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2007, 04-12 Permit App: 07001232 Residence Project Number: 07001232 Inv: 1 Application Date: 4/12/2007 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: a.,., .sic.v:aaK °xmx? +?^.a:. .:'.;t.. - SH -.fid' ..s%.. ,aasr.«a.,nera;;^o- :anw,a.ae •xm:.:u°::xa ::a:m^r vs .ay..:+.,,., •r-+,-, vti. ,aa,.r a.�a.arc- Permit Use: SFR W/ATT GAR Contact: COURCHAINE,SAMUEL LEE Address: 4029 S BOWDISH RD C-S-Z: SPOKANE,WA 99206 Setbacks:Front 25 Left: 5 Right: 49 Rear: 35 Phone: (509)928-2807 Group Name: Site Information: Project Name: Plat Key: Name: Range District: Sout Parcel Number: 45213.9195 Block: Lot: SiteAddress: 10724 E 12TH AVE Owner:Name: COURCHAINE,SAMUEL LEE Address: 4029 S BOWDISH RD Location::CSV SPOKANE,WA 99206 Zoning: UR-3.5 Urban Residential 3.5 Water District: 007 MODEL Hold: ❑ Area: .57 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: .s ...._ . Review Building Plan Review Released By. Originally Released: 4/12/2007 By: TMELBOU Driveway/Approach Released By: Landuse/Zoning/HE Conditions Released By: 17 0/ Sewer Review L Released By: -�-- Operator: JD Printed By: JD Print Date: 4/12/2007 Project Number: 07001232 Inv: 1 Application Date: 4/12/2007 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount APPROACH-CONST IN ROW 1 NUMBER OF $50.00 Permit Total Fees: $50.00 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 1,282 $117,123.52 1,282 $117,123.52 BASEMENT U R-3 VB 900 $13,500.00 900 $13,500.00 COV DECK R-3 VB 76 $1,140.00 76 $1,140.00 GARAGE U-1 VB 387 $7,353.00 387 $7,353.00 Totals: 2,645 $139,116.52 2,645 $139,116.52 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,217.75 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $487.10 Permit Total Fees: $1,709.35 Mechanical Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 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 VENTILATING FANS 3 NUMBER OF $30.00 CLOTHES DRYER 1 NUMBER OF $10.00 RANGE 1 NUMBER OF $10.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 Permit Total Fees: $92.00 Operator: JD Printed By: JD Print Date: 4/12/2007 Project Number: 07001232 Inv: 1 Application Date: 4/12/2007 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 2 NUMBER OF $12.00 SINKS 3 NUMBER OF $18.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 2 NUMBER OF $12.00 Permit Total Fees: $66.00 Notes: . kN. . w� . ,: ._ •. . P. R.,.. . ..F - ... m.. . Payment Summary: w= �, ; Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00 $0.00 $50.00 Building Permit $1,709.35 $1,709.35 $0.00 $1,709.35 Mechanical Permit $92.00 $92.00 $0.00 $92.00 Plumbing Peimit $66.00 $66.00 $0.00 $66.00 $1,917.35 $1,917.35 $0.00 $1,917.35 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: JD Printed By: JD Print Date: 4/12/2007 Permit Center 11707 E Sprague Ave, Suite 106 PERMIT NUMBER: � SaTs e Spokane Valley,WA 99206 _ llPERMIT FEE: . (509)688-0036 FAX: (509)688-0037 bvww.spokanevallev.org Community Development Residential Constructtet 0 5 2nJ7 n New Construction n Accessory Bldg Permit Application Y fT Addition/Remodel n Deck i Other: n SITE ADDRESS: /® 7 /:z 7L ASSESSORS PARCEL NO: l 7:X/0 3 r s j/S5 LEGAL DESCRIPTION: _sir a -a '7 Building Owner: Contractor: ..5--//,,/e Name: S / Name: Address: Address: City: /. State:wmi Zip: City: State: Zip: Phone: 7 Fax: Phone: Fax: Contractor Lic No: Exp Date: Contact Person City Business Lic.No: Name: _cot_ e‘9,-,rc , Phone: ?,2 ? ,�8'7 Describe the scope of work in detail: Cost of Project: $ ooc7 lee' 1/ ,i€ ' 5- Proposed Proposed Use: 4.0 **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE: alar MAIN FLOOR TO SQ. 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: _ 1/ AREA: o FINISHED BASEMENT GARAGE SQ. FTG: DEC *MINIM. ! SQ. FTG: 30% SLOPES ON SQ. FTG: 3vP7 7G PROPERTY: #OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? 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: L DATE: 4•• - o� Method of Payment: 0 Cash 0 Check 0 Mastercard 0 VISA Bankcard#: Expires: VIN#: Authorized Signature: REVISED 7/15/07 5„--5 , z li • - Valley , 11707 E Sprague Ave Suite 106 0 Spokane Valley WA 99206 509.921.1000 ♦ Fax: 509.921.1008 • cityhall@spokanevalley.org Residential Plan Submittal Minimums ❑ Completed Building & 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. ❑ 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 ❑ Roof framing plan and details ❑ Furnace and hot water heater location. ❑ All header locations: type, size, and connections • ❑ Foundation plan ❑ Insulation information Permit Center S�n, e • 11707E Sprague Ave,Suite 106 Valey Spokane Valley,WA 99206 PERMIT NUMBER: 1 (509)688-0036 FAX:(509)688-0037 Community Development www.snokanevallev.ore PERMIT FEE: Plumbing Permit Application n Commercial La Residential tk SITE ADDRESS: _ ),.y?�� h;) Building Owner 11 Name: % CD, h C.t llL Phone: 'r ..) i�`�,r aj$�7 Fax: Address: *4 ) 1�1 c )afi~ City: p ,I�OJ•tUI V�,1 { State: WGs�:�� Zip' Oiti Contractor ` S Name: rr‘Z Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact Name: 5 CR..'r'C Nw Phone: 5a'\ , t4-r DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6.00 = i a 2 URINALS X $6.00 = 3 TUBS X $6.00 = . 00 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 = L• c7�1 LAVSBASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = pp X-RAY,FOOD,PREP/CULINARY MEAT .3 Ib W 6 DISHWASHER i X $6.00 = L ,J 1J 7 CLOTHES WASHER V X $6.00 0h) 8 GARBAGE DISPOSAL 0 X $6.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 AREA,CASE,COIL,TRENCH, t a' 11 FLOOR DRAINS CONDENSATE e�, X $6.00 = I 12 ROOF DRAINS/OVERFLO,W 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 = 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 DISPOSAUSYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = SUBTOTAL METHOD OF PAYMENT: PROCESSING FEE ❑CASH 0 CHECK 0 VISA ❑MC EXPIRES: $35.00 Card# VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 Permit Center Sj kan`e� 11707 E Sprague Ave,Suite 106 PERMIT NUMBER: Valley Spokane Valley,WA 99206 (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development www.snokanevallev.ore Mechanical Permit Application n Commercial n Residential SITE ADDRESS: Jo 7.z V 6 /o? ./.4- Building 4Building Owner C ceryl Name: ' Phone: XrsFax: Address: 7 iiE 1�i City: K0.�1 Vr,�'It�� State: WA Zip la�b Contractor floc) Name: ^. Phone: Fax: v". Address: City: State: Zip: License No: City Business Lie: Contact Name: , ctki"k Cpvn«1nt:Al Phone: ci aic.- alyd 6.7 DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 I X $12.00 = I D.C© 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 I X $10.00 = 13 RANGE I X $10.00 = 14 DRYER ( X $10.00 = 15 FUEL BURNING WATER HEATER I X $10.00 = 16 MISC.FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING(each outlet) X $1.00 = 18 DUCT SYSTEMS I 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 ❑CASH 0 CHECK 0 VISA ❑MC EXPIRES: PROCESSING FEE $35.00 CARD#: VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 Method Ill Worksheet for Fresh & Combustion Air Job Address: Furnace model #: Furnace brand name: BTU input: Water heater brand name: BTU input: - Install Foreman: IF - Ventilation Rate Determination Floor area (sq. ft.) of the residence (basement+ 1st floor+2nd floor+ bonus room) = Number of bedrooms in the residence = Using the table on the back of this form determine: Minimum Ventilation Air = CFM Maximum Ventilation Air = CFM Formula for Combustion Air 1 - For fan assist vented furnace x 1,000 BTU input x .4 CFMBTU = -. CFM 2 - Power vented water heater (use 90 CFM if rating unknown) = CFM 3 - For draft hood appliances x 1,000 BTU input x .8 CFMBTU = CFM Total CFM Required for Combustion Air (add 1+2+3) = CFM The ventilation/combustion air duct must provide adequate combustion air or outside combustion air must be provided separately from ventilation air. (Outside combustion air may be provided with one duct in the upper 12 inches of the enclosure sized at 1 sq. inch per 3,000 BTU input of all appliances in the enclosure). Capacity of Round Metal Duct in CFM 6" = 50 - 80 9" = 170 - 240 Size of round duct 7" = 80 - 125 10" = 235 -315 to return air drop = 8" = 115 - 175 12" = 395 -495 1. For lengths over 20 feet increase the duct diameter 1 inch. 2. For elbows numbering more than 3, increase the duct diameter 1 inch. 3. Insulate the ventilation/combustion air duct within the conditioned space to a minimum R-4. Size of opening in wall of appliance enclosure (if confined space less than 50 cubic feet per 1000 BTU input) per U.M.C. and INWHVAC Assoc. standards book (2 openings sized 1 sq. in. per 1000 BTU input of all appliances in the enclosure) = square inch (net free area = 65% for metal louver-25% for wood louver) Verification of proper drafting? YES NO Verified by: License# Company name: Leave copy of this form on the job site at or on the furnace!!! Updated 7-1-2001 Ventilation rates for all group R occupancies 4 stories and less* f Bedrooms Area ft2 2 or less 3 4 5 6 Min. Max. Min. Max. Mina Max. Min. Max. Min. Max. <500 50 75 65 98 80 120 95 143 110 165 501-1000 55 83 70 105 85 128 100 150 115 173 1001-1500 60 90 75 113 90 35 105 158 120 180 1501-2000 65 98 80 120 95 143 110 165 125 188 2001-2500 70 105 85 128 100 150 115 173 130 195 2501-3000 75 113 90 135 105 158 120 180 135 203 3001-3500 80 120 95 143 110 165 125 188 140 210 3501-4000 85 128 100 150 115 173 130 195 145 218 4001-5000 95 143 110 165 125 188 140 210 155 233 5001-6000 105 158 120 180 135 203 150 225 165 248 6001-7000 115 173 130 195 145 218 160 240 175 263 7001-8000 125 188 140 210 155 233 170 255 185 278 8001-9000 135 203 150 225 165 248 180 270 195 293 >9000 145 218 160 240 175 263 190 285 205 308 Bedrooms Area ft2 7 8 i`* For residences that exceed 8 Min. Max. Min. Max. bedrooms, increase the minimum <500 125 188 140 210 requirement listed for 8 bedrooms 501-1000 130 195 145 218 by an additional 15 CFM per bedroom. 1001-1500 135 203 150 225 The maximum CFM is equal to 1.5 1501-2000 140 210 155 233 times the minimum. 2001-2500 145 218 160 240 2501-3000 150 225 165 248 3001-3500 155 233 170 255 3501-4000 160 240 175 263 4001-5000 170 255 185 278 5001-6000 180 270 195 293 6001-7000 190 285 205 308 7001-8000 200 300 215 323 8001-9000 210 315 225 338 >9000 220 330 235 353 ., ----'— '• '- , - ' ' - -- - - ... ',..-, ,., .-: :-'-4.44'..4—':',.;','',.'''',,c",'-'.,':: :".'"::'I'.,'':`..',;."' ,',' lac> , 1 •i• ' . 3.6. . . .. V 2 .rs 4 ) is vi Ng it.t-4 r' '' -4 • • . JiddItil ( lizasi ill C ( eeulltad .; 5/' ( Seciosli • I 1 /92 awn.11..0 . , t , Leilfsill N f•- la . ,, Froo1Nefig..4 v c,> i ...,, I —. . ..1. -••• •A 1 1,3•-i DV' at 6-,,osi•it)A * 1 11.1:AS. • &p-trq-A er 16.6...„ 4... 11 N • I Stu.)Or . 1 Riaririej II/1 1 isit_iq 4 „La•I' (1 1 /, ,i V I (% Z. Ea,cm,.04-610 4 5,0k_4.,,i • -1, is,..?? . , jr I 00 A I 01 (40111 /- l +A . N.° 4 C.„, N N89'36'12"E 1326.23' 12TH AVENUE _ - - - -;;;;;;.-'41.1- 5:-.7..2F/ -I/475.59' . . _ . o — . _ ...-0 a 249.94' - - FOUND #4 REBAR " 337.10'(R1) 47B.O2'(R1} N89'36'12"E i 100.00'04 N W/CAP, "MEM 35157" ! w i p 50' N f b�.. 7,1 72.50' --.--T '-- . j',13) H. — -� _ c2 "'' -FOUND #4 REBAR / ^ ' '6 .- N ��N W/CAP, "MEM 35157" ffi %-i115-lin �`, 1 / % 8 I ° I p a. 500 00 1 ew, 4.00' 1 �a 13' BORDER }^ X20, I ( i ►- 10' ORY UTILITY EASEMENT —'"'+ 4 EASEMENT -•-4--lo�i . PRIVATE DRIVEWAY, ,� , ta ! I E S LOT 1 1 UTILITY EASEMENT LOT 1 16 16 I E .r.... 81 10,040 SF $ •* a 10' SEWER 110 FOUND #4 REBAR ! °. I ,'�' z EASEMENT it7724 E. 12TH AVE co 43 J f W/CAP, "MEM 35157" ! ayh4 I I. tsi LEGEND) r I -� /..) cr, N NO0 00 16 E, 2.65' �4 . s Q` — —N89'36'12"E -1 ! - FOUND MONUMENTS 0�� "o- �! 100.00 .� I - SET 1/2"KEBAB wITF kJ 01_ -- — -- -r cr~ 1, % (39.41') 0* 33141" UNLESS NC g co 20.0'---- E`+I ¢ STREET ADDRESS g XXX - z Pg �*(j �� I �� EST LINE OF i t, 3 �E EAST 400' I L" ,, p.$.CEtT E$ A 'D - utiLil "A�� L I ! SURVEY WAS PERFORMED 2 TRACT THIS .- LOT - I A SOKKIA SET4 TOTAL STATION. 15,520 SFEXCEED THE LINEAR AND ANGU I I CITY- RESIDENTIAL AND SUBDIN 10728 E. 12TH AVE. NfC LOT 2 ?, _ a • BASIS OF E��ry� "� ''�� N89'41'25"E w I � 0 Q - © I U ' =� THE BEARING OF N00'00'4$"E . • 100.00' I a'i I 8 SOUTHWEST QUARTER OF SECT ! NORTH LINE OF THE LOT 3W • g SHOWN ON THE SHORT PLAT l I SOUTH 392`' I„ 8 I s ' Z PAGE 68 WAS USED AS THE E b T C„ 1 L 1kl;� I 1 I ..I Ii I .....,>r ..,, S,