2011, 04-21 Permit App: 11001010 Remodel, Reroof Project Number: 11001010 Inv: 1 Application Date: 4/21/2011 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: REMOVE KITCHEN WALL&CHIMNEY- Contact: B-LINE CONSTRUCTION
INSTALL BEAM,DRYWALL,REROOF Address: PO BOX 744
C-S-Z: NEWMAN LAKE,WA 99025
Setbacks:Front Left: Right: Rear: Phone: (509)768-2144
Group Name:
Site Information: Project Name:
Plat Key: 000501 Name: CORBIN ADD TO GREENACRES District: East
Parcel Number: 55191.0511 Block: Lot:
SiteAddress: 18421 E 4TH AVE Owner:Name: BOUCK,JOHN&DEANNA
Address: 18421 E 4TH AVE
Location::CSV SPOKANE VALLEY,WA 99016-771
Zoning: R-3 SF Res District
Water District: Hold: ❑
Area: 20,000 Sq Ft Width: 115 Depth: 200 Right Of Way(ft): 50
Nbr of Bldgs: 4 Nbr of Dwellings: 1
Review Information: _ , , , ,. _ 1 1 11 1 1 1 111 1iii1 1 11 s s41; 4. 3
Review
Building Plan Review Released By:
Permits: ,��
Building Permit
Contractor: B-LINE CONSTR&REMODELING Firm: B-LINE CONSTR&REMODELING
Address: PO BOX 744 Phone: (509)768-2144
NEWMAN LAKE WA 99025
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB PLAN 0 $29,000.00 0 $29,000.00
REVIEW
FEE
Totals: 0 $29,000.00 0 $29,000.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $431.65
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $172.66
Permit Total Fees: $608.81
Operator: jmm Printed By: jmm Print Date: 4/21/2011
Project Number: 11001010 Inv: 1 Application Date: 4/21/2011 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: B-LINE CONSTR&REMODELING Firm: B-LINE CONSTR&REMODELING
Address: PO BOX 744 Phone: (509)768-2144
NEWMAN LAKE WA 99025
Item Description Units Unit Desc Fee Amount
SINKS 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
Permit Total Fees: $24.00
Notes . T�t ,
THIS SITE INCLUDES 19551-0512
Payment Summary: s iiaiiIII _ :a «:r««I«r «
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $608.81 $608.81 $172.66 $436.15
Plumbing Permit $24.00 $24.00 $0.00 $24.00
$632.81 $632.81 $172.66 $460.15
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: 4/21/2011
Community Development Department .. (Staff Use Only)
• Permit Center ..
11703 East Spragu&'kvLr1ue; Suite B4---('' i-' PERMIT NUMBER:
Spokane Valley9920 ,Sjök .Ifle Tel: (509) 688-0036 PR 4 1 2 1 PER PERMIT FEE:
Fax: (509) 688-0037 1(; '
Valley permitcenter@spokanevallev.orq — T
1
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
El NEW CONSTRUCTION ADDITION/REMODEL l ACCESSORY BUILDING
Q DECK 0 OTHER
SITE ADDRESS: l$9a\ F. LI''3)' Pruik
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: ' , / }
NAME: ,�� ^ vim/' `
ADDRESS: 'I g`-1a\ E . I t✓1 s f\U-C- •
CITY: ..7\ )t k\OUSTATE: LOA ZIP:
PHONE: (5:Y0 Qq- (t),35- c-' FAX: CELL:
CONTACT NAME: 2\\(Y\ r G,Mesnlm
PHONE: eRIA "-,D 1 L`q FAX: CELL: 6 l.Q O i R"1
CONTRACTOR NAME: ' �rn C C>:l-Ni?il�'� r-t,'A.l _ Ci -K(it e ,t�'
MAILING ADDRESS: C' t' &n( q_1
CITY: '\L 2\A,I STATE: Wb \ ZIP: qq(5a
PHONE: C? J --)6„ -a \`"I FAX: CELL: aRmQ
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOP OF WORK IN DETAIL,AND I DICATE USE & PROPOSED USg:
1�. . ,)/c\� 1..,- l D-0 `: C N \c( \ ' �i3
( � Q/I U-�J�CX 1 (-3C) ,
`� ****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: Dimensions: No. of Stories: Total Habitable
Space:
Main FF orr SQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
OP Colo FT: FT:
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30% Slopes on
FT: Area: Property:
No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic:
b
TOTAL COST OF PROJECT: $.114
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. (.40/(
41PSignature Date: cf(j(
Updated 1-11-11 Page 1 of 1
http://www.spoka nevalley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
❑ SITE PLAN
❑ Property lines and dimensions ❑ Setbacks to property lines
❑ Direction arrow pointing North and orientation to streets ❑ Distance between buildings
❑ Proposed/existing buildings (footprint and dimensions) ❑ Right of way/easement location &sizes
❑ Utilities, septic tank/drain field locations and distances ❑ Driveway approach size and location
BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned)
❑ Elevations (Front/Rear/Sides)with roof peak and wall height including basement:
❑ Foundation Plan (crawlspace, basement or slab on grade):
❑ Footing sizes and locations ❑ Supporting wood cripple walls or beams
❑ Perimeter concrete foundation wall sizes ❑ Thickened concrete pads supporting
❑ Crawlspace ventilation beams or girder trusses
❑ Floor Plan of each level (finished or unfinished)with dimensions:
❑ Floor Joist direction, size and spacing ❑Window and door location and sizes
❑ Header, beam or concrete lintel sizes ❑Window well locations if applicable
❑ Brace wall panel locations ❑ Room usage labels
❑Water heater and furnace locations ❑ Smoke detector locations
❑ Exhaust fan locations ❑Attic and crawl space access locations
❑ Deck or concrete patio sizes and locations ❑ Fire Wall construction
❑ Roof Plan:
❑ Engineered truss direction and spacing ❑ Ridge, eave and valley lines
❑ Rafter and over frame direction, size and spacing ❑ Beam and girder size and location
❑ Wall Section Detail including:
Roof
❑ Slope/roofing material/underlayment/ice dam protection ❑ Truss or rafter size, spacing &connection
❑ Sheathing size and type ❑Attic insulation/air space baffle/ventilation
Ceiling
❑ Joist size and spacing ❑ Size of ceiling gypsum wall board
Wall
❑ Height/top plate/stud size and spacing/sole plate ❑ Siding/exterior house wrap/anchor bolts
❑ Exterior sheathing size and type ❑ Insulation, vapor barrier, gypsum wall board
Floor
❑ Joist size and spacing ❑ Sheathing or concrete floor size/insulation
Foundation Wall
❑ Concrete or Masonry unit width ❑ Footing bottom to finished ground level depth
❑ Earth to wood separation distance ❑ Horizontal &vertical reinforcement if any
Footing
❑ Size ❑ Reinforcement if any
Radon
❑ Passive system with 6mil vapor barrier ❑Active system with 6 mil vapor barrier
Miscellaneous Construction Details
❑ Deck:
❑ Floor plan/side view/dimensions ❑ Footings/post/and beam size and locations
❑ Floor Joist/decking direction, size and spacing
❑ Stairway tread rise & run and nosing ❑ Handrail/Guard height&spacing
Permit Center
Stio�>a„e 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
P luSll Spokane Valley,WA 99206
4000 Valley (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
permitcenter@a•spokanevalley.org
Community Development
Plumbing Permit Application I ) Commercial ga Residential
SITE ADDRESS: 12N a \\1Z—
Building Owner r.
Name: I ��a\ g l�l (� n Phone:( ) Fax:
Address: � City: State:
RAA I n Zip: (l_
Contractor \� � � lam'1��1LQ l,- S ,k9-�-A O\C
Name: "(}j n��l cy\ . \ �r� Phone: Fax:
Address: y U \ `�[� City: 1\ State: RA Zip: ({Y� 1 l�- <
License No: City Business Lic: ll � J
Contact/Project Manager: ryN
Name: Phone: (5l7)
#OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
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
DCASH ❑CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT:http://www.spokanevalley.orq/under the quick links for Forms,Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PlumbingPermitApplication040309.doc
w
For City Use Only
PLUS Project Number//1(..)/ 0
CITY P400000
Spokane
alley
°
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 ♦ permitcenterCspokanevalley.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.
lapplications
time may be required for re-submittals as project application reviewers work on multiple tpe 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