2010, 06-14 Permit App: 10001704 Residence Project Number: 10001704 Inv: 1 Application Date: 6/14/2010 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: SCHELLER,GERALD H&CAROL
Address: PO BOX 934
C-S-Z: LIBERTY LAKE,WA 99019
Setbacks:Front Left: Right: Rear: Phone: (509)481-8158
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: East
Parcel Number: 45244.3406 Block: Lot:
SiteAddress: 16403 E 10TH LN Owner:Name: SCHELLER,GERALD H&CAROL
Address: PO BOX 934
Location::CSV LIBERTY LAKE,WA 99019
Zoning: R-4 SF Res Urban District
Water District: 010 VERA Hold: El
Area: 9,924 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review Released By:
Originally Released: 6/11/2010 By: tmelbourn
Landuse/Zoning/HE Conditions Released By:
Originally Released: 6/10/2010 By: mpalaniuk
Sewer Review Released By:
Operator: JD Printed By: JD Print Date: 6/14/2010
Project Number: 10001704 Inv: I Application Date: 6/14/2010 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
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,351 $133,681.45 1,351 $133,681.45
BASEMENT U R-3 VB 1,351 $20,265.00 1,351 $20,265.00
DECK OPEN R-3 VB 128 $1,920.00 128 $1,920.00
GAR WOOD U-1 VB 677 $12,863.00 677 $12,863.00
Totals: 3,507 $168,729.45 3,507 $168,729.45
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,380.15
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $552.06
Permit Total Fees: $1,936.71
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
DUCT WORK SYSTEM 1 NUMBER OF $11.00
GAS WATER HEATER 1 NUMBER OF $11.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $13.00
GAS PIPING 3 #OF UNITS $3.00
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $13.00
VENTILATING FANS 1 DUCT 4 NUMBER OF $44.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $11.00
AIR HANDLER<=10,000 CFM 1 NUMBER OF $13.00
HOOD-TYPE II 1 NUMBER OF $11.00
Permit Total Fees: $150.00
Operator: JD Printed By: JD Print Date: 6/14/2010
Project Number: 10001704 Inv: 1 Application Date: 6/14/2010 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
SHOWERS 1 NUMBER OF $6.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
SEWAGE EJECTOR 1 NUMBER OF $6.00
Permit Total Fees: $78.00
Notes: ... , .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,936.71 $1,936.71 $554.30 $1,382.41
Mechanical Permit $150.00 $150.00 $0.00 $150.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$2,164.71 $2,164.71 $554.30 $1,610.41
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: JD Print Date: 6/14/2010
ookanPermit Center > ' `
11703 E Sprague Ave, Suite B-3 PERMIT NUMBER: ( j3
Spokane Valley,WA 99206 PERMIT FEE:
.,,,,000Valley. (509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Residential Construction n New Construction n Accessory Bldg
Permit Application n Addition/Remodel n Deck
n Other:
SITE ADDRESS: i ,,//(9Y 0.h Jfs<M•Ur 14 c:6 y
ASSESSORS PARCEL NO: q52 /4f 0 L LEGAL DESCRIPTION: 2 Or �, ta-OC K I &t1.c t Y
1,4 IF i • • — OAi
Building Owner: Contractor:
Name: 3 EARL/ S,,rI E Lt..tit Name:
Address: ! 2 4 1) /A R R y Address:
City:0-it s 0 ,c tiA,R0
5 State: IA).A Zip: 42 7 City: State: Zip:
Phone: ,2g 006 Z Fax: �f Phone: Fax:
Contractor Lic No: Exp Date:
Contact Person City Business Lic.No:
Name: -ZER1e y 52,ii ,4,-.
Phone: 'g'/- 87/5-g?
Describe the scope of work in detail: Cost of Project: $ 914 0(20 -f-
( 0/v-s%.2ticr Ain ' j•� Et) /
C//) . G /
Proposed Use: REI10 t JVCE7
**************The following MUST be complete: (write N/A if not applicable)**********************
/rp
HEIGHT TO PEAK: DIMENSIONS: /^ #OF STORIES: TOTAL HABITABLE SPACE:
2i '- `(�' " S4 , W 5-0 i D 2 7 0 z
MAIN FLOOR TO SQ. 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: k 35 i C.V— 0 P.fti S CSK- AREA: 06 /
FINISHED BASEMENT GARAGE SQ. F : DECK/ OV. PATIO SQ. FTG: 30% SLOPES ON }
SQ. FTG: �"j (p 77 r/ � PROPERTY: �4
#OF BEDROOMS: CONSTRUCTION TYPE: HEAT E: SEWER OR SEPTIC?
3 t k9 O0� .Zhr1 E 1A S S':Wtr k_
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 subse quenily_.approuec- efore
this application can be processed. y
SIGNATOR _ DATE: 6 ' / , �aR/" ,►`P„�`r
Method of Payment: SUN 1 ; 2010
❑ Cash ❑ Check 0 Mastercard L -VI A
Bankcard#: Expires: i \K-v-'0\ .0
VIN#: ��; r„ - �`-�-
Authorized Signat
REVISED 2/15/07 j t t,3 .V",- ,, ..,__._J
Permit Center
11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
`�' Spokane Valley,WA 99206
40000111"Wler (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development www.spokanevalley.org
Mechanical Permit Application ❑ Commercial ®.Residential
SITE ADDRESS: //"// v Pr
/0c.1POe.AA'`t Pi L Er
Building Owner
Name: ....3-6-Tzo 2'f J Let.E-udt� Phone: 92 s1 006 a Fax:
Address: N J92 W & R R Y kb, City: On
c nee e ti rig OSState: W k Zip: G'90 _7
Contractor y"
Name: S:4►„z- Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact
Name: &-)eiey 5- /...--Z k Phone: "/.,l..7i cS'
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 / ga X $12.00 = / 2-
2
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 =
I
12 GAS LOG,GAS INSERT,GAS FIREPLACE X $10.00 = /0
13 RANGE 1 X $10.00 = /(.
14 DRYER / X $10.00 = /0
15 FUEL BURNING WATER HEATER II X $10.00 = i 0
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) 3 X $1.00 = 3
18 DUCT SYSTEMS / X $10.00 = `0/�
19 VENTILATING FANS X $10.00 = k/(0
20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM / X $12.00 = /2
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 = / 2
26 AIR CONDITIONER 4-15 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
❑CASH 0 CHECK ®VISA 0 MC EXPIRES: PROCESSING FEE $35.00/
CARD#: TOTAL PERMIT FEE DUE: (7°'i
AUTHORIZED SIGNATURE:
REVISED 8/26/05
• Permit Center
""`KjMa 11703 E Sprague Ave,Suite B-3
PERMIT NUMBER:
Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development www.spokanevallev.org
Plumbing Permit Application ❑ Commercial' 111 Residential
SITE ADDRESS: _ /&'.qv ? (0 I �l?O,e/fi'-f �
t 4 t
Building Owner
Name: Fax:
�'8-,�►e _tt -z1_, Phone: 9 zi- ooh 2 �y
Address: 41 3q- W ay Q 0 City: Qfl S Or S State: ' ' /A Zip: y l 0 2 -7
Contractor " l!"
Name: 6. Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact
Name: rot( .5Crt G-a-C / /._Phone: a _Kis s/
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS 3 a X $6.00 =
2 URINALS X $6.00 =
3 TUBS . X $6.00 = ( 2-
4
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT I X $6.00 = 4)
LAYS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, j X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT !�
6 DISHWASHER L X $6.00 = 4
7 CLOTHES WASHER 1 X $6.00 = (1
8 GARBAGE DISPOSAL X $6.00 =
9 WATER SOFTENER X $6.00 =
10 ELECTRIC WATER HEATER NOTE: IF GAS,SEE MECHANICAL X $6.00 =
AREA,CASE,COIL,TRENCH,
11 FLOOR DRAINS CONDENSATE X $6.00 =
12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL REVERSALS d X $6.00 = //--
15 SEWAGE EJECTOR GRINDER,SUMP PUMP / X $6.00 = t�
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER X $6.00 =
PROOFER,CARBONATOR,SWAMP
COOLER
VACUUM BREAKER,CHECK VALVE,
AND R.P.B.P.D.FOR: VATS,TANKS,
17 CROSS CONNECTION DEVICE 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 =
20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 =
22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 =
SUBTOTAL �X(�
METHOD OF PAYMENT:
PROCESSING FEE
OCASH 0 CHECK VISA 0 MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE: /f 3
AUTHORIZED SIGNAT_" •
REVISED 8/26/05 ' �-���
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PLANNING DEPT. APPROVED
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For City Use Only
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PLUS Project Number
Project Address
4000
alley ° 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.
➢ 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