2011, 04-29 Permit App: 11001104 Mold RepairProject Number: 11001104 Inv: I Application Date: 4/29/2011 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
0 $80,000.00
Units
Unit Desc
Permit Use: MOLD REPAIR - REPLACE DRYWALL &
Contact: BELFOR CONSTRUCTION
INSULATION
Address: 10020 E. KNOX, SUITE 100
1
C - S - Z: SPOKANE, WA 99206
Setbacks: Front Left: Right: Rear:
Phone: (509) 893-0001
Group Name:
Site Information:
Project Name:
Plat Key: 001222 Name: HILLCREST ACRES 01ST
ADD District: Sout
Parcel Number: 45272.2353 Block:
Lot:
SiteAddress: 12519 E 21ST AVE Owner: Name: KANE, DENNIS J / COLVIN -KANE
Address: 12519 E 21ST AVE
Location:: CSV
SPOKANE, WA 99216-2538
Zoning: R-2 SF Res Suburban District
Water District: 101 SPO CO WATER DIST#3B
Hold: ❑
Area: 11,250 Sq Ft Width: 0
Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review Released B
Originally Released: 4/28/2011 By: tmelbourn
Permits:
- -- - _ -- Building Permit — -
Contractor: BELFOR USA GROUP Firm: BELFOR CONSTRUCTION
Address: 10020 E. KNOX SUITE 100 Phone: (509) 893-0001
SPOKANE VALLEY, WA 99206
This Application:
Description Grp Type Notes So Ft Valuation
1&2 FAMILY R-3 VB PLAN 0 $80,000.00
REVIEW
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RV W < 7999 SQ FT
Totals:
0 $80,000.00
Units
Unit Desc
1
SELECT
1
SELECT
1
SELECT
Permit Total Fees:
Total Project:
Sg Ft Valuation
0 $80,000.00
0 $80;000.00
Fee Amount
$853.75
$4.50
$341.50
$1,199.75
Operator: JD Printed By: JD Print Date: 4/29/2011
Project Number: 11001104 Inv: 1 Application Date: 4/29/2011 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: _ �AW
Payment Summary: , ,,4R
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,199.75 $1,199.75 $341.50 $858.25
$1,199.75 $1,199.75 $341.50 $858.25
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: JD Printed By: JD Print Date: 4/29/2011
rerrrut �,cnicr
cm or 11703 E Sprague Ave, Suite B-3 PERtiIIT NLS IBER:
3poKane Spokane Valley, WA 99206
PERtiIIT FEE:
ka11ey (509)C:'_3 -1-,G'36 FAX (509)683-0037
,,;0o0
Community Dev,�iopment
Residential Construction ❑ New Construction ❑ Accessory Bldg
Permit Application ❑! XM,,Drd: t,emodel ❑ Decd,.
❑ Other:
SITE ADDRESS: __ 12cS1 E 215T Air &(OMf4 4A Ae�: Lt/A. q 9 21 (e
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
Name: L
Address`.
City:s A rJ E V411LI
State: Zip:
9
Phone: C� (513_ '2 95D Fax:
Contact Person
Name: t k �i
Phone: �5 v - (0 '2-4
4
Contractor:
Name:
e l (`a;L Qe a fvr o
Address: _ 4
City: S PO V_14- State: w Zip: '39
Phone- Fax:
a 3- o0o ir93-ted o
ContractLic No: Exp Date:
96L LJq 01]1 _
City Business Lic. No:
Describe the scope of work in detail: Cost of Project: $ <�_v1000-00
STaZi� 1101.2 t -TV ERA �A Ct+R �R-IwArl �ttLvl,4�tor.l i >Jvo2s c.ANo,,Je-r s
Proposed Use:
**************The following MUST be com lete: write N/A if nota licable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
`t ds'
G01( aq
I 2
74.03
MAIN FLOOR TO Q.
_
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
FTG: 1 9 v
6A—
AREA:
FINISHED BASEMENT
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
SQ. FTG: 10 7 a
S'7 (4
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: :'�G ,l �� �c�4 DATE: &/'v9, � - ( /
Method of Payment.
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2115/07
❑ Check ❑ Mastercard ❑ VISA
Expires: VIN#:
poK
3ane
p
,,;o0
Va11e 1V
3�
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 992.06
509.688.0036 ♦ Fax: 509.688.0037 ♦ cityhaii@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:
Cl 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
This transmittal is being circulated along with the indicated documents for your review. Timely review of the
information is important. Please notify the Project Coordinator as well as the applicant and/or contact oany major
deficiencies. If the documents meet with your approval please notify the Project Coordinator as soon as possible such
that we may include your sign -off on the permit application.
Project Coordinator DAVIS, JENNA
Phone:
Fax: (509)688-0037
Please send all plan review and project comments via e-mail to the
highlighted individuals.
Site Address: 12519 E 21 ST AVE
Parcel Number: 45272.2353
Project
Transmittal
City of Spokane Valley
Community Development
Department
11703 E. Sprapue Ave, Suite B3
Spokane Valley, XVA 99206
Phone: 509.688.0036
Newproject
Previous pre -app meeting
Plan revisions ❑
Transmittal Date:
Thursday, April 28, 2011
Project Number: 11001104
Zoning: R-2 Water District: SPO CO WATER DIST#313
Fire District: FD 01
Applicant: BELFOR CONSTRUCTION Owner: KANE, DENNIS J / COLVIN -KANE,
10020 E. KNOX, SUITE 100 12519 E 21 ST AVE
SPOKANE, WA 99206 SPOKANE, WA 99216-2538
(509) 893-0001
e-mail: e-mail:
Contact: BELFOR CONSTRUCTION Occupant:
10020 E. KNOX, SUITE 100 e-mail:
SPOKANE, WA 99206
(509) 893-0001
e-mail:
Contractor: BELFOR USA GROUP Arch/Engineer:
10020 E. KNOX SUITE 100
SPOKANE VALLEY, WA 99206
(509) 893-0001
e-mail:
Project MOLD REPAIR - REPLACE DRYWALL & INSULATION
Description:
Please send all plan review and project comments via e-mail to the
highlighted individuals.
SPOKan
jUalley°'
For City Use O ly
PLUS Project Number
Project Address
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 �1
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
maybe several days before they can look at your new or revised infor ation.
➢ 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