2007, 09-19 Permit App: 07003717 AdditionSpokane
.0.00 Valley'
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
PERMIT NUMBER: -]
PERMIT FEE:
New Construction
�( Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS: /0472 D C//yl ")? /2J"OiC/ /"V,
ASSESSORS PARCEL NO: y�3 6,2 `/ .- /Ul% / LEGAL DESCRIPTION:
Building Owner:
Name: cto�%%,•('// ",„590
/�
Name: /)%l'��/I,/ /t/.B/
/^
Address` /27 `O. ,. G/`ii�
y,‘"7
City: S,c,, ,04i/�' /74/k/ State:
Lj,g Zip7q ,
Phone: 4t. Fax:
Contractor Lic No:,q 14, x coax Date:
,D�i-
Contact Person
Name: c Wr-
Phone: c,'p/ Qrj
Describe the scope of work in detail:
Acid .#'7 8'W s f f7 .A ,1 7A(0 �
Proposed Use:
Contractor: #/ //�i , nf�� S7I r(% /moi/ev
Name: cto�%%,•('// ",„590
# OF STORIES:
1
Address: �,//5— ,...5--, 7-0/1„)A, 7//l/
MAIN FLOOR TO SQ.
FTG: . / �' / 0C
�s (J
City: i'/'C//i/eIt'"S State: //1/19._
Zip: fyo/w
Phone: 9,9/ O/3.__ v Fax: 902,2 g
�i6./�
//�OV�
Contractor Lic No:,q 14, x coax Date:
,D�i-
C/
/
City Business Lic. No:
# OF BEDROOMS:
Cost of Project: $
**************The following MUST be complete: (write N/A if not applicablel**********************
HEIGHT TO PEAK:
6.
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG: . / �' / 0C
�s (J
2ND FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASE l
SQ. FTG: (p�
GARAGE SQ._F
X21
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
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:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
0 Check
❑ Mastercard
Expires:
DATE: O
0 VISA
VIN#:
Spokane
../Valley -
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ cityhall@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.
Li 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.
❑ AH 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.
D Smoke detector locations
❑ 22" X 30" attic access location
❑ 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
❑ Insulation information
•
Spokane
�jValley�
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.snokanevalley.org
PERMIT NUMBER: �� 4
PERMIT FEE:
n Commercial n Residential
SITE ADDRESS:
Building Owner
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lie:
Contact
Name:
Phone:
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
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400 000
X
$50.00
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
7
BOILER/REFRIGERATION
1 - 10OM BTU
X
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
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
4-15 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
$10.00
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
522.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK 0 VISA 0 MC
CARD it.
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Permit Center
an. �. 11703 E Sprague Ave, Suite B-3
Spokane Spokane Valley, WA 99206
Y (509)688-0036 FAX: (509)688-0037 valley� www.spokanevalley.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial n Residential
SITE ADDRESS:
Building Owner
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
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
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY FOOD, PREP/CULINARY MEAT
X
$6.00
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
X
$6.00
8
GARBAGE DISPOSAL
X
$6.00
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
56.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
X
$6.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
15
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
56.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
56.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
56.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
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:
Project Number: 07003717 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/26/2007 Page 1 of 3
Project Information:
Permit Use: RES ADD
Setbacks: Front
Site Information:
Plat Key: 003628 Name: PONDEROSA 06TH ADD District: Sout
Contact: HILAND CONSTRUCTION
Address: 4135 S CONKLIN RD
C - S - Z: GREENACRES, WA. 99016
Left: Right: Rear: Phone: (509) 991-0158
Group Name:
Project Name:
Parcel Number: 45324.1001 Block:
Lot:
SiteAddress: 10102 E CIMMARON DR Owner: Name: WALKER, MOTOKO K
Address: 10102 E CIMMARON DR
Location:: CSV SPOKANE, WA 99206-9670
Zoning: UR -1 Urban Residential -1
Water District: 101 SPO CO WATER DIST#3B Hold:
Area: 40,779 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Released By:
Originally Released: 9/26/2007 By: TMELBOU
Landuse/Zoning/HE Conditions
Permits:
Released By:
Originally Released: 9/24/2007 By: mpalaniuk
Operator: JD Printed By: jmm
Print Date: 9/26/2007
Project Number: 07003717 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/26/2007 Page 2 of 3
Building Permit
Contractor: HILAND CONSTRUCTION Firm: HILAND CONSTRUCTION
Address: 4135 S CONKLIN RD Phone: (509) 922-8980
GREENACRES, WA 99016
Building Characteristics
Building Height 16
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
RES ADD R-3 VB RES ADD 0 $94,100.00 0 $94,100.00
Totals: 0 $94,100.00 0 $94,100.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $958.75
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $383.50
Permit Total Fees: $1,346.75
Mechanical Permit
Contractor: HILAND CONSTRUCTION Firm: HILAND CONSTRUCTION
Address: 4135 S CONKLIN RD Phone: (509) 922-8980
GREENACRES, WA 99016
Item Description Units Unit Desc Fee Amount
DUCT SYSTEMS 1 NUMBER OF $10.00
VENTILATING FANS 2 NUMBER OF $20.00
Permit Total Fees: $30.00
Plumbing Permit
Contractor: HILAND CONSTRUCTION Firm: HILAND CONSTRUCTION
Address: 4135 S CONKLIN RD Phone: (509) 922-8980
GREENACRES, WA 99016
Item Description Units Unit Desc
TOILETS/BIDETS 1 NUMBER OF
SINKS 2 NUMBER OF
TUBS 1 NUMBER OF
Operator: JD Printed By: jmm
Permit Total Fees:
Fee Amount
$6.00
$12.00
$6.00
$24.00
Print Date: 9/26/2007
Project Number: 07003 71 7
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/26/2007 Page 3 of 3
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,346.75
$30.00
$24.00
Invoice Amount
$1,346.75
$30.00
$24.00
$1,400.75
$1,400.75
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$1,346.75
$30.00
$24.00
$1,400.75
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: JD Printed By: jmm
Print Date:
9/26/2007