2006, 04-21 Permit App: 06001376 ResidenceProject Number: 06001376 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/21/2006 Page 1 of 3
Project Information:
Permit Use: SINGLE FAMILY DWELLING, GAS HEAT, ON Contact: HOLTEN, KELLY
SEWER Address: 11720 E 8TH AVE
C - S - Z: SPOKANE VALLEY, WA 99206-5481
Setbacks: Front Left: Right: Rear: Phone: (509) 991-4114
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: Range
District: Sout
Parcel Number: 45214.9266 Block:
SiteAddress: 11720 E 8TH AVE
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: .81 Acres Width: 100 Depth: 125 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: HOLTEN, KELLY
Address: 11720 E 8TH AVE
SPOKANE VALLEY, WA 99206-54
Hold: ❑
Review
Building Plan Review
Originally Released: 4/20/2006 By: TMELBOU
Landuse/Zoning/HE Conditions
Originally Released: 4/18/2006 By: CJJANSSE
Sewer Review
3/11/98
Originally Released: 4/18/2006 By: amblake
Permits:
Operator: AMB Printed By: AMB Print Date: 4/21/2006
Project Number: 06001376 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/21/2006 Page 2 of 3
Contractor: OWNER
Descriolion gm
1&2 FAMILY R-3
DECK OPEN R-3
GARAGE U-1
1Le Notes
VB
VB
VB
Item Descriolion
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW <7999 SQ FT
Contractor. OWNER
Item Description
GAS WATER HEATER
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
Contractor: OWNER
Item Description
TOH.ETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER PIPING - DWV
Operator: AMB
Building Permit
Firm: OWNER
Phone: (000)
This Application:
Sp Ft Valuation
1,667 $143,978.79
270 $4,050.00
648 $12,312.00
Totals: 2,585 $160,340.79
Units Unit Desc
I SELECT
1 SELECT
I SELECT
Permit Total Fees:
Mechanical Permit
000-0000
Total Project:
So Ft Valuation
1,667 $143,978.79
270 $4,050.00
648 $12,312.00
2,585 $160,340.79
Fee Amount
$1,335.35
$4.50
$534.14
$1,873.99
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
3 # OF UMTS
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$3.00
$12.00
$40.00
$10.00
$10.00
$10.00
$95.00
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
3 NUMBER OF
5 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
I NUMBER OF
1 NUMBER OF
3 NUMBER OF
Printed By: AMB
Permit Total Fees:
Print Date:
Fee Amount
$18.00
$30.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$96.00
4/21/2006
Project Number: 06001376
Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/21/2006
Page 3 of 3
Notes:
Payment Summary:
Permit Tvoe
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$1,873.99 $1,873.99
$95.00 $95.00
$96.00 $96.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,873.99
$95.00
$96.00
$2,064.99 $2,064.99 $0.00 $2,064.99
Disclaimer:
Submittal of this application certifies the owoer (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. AMB Printed By: AMB
Print Date: 4/21/2006
Project Number: 06001376 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/18/2006 Page 1 of 2
Project Information:
Permit Use: SINGLE FAMILY DWELLING, GAS HEAT, ON Contact: HOLTEN, KELLY
SEWER Address: 11720 E 8TH AVE
C - S - Z: SPOKANE VALLEY, WA 99206-5481
Setbacks: Front Left: Right: Rear: Phone: (509) 991-4114
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: Range
District: Sout
Parcel Number: 45214.9266 Block:
SiteAddress: 11720 E 8111 AVE
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: .81 Acres Width: 100 Depth: 125 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: HOLTEN, KELLY
Address: 11720 E 8TH AVE
SPOKANE VALLEY, WA 99206-54
Hold: 0
Review
Building Plan Review
Landuse/Zoning/flE Conditions
Sewer Review
3/11/98
Originally Released: 4/18/2006 By: amblake
Permits:
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Operator: AMB Printed By: AMB Print Date: 4/18/2006
Project Number: 06001376 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/18/2006 Page 2 of 2
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Notes:
Payment Summary:
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds 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: AMB Printed By: AMB Print Date: 4/18/2006
Permit Center
S okane• 11707 E Sprague Ave, Suite 1 e
.Valle Y Spokane Valley, WA 99206 (509)688-0036 FAX: (509)68
Community Development www.spokanevalley.org.com
Residential Construction
Permit Application
Lz, !I V,/ I c;
APR 16 2006
PERMIT NUMBER: ( 31(e
gERMIT FEE:
o.New Construction
o Addition/Remodel
o Other:
o Accessory Bldg
o Deck
SITE ADDRESS E.
ASSESSORS PARCEL NO: 4 S a t Ll . 91 u, 6
LEGAL DESCRIPTION.
Building�owner
/
Name: e.,1 t,/ U,-ke-Ake.‘VNI CGv yk-N 1),k.)3"LA �
Address: , V, 0 Bnx `LiLI
City:.5 kc.c-NP \)c,A . u1 A. Zip: `l tai4
Phone: Jo -cR t. -t4 Ir 44 Fax:
Contact Person
Name: Ke\\y U \-1nikes I Cccyc\
Phone: Clq, k -Lk k $ L ' g5Lt- S ti83
Describe the scope of work in detail:
Contractor 3P \.c
DIMENSIONS:
5-1x57
Name:
TOTAL HABITABLE SPACE:
i ree,6,7
Address:
2"" FLOOR SQ. FTG:
I A
City:
Zip:
Phone:
Fax:
Lic No:
Exp. Date:
City Business Lic No:
CONSTRUCTION TYPE:
wc>�
Cost of Project:
$ 11 s 000 ?2
Xl (1 vy\ L V\
* The following MUST be complete: write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
5-1x57
# OF STORIES:
1
TOTAL HABITABLE SPACE:
i ree,6,7
MAIN FLOOR TO SQ.
FTG: lb -I -1 Z (7
2"" FLOOR SQ. FTG:
I A
UNFIN BASEMENT SQ. FTG:
N S A
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: (VI A
GARAGE SQ. FTG:
hLk e, o k.
DECK/COV. PATIO SQ. FTG:
jlL4 2_7 a
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
3
CONSTRUCTION TYPE:
wc>�
HEAT SOURCE:
Gcs
SEWER OR SEPTIC?
Sewev
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature % 001), Date L( - ‘B -0L
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash 0 Check 0 Mastercard 0 VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
Scoore.e\*fts4k.1•••*Vailey
11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhall@spokanevalley.org
0
COMMAND
1_ABOR
STAFANG
2613 N. Division • Spokane, WA 99207 • 509.328.3939 • Fax: 509.328.1027
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www.commandlabor.com
, Parcel
tractor
ion plans
el each
ch
including
ved for
sleeping.
edie Permit Center
SP11e 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.org
Plumbing Permit Application
...es Valley
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: WI ..r.)E RAS
Bailding Owner
Name:Ke\ly V,l-lollen iQary 1 1). W'i\1.5
Pone 50et 841-i-lo(.ei Fa`: 5o4 -5 3-6750
Address: P, h. ZlnX 14*\35
City: sc)tcos VrAkey State: WR. ZiP:Ctet' 19
?entree/or sp 1c
Name:
Phone:
Fax:
Address:
City.
State:
Zip:
license No:
City Business Ds:
Name: i4elly V. Nnl
.1,I CQ m Wc1l4s
Phone: Fn4
TR l -'-ll li-1
/ q5,1-SC.R-
i
DESCRIPTION OF WORK
Y OF UNITS X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
X
56.00
2
URINALS
X
56.00
3
TUBS
x
$6M0
4
SHOWERS (PER TRW)
BATH, STALL, ONSITE BUILT
l
X
56.00
5
SINKS
LAVSBASINS, BAR FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
S
X
58.00
8
DISHWASHER
X
58.00
T
CLOTHES WASHER
X
$8.00
0
GARBAGE DISPOSAL
/
X
56.00
9
WATER SOFTENER
X
36.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
56.00
11
FLOOR DRAINS
AREA. CASE, COIL, TRENCH,
CONDENSATE
x
E9.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
38.00
13
FOUNTAINS, DRINKING
X
58.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
x
$8.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
36.00
18
WATER USING DEVICE
ICE AN/OR COFFEE MAKER HOSE BIB,
STEAMER
PROOFER CARBONATOR SWAMP
COOLER
3
X
36.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER CHECK VALVE,
AND R.P.B.P.D. FOR VATS, TANKS,
BOILERS
X
36.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
36.00
19
MEDICAL GAS (per outlet)
NITROUS. OXYGEN
x
58.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
50.00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
320.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
DCASH
Card#
❑ CHECK
O NSA 0MC
AUTHORIZED SIGNATURE:
REVISED V25/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
335.00
TOTAL PERMIT FEE DUE:
C � Permit Center
O•kane ane11707 E Sprague Ave, Suite 106
alosValley
Spokane Valley, WA 99206
Community Development (509)688-0036 FAX (509)688-0037
p vr.spokanevallev.org
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ® Residential
srrE ADDRESS: LIllO E. 8'N'
Building O" kr '
Name: KP11111 V(im�. NnI-4P , 1 Coc.(rc (1 {x)i IICsPn° `" Sc�4 R91 -Lk 0(00 Fac 533 L-5 O
Address:PC]r1JOX ILi��-K CibS QDi<OX)O.. ki0.M PL/stale' WA ZP''f0icy-Irl
Contractor
Name: Phone: Fax:
Address: City. State: Zip:
License No: City Business Lic:
Conteh ,4-; L I + s
Name:k<P.1\W l4n\kP C\ 1 CO.CV rl 1).)L":s Phone:5o(t SSI -RkV-k SnS c1.541 -5C -,A3
DESth IPTION OF WORK
0 OF UNITS
x
COST
• TOTAL AMOUNT
FUEL BURNING APPLIANCE
_ Equal to or less than 100,000
x
512.00
•
2
FUEL BURNING APPLIANCE
More than 100,000
x
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
x
550.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
5100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400.000
x
650.00
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
x
5100.00
7
BOILER/REFRIGERATION
1- 1OOM BTU
x
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
x
520.00
.9
BOILER/REFRIGERATION
501- 1,000M BTU
x
525.00
10
BOILER/REFRIGERATION
1,001 - 1.750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
x
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
1
x
$10.00
13
RANGE
x
510.00
14
DRYER
$10.00
15
FUEL BURNING WATER HEATER
I
x
510.00
16
MISC. FUEL BURNING APPLIANCE
x
510.00
17
GAS PIPING (each outlet)
x
51.00
16
DUCT SYSTEMS
X
$10.00
10
VENTILATING FANS
4
x
$10.00
20
AR HANDLER (ODES NOT include duping)
Equal to or less than 10,000 CFM
x
512.00
21
AIR HANDLER (DOES NOT Include ducting)
Greater than 10,000 CFM
515.00
22
EVAPORATNE COOLERS
x
$10.00
TYPE I HOOD
550.00
24
TYPE 11 HOOD
x
510.00
25
HEAT PUMP/AIR CONDITIONER
0.3 TON
X
512.00
26
AIR CONDITIONER
3-15 TON
X
520.00
27
AR CONDITIONER
15-30 TON
x
525.00
28
AIR CONDITIONER
30-50 TON
X
135.00
29
AIR CONDITIONER
More than 50 TON
x
500.00
30
LPG STORAGE TANK
x
$10.00
31
WOOD OR PELLET STOVE/INSERT
x
510.00
WOOD STOVE - FREE STANDING
x
525.00
REPAIR & ADDITIONS
X
515.00
VENTILATION SYSTEMS
512.00
35
VENTILATION MECHANICAL EXHAUST
x
512.00
36
INCINERATOR - RESIDENCE
X
519.00
INCINERATOR - COMMERCIAL
x
$22.00
METHOD OF PAYMENT:
❑GASH ❑ CHECK ❑ VISA ❑ MC
CARD P.
AUTHORIZED SIGNATURE:
REVISED L'6/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE: