2010, 09-22 Permit App: 10002640 Addition Project Number: 10002640 Inv: 1 Application Date: 9/22/2010 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE ADDITION-FAMILY ROOM AND Contact: ELLIOTT CONST.
KITCHEN REMODEL Address: POB 14406
C-S-Z: SPOKANE,WA.99214
Setbacks:Front Left: Right: Rear: Phone: (509)953-2678
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: Sout
Parcel Number: 45223.1415 Block: Lot:
SiteAddress: 12511 E 16TH AVE Owner:Name: MORAN,MICHAEL J&EVALATE
Address: 12511 E 16TH AVE
Location::CSV SPOKANE VALLEY,WA 99216-052
Zoning: R-3 SF Res District
Water District: 011 MODERN Hold: LI
Area: 14,700 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: 9/22/2010 By: TMELBOU
Landuse/Zoning/HE Conditions Released By:
Originally Released: 8/26/2010 By: mharnois
Permits: � ,.
Operator: jmm Printed By: JD Print Date: 9/22/2010
Project Number: 10002640 Inv: 1 Application Date: 9/22/2010 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit --
Contractor: ELLIOTT CONSTRUCTION CO Firm: LANCE ELLIOTT CONST CO
Address: PO BOX 14406 Phone: (509)953-2678
SPOKANE,WA 99214
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB KITCHEN 0 $18,850.00 0 $18,850.00
REMODEL
RES ADD R-3 VB FAMILY 294 $29,091.30 294 $29,091.30
ROOM
ADDITION
Totals: 294 $47,941.30 294 $47,941.30
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $623.55
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $249.42
Permit Total Fees: $877.47
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 1 DUCT 1 NUMBER OF $11.00
Permit Total Fees: $11.00
Plumbing 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
SINKS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
MISCELLANEOUS FIXTURES 1 NUMBER OF $6.00
WATER PIPING-DWV 2 NUMBER OF $12.00
Permit Total Fees: $36.00
Operator: jmm Printed By: JD Print Date: 9/22/2010
Project Number: 10002640 Inv: 1 Application Date: 9/22/2010 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 $877.47 $877.47 $249.42 $628.05
Mechanical Permit $11.00 $11.00 $0.00 $11.00
Plumbing Permit $36.00 $36.00 $0.00 $36.00
$924.47 $924.47 $249.42 $675.05
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: 9/22/2010
Permit Center
cmOF PERMIT NUMBER:
11:703 E-Sprague,AYe, ,iite B-3
Spokane �fSpokane Valles,`VA= 9106 ,
PERMIT FEE:
jValleiy. (5Q9)6'88-003¢ FAX:-009)688-007
www.spokanevalley.or
Community Developmdnt - k t(t "•
Residential Construction G
New Construction Accessory Bldg
Permit Application ►:d Addition/Remodel Deck
--- ■
-7.--------:---- Other:
SITE ADDRESS: /,ZS/I F. llo - /lye spcK�laE V►lLLEy, IA)A 442/6
ASSESSORS PARCEL NO: 1/$223. /L//S LEGAL DESCRIPTION:aoRGENS Abb L 13 DI
Building Owner: Contractor:
Name: M,CHaEL T. i THERESA M. 'vi RN Name: FLLiOTT CoNSTRuCr/ON CO.
Address: 12.511 E. /4 th Ave Address: P.O. Box 14.1106
City: SAOI<AME VALLEY State: (,JA Zip:Ma, City: SpoKaNe- vitiL4Ey State: W14 Zip: 972/y
Phone: so9. 9242_4 s p , Fax: Phone: Set-9S-3-2.64g Fax:
ContractorLic Date: ' / 9/a / ELL!O CCIr3R� 22201/
Contact Person City Business Lic.No: 4,oo S"6.Z V7?
Name: L.A N C E ELLIOTT
Phone: SO q— 95-3 - 2.4 78
IR€na.ob£C i 8, 86-0
14lbirioi/ IS, 600
Describe the scope of work in detail: Cost of Project: $ ' -----
roTr4c, 3 q, y s' o
ZO ' X /44 " F#i sciLy R oowt IIOb,r,oN Asb /I(,rCIHEW REn+robt .
Proposed Use: FA A4 t L y lRo o wl
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: t #OF STORIES: TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ. 2m) FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: 29q — AREA.
FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: 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 processe
SIGNATURE: 12DATE: 0 //40
Method of Payment:
0 Cash 0 Check ❑ Mastercard ❑ 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.
o 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)
❑ 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 ❑ Supporting wood cripple walls or beams
o Perimeter concrete foundation wall sizes o Thickened concrete pads supporting
o Crawlspace ventilation beams or girder trusses
❑ 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 o 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
❑ 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
❑ Wail Section Detail including:
Roof
o Slope/roofing material/underlayment/ice dam protection o Truss or rafter size, spacing &connection
o Sheathing size and type ❑Attic insulation/air space baffle/ventilation
Ceiling
o Joist size and spacing ❑ 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 ❑ 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 ❑Active system with 6 mil vapor barrier
Miscellaneous Construction Details
❑ 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
QrY(okaVr 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone
�� Spokane Valley,WA 99206 509-688-0037-Fax
Va.ley For Inspectians, call 509-688-0054
Plumbing Permit Application
PROJECT ADDRESS: I �i/ G, f�T� USTT�/Is�,�r IQ 14 IfPp, �164 k�,
OWNER: PHONE(Daytime Contact):
MAILING ADDRESS:
(street) (city/state) (ZIP)
CONTRACTOR: nu r 7 e J
/ft boo,tie LICENSE#:
MAILING ADDRESS: PHONE I:
(street) (city/state) (ZIP) •
PLUMBING FIXTURES
DESCRIPTION DETAILS it OF UNITS X COST EQUALS AMOUNT
1 TOILETS WATER CLOSET,BIDETS X $6 -
2 URINALS X $6 -
3 TUBS X $6 -
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X S6 -
5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN,
LAUNDRY,UTILITY,JANITOR,PHOTO,X- 2 X $6
RAY,FOOD,PREP/CULINARY/MEAT
6 DISHWASHER / X S6 - j
7 CLOTHES WASHER X $6 -
8 GARBAGE DISPOSAL X S6 -
9 WATER SOFTENER X $6 -
10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL X $6 -
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 -
12 FOUNTAINS,DRINKING X $6 -
13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR,
WASTE,VENT,PLUMBING REVERSALS a, X $6 - 1.�
REVERSAL
14 SEWAGE EJECTOR GRINDER SUMP PUMP X $6 - -
15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB,
STEAMER,PROOFER,CARBONATOR, / X $6 -
SWAMP COOLER
16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND
R.P.B.P.D.FOR:VATS,TANKS,BOILERS X -
17 SPRINKLER SYSTEM X $25 -
18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL X
HOLDING TANK
19 MEDICAL GAS per outlet NITROUS,OXYGEN X S6 -
20 MISC.PLUMBING FIXTURE X $6 -
•
SUBTOTAL:
METHOD OF PAYMENT
VISA' • • Masi r 1, PLUS PROCESSING FEE: $35.00
0 CASH 0 CHECK 0 Mini 0 _ .. �, '
3
•
TOTAL PERMIT FEE DUE:
DATE: EXPIRES:
BANKCARD NUMBER:
SUTHORIZED SIGNATURE:
OM t 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone
o ` e Spokane Valley,WA 99206 509-688-0037-Fax
Eley For Inspect-ions, call 509-688-0054 v
Mechanical Permit Application
PROJECT / � PERMIT u�} a/„u ,e47 ,per c7 /
ADDRESS: /2 F// E- < USE: / `
OWNER PHONE(Daytime Contact):
MAILING ADDRESS:
(street) (city/state) (ZIP)
CONTRACTOR: J{f* n hie-A-74; LICENSE 1:
6 t4 !�
MAILING ADDRESS: PHONE S:
(street) (city/state) (ZIP)
•
DESCRIPTION OF WORK t OF UNITS X COST EQUALS AMOUNT
1 FUEL BURNING APPLIANCE •OR<100,000 X 515 -
2 FUEL BURNING APPLIANCE >100,000 X 519 -
3 UNLLSTED APPLIANCE(ADDITIONAL FEE) -OR<400,000 X 550 •
4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X 5100 •
5 USED APPLIANCE(WSEC min.AFUE rating) •or<400,000 X 550 •
6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X 5100 -
7 BOILER/REFRIGERATION 1-100M BTU X 515 -
8 BOILER/REFRIGERATION 101-500M BTU X " .7_$28' ' •
9 BOILER/REFRIGERATION 501-1,000M BTU X $39 -
10 BOILER/REFRIGERATION 1001-1,750M BTU X $57 -
11 BOILER/REFRIGERATION +1750M BTU X 595 -
12 GAS LOG,GAS INSERT,GAS FIREPLACE - X 510 -
13 RANGE - X $10 -
14 DRYER - X $10 -
15 FUEL BURNING WATER HEATER - X $10 -
16 MISC FUEL BURNING APPL. - X 510 -
17 GAS PIPING(ea.Outlet) - X - 51 -
18 DUCT SYSTEMS - X 510 -
19 VENTILATING FANS - / X 510 •
20 AIR HANDLER(DOES NOT include ducting) •OR<10,000CFM X 512 -
21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19 -
22 EVAPORATIVE COOLERS - X 510 •
•
23 TYPE I HOOD - X 550 •
24 TYPE II HOOD - X 510 •
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 •
26 AIR CONDITIONER 3-15 TON X 520 -
27 AIR CONDITIONER 15.30 TON X $25 •
28 AIR CONDITIONER 30-50 TON X 535 •
29 AIR CONDITIONER +50 TON X 560 -
30 LPG STORAGE TANK - X 510 -
31 WOOD OR PELLET STOVE/INSERT - X 510 •
32 WOOD STOVE-FREE STANDING - X $25 •
SUBTOTAL:
METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00
�, p • TOTAL PERMIT FEE DUE:
VISA'
0 CASH 0 CHECK 0 11111111111111 O _ `-.
.1
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
SpokaneFor City Use Qnl
Project Address is)S/ / ,K)>Eit..,
4000000
alle y®
y
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
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ELLIOTT CONSTRUCTION CO.
P.O. BOX 144D6 SPOKANE, WASHINGTON 99214
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