2005, 12-05 Permit App: 05004404 Addition Project Number: 05004404 Inv: 1 Application Date: 12/05/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
roject n ormation:
Permit Use: ADDITION TO SINGLE FAMILY DWELLING Contact: MCCLAIN,PAMELA M
Address: 10016 E 15TH AVE
C-S-Z: SPOKANE VALLEY,WA 99206-3413
Setbacks:Front 20 Left: 10 Right: Rear: Phone: (509)922-8532
Group Name:
Project Name:
Site Information:
Plat Key: 002704 Name: UNIVERSITY PLACE District: F
Parcel Number: 45204.4047 Block: Lot:
SiteAddress: 10016 E 15TH AVE Owner:Name: MCCLAIN,PAMELA M
Address: 10016 E 15TH AVE
Location::CSV SPOKANE VALLEY,WA 99206-341
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: ;,000.00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review In formation: ; a� �r ,. s ~a._ a
Review
Site Plan Review ReleasedBy
Originally Released: 12/05/2005 By: cjjanssen
Plan Review
Originally Released: 11/28/2005 By: TMELBOU
Sewer Review
Originally Released: 12/05/2005 By: cjjanssen
Operator: CJJ Printed By: CJJ Print Date: 12/05/2005
Project Number: 05004404 Inv: 1 Application Date: 12/05/2005 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
2ND FLOOR R-3 VB 1,445 $107,912.60 1,445 $107,912.60
GARAGE U-1 VB 778 $14,782.00 778 $14,782.00
RES ADD R-3 VB 666 $49,736.88 666 $49,736.88
Totals: 2,889 $172,431.48 2,889 $172,431.48
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,402.55
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $561.02
Permit Total Fees: $1,968.07
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
DUCT SYSTEMS 1 NUMBER OF $10.00
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
Permit Total Fees: $50.00
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
CLOTHES WASHER 1 NUMBER OF $6.00
ELECTRIC HOT WATER TANK 1 NUMBER OF $6.00
Permit Total Fees: $54.00
Operator: CJJ Printed By: CJJ Print Date: 12/05/2005
Project Number: 05004404 Inv: 1 Application Date: 12/05/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,968.07 $1,968.07 $0.00 $1,968.07
Mechanical Permit $50.00 $50.00 $0.00 $50.00
Plumbing Permit $54.00 $54.00 $0.00 $54.00
$2,072.07 $2,072.07 $0.00 $2,072.07
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CJJ Printed By: CJJ Print Date: 12/05/2005
c�T�,c�r�to Permit Center ,
Spokane 11707 E Sprague Ave, Suite 106 PERMIT NUMBER:
=a6n8e8..V0a0131e6y,FWA 99206 (1 ) � ��valley AX ,0)_ ; Il �1r \V., V \E PERMIT FEE:
Community Development w'w'w.spokanevalley.. . m t
Residential Construction I o New ti on o Accessory Bldg
Permit Application 1o2kdditi 1v emodel o Deck
PP �1�
o Other:
SITE ADDRESS I d 0 ! l0 C I$ ''' 4'e _ sibkeofUci l /&y 4- 9?260
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building owner ContractorII
'
Name: RotcCilk;aName:A.44 WI G ), 144.ts We.dei., e14---
Address: /D//_016C/5+ .4� Address:/6 0lG C7_5-144/ .1 E_
Woof__E tkt/y Zip: 97206 City: Spphe- lil l/ Zip: 9926
Phone:922-If 5",32_ /Fax: Phone: c)2-5S Sz Fax:
Lic No: Exp.Date:
Contact Person City Business Lic No:
Name:TCs mes Velec,14 .-!-
Phone: F22- 7S- 3/ / f "'f3)Z
Describe the scope of work in detail: Cost of Project: $
A Ii -.iL 4-0 kavvt-t_
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT T,O PEAK: DIMENSIONS:rtb�; #`STORIES: TOTAL HABITABLE SPACE:
2 3M�,� x 3`2
MAIN FLOOR TO SQ. 2 FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: il g,4, 6, ) _{ 4.5-----
( a fL 0 AREA:
FINISHED BASEMENT GARAGE SQ. FT r/ DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: 7 d PROPERTY:
#OF BEDROOMS: CO,S UCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC?
S 3 3 •e.ie.— 3.x,0-r----
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 •okane Valley Permit is not a permit or approval for any violation of federal,state or
local laws,codes or ordinances.6) Plans o :••itional information may be required to be submitted, and subsequently approved before
this applicationcan •••• •rocess:d.
Signature /` / /
9 Date l/-2 1"'0
Method of Payment: (Faxe permit applications will only be accepted with major bankcard)
D Cash Check 0 Mastercard 0 VISA 0 Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
Permit Center
S d e 11707 E Sprague Ave, Suite 106
40.00 Vaj le Spokane Valley,WA 99206
1 (509)658-0036 FAX:(509)688-0037
www.spolcanevallev.ore.com
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.
•
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
o 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
O Insulation information
Permit Center
Spokane 11707E Sprague Ave,Suite 106
.000 Valley Spokane Valley,WA 99206 • PERMIT NUMBER:
(509)688-0036 FAX:(509)688-0037
Community Development www.sookanevalley.ore.com PERMIT FEE:
Plumbing Permit Application ❑ Commercial `I Residential
SITE ADDRESS: /00/l// C5-71"O G , Ve_— 5 /o4 � u/ moi/
uJ l 1 9,92)
Building owner
Name: Peg,M4 yieG f C . Phone: q2 2- —3-5'"State:Z_ 1.9 Fax:
Address:ICO /i e/'J' 7`'e /¢yt e City:dD kw&LIllyState: v/L Zip: 9472 d f '
Contractor 40&be,1_ 014.)/4-
Name:
LUK•-� jlj
Name: W(�` W�de_01 Phone: `222— s-5-32_ Fax:
Address: 1QQ! t, /'5*'i �( City:� JJSiL(W4'State: Zip: D 6
License No:
►Y City Business_Licensee No:
Contact 44K j t4�r w ..(t'
Name:l�Orytt� (.V4re /4Lzt2 Ctrn Phone: 412-2 - �� 32- /9'57'g372
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS Z WATER CLOSET,BIDETS Z X $6.00 =
2 URINALS X $6.00 =
3 TUBS 2-- 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 1 1 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 =
PROOFER,CARBONATOR,SWAMP COOLER
VACUUM BREAKER,CHECK VALVE,
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
0 CASH CHECK 0 VISA 0 MAST RCARD $35.00
Card# -E RES: ' TOTAL PERMIT FEE DUE:
- —
AUTHORIZED SIGNATURE: �j
�,� � REVISED 8/26/05
Permit Center
sem" "e� 11707 E Sprague Ave,Suite 106 PERMIT NUMBER:
Voll ty Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037
Community Development www,spokanevallev.ore.com PERMIT FEE:
Mechanical Permit Application ❑ Commercial %Residential
SITE ADDRESS: 100/ 6 c/5 l-P/AuR___ c p kOZ e2. L) t l (4),7' ,7-2_o(,,
Building owner 1:11.mot Ott, C/oma Hyl
Name:"TpArte-> IV e4 e -c/ c IiD CC-ke OA. Phone: q 2.2.--v5 3 Z Fax:
Address: /0C) C. / 1h�i-&. J J City:5. �[qy,U l State: (A14- Zip: t;;;2(....)(:,
Contractor 14t7/14.e- W 14-'V ecw/ /AC_Cl4. t [raN-t.eJ G ctele4 .(r'
Name:1CeILt tS it).a c(est Phone: f2 2-85" Fax:
Address: /OD/G fir' /..c/t 41.L: City: 4) 42 I,1 State: LIM-- Zip: 87204
License No: City Business Licenseo:
Contact -11.4-40t-e-9Oft-e.5 (A)r-d.`sfil``f ..(r-
Name: Phone: 92 z --, 5 3 2 /9'57-6/ 72
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 II 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 j 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
DATE:
❑CASH CHECK ❑VISA 0 MC PROCESSING FEE $35.00
CARD#: I ES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNA REVISED 8/2W05