2006, 05-19 Permit App: 06001741 ResidenceProject Number: 06001741 Inv: I Application Date: 05/19/2006 Page 1 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
_ ..... ,s s: _.�,�� , . 4 .
Permit Use: SFR, GAS HEAT, ON SEWER
Contact: COVENTON HOMES
Address: 14415 E SPRAGUE AVE
C - S - Z: SPOKANE VALLEY, WA 99216
Setbacks: Front Left: Right: Rear:
Phone: (509) 891-0056
Group Name:
Site Information:
Project Name:
Plat Key: Name: Range
District: Sout
Parcel Number: 45274.0608 Block:
Lot:
SiteAddress: 13610 E 28TH AVE
Owner: Name: WOOD, CHRISTOPHER D
Address: 13610 E 28TH
Location:: CSV
SPOKANE VALLEY, WA 99216
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Hold: ❑
Area: .00 Acres Width: 0
Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
"' IN . .'.40-0::
Review
Building Plan Review
Released By:
Originally Released: 05/18/2006 By: TMELBOU
Driveway/Approach Released By:
Originally Released:
Landuse/Zoning/HE Conditions
05/19/2006 By: amblake
Released By: - ---__- -
Originally Released: 05/18/2006 By: HMStinson
Sewer Review�m
Released By ,
Permits:
Operator: AMB Printed By: AMB Print Date: 05/19/2006
Project Number: 06001741 Inv: I Application Date: 05/19/2006
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
-- -- - Approach
Contractor: CORNERSTONE Firm: CORNERSTONE CONSTRUCTION
Address: 11327 E MONTGOMERY #3 Phone: (509) 927-5088
SPOKANE VALLEY, WA 99206
Item Description Units Unit Desc Fee Amount
APPROACH -CONST IN ROW 1 NUMBER OF $50.00
Permit Total Fees: $50.00
- - - - - -. -- Building Permit _
Contractor: COVINGTON CONSTRUCTION Firm: COVINGTON CONSTRUCTION
Address: 1324 LIBERTY LAKE RD #224 Phone: (509) 891-0056
LIBERTY LAKE, WA 99109
Description
1&2 FAMILY
BASEMENT U
DECK OPEN
GAR WOOD
Grp
Type Notes
R-3
VB
R-3
VB
R-3
VB
U-1
VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Total Project:
This Application:
Valuation
Sq Ft
Valuation
1,468
1,496
$129,209.52
$1,050.00
1,468
$22,020.00
70
$1,050.00
712
$13,528.00
Totals:
3,746
$165,807.52
Units
Unit Desc
1
SELECT
1
SELECT
1
SELECT
Permit Total
Fees:
Total Project:
Sq Ft
Valuation
1,496
$129,209.52
1,468
$22,020.00
70
$1,050.00
712
$13,528.00
3,746 $165,807.52
Fee Amount
$1,363.35
$4.50
$545.34
$1,913.19
Operator: AMB Printed By: AMB Print Date: 05/19/2006
Page 2 of 4
Project Number: 06001741 Inv: I Application Date: 05/19/2006 Page 3 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: COVINGTON CONSTRUCTION
Address: 1324 LIBERTY LAKE RD #224
LIBERTY LAKE, WA 99109
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
AIR CONDITIONERA-15 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
VENTILATION MECH EXHAUST
Mechanical Permit
Firm: COVINGTON CONSTRUCTION
Phone: (509) 891-0056
Units
Unit Desc
Fee Amount
1
NUMBER OF
$10.00
1
NUMBER OF
$10.00
1
NUMBER OF
$12.00
3
# OF UNITS
$3.00
1
NUMBER OF
$20.00
5
NUMBER OF
$50.00
1
NUMBER OF
$10.00
1
NUMBER OF
$10.00
1
NUMBER OF
$10.00
1
NUMBER OF
$10.00
1
NUMBER OF
$12.00
Contractor: COVINGTON CONSTRUCTION
Address: 1324 LIBERTY LAKE RD #224
LIBERTY LAKE, WA 99109
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
SEWAGE EJECTOR
WATER SOFTENER
WATER PIPING - DWV
Permit Total Fees: $157.00
Plumbing Permit
Firm: COVINGTON CONSTRUCTION
Phone: (509) 891-0056
Units
Unit Desc
3
NUMBER OF
5
NUMBER OF
1
NUMBER OF
3
NUMBER OF
1
NUMBER OF
1
NUMBER OF
1
NUMBER OF
1
NUMBER OF
1
NUMBER OF
1
NUMBER OF
1
NUMBER OF
3
NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$30.00
$6.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$132.00
Operator: AMB Printed By: AMB Print Date: 05/19/2006
Project Number: 06001741 Inv: 1 Application Date: 05/19/2006 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
STOP ORDER ISSUED TODAY DUE TO FOOTINGS BEING DUG W/O PERMIT, PER SCOTT
WALLACE APPROVED BY T SCHOLTENS.
Payment Summa
Permit Type
Fee Amount
Invoice Amount
Amount Paid
Amount Owing
Approach
$50.00
$50.00
$0.00
$50.00
Building Permit
$1,913.19
$1,913.19
$0.00
$1,913.19
Mechanical Permit
$157.00
$157.00
$0.00
$157.00
Plumbing Permit
$132.00
$132.00
$0.00
$132.00
$2,252.19
$2,252.19
$0.00
$2,252.19
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: AMB Printed By: AMB Print Date: 05/19/2006
Project Number: 06001741 Inv: 1 Application Date: 5/15/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR, GAS HEAT, ON SEWER Contact: COVENTON HOMES
Address: 14415 E SPRAGUE AVE
C - S - Z: SPOKANE VALLEY, WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509) 891-0056
Group Name:
Site Information: Project Name
Plat Key: Name: Range District: Sout
Parcel Number: 45274.0608 Block: Lot:
SiteAddress: 13610 E 28TH AVE Owner: Name: WOOD, CHRISTOPHER D
Address: 13610 E 28TH
Location:: CSV SPOKANE VALLEY, WA 99216
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres 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:
Driveway/Approach Released By:
Landuse/Zoning/HE Conditions Released By:
Sewer Review Released By:
Permits:2
Operator: AMB Printed By: AMB Print Date: 5/15/2006
Project Number: 06001741 Inv: I Application Date: 5/15/2006
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach - —-- — —
Contractor: CORNERSTONE
Address: 11327 E MONTGOMERY #3
SPOKANE VALLEY, WA 99206
Contractor: COVINGTON CONSTRUCTION
Address: 1324 LIBERTY LAKE RD #224
LIBERTY LAKE, WA 99109
Contractor: COVINGTON CONSTRUCTION
Address: 1324 LIBERTY LAKE RD #224
LIBERTY LAKE, WA 99109
Contractor: COVINGTON CONSTRUCTION
Address: 1324 LIBERTY LAKE RD #224
LIBERTY LAKE, WA 99109
Firm: CORNERSTONE CONSTRUCTION
Phone: (509)927-5088
Building Permit
Firm: COVINGTON CONSTRUCTION
Phone: (509)891-0056
Mechanical Permit
Firm: COVINGTON CONSTRUCTION
Phone: (509)891-0056
Plumbing Permit
Firm: COVINGTON CONSTRUCTION
Phone: (509)891-0056
Page 2 of 2
Payment Summary:
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: AMB Printed By: AM B Print Date: 5/15/2006
_ Permit Center
Spo%ane 11707 E Sprague Ave, Suite 106
�SValley Spokane Valley, WA 99206 PERMIT NUMBER:
(509)688-0036 FAX: (509)688-0037
r Community Development www.snokanevallev.or2 PERMIT FEE:
Mechanical Permit Application ❑ Commercial Residential
SITE ADDRESS:
Building Owner C sr
A-,OOo
# OF UNITS X
Name:
1
FUEL BURNING APPLIANCE
Phone:
Fax:
Address:
.3 /"
1-34,16
V
'"
C 2,.;;,
City:
s�iy„� � State: Zip: 7 2 f
Contractor
en -1 im,
ilf'! s
Equal to or less than 400,000
X
Name:
4
UNLISTED APPLIANCE Additional Fee
Phone:
Z 1, / Fax:
Address:
411s
1AW
XyeCity:
5,4e4w` State: Zip: fzJ
License No:
6
USED APPLIANCE SEC min. AFUE rating)
City Business Lic:
Contact
y & /V9fl5
7
BOILER/REFRIGERATION
1 - 100M BTU
Name:
$12.00 -
8
Phone:
101 - 500M BTU
DESCRIPTION OF WORK
# OF UNITS X
COST = TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00 -
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00 -
3
UNLISTED APPLIANCE Additional Fee
Equal to or less than 400,000
X
$50.00 =
4
UNLISTED APPLIANCE Additional Fee
More than 400,000
X
$100.00 -
5
USED APPLIANCE SEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00 -
6
USED APPLIANCE SEC min. AFUE rating)
More than 400,000
X
$100.00 =
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00 -
8
BOILERIREFRIGERATION
101 - 500M BTU
X
$20.00 =
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00 =
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00 =
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00 =
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00 =
13
RANGE
X
$10.00 =
14
DRYER
X
$10.00 =
15
FUEL BURNING WATER HEATER
X
$10.00 =
16
MISC. FUEL BURNING APPLIANCE
X
$10.00 =
17
GAS PIPING each outlet
X
$1.00 -
18
DUCT SYSTEMS
% X
$10.00 =
19
VENTILATING FANS
X
$10.00 =
20
AIR HANDLER DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00 =
21
AIR HANDLER DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00 =
22
EVAPORATIVE COOLERS
X
$10.00 =
23
TYPE I HOOD
X
$50.00 =
24
TYPE II HOOD
X
$10.00 =
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00 -
26
AIR CONDITIONER
3-15 TON
/ X
$20.00 =
27
AIR CONDITIONER
15-30 TON
X
$25.00 =
28
AIR CONDITIONER
30-50 TON
X
$35.00 -
29
AIR CONDITIONER
More than 50 TON
X
$60.00 -
30
LPG STORAGE TANK
X
$10.00 =
31
WOOD OR PELLET STOVE/INSERT
X
$10m =
32
WOOD STOVE - FREE STANDING
X
$25.00 =
33
REPAIR & ADDITIONS
X
$15.00 =
34
VENTILATION SYSTEMS
X
$12.00 =
35
VENTILATION MECHANICAL EXHAUST
X
$12.00 -
36
INCINERATOR - RESIDENCE
X
$19.00 =
37
INCINERATOR - COMMERCIAL
X
$22.00 =
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE:
Permit Center
Spokane 11707 E Sprague Ave, Suite 106 PERMIT NUMBER:
W Valley Spokane Valley, WA 99206
�I_� (509)688-0036 FAX: (509)688-0037 PERMIT FEE:
Community Development www.spokanevallev.ors
Plumbing Permit Application ❑ Commercial [,Residential
SITE ADDRESS: _
Building Owner
DESCRIPTION OF WORK
# OF UNITS
X
Name:
13 1
2 > f'"
Phone:
-z Fax:
Address:
X
$6.00
City:
5 1/01-Z,Btate: lfl-1 Zip: i.:F Z/4
Contractor
URINALS
X
$6.00
Name:
3
Phone:
-Z 4� L L Fax:
Address:
_
/ Z�('�
=
IL) •
S'�6c4�• y— State: �+ Zip: IrfZ/G
License No:
/h,
X
City Business Lic:
Contact
10
LAVSBASINS, BAR, FLOOR, KITCHEN,
Name:
$6.00
Phone:
5
6
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
3
X
$6.00
=
4
SHOWERS PER TRAP BATH, STALL, ON-SITE BUILT
X
$6.00
=
10
LAVSBASINS, BAR, FLOOR, KITCHEN,
X
$6.00
5
SINKS LAUNDRY, UTILITY, JANITOR, PHOTO,
["
X
$6.00
=
11
X-RAY. FOOD. PREP/CULINARY MEAT
J
X
$6.00
-
6
1 DISHWASHER
X
1 $6.00
-
7
CLOTHES WASHER
X
$6.00
=
8
GARBAGE DISPOSAL
%
X
$6.00
-
9
WATER SOFTENER
X
$6.00
-
10
1 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL
X
$6.00
AREA, CASE, COIL, TRENCH,
11
FLOOR DRAINS CONDENSATE
/
X
$6.00
-
12
ROOF DRAINS/OVERFLOW DRAINS
0
X
$6.00
=
13
FOUNTAINS, DRINKING
6
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,
A
18
INTERCEPTORS CHEMICAL HOLDING TANK
V
X
1 $6.00
-
19
MEDICAL GAS(per outlet NITROUS, OXYGEN
0
X
$6.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
O
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
d
X
$20.00
-
G
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
=
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
[]CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE.,' /
REVISED 8/26/05
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Vle:KaF,arwPie— PLUS P W. G3 � Public viN:dcr .. C.,Itulatn �< ��:� �' 4 .t Ft�t•,
Tuesday, May 02, 2006 04:37 PM
ACORD°, CERTIFICATE OF LIABILITY INSURANCE °A'�'"""°°"
02/07/06
i
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Moloney,O'Neill,Corkery &Jones ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1206 N Lincoln #200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Spokane, WA 99201
INSURERS AFFORDING COVERAGE �NAIC
emxteRA: First Mercury Insurance Co 10657
Covington Construction & Restoration
14415 E Sprague 44
Spokane Valley, WA 99216
r.T.�n�rlTnxy
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUIMCT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POUCIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
_.._..__.------..._
' LTR TYPEOFSOURANCE POUCYNUMOER POLICY EFFECTIVE POIICYO�IRATION LIMRB
GENERALUIBILITY
EACHOCCURRENCE $ 1,000,000
A
X COMMERCIAL GENERAL LIAMM
01-CWME K] OCCUR
FMIL001314
02/06/06
02/06/07►�ExN'(A!!r«.e
PRBM ..LF-+xr s 5 0, 0 0 0
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PaRsoNat aAovwURY s 1,000,000
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APPLIES PM
PRODUCTS-COTaPmOPAGG s 2 000000
hEN'LAGGREGATEL*XT
PouCY PRO Loc
-- - -
AUTOIJOS" LIAawlsY
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ALLOWNED AUTOS
SCHEDIREDAUTOS
BOORYIN,IURY s
HIRED AUTOS
NON-CMRdEDAUTOS
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UMA['E S
GARAGE LIABILITY
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SPECIALPROVISIONSbva'+
OTHER
DESCRIPTIONOFOPERATIONSILOCAT" MIVEHCLESIEXCLUSIONBADOEDBYENOO"EWNTlSPRCMLPROVI3RONS
Re: Operations of the Named Insured
State Of Washington Dept Of Labor & Industri
PO Box 44450
Olympia, WA 98504
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. THE ISSUNG INSURER WILL ENDEAVOR TO MAR 10 DAYS WRRTEH
NOTICE iO THfz T6 HOLDER "AGO TO THE LEFT. BUT FARURE TO DO SO SHALL
16B+OSE NO NOR LIABILITY Oy'ANY KIND UPON THE INSURER. ITS AGENTS OR
ACORD CORPORATION 1988
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General/Specialty Contractor
A business registered as a construction contractor with HI to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
License Information
License
COVINCR944CH
Licensee Name
COVINGTON CONST Et REST BDS INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602558351 -Verify Workers Comp Premium
Status
Ind. Ins. Account
Id
Business Type
CORPORATION
Address 1
1324 LIBERTY LAKE DR STE 224
Address 2
City
LIBERTY LAKE
County
SPOKANE
State
WA
Zip
99019
Phone
5098910056
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
2/11/2006
Expiration Date
2/11/2008
Suspend Date
Separation Date
Parent Company
Previous License
COVINC*231D5
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License
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=COVINCR944CH 5/15/2006
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Business Owner Information
Bond Information
Bond
Effective
Expiration
Name
Role
Date
Date
COVINGTON, ROBERT
Insurance
Company
Account
E
PRESIDENT
02/08/2006
Impaired
Bond Information
Savings Information
No Matching Information
Insurance Information
Page 2 of 2
Bond
Bond
Effective
Expiration
Cancel
Impaired
Received
Insurance
Company
Account
Effective
Expiration
Cancel
Impaired
Bond
Received
Bond
Name
Number
Date
Date
Date
Date
Amount
Date
ACCREDITED
#1
SURETY Et
FMIL001314
02/06/2006
Until
$1,000,000.00
02/08/2006
#1
CAS CO
10047598
02/11/2006
Cancelled
$12,000.00
02/08/2006
Savings Information
No Matching Information
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1-800-547-8367 tl9lt
0 Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the
state of Washington.
Access Agreement I Privacy and security statement I Intended use/external content policy Visit access.wa.gov
Staff only link
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=COVINCR944CH 5/15/2006
Company
Policy
Effective
Expiration
Cancel
Impaired
Received
Insurance
Name
Number
Date
Date
Date
Date
Amount
Date
FIRST
MERCURY
#1
INS CO
FMIL001314
02/06/2006
02/06/2007
$1,000,000.00
02/08/2006
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About LEH I Find a job at L&I I Informaci6n en espanol I Site Feedback �
1-800-547-8367 tl9lt
0 Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the
state of Washington.
Access Agreement I Privacy and security statement I Intended use/external content policy Visit access.wa.gov
Staff only link
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=COVINCR944CH 5/15/2006
df � 11707 E Sprague Ave, Suite 106 PERMIT NUMBER: 1,7q
Y �[ T��� Spokane Valley, WA 99206 PERMIT FEE:
Y y (509)688-0036 FAX: (509)688-0037
Comm,,J.nity Development O,
Residential Construction NJ � truction ❑ Accessory Bldg
Permit Application
SITE ADDRESS
6 f _ Z
❑ Addition/Remodel ❑ Deck
❑ Other:
ASSESSORS PARCEL NO: Z1, 5 Z7 Y, t* 6F LEGAL DESCRIPTION:
Building owner
Name: C-IH15 noI� E� G✓000
Address:
City: ,S PG''e4*'F'- v'//Zl�zip: 4 Z! t
Phone: Z! / Fax:
Contractor-
Name: CO11p`''TC, le,-
Address:
OAddress:
City. PO S " zip: q q Z c .0
Phone: Fax:
Lic No: rG/ /�� Exp. Date: Z ) D
City Business Lic No:
at AP �I
De nbscope of work in
detail:
Cost of Project:
$ 13's
MAIN FLOOFk TOOSSQ.
**************The foll wing MUST be complete: (write N/A if nota licable)**********************
HEIGHT TOP K:
DIMENSIONS:
# OF STORIES:
TA HABITABLE SPACE:
MAIN FLOOFk TOOSSQ.
0141
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
FTG: 4_`' / ` , r/
q
7� V
AREA:
FINISHED BASEMENT
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
SQ. FTG:
%/{
iG
PROPERTY: -1f/
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
EWER' R SEPTIC?
DISCLAIMER/'
The permitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the
dwelling Es/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 ��� Date
Method of Payment: (Faxed permit applications will only be accepted with majorbankcard)
❑ Cash 07 Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8252005
4VZZP- N�t�
..;�Valley 11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.100D ♦ Fax: 509.921.1008 ♦ dtyha[L9spokanevaley.org
Residential Plan Submittal Minimums
D 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.
D 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
0 18" X 24" crawl space access:
❑ 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
0 Insulation information
M , A
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41-07' PLANNING DEPT. APPROVED
BY -
DATE:
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