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2009, 05-14 Permit App: 09001281 Addition Project Number: 09001281 Inv: 1 Application Date: 5/14/2009 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: rti�,,,. .:-, Permit Use: 583 SF RESIDENCE ADDITION Contact: J R M EXCLUSIVE HOME Address: 24311 N HWY 395 C-S-Z: COLBERT WA 99005 Setbacks:Front Left: Right: Rear: Phone: (509)276-7620 Group Name: Site Information Project Name: Plat Key: 001221 Name: HILLCREST PARK 01ST ADD District: Sout Parcel Number: 45281.0302 Block: Lot: SiteAddress: 12112 E 18TH AVE Owner:Name: PAGE,ALLEN L&BARBRA A Address: 12112 E 18TH AVE Location::CSV SPOKANE VALLEY,WA 99206-271 Zoning: R-2 SF Res Suburban District Water District: 011 MODERN Hold: fl Area: 12,179 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information ,.,...._ x, ,a , Review Building Plan Review Released By: Originally Released: 5/14/2009 By: tmelbourn Landuse/Zoning/HE Conditions Released By: Originally Released: 5/13/2009 By: tschmidt Operator: jmm Printed By: JD Print Date: 5/14/2009 Project Number: 09001281 Inv: 1 Application Date: 5/14/2009 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: J R M EXCLUSIVE HOME Firm: J R M EXCLUSIVE HOME Address: 24311 N HWY 395 Phone: (509)276-7620 COLBERT WA 99005 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VB RES 583 $56,451.89 583 $56,451.89 ADDITION Totals: 583 $56,451.89 583 $56,451.89 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $692.75 WSBCC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $277.10 Permit Total Fees: $974.35 Mechanical Permit Contractor: J R M EXCLUSIVE HOME Firm: J R M EXCLUSIVE HOME Address: 24311 N HWY 395 Phone: (509)276-7620 COLBERT WA 99005 Item Description Units Unit Desc Fee Amount DUCT WORK SYSTEM 1 NUMBER OF $11.00 VENTILATING FANS 1 DUCT 1 NUMBER OF $11.00 Permit Total Fees: $22.00 Plumbing Permit Contractor: J R M EXCLUSIVE HOME Firm: J R M EXCLUSIVE HOME Address: 24311 N HWY 395 Phone: (509)276-7620 COLBERT WA 99005 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 1 NUMBER OF $6.00 SINKS 2 NUMBER OF $12.00 TUBS 1 NUMBER OF $6.00 WATER PIPING-DWV 1 NUMBER OF $6.00 Permit Total Fees: $30.00 Operator: jmm Printed By: JD Print Date: 5/14/2009 Project Number: 09001281 Inv: 1 Application Date: 5/14/2009 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $974.35 $974.35 $277.10 $697.25 Mechanical Permit $22.00 $22.00 $0.00 $22.00 Plumbing Permit $30.00 $30.00 $0.00 $30.00 $1,026.35 $1,026.35 $277.10 $749.25 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: JD Print Date: 5/14/2009 Permit Center Scrry of 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER.�' IZ I pokane Spokane Valley,WA 99206 ,,.,Valley. (509)688-0036 FAX: (5Q9)68$-0037 PERMIT FEE: www.spokanevai gip,Lt -' Community Development GI 1 1 ot_ '' 01 Residential Constructi n New Construction Accessory Bldg Permit Application „ �vivi i '-'. : _ a� Addition/Remodel Deck tcSt --- n Other: SITE ADDRESS: 12_112_ E. /3"/ Aw . S Por c va,u_Ey 99Z049 ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building Owner: Contractor: Name:1 L+- BAP-13 FAA E Name: �'. '�.. , g,G�s. V 1U wte basil h Address: y H Address: Z c„(.3 it t4, t4 3q iZ1t2 E. 18 kV E. City:S Qo r-ANE v 44.Y State: to P< Zip: City: Co l 6 r r+ State: \ \.. Zip:q coos- Phone: oocPhone:So9-92V- (.2 -Z Fax: Phone: s• las-4�( t , Fax�• � 76 , 76,2.0 Contractoris No: Exp Date: ZTZMExl4 17)055 KN !O •1,4.2009 Contact Person City Business Lic.No: Name: J14wteS FYIYELS Phone: 263-7.3-5 27.4'8 /253-2ZS-4ZGG, Describe the scope of work in detail: Cost of Project: $ S83 50, Fr. rri4srele SuirF ADD/TiOnJ. I BDR s , aI [3A7-#1_ SiN666- srtne.y Proposed Use: StNGLc pgrv,t...,i RES!DENCIC / m g-sr -P Sure **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE: 138. 2 -PT. zz'X z6 co" I 583 SQ. .F7- MAIN FLOOR-TO SQ. 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG;`583 SQ. pr.. AREA: ,tontTzo, 0 v_ nl/A N/� N'/R FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON SQ. FTG: K1//3 NI/A N/A- PROPERTY: N/,,ck #OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? I CoNv. c rnE GAS Fogce-v q-I I2 s£We-e-__ 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 rocessed. SIGNATURE: DATE: 5-4/09 Method of Pay ent: ❑ Cash Sk Check 0 Mastercard 0 VISA Bankcard#: Expires: VIN#: Authorized Signature: REVISED 2/15/07 RESIDENTIAL CHECK LIST DIRECTIONS: Place a check mark in box next to each document required for complete submittal. SITE PLAN o Property lines and dimensions o Setbacks to property lines o Direction arrow pointing North and orientation to streets o Distance between buildings o Proposed/existing buildings (footprint and dimensions) o Right of way/easement location &sizes o Utilities, septic tank/drain field locations and distances o Driveway approach size and location BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned) X Elevations (Front/Rear/Sides)with roof peak and wall height including basement: Foundation Plan (crawlspace, basement or slab on grade): o Footing sizes and locations o Supporting wood cripple walls or beams o Perimeter concrete foundation wall sizes o Thickened concrete pads supporting o Crawlspace ventilation beams or girder trusses 14 Floor Plan of each level (finished or unfinished)with dimensions: o Floor Joist direction, size and spacing o Window and door location and sizes o Header, beam or concrete lintel sizes o Window well locations if applicable o Brace wall panel locations ❑ Room usage labels o Water heater and furnace locations o Smoke detector locations o Exhaust fan locations ❑ Attic and crawl space access locations o Deck or concrete patio sizes and locations o Fire Wall construction O Roof Plan: o Engineered truss direction and spacing o Ridge, eave and valley lines o Rafter and over frame direction, size and spacing o Beam and girder size and location Si Wall Section Detail including: Roof o Slope/roofing material/underlayment/ice dam protection o Truss or rafter size, spacing &connection o Sheathing size and type o Attic insulation/air space baffle/ventilation Ceiling o Joist size and spacing o Size of ceiling gypsum wall board Wall o Height/top plate/stud size and spacing/sole plate o Siding/exterior house wrap/anchor bolts o Exterior sheathing size and type o Insulation, vapor barrier, gypsum wall board Floor o Joist size and spacing o Sheathing or concrete floor size/insulation Foundation Wall o Concrete or Masonry unit width o Footing bottom to finished ground level depth o Earth to wood separation distance o Horizontal &vertical reinforcement if any Footing o Size o Reinforcement if any Radon o Passive system with 6mil vapor barrier o Active system with 6 mil vapor barrier Miscellaneous Construction Details O Deck: o Floor plan/side view/dimensions o Footings/post/and beam size and locations o Floor Joist/decking direction, size and spacing O Stairway tread rise & run and nosing 0 Handrail /Guard height& spacing Permit Center "` 11703 E Sprague Ave,Suite B-3 1e, Spokane Valley,WA 99206 PERMIT NUMBER: (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development www.spokanevallev.ore Plumbing Permit Application ❑ Commercial NI Residential SITE ADDRESS: 12.112 E . 18'" ,414/F. SPoet IJE VALLEY Building Owner Name: AL♦ R,,,a D pAGr E Phone: Fax: Address: 'vi Z E• ,$rN A-UE• City: srok.4itp thelaArY State: tA1A Zip: Contractor Name: Phone: Fax: Address: u N1. 1-t11A1Y 3q5 City: CQGBER— State: wPt Zip: /4565 License No: City Business Lic: Contact Name: Phone: DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS , X $6.00 = C. o O 2 URINALS X $6.00 = 3 TUBS ' X $6.00 = £. 00 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 = LAVS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = ' 64 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 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, mp 14 VENT,PLUMBING,REVERSAL REVERSALS [ X $6.00 = (j, 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 0 MC EXPIRES: $35.00 Card# VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 /� Permit Center Sj7ka e �. 11703E Sprague Ave,Suite B-3 ll[ill Spokane Valley,WA 99206 PERMIT NUMBER: jValler (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development �'w��.spokanevallev.orz Mechanical Permit Application ❑ Commercial IYResidential SITE ADDRESS: J Z//Z. E . rn71'' 41/E. 5e6..444- va-t«-v 49?.Dlo Building Owner Name: At. ♦ g Z iciet�i� Phone: Fax: Address: ,v,..2._ e. t8TH AVE. City: 5Ip4,64,s_ 02.4./1aw State: �/q Zip: �2)16 Contractor Name:3'Q•m e-W-L!/sirr 4-10M sr Pes/aD Phone: Fax: Address:7 4/ 3/ / ,h r 1-1111 y 39S CityGag.s6lleT State: 044 W Zip: 9900 5- License License No: 3-12 l QJef1D6O5k.Al City Business Lic: Contact Name: ,AIIM1PS „mine$ Phone: q.7.44- 7420 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) X $1.00 = 18 DUCT SYSTEMS / X $10.00 = 19 VENTILATING FANS 1 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 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 1:1CHECK ElVISA 0 MC EXPIRES: PROCESSING FEE $35.00 CARD#: VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 New projectProj e Ct Previous pre-app meeting LI pokane T Plan revisions City of Spokane Valley Transmittal Date: 400010° Valley Communitypk elopment Monday,May 11,2009 Department 11703 E.Sprague Ave,Suite B3 Spokane Valley,WA 99206 Phone:509.688.0036 Site Address: 12112 E 18TH AVE Project Number: 09001281 Parcel Number: 45281.0302 Zoning: R-2 Water District: MODERN Fire District: FD 01 Applicant: J R M EXCLUSIVE HOME Owner: PAGE, ALLEN L & BARBRA A 24311 N HWY 395 12112 E 18TH AVE COLBERT WA 99005 SPOKANE VALLEY, WA 99206-271 (509) 276-7620 e-mail: e-mail: Contact: J R M EXCLUSIVE HOME Occupant: 24311 N HWY 395 COLBERT WA 99005 e-mail: (509) 276-7620 e-mail: Contractor: J R M EXCLUSIVE HOME Arch/Engineer: 24311 N HWY 395 COLBERT WA 99005 (509) 276-7620 e-mail: • Project 583 SF RESIDENCE ADDITION Description: Building Landuse Engineer Utilities Health Fire Dist Assessor APPLICATION 4 CONSTRUCTION PLANS ,j .9- 1 SITE PLAN 2 TDS Please send all plan review and project comments via e-mail to the highlighted individuals. For City Use Only PLUS Project Number 1` Siiop YProje dews. lle ° 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 i` / 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 Irk F� A . pc4,3tNi ;,y 4i 1 1 PLANNING DEPT. APPROVED BY: , DATE: 5/J3Azi a I i I I 4DDtt la, ��' 4a) 128'- sit3 ----f _ _ lit—ip---2416:--- X.151 eg510,5NC 0623 49 .‘--14-1-3L-1-4 2 6 121 1 1=E. I°' t�, \< ., - 1-�.a_N4 1 6i a Ser rt ORIV.E.VI Ay 1-01-.6.10.3t- 10 PgopeXTy (J 2,184. *) I 4 ���Silt* i i 4457- /6 ,4V 6. 951 ®» / /.e, PA,.-a il Pezir ,.poe; Ow-4;1 6- t\410' ' .'cel