2009, 07-16 Permit App: 09002014 Addition Project Number: 09002014 Inv: 1 Application Date: 7/16/2009 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 12 X 26 ADDITION Contact: PARKER,LISA F
Address: 19003 E 4TH AVE
C-S-Z: GREENACRES,WA 99016
Setbacks:Front Left: Right: Rear: Phone: (509)939-3510
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: East
Parcel Number: 55202.0192 Block: Lot:
SiteAddress: 19003 E 4TH AVE Owner:Name: PARKER,LISA F
Address: 19003 E 4TH AVE
Location::CSV GREENACRES,WA 99016
Zoning: R-3 SF Res District
Water District: Hold: ❑
Area: 32,020 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: _ m : -, .. ^m =` .... ':Vim,. ...r",. .. r w
Review
Building Plan Review Released By:
Originally Released: 7/15/2009 By: tmelbourn
Landuse/Zoning/HE Conditions ReleasedBy:
Originally Released: 7/9/2009 By: kkendall
Operator: jmm Printed By: JD Print Date: 7/16/2009
Project Number: 09002014 Inv: 1 Application Date: 7/16/2009 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Building Characteristics
Group: R-3 Type: VB
Total Area 312
Stories 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB ADDITION 312 $30,210.96 312 $30,210.96
Totals: 312 $30,210.96 312 $30,210.96
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $451.85
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $180.74
Permit Total Fees: $637.09
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
DUCT WORK SYSTEM 2 NUMBER OF $22.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $13.00
VENTILATING FANS 1 DUCT 1 NUMBER OF $11.00
Permit Total Fees: $46.00
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
PRIVATE SEWAGE DISPOSAL 1 SELECT $21.00
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
SHOWERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
Permit Total Fees: $45.00
Operator: jmm Printed By: JD Print Date: 7/16/2009
Project Number: 09002014 Inv: 1 Application Date: 7/16/2009 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes .2reAkivr.,4 ..
Pa ment Summa ..
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $637.09 $637.09 $180.74 $456.35
Mechanical Permit $46.00 $46.00 $0.00 $46.00
Plumbing Permit $45.00 $45.00 $0.00 $45.00
$728.09 $728.09 $180.74 $547.35
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: JD Print Date: 7/16/2009
Permit Center
. cxrr of 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER: 0 — .
)
Sf
pokane Spokane Valley,WA 99206
,Va11ey. (509)688-0036 FAX: (509)688-0037 PERMIT FEE:
www.spokanevalley.org
Community Development
Residential Construction New Construction n Accessory Bldg
Permit Application M'Addition/Remodel n Deck
n Other:
SITE ADDRESS: ' I '0 3 C= -1, .-t :2- ,4,,,._
ASSESSORS PARCEL NO: —< --) - 2 f ° I�4EGAL DESCRIPTION:
Building Owner: Contractor:
Name: L ,5 a Pa 1rV r Name: S e i.(_%
Address: /700 3 r, ci i,, Address:
City: 3 P o K'Gmu2 0G.1,131,6
tatie: Zip:776/k, City: State: Zip:
Phone: ,:.--so 7 _ 3 S-,, Fax: / G Phone: Fax:
`Contractor Lic No: Exp Date:
Contact Person i City Business Lic.No:
Name: ..,) , l.Q t-L'
Phone: o�F)&7-- op- a 3 ? S
De be the scope of work in detail: Cost of Project: $ / 0 0.00
oic3& a id X 6 (4,/ c v1 S ,
Proposed Use: L a..�'i ,Asi t a u, \AL VI , Lel roc).-L, /t a`
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT T9 PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE
BITABLE SPACE:
is a6 ; i s/
MAIN FLOOR TCbAQ. 2N0 FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SU ACE
FTG: 3 ( 2 4o0r°u p /w AREA: w7
SQ!FTG BA$�NJ,ENT G VQ. FTG: DECK/C IO SQ. FTG: 30%PROPERTYS Olt �//
#OF BEDROOMS: C
ONSTRUCTION TYPE: HEAT SO CE: SEWER OR SEP IC?
1 rav r e's l,(rAoc U �k' eSTivtS
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. : Plans or additional information may be required to be submitted, and subsequently approved before
this application caa r.c-ssed.
• 7/D842
SIGNATURE: ir
L� DATE:
Method of Paym .
❑ Cash ❑ Check 0 Mastercard ❑ VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 2/15/07
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
o SITE PLAN
o Property lines and dimensions o Setbacks to property lines
o Direction arrow pointing North and orientation to streets ❑ Distance between buildings
o Proposed/existing buildings (footprint and dimensions) o Right of way/easement location &sizes
o Utilities, septic tank/drain field locations and distances o 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):
o Footing sizes and locations o Supporting wood cripple walls or beams
o Perimeter concrete foundation wall sizes o Thickened concrete pads supporting
o Crawlspace ventilation beams or girder trusses
❑ Floor Plan of each level (finished or unfinished)with dimensions:
o Floor Joist direction, size and spacing o Window and door location and sizes
o Header, beam or concrete lintel sizes o Window well locations if applicable
o Brace wall panel locations o Room usage labels
o Water heater and furnace locations o Smoke detector locations
o Exhaust fan locations ❑Attic and crawl space access locations
o Deck or concrete patio sizes and locations o Fire Wall construction
❑ Roof Plan:
o Engineered truss direction and spacing o Ridge, eave and valley lines
o Rafter and over frame direction, size and spacing o Beam and girder size and location
❑ Wall Section Detail including:
Roof
o Slope/roofing material/ underlayment/ice dam protection o Truss or rafter size, spacing &connection
o Sheathing size and type ❑Attic insulation/air space baffle/ventilation
Ceiling
o Joist size and spacing o Size of ceiling gypsum wall board
Wall
o Height/top plate/stud size and spacing/sole plate ❑ Siding/exterior house wrap/anchor bolts
o Exterior sheathing size and type o Insulation, vapor barrier, gypsum wall board
Floor
o Joist size and spacing o Sheathing or concrete floor size/insulation
Foundation Wall
o Concrete or Masonry unit width ❑ Footing bottom to finished ground level depth
o Earth to wood separation distance o Horizontal &vertical reinforcement if any
Footing
o Size o Reinforcement if any
Radon
o Passive system with 6mil vapor barrier o Active system with 6 mil vapor barrier
Miscellaneous Construction Details
❑ Deck:
o Floor plan/side view/dimensions ❑ Footings/post/and beam size and locations
o Floor Joist/decking direction, size and spacing
❑ Stairway tread rise & run and nosing 0 Handrail/Guard height &spacing
Permit Center
SP akane 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
jValler (509)688-0036 FAX(509)688-0037
PERMIT FEE:
Community Development permitcenter@spokanevallev.org
Mechanical Permit Application
p plica C
tion /� �j L , I Commercial R2esidential
SITE ADDRESS: I '` CO 3 , r "1
Building Owner
Name: 1,15 A ect Y k Phone: Fax:
Address: L City: State: Zip:� CD3 � 1�— �-z— s G� Kflrtt'F (1 rx t( GO ft- I go l,
Contractor
Name: j:Q.,/ Phone: Fax:
Address: c?� City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#UN ITS
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
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
EXPIRES: VIN:
❑CASH ❑CHECK ❑VISA ❑MC
CARD#: SIGNATURE( '
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Mechanical PermitApplication040309.doc
1LL111 Permit Center
Siii7>s„e 11703 E Sprague Ave,Suite B-3
Spokane Valley,WA 99206 PERMIT NUMBER:
P
jley (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
permitcentera@,spokanevallev.org
Community Development
Plumbing Permit Application4 ,Q n Commercial F esidential
SITE ADDRESS: 1 ( OC 3 h 14'
Building Owner
Name: I_ Phone: Fax:
Address: qt,03 f��if-� Cityc K” (((t_t, State: kA,/ 4_ Zip:9 9.0 f Lt
Contractor
Name: 5. Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#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 0 CHECK 0 VISA ❑MC EXPIRES:
Card# VIN:
SIGNATURE: 0 -
•
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org/under the quick links for Forms,Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PiumbingPermitApplication040309.doc
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