2011, 06-02 Permit App 11001567 RemodelProject Number: 11001567 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: UPDATE BATHROOM, ADD BEDROOM Contact: RODGERS, CHRISTOPHER T & MARC
Address: 14215 E BROADWAY AVE
C - S - Z: SPOKANE VALLEY, WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509) 838-0245
Group Name:
Site Information:
Project Name:
Date: 6/2/2011 Page 1 of 2
Plat Key: Name: VERADALE HEIGHTS District: East
Parcel Number: 45142.1102 Block:
SiteAddress: 14215 E BROADWAY AVE
Location:: CSV
Lot:
Owner: Name: RODGERS, CHRISTOPHER T & M
Address: 14215 E BROADWAY AVE
SPOKANE VALLEY, WA 99216
Zoning: R-4 SF Res Urban District
Water District: 010 VERA Hold: ❑
Area: 12,802 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Permits:
Released By:
Originally Released: 6/2/2011 By: tmelbourn
Contractor: OWNER
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp 1:1m Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB PLAN 0 $1,700.00 0 $1,700.00
REVIEW
FEE
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 0 $1,700.00 0 $1,700.00
Units Unit Desc Fee Amount
1 SELECT $69.25
I SELECT $4.50
1 SELECT $27.70
Permit Total Fees: $101.45
Operator: jmm Printed By: JD
Print Date: 6/2/2011
Project Number: 11001567 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Item Description
SINKS
TUBS
WATER PIPING - DWV
Notes:
Plumbing Permit
Date: 6/2/2011 Page 2 of 2
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$6.00
$12.00
$30.00
Payment Summary:
Permit Type
Building Permit
Plumbing Permit
Fee Amount Invoice Amount
$101.45 $101.45
$30.00 $30.00
Amount Paid Amount Owing
$27.70 $73.75
$0.00 $30.00
$131.45 $131.45 $27.70 $103.75
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: JD Print Date: 6/2/2011
Spokane
jUalley
For City Use Op ly
PLUS Project Numb/eD
� / ri%
Project Address // - C
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
c/b/A
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.
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.
WHITE -APPLICANT PINK - BUILDING FILE REV 9Jo7
CI`fYdF "j
Spokanej
it -r
ley
Pco1
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spoka nevalley.oro
Lo#2, Blacks i,'eHe
P
e 3 o Q r, e- C.c)r-i vt-_
Name
;�, CONSTRUCTION ONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION ADDITIO MOD f] ACCESSORY BUILDING
0 DECK ❑ OTHER
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: f/1 /E _ p c,.,
ASSESSORS PARCEL NO.: ifs' tit
BUILDING OWNER NAME:
r: S
XJ
am
V A, STATE: IA/
CITY: �o _ V
PHONE: ('jc
g3 ° FAX: NVA—
NAME:
ADDRESS: ty2/5—
CONTACT NAME:
V
GAL DESCRIPTION:
CELL:
fs,Vol. 1,P,ioc
wA- 99,000
ZIP: 99,2 / l2
svc7) 9 ? 7 - '0(.74.
PHONE:
FAX: CELL:
CONTRACTOR NAME: her,.. -,t
MAILING ADDRESS:
No 11,2_1-
CITY:
PHONE:
FAX:
STATE: W ZIP:.
CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPEO1OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
�///
W rt s"7 rS t i l } Nroo v-•• L n. C. n 0.11-L,'
****YOU MlbST<COM.P-LET-EIHE-EOLLOWING**** �, L
�MADI! wl /A TC wi, r wrir�. •r , .. . I Jc4 S Nov G7n
Height to Peak:
Dimensta i
No. of Storie :
1 & A ,b45.241•
Total Habitable
Space: 3 lC.
Mai, Floor SQ FT:
, (r�E%U
Upper Floor SQ FT:
N/A-
Unfinished Basement SQ
FT: 2..,r 7
Finished Basement SQ
FT: v / Z Oc�
Garage SQ FT:
Deck/Covered PatioQ�
FT: 00 � .
Impervious Surface 30% Slopes on
Area: Dr )vow ay lr i,.,ai isI Property N/A-
"".i S VD
No. of Bedrooms:
if
Construction Type: R.¢„r,
Heat Source: fi,` j (-S-ewe`'i yr Septic:
TOTAL COST OF PROJECT: $ /l 5-00 .. 2 °
DISCLAIMER l�
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) ns or additional
information may be required to be submitje�i..nd subsequently approved before this application can be processed. / /
Signature
Date:
Updated 1-11-11 Page 1 of 1
http://www. spoka nevalley.org/filestorage/ 124/938/210/948/ 1496/Building_Perm it_ -_Res idential_11-11-11.doc
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
❑ SITE PLAN
❑ Property lines and dimensions
❑ Direction arrow pointing North and orientation to streets
❑ Proposed/existing buildings (footprint and dimensions)
❑ Utilities, septic tank/drain field locations and distances
❑ Setbacks to property lines
❑ Distance between buildings
❑ Right of way/easement location & sizes
❑ Driveway approach size and location
BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned)
❑ Elevations (Front/Rear/Sides) with roof peak and wall height including basement:
❑ Foundation Plan (crawlspace, basement or slab on grade):
❑ Footing sizes and locations
❑ Perimeter concrete foundation wall sizes
❑ Crawlspace ventilation
❑ Supporting wood cripple walls or beams
❑ Thickened concrete pads supporting
beams or girder trusses
❑ Floor Plan of each level (finished or unfinished) with dimensions:
❑ Floor Joist direction, size and spacing
❑ Header, beam or concrete lintel sizes
❑ Brace wall panel locations
❑ Water heater and furnace locations
❑ Exhaust fan locations
❑ Deck or concrete patio sizes and locations
❑ Roof Plan:
❑ Engineered truss direction and spacing
❑ Rafter and over frame direction, size and spacing
❑ Wall Section Detail including:
Roof
❑ Slope/ roofing material/ underlayment/ ice dam protection
❑ Sheathing size and type
Ceiling
❑ Joist size and spacing
Wall
❑ Height/ top plate/ stud size and spacing/ sole plate
❑ Exterior sheathing size and type
Floor
❑ Joist size and spacing
Foundation Wall
❑ Concrete or Masonry unit width
❑ Earth to wood separation distance
Footing
❑ Size
Radon
❑ Passive system with 6mi1 vapor barrier
Miscellaneous Construction Details
❑ Deck:
❑ Floor plan/ side view/ dimensions
❑ Floor Joist/ decking direction, size and spacing
❑ Stairway tread rise & run and nosing
❑ Window and door location and sizes
❑ Window well locations if applicable
❑ Room usage labels
❑ Smoke detector locations
❑ Attic and crawl space access locations
❑ Fire Wall construction
❑ Ridge, eave and valley lines
❑ Beam and girder size and location
❑ Truss or rafter size, spacing & connection
❑ Attic insulation/ air space baffle/ ventilation
❑ Size of ceiling gypsum wall board
❑ Siding/ exterior house wrap/ anchor bolts
❑ Insulation, vapor barrier, gypsum wall board
❑ Sheathing or concrete floor size/ insulation
❑ Footing bottom to finished ground level depth
❑ Horizontal & vertical reinforcement if any
❑ Reinforcement if any
❑ Active system with 6 mil vapor barrier
❑ Footings/ post/ and beam size and locations
❑ Handrail / Guard height & spacing
Spokane
®00Valley-
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter(cr�sp okaneval l ey. org
PERMIT NUMBER:
PERMIT FEE:
Community Development
Plumbing Permit Application
SITE ADDRESS: J 2/ 5— e-
A
❑ Commercial sidential
?2f l
Building Owner
LI
Name: % 1 J�
I
Phone: ) G."ze < Fax: AIx—
Address: / % „2.i `-- ri
e.
. ad v ct.� Ave_ City:
State: �. A_
Zip: V i (f
Contractor
_
1
Name:
Phone: Fax:
Address:
City: State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
(lXI'S_
Name: C L-/
g Phone: T"?9 — 2 Pe'
# OF UNITS
PLUMBING FIXTURE ON A TRAP
i
TOILETS
URINALS
TUBS
I
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
2
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
REPAIR OR ALTERATION
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
MEDICAL GAS
Area, Case, Coil, Trench, Condensate
Installation, Alterations, Repair, Reversals
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
If Gas, See Mechanical
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
Water piping, drainage or vent piping
Other than atmospheric type vacuum breakers
INCEPTORS
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PlumbingPermitAppl ication040309.doc