME:BOB KOHLIEBER
ADDRES5:1413 S MAMER
CITY:SPOKANE VALLEY STATE:WA ZIP:99216
PHONE:509-481-1210 FAX:N/A CELL:509-481-1210
CONTACT NAME:BOB KOHLIEBER
PHONE:509-481-1210 FAx:N/A CELL:509-481-1210
CONTRACTOR NAME:REALITY HOMES INC
MAILING ADDRESS:1620 N.MAMER RD,BUILDING D,SUITE 150
CITY:SPOKANE VALLEY STATE:WA ZIP:99216
PHONE:924-7969 FAx:924-1723 CELL:270-8850
CONTRACTOR LICENSE No.:REALIHI984CN EXPIRES:02/15/2010 CITY BUSINESS
LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
NEW SINGLE FAMILY HOME
PROPOSED USE:
NEW SINGLE FAMILY HOME-PERSONAL RESIDENCE
Effective October 28, 2007 Page 1 of 2
C:\Documents and Settings\Genesis\Desktop\! LCD Info\!!!Projects Active\09-030 - 10410 E 4th Bob Kohlieber Site
Package\06 Permitting\09-030 - 10410 E 4th Bob Kohlieber Building Permit.doc
•
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:19-0 Dimensions:54 X 40 No. of Stories:1 Total Habitable
Space:146a/ /X
Main Floor SQ Upper Floor SQ Unfinished Basement Finished Basement
FT:1468 147 6 FT:N/A SQ FT:N/A SQ FT:N/A
Garage SQ FT:485 Deck/Covered Patio Impervious Surface 30% Slopes on
79 SQ FT:.9?"-/ o e Area:4.84- ZOO; Property:NO
No. of Bedrooms:2 Construction Heat Sewer or
Type:STICK FRAME Source:ELECTRIC Septic:SEWER
TOTAL COST OF PROJECT: $135,000.00 BUILDING AND SITE WORK,$55,000.00 LAND
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 Red/ /-a-eigADate: 6 /( -0 ?
Method of payment: El Cash El Check El Visa ❑ Mastercard
Bankcard #: EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 2 of 2
C:\Documents and Settings\Genesis\Desktop\! LCD Info\!!!Projects Active\09-030 - 10410 E 4th Bob Kohlieber Site
Package\06 Permitting\09-030 - 10410 E 4th Bob Kohlieber Building Permit.doc
Community Development Department (Staff Use Only)
Permit Center
She 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
Spokane Valley, WA 99206
galley Tel: (509) 688-0036 PERMIT FEE.
Fax: (509) 688-0037
permitcenitcenterOsgokanevallev.orq
APPROACH PERMIT APPLICATION
PROJECT ADDRESS:10410 E 4T"AVE,SPOKANE VALLEY,WA 99206
START DATE:6/15/09 ANTICIPATED COMPLETION DATE:10/15/09
BUILDING OWNER NAME:
MAILING ADDRESS:BOB KOHLIEBER 1413 S MAMER
CITY:SPOKANE VALLEY STATE:WA ZIp:99216
CONTACT PERSON NAME:BOB KOHLIEBER
PHONE:481-1210 FAX:N/A CELL:481-1210
CONTRACTOR NAME:LEWIS CONSTRUCTION &DEVELOPMENT, INC.
MAILING ADDRESS:12402 N DIVISION#197
CITY:SPOKANE STATE:WA ZIP:99218
PHONE:951-6959 FAx:279-0967 CELL:951-6959
CONTRACTOR LICENSE No.:LEWISCD917BN ExpIRES:01/15/2011 CITY BUSINESS
LICENSE No.:602-728-595
PROJECT DESCRIPTION (Please Provide Site Sketch)
® Residential Driveway ❑ Commercial/Industrial Driveway
❑ Existing Curb&Gutter D Rural Road Section
❑ Culvert Installation ❑ Sidewalk Repair/Construction
▪ Other Conditions:
Bond/Insurance certification must be on file with the City.
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 tobebe submitted�aan�7d�subsequently approved before this application can be processed.
Signature 11-/.4 12 i���JC,`""" ' Date:
Method of payment: ❑ Cash El Check ❑ Visa ❑ Mastercard
Bankcard #: EXP: VIN#
Authorized Signature:
Effective October 28, 2007 Page 1 of 1
C:\Documents and Settings\Genesis\Desktop\! LCD Info\!!!Projects Active\09-030 - 10410 E 4th Bob Kohlieber Site
Package\06 Permitting\09-030- 10410 E 4th Bob Kohlieber Approach Permit.doc
• Permit Center
v •• � 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037
Community Development
permitcenter@spokanevalley.org PERMIT FEE:
Mechanical Permit Application n Commercial ® Residential
SITE ADDRESS: I S . • A - • • - . A A • • 5 •
Building Owner
Name:Bob Kohlieber Phone:481-1210 Fax:n/a
Address:1413 S Mamer City:Spokane Valley State:WA Zip:99216
Contractor
Name:Reality Homes Inc Phone:924-7969 Fax:924-1723
Address:1620 N.Mamer Rd,Building D,Suite 150 City:Spokane Valley State:WA Zip:99216
License No:REALIHI984CN City Business Lic:
Contact/Project Manager:
Name:Treva Vanderwegen Phone:270-8850
#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
GAS PIPING SYSTEM(each outlet)
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 4
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 2
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
EXPIRES: VIN:
❑CASH 0 CHECK 0 VISA 0 MC
CARD#: SIGNATURE
C:\Documents and Settings\Genesis\Desktop\!LCD Info!!!Projects Active\09-030-10410 E 4th Bob Kohlieber Site Package\06 Permitting\—$-030-10410 E 4th Bob
Kohl ieber Mechanical Permit.doc
�//,� Permit Center
[T"" 111.11%, 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
perm itcenter(&,,spo kaneval lev.org
Community Development
Plumbing Permit Application ❑ Commercial ®Residential
SITE ADDRESS: 10410 E. 4th Ave, Spokane Valley, WA 99206
Building Owner
Name:Bob Kohlieber Phone:481-1210 Fax:n/a
Address: 1413 S Mamer City:Spokane Valley State:WA Zip:99216
Contractor
Name:Reality Homes Inc Phone:924-7969 Fax:924-1723
Address: 1620 N Mamer Rd,Building D,Suite 150 City:Spokane Valley State:WA Zip:99216
License No:REALIHI984CN City Business Lic:
Contact/Project Manager:
Name:Treva Vanderwegen Phone:270-8850
#OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS 2
URINALS
TUBS 1
SHOWERS(per trap) 1
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat 3
DISHWASHER 1
CLOTHES WASHER 1
GARBAGE DISPOSAL 1
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 1
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
❑CASH ❑CHECK ❑VISA ❑MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT:httn://www.spokanevalley.orp/under the quick links for Forms,Master Fee Schedule.
C:\Documents and Settings\Genesis\Desktop\!LCD Info\!!!Projects Active\09-030-10410 E 4th Bob Kohlieber Site Package)06 Permitting\09-030-10410 E 4th Bob
Kohlieber Plumbing Permit.doc
73'-7"
10410E 4th
_ o
.:7„. Parcel #45201. 1944
10,008 SF Site
17.:-
Rear
yj Setback
J W
0
CC
a 0 .
40'-0" Q 1 1 O
0- I NI
LU ‘`q1
G
0 *•9
Z
co Z I—
<CL ali` CI
1468 SF Home
Required Setbacks 485 SF Garage
Front=20'
Sides=5'
Back=20' NN. O
0
M
•,-
15'-On 18.4"
Side Setback Side Setback
o
8'-1 Of—, c\,
22':0" 18'-0" ,
Dry Utility
Stubs Here
Wate� Front
O Setback
___1
r
I
sewe> 484 SF
o ' Drive
•
0
Private Drive
Easement
O / V A I
Not To Scale
All Dimensions Provided
82'-0"
For City Use Only
CITY OF PLUS Project Number �( �� {
ponane Project Address
;(
\,Tt1j€ T
°
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.
f ➢ 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