2011, 05-17 Permit App: 11001228 Residence Project Number: 11001228 Inv: 1 Application Date: 5/17/2011 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW SFR-SEWER Contact: LINDSEY CONSTRUCTION
Address: P.O.BOX 30792
C-S-Z: SPOKANE WA 99223
Setbacks:Front Left: Right: Rear: Phone: (509)879-3420
Group Name:
Site Information: Project Name:
Plat Key: Name: Shelley Lake 5th Addition District: East
Parcel Number: 45244.3531 Block: Lot:
SiteAddress: 16520 E 11TH LN Owner:Name: SHELLEY LK RES DEV/SHELLEY
Address: 8225 N DIVISION
Location::CSV SPOKANE,WA 99208
Zoning: R-4 SF Res Urban District
Water District: 010 VERA Hold: Li
Area: 14,836 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: 5/17/2011 By: tmelbourn
Landuse/Zoning/HE Conditions Released By:
Originally Released: 5/10/2011 By: kkendall
Sewer Review Released By:
Originally Released: 5/9/2011 By: JLMain
Permits:
Operator: jmm Printed By: JD Print Date: 5/17/2011
Project Number: 11001228 Inv: 1 Application Date: 5/17/2011 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509)879-3420
SPOKANE,WA 99223
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,594 $160,914.30 1,594 $160,914.30
2ND FLOOR R-3 VB 566 $42,002.86 566 $42,002.86
COV DECK R-3 VB 116 $1,740.00 116 $1,740.00
DECK OPEN R-3 VB 175 $2,625.00 175 $2,625.00
GAR WOOD U-1 VB 800 $15,200.00 800 $15,200.00
Totals: 3,251 $222,482.16 3,251 $222,482.16
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,682.55
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $673.02
Permit Total Fees: $2,360.07
Mechanical Permit
Contractor: R&R HEATING&AIR COND INC Firm: R&R HEATING&AIR COND INC
Address: 4019 E CENTRAL Phone: (509)484-1405
SPOKANE,WA 99207
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
GAS LOG OR GAS INSERT 1 NUMBER OF $11.00
VENTILATION SYSTEM 4 NUMBER OF $52.00
Permit Total Fees: $114.00
Operator: jmm Printed By: JD Print Date: 5/17/2011
Project Number: 11001228 Inv: 1 Application Date: 5/17/2011 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: END PLUMBING INC Firm: END PLUMBING INC
Address: 3309 N FOWLER RD Phone: (509)328-0261
SPOKANE WA 99206
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 2 NUMBER OF $12.00
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
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER SOFTENER 1 NUMBER OF $6.00
MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00
Permit Total Fees: $96.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $2,360.07 $2,360.07 $646.14 $1,713.93
Mechanical Permit $114.00 $114.00 $0.00 $114.00
Plumbing Permit $96.00 $96.00 $0.00 $96.00
$2,570.07 $2,570.07 $646.14 $1,923.93
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: 5/17/2011
. , RECEIVED
CSV PERMIT CENTER
Community Deve•pment Dep nt (5 ff Use Only)
Permit Center t a 9 walla
11703 East Spra• a A�v� �e_n`u,g, Suit 3 i`�•ERMIT N BER:
sto �.+ Te (509)6188 01 4W---•�•r 7 . 'MIT FE :
Fax: (509) 688-0i
dosiorlialky.
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
MI NEW CONSTRUCTION 0 ADDITION/REMODEL 0 ACCESSORY BUILDING
DECK 0 OTHER � /
SITE ADDRESS: 520 E/ 10 1/ J 1 �' Lam"
:s
ASSESSORS PARCEL NO. L/L./•. 5 LEGAL DESCRIPTION: lot 31 blk 2 Shelley Laked
BUILDING OWNER NAME: LINDSEY CONSTRUCTION INC
NAME:
ADDRESS:
CITY: SPOKANE STATE: WA ZIP: 99223
PHONE:509-568-1013 FAX: 509443-1013 CELL:
CONTACT NAME: LINDSEY CONSTRUCTION INC
PHONE: 509-568-1013 FAX. 509443-1013 CELL:
CONTRACTOR NAME: LINDSEY CONSTRUCTION INC
MAILING ADDRESS: PO BOX 30792
CITY: SPOKANE STATE: WA zip: 99223
PHONE: 509-568-1013 FAX: 509443-1013 CELL:
CONTRACTOR LICENSE No.: LINDSCI066OW EXPIRES: 8/11 CITY BUSINESS LICENSE NO.: LINDSCI(ig
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
&ell A-40 G402 4 Wi m y --Q___..
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:24 Dimensions:60.5X52 No.of Stories:,1 5 Total
e:Habitable 1/d8
Main Floor SQ UpperFT: Floor SQ FT: UnfinishedBasement SQ Finished Basement SQ
ori 1594 S-4 6 FT: -W14 / FT:0
Garage SQ FT: e Covered Patio SQ Impervious Surface 30%Slopes on
800 JIBArea: Property: O
„6 � /7S
No.of Bedrooms:4 Construction Type: Heat Source:GAS Sewer or Septic:SEWER
TOTAL COST OF PROJECT: $ 160000
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.
Effective Oc ober 28, 9" it—I Page 1 of 2
P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
Permit Center
Itt 001141#"\ftsia, 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
perm itcenteriutspokaneval l ey.org
Community Development
Plumbing Permit Application n Commercial n Residential
SITE ADDRESS: 16520 E 11TH LN
Building Owner
Name: ED DAVIS Phone: 509-981-4407 Fax:
Address: City: State: Zip:
Contractor
Name: 509-981-4407 Phone: 509-981-4407 Fax:
Address: 3309 N FOWLER City: MILLWOOD State: WA Zip: 99206
License No: ENDPLPI96OB3 City Business Lic:
Contact/Project Manager.
Name: ED DAVIS Phone: 509-981-4407
#OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS 2
URINALS
TUBS 2
SHOWERS(per trap) 1
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, 4
SINKS Prep/Culinary Meat
DISHWASHER 1
CLOTHES WASHER 1
GARBAGE DISPOSAL 1
WATER SOFTNER 1
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 3
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
❑CASH ❑CHECK ❑VISA ❑MC EXPIRES:
Card# VIN:
SIGNATURE:
P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc
Permit Center
(10 Ile
11703 E Sprague Ave,Suite B-3`� Spokane Valley,WA 99206 PERMIT NUMBER:
4000 Val ley (509)688-0036 FAX:(509)688-0037
Community Development
pennitcenteraspokanevalley.org PERMIT FEE:
Mechanical Permit Application n Commercial n Residential
SITE ADDRESS: E
Building Owner
Name: Pho�e484-1405 Fax:
Address:5202 N FLORIDA City:SPOKANE State:WA zip:99207
Contractor
NameR&R HEATING Phone:484-1405 Fax:
Address:5202 N FLORIDA Cit': SPOKANE State:WA Zip: 99207
License No: RRHEAA*106BW City Business Lic:RRHEAA*106BW
Contact/Project Manager
Name: Phone: 484-1405
#UNITS
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) 3
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 4
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
P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc
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PROPOSED PLOT PLAN
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For City Use Only
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PLUS Project Number Project Address )C
4000
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11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
50 9.688.0036 • 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.
4 WHITE-APPLICANT PINK-BUILDING FILE REV 9/07