2005, 11-04 Permit App: 05004140 Residence Project Number: 05004140 Inv: 1 Application Date: 11/04/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: aa aa a
A
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE-GAS Contact: KEVIN MADDEN HOMES,LLC
Address: 10601 E NIXON LANE
C-S-Z: SPOKANE VALLEY,WA 99206
Setbacks: Front 35 Left: 7 Right: 6 Rear: 56 Phone: (509)924-6497
Group Name:
Site Information: Project Name:
•
Plat Key: Name: SHELLEY LAKE 02ND ADD PUD District: East
Parcel Number: 45243.2502 Block: 4 Lot: 2
SiteAddress: 16206 E 9TH LN Owner:Name: KEVIN MADDEN HOMES,LLC
Address: 10601 E NIXON LANE
Location::CSV SPOKANE VALLEY,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: El
Area: 8,866 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Site Plan Review
Relesed*
Originally Released: 11/02/2005 By: CJJANSSE
Plan Review
Released By,
Originally Released: 11/04/2005 By: TMELBOU
Approach/Drainage Released By:
Originally Released: 11/02/2005 By: CJJANSSE
Sewer Review Released By:
Permits: IDEVISONMfilaftW.—;
Operator: CJJ Printed By: CJJ Print Date: 11/04/2005
Project Number: 05004140 Inv: 1 Application Date: 11/04/2005 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit -
Contractor: KEVIN MADDEN Firm: KEVIN MADDEN CONSTRUCTIO
Address: E. 10601 NIXON LN Phone: (509)924-6497
SPOKANE,WA 99206
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VB 1,027 $76,696.36 1,027 $76,696.36
BASEMENT U R-3 VB 834 $12,510.00 834 $12,510.00
DECK R-3 VB 84 $1,260.00 84 $1,260.00
GARAGE U-1 VB 1,108 $21,052.00 1,108 $21,052.00
RESIDENCE R-3 VB 779 $58,175.72 779 $58,175.72
Totals: 3,832 $169,694.08 3,832 $169,694.08
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,385.75
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $554.30
Permit Total Fees: $1,944.55
Mechanical Permit
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Item Description Units Unit Desc Fee Amount
DUCT SYSTEMS 1 NUMBER OF $10.00
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
VENTILATING FANS 3 NUMBER OF $30.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
VENTILATION MECH EXHAUST 1 NUMBER OF $12.00
Permit Total Fees: $87.00
Operator: CJJ Printed By: CJJ Print Date: 11/04/2005
Project Number: 05004140 Inv: 1 Application Date: 11/04/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: KEVIN MADDEN Firm: KEVIN MADDEN CONSTRUCTIO
Address: E. 10601 NIXON LN Phone: (509)924-6497
SPOKANE,WA 99206
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
FLOOR DRAINS 1 NUMBER OF $6.00
SEWAGE EJECTOR 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $84.00
Payment Summary: -:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,944.55 $1,944.55 $0.00 $1,944.55
Mechanical Permit $87.00 $87.00 $0.00 $87.00
Plumbing Permit $84.00 $84.00 $0.00 $84.00
$2,115.55 $2,115.55 $0.00 $2,115.55
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: CJJ Printed By: CJJ Print Date: 11/04/2005
Permit Center
Spokane 11707 E Sprague Ave,Suite 106 PERMIT'NuMBER. � � i
�,, ��Valle Spokane Valley,WA 99206 pE ,FEE ''x` Y
Y (509 688-0036 FAX: (509)688-0037
Community Development «v, i1ilk..ievalle .ora.com
( ° ii l Y) [ , t \I J [Q
Residential Constru ion ignr wConstruction ElAccessory Bldg
Permit Applicatio ❑ Addition/Remodel ❑ Deck
0 (jv 11 1G ther:
SITE ADDRESS ✓f ,O.0///q f e--
ASSESSORS PARCEL NO: 1/.. :(•-.Lr . i.. LEGAL DESCRIPTION: , 7i 11,t td4 'd d
ZI
Binding Owner /. _ ` it 4R N)F. contractor .i _ . ;., r
Name: �� (' t 0,..Cl a.e r tf#M e,S L' Name: , -...4.,„/4 :., .L.:5 Gi)M :.,r'
Address;- / f,.,Of ,'' A',/,,t. r,_z r,':.° Address:
City: *, ;^ _ .. t)l Y Zip: ' r ;l.0 City: Zip:
Phone: "?.:/'t-i 6 q'i if Fax: ,&.. Phone: Fax:
■/� s ii g.-l 7-4 7p0 �,y ? "; Lic No: Exp.Date:
Voll i P� 47�_ ,- �'`A { 0,% ` 'a1»'.vkn. %"'^'Y
- ,..�". x .W..,>... ..� ..c K,. City Business Lic No:
Name:r r p,4 k M0, d tl rf
Phone: 9;4- (,c 9 7
Describe the scope of work in detail: Cost of Project: $.?61 -=--.. -.
•" L.-) 4.) 'Y; ` r h,i„,2;/, s`P 1 z.....t! t r"r f?. p;..✓.
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
a g Sp/,t k`"N&ti / S&orN vC->
MAIN FLOOR TO SQ. 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:. IMPERVIOUS SURFACE
FTG: . AREA:
FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: /1/•A (4,..41 ( ei PROPERTY: 0
#OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC?
DISCLAIMER
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 V Iley Permit is not a permit or approval for any violation of federal,state or
local laws,codes or ordin es.6) Plans or additio al_' rmation may be required to be submitted, and subsequently approved before
this application can b rocess ' ;fir_
Signature Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash 21 Check 0 Mastercard 0 VISA 0 Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
Permit Center
S kaiie 11707E Sprague Ave, Suite 106
40000` 7de Spokane Valley,WA 99206
V (509)688-0036 FAX:(509)688-0037
WWW.spokanevalley.or o.co m
Community Development
Residential Plan Submittal Minimums
❑ Completed Building, Plumbing & Mechanical application with: Accurate address,
Parcel Number and/or Legal Description, description of work, owner and
contractor information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
D Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One-hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
D Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan •
❑ Insulation information
Permit Center
SiSokane 11707 E Sprague Ave,Suite 106
Spokane Valley,WA 99206 •
• PERMIT NUMBER:
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development www.spokanevalley.org.com
Plumbing Permit Application ❑ Commercial ® Residential
SITE ADDRESS: S/O a 0 c ?1,..0 At
Building owner
Name: Kc V .i Ma.dci E K k4ON`e m 4 L. , Phone: ,,,//7 G, 7 DO Fax: /',4
Address: /Q / 14 t x a d 4, Ne. City:•'•-•.,)r.)a,,K .eve State: 1,e)CV Zip: q q :F o
Contractor (/,/.-,1 R y O.J t-(9 ,-
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business License No:
Contact
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS o°., X $6.00 =
2 URINALS 0 X $6.00 =
3 TUBS / X $6.00 =
/
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 =
LAYS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT
6 DISHWASHER / X $6.00 =
7 CLOTHES WASHER / X $6.00 =
8 GARBAGE DISPOSAL / X $6.00 =
9 WATER SOFTENER X $6.00 =
10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 =
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE /,- X $6.00 =
ROOF DRAINS/OVERFLOW
12 DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 =
15 SEWAGE EJECTOR GRINDER,SUMP PUMP / X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER X $6.00 =
c,
PROOFER,CARBONATOR,SWAMP COOLER w
VACUUM BREAKER,CHECK VALVE, n
17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR: VATS,TANKS,BOILERS _,, X $6.00 =
GREASE TRAP,SAND TRAP,
18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 =
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 =
MISCELLANEOUS PLUMBING
20 FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 =
INDUSTRIAL WASTE
22 INTERCEPTOR X $15.00 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
El CASH 5 CHECK ■ VISA ❑ MASTERCARD $35.00
Card# EXP-, , TOTAL PERMIT FEE DUE:
„%!
AUTHORIZED SIGNATURE: �� /// ,'''
r REVISED 8/26/05
Permit Center
"'` 11707 E Sprague Ave,Suite 106 1
sj30r�ile � PERMIT NUMBER:
.Valley Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development www.spokanevalley.ore.com
Mechanical Permit Application ❑ Commercial n Residential
SITE ADDRESS: 1 / a 0 ` �h S*--
Building
Building owner / N
Name: J f i"/ F a..d.d e- Phone:;�f 1.! J 7-G 70 0 Fax: /l
Address: : l r;x :+ / :Y;-kM' La r. City: '1 r,::p�r!°€ Vdey State: I/el.,,., Zip:??,::4,C
Contractor J a..rr'2-
Name: Phone: Fax:
Address: City: State: Zip:
License No: ill'e yi/ri/i,~.,4 '-i„j el Al
City Business License No:
Contact
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 / X $12.00 =
2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 =
3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50.00 =
4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 =
5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 X $50.00 =
6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X $100.00 =
7 BOILER/REFRIGERATION 1-100M BTU X $12.00 =
8 BOILER/REFRIGERATION 101-500M BTU X $20.00 =
9 BOILER/REFRIGERATION 501-1,000M BTU X $25.00 =
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 / X $10.00 =
13 RANGE X $10.00 =
14 DRYER X $10.00 =
15 FUEL BURNING WATER HEATER / X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) S X $1.00 =
18 DUCT SYSTEMS / X $10.00 =
19 VENTILATING FANS '3 X $10.00 =
20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 =
21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X $15.00 =
22 EVAPORATIVE COOLERS X $10.00 =
23 TYPE I HOOD X $50.00 =
24 TYPE II HOOD X $10.00 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 =
26 AIR CONDITIONER 3-15 TON ' X $20.00 =
27 AIR CONDITIONER 15-30 TON X $25.00 =
28 AIR CONDITIONER 30-50 TON X $35.00 =
29 AIR CONDITIONER More than 50 TON X $60.00 =
30 LPG STORAGE TANK X $10.00 =
31 WOOD OR PELLET STOVE/INSERT X $10.00 =
32 WOOD STOVE-FREE STANDING X $25.00 =
33 REPAIR&ADDITIONS X $15.00 =
34 VENTILATION SYSTEMS X $12.00 =
35 VENTILATION MECHANICAL EXHAUST / X $12.00 =
36 INCINERATOR-RESIDENCE X $19.00 =
37 INCINERATOR-COMMERCIAL X $22.00 =
METHOD OF PAYMENT: SUBTOTAL
OCASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: REVISED 8/26/05