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