2011, 08-10 Permit App: 11002363 RemodelProject Number: 11002363 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/10/2011 Page 1 of 2
Project Information:
Permit Use: KITCHEN REMODEL
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 002748 Name: VERA
Parcel Number: 45264.0120
SiteAddress: 14716 E 24TH AVE
Location:: CSV
Block:
Zoning: R-4 SF Res Urban District
Water District: 010 VERA
Area: 39,037 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Permits:
Contact: DION, ROBERT D & LAURA L
Address: 14716 E 24TH
C - S - Z: VERADALE, WA 99037 -
Phone: (509) 892-1462
Group Name:
Project Name:
District: East
Lot:
Owner: Name: DION, ROBERT D & LAURA L
Address: 14716 E 24TH
VERADALE, WA 99037 -
Hold: ❑
Depth: 0 Right Of Way (ft): 60
Released By:
Originally Released: 08/09/2011 By: tmelbourn
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp 'Ilya Notes Sq Ft Valuation Sq Ft Valuation
I&2 FAMILY R-3 VB KITCHEN 0 $45,000.00 0 $45,000.00
REMODEL
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 0 $45,000.00 0 $45,000.00
Units Unit Desc Fee Amount
1 SELECT $593.25
1 SELECT $4.50
1 SELECT $237.30
Operator: JD Printed By: HM
Permit Total Fees: $835.05
Print Date: 08/10/2011
Project Number: 11002363 Inv: 1
Application
Date: 08/10/2011 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
APPL VENTS INSTL/MOVE/RPL
Contractor: OWNER
Item Description
SINKS
DISH WASHERS
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units Unit Desc Fee Amount
1 EACH
Permit Total Fees:
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
$10.00
$10.00
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$6.00
$6.00
$12.00
Fee Amount Invoice Amount Amount Paid Amount Owing
$835.05
$10.00
$12.00
$857.05
$835.05 $835.05
$10.00 $10.00
$12.00 $12.00
$857.05 $857.05
$0.00
$0.00
$0.00
$0.00
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: HM Print Date: 08/10/2011
liSe\m'su
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenter@ sookanevaIlev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION g ADDITION/REMODEL 0 ACCESSORY BUILDING
0 DECK/� ❑ OTHER
SITE ADDRESS: I LI 716 l %� 1% e 5pako, vi e Va ((elA) 4 790P
7
ASSESSORS PARCEL NO.: Z. 6 . 6/ Z v LEGAL DESCRIPTION: V �R 19 2/L/ Z 1. �
�5 c( 6 / 7.r7 d -
BUILDING OWNER NAME: 1` o ber Z`_ b / o � \V z5-1• 6S -1 t o {r 0 re_
NAME:
�ro")
ADDRESS: ` /II r
7 / C. 2 -
cxTY: 5 po KfIr# a, l(e y
PHONE: c0 39 Z /4-i a. ?—
CONTACT NAME: Ro be r L / oN
PHONE: S -C) $ 9 Z ('7 6 ?--
CONTRACTOR NAME: 0 () N E
STATE: \A) /4'
FAX:
21P: 7?d 3
CELL:509 3l/ O 3 7
Fax:
CELL: 5-e) % a t a / 0 3
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 & PROPOSED USE:
c /IE ?b
****YOU MUST COMPLETE THE FOLLOWING****
T APPLICABLE
Height too Peak:
/ U
Dimensions:
No. of Stories:
Z
Total Habitabl
Space: Z- 3
Mal or SQ FT:
/�/
Upper F19or SQ FT:
1 1 10
Unfinished Basement SQ
FT: / Z CP
Finished Basement SQ
FT: /D0/5
Garage SQ FT:
5---a a
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms: '-f
Construction Type:Sp i r
Heat Source: NU F/
Sewer or Septic: 52ctQe2
TOTAL COST OF PROJECT: $ S D OC7 ��--
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) Atl 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 sub , fitted and subsequently approved before this application can be processed.
Signature
Date:
zefi/
Updated 1-11-11 Page 1 of 1
http: //www.spokanevalley.org/filestorage/ 124/938/210/948/ 1496/Building_Permit_-_Residential_11-11-11.doc
SOU*
ne
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter(crdspokanevallev.org
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
F�
0 Commercial Residential
SITE ADDRESS: /4 7 I' F 1({ 44' s Pa 4 F U/ C 14 y co Ap! L o 3
Building Owner Sd `I $Y Z / Y 6 Z /4-0 en E_
Name:Phone: Fax:
�ober-t to A) So9�`rz-w�9�zl/
Address: / Zi 7 / 6. E z L( City: S pa kA NE Oa l% y State: (,J,4 Zip: ? ! o 3 1.)._Contractor
Name: O (.„....)10 E., Q Phone: Fax:
^
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
y
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
—
DISHWASHER
AL—
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH 0 CHECK 0 VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc
Permit Center
Spokane 11703 E Sprague Ave, Suite B-3
j Spokane Valley, WA 99206
'S VciI ley (509)688-0036 FAX: (509)688-0037
Community Development permitcenter@spokanevalley.org
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
-7 /
0 Commercial Residential
/ ,
SITE ADDRESS: / `- (/6 E. z y A os SPoKAtu i/146C y L)4.qq D 3
Building Owner
Name: Qear L i7 /. n1
Address: / t„( -7 /6 £ Z 41, r°7 --
Contractor
Phone: 50�
9 3 Z -!o3 C2-14t4<� ax
City:
Name: (7t N
k.,4 N F 06,, 6(-e y State: („) /4. Zip: O c, 0 s
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name:
Phone:
❑CASH 0 CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\ Mechanical Permit Application 04-03-09 dg.doc
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER
0-3 TON
AIR CONDITIONER
Over 3-15 TON
AIR CONDITIONER
Over 15-30 TON
AIR CONDITIONER
Over 30-50 TON
AIR CONDITIONER
Over 50 TON
GAS WATER HEATER
GAS PIPING SYSTEM (each outlet)
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
/,//
ba w n f.rf' 41 Col 41- P
2
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp -100,000 BTU or less
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 -15 hp —100,001 to 500,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 — 30 hp - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 hp — 1,000,001 to 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 50 hp — over 1,750,000 BTU
AIR HANDLER (DOES NOT include ducting)
Each unit up to 10,000 cfm, including ducts
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES Ze p lac e e s . s4 IN G-04- CQd
Clothes Washer
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
❑CASH 0 CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\ Mechanical Permit Application 04-03-09 dg.doc
SI6U4S1
..Va1
Target Date sheet
For City nU�se Onl
PLUS Project I OO Eap3
Project Address
11471 r_ --1M- ‘-/t\)-Q-
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.720-5240 ♦ 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 applicat on wi 1 have had its initial technical review. It is
not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
D 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.
D 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.
D 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.
CD -003 V-7/ 06-21-11 Page 1 of 1