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2009, 03-24 Permit App: 09000710 Finish Basement Project Number: 09000710 Inv: 1 Application Date: 3/24/2009 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: FINISH BASEMENT-WALLS-BATHROOM Contact: TABISH,DANIEL A&LAURA R Address: 15902 E 21ST CRT C-S-Z: SPOKANE VALLEY,WA 99037-8343 Setbacks:Front Left: Right: Rear: Phone: (509)413-6881 Group Name: Site Information Project Name: Plat Key: 005460 Name: RIDGEMONT EST NORTH 05TH ADD District: East Parcel Number: 45252.3105 Block: Lot: SiteAddress: 15902 E 21ST CT Owner:Name: TABISH,DANIEL A&LAURA R Address: 15902 E 21ST CRT Location::CSV SPOKANE VALLEY,WA 99037-834 Zoning: R-2 SF Res Suburban District Water District: 010 VERA Hold: ❑ Area: 17,314 Sq Ft Width: 145 Depth: 120 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: , � .,,. .,.,� Review Building Plan Review Released By: Originally Released: 3/24/2009 By: tmelbourn Building Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 This Application: Total Project: Description Grp Type Notes Su Ft Valuation So Ft Valuation BASEMENT F R-3 VB FINISH 0 $12,000.00 0 $12,000.00 BASEMENT Totals: 0 $12,000.00 0 $12,000.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $209.25 WSBCC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $83.70 Permit Total Fees: $297.45 Operator: jmm Printed By: jmm Print Date: 3/24/2009 Project Number: 09000710 Inv: 1 Application Date: 3/24/2009 Page 2 of 2 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 1 NUMBER OF $6.00 SINKS 2 NUMBER OF $12.00 SHOWERS 1 NUMBER OF $6.00 Permit Total Fees: $24.00 Notes: Payment Summary: Wit.... agn ._ Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $297.45 $297.45 $83.70 $213.75 Plumbing Permit $24.00 $24.00 $0.00 $24.00 $321.45 $321.45 $83.70 $237.75 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: jmm Print Date: 3/24/2009 (Staff Use Only) 1 (U S )1anep PERMIT NUMBER: Valley. PERMIT FEE: CITY OF SPOKANE VALLEY ; '! Community Development Department �? • Permit Center C� Y �� �NUKANE VALLEY 11703 East Sprague Avenue, Suite B-3 AR 2 4 2009 Spokane Valley, WA 99206 M Tel: (509) 688-0036 l GtN►tK Fax: (509) 688-0037 permitcenter@ spokanevallev.orq BY RESIDENTIAL CON TR CTION PERMIT APPLICATION NEW CONSTRUCTION ADDITION/REMODEL E ACCESSORY BUILDING 0 DECK 0 OTHER SITE ADDRESS: I Sd102. E. '2I Cr COU121, SPOKANE. VL.`/ 1W A gg037 ASSESSORS PARCEL NO.: 452.52 31 05 LEGAL DESCRIPTION: LOTS, BLK 1. ( .1 DGE'/v1oI`1T E SThTES NoRTff, SrH BUILDING OWNER NAME: ADD I T uN NAME: L_Au12A 1 A@JS h{ ADDRESS: 1 56102_ E. 21 ST-cot)RT nn 9 CITY: SPOk.ANjl. VALL1rY STATE: WA ZIP: q`,7-fQ5 / j PHONE:: 5 0� j"r 13-- C�o I FAX: CELL: (�`I - �7 13 L.38 I CONTACT NAME: L A ice) /2.,A •TAS, J G i- (,� /�V PHONE„ � 1 —' )41 3 -b S Q, I FAX: 232- D 2C) CELL: EMAIL. b;90.1-,Cccrt@kotrla , 1 , c Qm CONTRACTOR NAME: SE1_h MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: F110150-I UNFINIStF&'D BASEMEAJT !n1 61M,LAR FASH-ID/17D REsi OFFHO/-/E PER. CODE Q.E&Urke-MENTS. 2X' *,JD 2)4n CDN517ZV Tiani FRAM,N6-1 1k," ONcEAJrC-R, R21 11V6ULAT7ONI ( It/A1& /A/SciLAT WAi FOR SDVAJD, TAPEjMiTEXT.112E PANvT, T72JA4 PAD#` CAI:WET, FINISHED BATH1200M IN/T?-I- SHOWER S'r14LL,77)1L.ET, siAJKCs), VAM7y, HVAC ?, 112'M AND FRN15Ft YvCR.K SIMILAR.7DVPS-i-i4/RS. F,LEt772/CA-L. PEI. ATTACHE-D. PROPOSED USE: PLUM81N6- PER..ATTACHED• i NSPEcTED AFT/2 ;`FR MiA.1 /�vSL A—T7o J ELECTIZICAL /NSPELTWAJ, ROVO-H-PL014131NC-1NSPt GTrati, FiAiAL 1k)5P66-770 .1. �rVING SPACE Effective October 28, 2007 Page 1 of 2 http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Residential Construction Permit App.1.doc ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE, Height to Peak: Dimensions: No. of Stories: Total Habitable Space: Main Floor SQ Upper Floor SQ Unfinished Basement Finished Basement FT: FT: SQ FT:Appvox /70 0 SQ FT: Garage SQ FT: Deck/Covered Patio Impervious Surface 30% Slopes on SQ FT: Area: Property: No. of Construction Heat Source: Sewer or Bedrooms: Type: Septic: TOTAL COST OF PROJECT: $ /01000— /Q, OQD a-pproX DISCLAIMER The permitted verifies,acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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 CGL Date: 3- 3 09 Method of payment: 0 Cash 0 Check 0 Visa 0 Mastercard Bankcard #: EXP: VIN#: Authorized Signature: Effective October 28, 2007 Page 2 of 2 http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Residential Construction Permit App.1.doc Permit Center " fie 11703E Sprague Ave,Suite B-3 �S`alley PERMIT NUMBER: Spokane Valley,WA 99206 (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development w�tiw.spokanevalley.ore Plumbing Permit Application ❑ Commercial a Residential SITE ADDRESS: /5c702_ L . 21 ST C o U SPn C VA SLC`/; w'A 61 Cf 0- 1 Building Owner Name: LA U aA 12 J A g 7 S Phone: 50q_ 113.'(r, % Fax: �} Address: 'c; 2- • 2. ST C r1 City: S Poi Il-4 E v Ly Stats: W A Zip: 9 CI n 37 Contractor Name: 5 LF Phone: Fax: Address: City: State: Zip: 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 = 2 URINALS X $6.00 = 3 TUBS X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT ' X $6.00 = LAVS/BASINS,BAR,FLOOR,KITCHEN, fi= 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, 2 X $6.00 = 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, 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 ❑CHECK ❑VISA ❑MC EXPIRES: $35.00 Card# l,D�- VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: CJ� 't 0 REVISED 8/26'05 PERMIT CENTER okane 11703 E.Sprague Ave.,Suite B-3 j Valley Valley,WA 99206 509-688-0036;Fax 509-688-0037 www.spokanevalley.org Affidavit in Lieu of General Contractor Registration State of Washington ) County of Spokane ) (j l.J t2A fZ TA 6 I S !-f , state as follows: (Print name as signed) 1. I have made application for a building permit from the City of Spokane Valley,Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under RCW 18.27.090, a copy of which is printed on the reverse side of this affidavit. 3. I understand that prior to issuance of a building permit for work that is to be done by any contractor, the City of Spokane Valley must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Spokane Valley of my compliance with this requirement,I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,I consider the work authorized under this building permit to be exempt under No. / , and will therefore,not be performed by a registered contractor. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. (V-a w-cz` a t-1, APPLICANT'S SIGNATURE Signed and swpAr nn toi"before me this \\\‘tttti111lit t �y Day of n l 20 0c5 'f J4D1 �i�� 0I ! No • ' Name(Print) �A _14 0. ` f lAiv�) 11 % G y .i ignature it 89LIC '', 77 _77NOTARY PUBLIC in and fo the State of ,SHINC\s • Washington,residing a County tti\‘tt\� a p My Commission expires: -'I-9- < October 15,2007 Page 1 of 2 P:\Community Development\Forms\Building Forms Revised Code of Washington 18.27.090 Exemptions. The registration provisions of this chapter do not apply to: 1) An authorized representative of the United States 11) An owner who contracts for a project with a registered government, the state of Washington, or any contractor,except that this exemption shall not deprive incorporated city, town, county, township, irrigation the owner of the protections of this chapter against district, reclamation district, or other municipal or registered and unregistered contractors.The exemption political corporation or subdivision of this state; prescribed in this subsection does not apply to a person 2) Officers of a court when they are acting within the scope who performs the activities of a contractor for the of their office; purpose of leasing or selling improved property he or 3) Public utilities operating under the regulations of the she has owned for less than twelve months; utilities and transportation commission in construction, 12) Any person working on his or her own property,whether maintenance, or development work incidental to their occupied by him or her or not,and any person working own business; on his or her personal residence,whether owned by him 4) Any construction,repair,or operation incidental to the or her or not but this exemption shall not apply to any discovering or producing of petroleum or gas,or the person otherwise covered by this chapter who constructs drilling,testing,abandoning,or other operation of any an improvement on his or her own property with the petroleum or gas well or any surface or underground intention and for the purpose of selling the improved mine or mineral deposit when performed by an owner property; or lessee; 13) Owners of commercial properties who use their own 5) The sale or installation of any finished products, employees to do maintenance, repair, and alteration materials,or articles of merchandise that are not actually work in or upon their own properties; fabricated into and do not become a permanent fixed 14) A licensed architect or civil or professional engineer part of a structure; acting solely in his or her professional capacity, an 6) Any construction,alteration,improvement,or repair of electrician licensed under the laws of the state of personal property performed by the registered or legal Washington,or a plumber licensed under the laws of the owner,or by a mobile/manufactured home retail dealer state of Washington or licensed by a political or manufacturer licensed under chapter 46.70 RCW who subdivision of the state of Washington while operating shall warranty service and repairs under chapter 46.70 within the boundaries of such political subdivision.The RCW; exemption provided in this subsection is applicable only 7) Any construction, alteration, improvement, or repair when the licensee is operating within the scope of his or carried on within the limits and boundaries of any site or her license; reservation under the legal jurisdiction of the federal 15) Any person who engages in the activities herein government; regulated as an employee of a registered contractor with 8) Any person who only furnished materials, supplies, or wages as his or her sole compensation or as an employee equipment without fabricating them into,or consuming with wages as his or her sole compensation; them in the performance of,the work of the contractor; 16) Contractors on highway projects who have been 9) Any work or operation on one undertaking or project by prequalified as required by RCW 47.28.070, with the one or more contracts,the aggregate contract price of department of transportation to perform highway which for labor and materials and all other items is less construction,reconstruction,or maintenance work; than five hundred dollars,such work or operations being 17) A mobile/manufactured home dealer or manufacturer considered as of a casual, minor, or inconsequential who subcontracts the installation,set-up,or repair work nature.The exemption prescribed in this subsection does to actively registered contractors.This exemption only not apply in any instance wherein the work or applies to the installation, set-up, or repair of the construction is only a part of a larger or major operation, mobile/manufactured homes that were manufactured or whether undertaken by the same or a different sold by the mobile/manufactured home dealer or contractor, or in which a division of the operation is manufacturer; made into contracts of amounts less than five hundred 18) An entity who holds a valid electrical contractor's dollars for the purpose of evasion of this chapter or license under chapter 19.28 RCW that employs a otherwise.The exemption prescribed in this subsection certified journeyman electrician, a certified residential does not apply to a person who advertises or puts out specialty electrician,or an^eldctricai trainee meeting the any sign or card or other device which might indicate to requirements of chaglter 1978 RCW to perform the public that he or she is a contractor,or that he or she plumbing work that pis' ia9idta4ly, directly, and is qualified to engage in the business of contractor; immediately appropria tache likein-kind replacement 10) Any construction or operation incidental to the of a household appliance of other small household construction and repair of irrigation and drainage ditches utilization equipment that requires limited electric power of regularly constituted irrigation districts or reclamation and limited waste and/dr water connections. An districts;or to farming,dairying,agriculture,viticulture, electrical trainee must be supervised by a certified horticulture,or stock or poultry raising;or to clearing or electrician while performing plumbing work. other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered contractor; October 15,2007 Page 2 of 2 P:\Community Development\Forms\Building Forms For City Use Only • PLUS Project Number 14 CITY OF � Project Address � SpoJiine 4000 alle Vy ° 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. II 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. K-BUILDING FILE WHITE-APPLICANT PIN REV 9/07