2006, 10-26 Permit App 06004053 DuplexOriginally Released:
Originally Released: 10/17/2006 By: TMELBOU
Originally Released: 10/18/2006 By: amblake
2006 08:49 FR
cct Nu ml x r. 06004053 Inv: I
Application
TIE IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
p''OLrig oration:
Permit Use: DUPLEX, gas beat, on septic
Setback ;::Float Taft: Right Rear
Sitelnfornuaion:
Plat lKey
Paige !'gumbo; 45134.2801 Block:
:li teAddress: 16808E BROADWAY AVE
Name: Range
Location:: CSV
Zoning: UNKN Unknown
Water District:
Area: 20,072 Sq Ft Width: 0
Nbr of Bidgs: 0 Nbr of Dwellings: 0
Review Iid_r, oration:
Rain ex
Floc d Plain
BulldngPlan Review
Drive way/Approach
Sep ii: Sys Review
i� 1_ o a itt-thr80.. `------- .
l.]oi'u,
Contact: ENGEBRETSON, JOHN E/ROBERTS, S
Address: 111 W ROLLAND AVE
C-S-Z: SPOK.ANE,WA 99218
Phone: (S09) 953-8808
Group Name:
Project Name:
District:
Lot:
Owner. Name: ENGEBRETSON, JOHN E/ROBER
Address: 111 W ROLLAND AVE
SPOKANE, WA 99218
Hold: ❑
Depth: 0 Right Of Way (ft): 0
10/18/2006 By: ambiake
TO 3241567 P. 01/03
Date: 10/26/2006 Page 1 of 3
Optnitor: AMB Printed By: AMB
bedrooms or gallonsperday.
OCCUPANCY NOT A LOWED until system
installation has SRHD approval.
Print Date: 10/26/2006
Project Number: 06004053 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DUPLEX, gas heat, on septic
Setbacks: Front
Site Information:
Plat Key:
Date: 10/26/2006 Page 1 of 3
Contact: ENGEBRETSON, JOHN E/ROBERTS, S
Address: 111 W ROLLAND AVE
C - S - Z: SPOKANE, WA 99218
Left: Right: Rear: Phone: (509) 953-8808
Group Name:
Project Name:
Name: Range
District:
Parcel Number: 45134.2801 Block:
SiteAddress: 16808 E BROADWAY AVE
Location:: CSV
Zoning: UNKN Unknown
Water District:
Area: 20,072 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: ENGEBRETSON, JOHN E/ROBER
Address: 111 W ROLLAND AVE
SPOKANE, WA 99218
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Flood Plain
Released By:
Building Plan Review
Originally Released: 10/18/2006 By: amblake
Released By:
Driveway/Approach
Originally Released: 10/17/2006 By: TMELBOU
Released By:
Septic Sys Review
Originally Released: 10/18/2006 By: amblake
Released By:
\ ,o Q) dvAcko tD d11 c, 11i��3�DZv
Operator: AMB Printed By: AMB Print Date: 10/26/2006
gone
Walley
Co,:, .: nity Development
P erut Cep ter
11707 .E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Residential Construction
Permit Application
PER?v ' INTU1V3ER.:2{(
PERMITFEE:
Construction
o Addition/Remodel
o Other:
o Accessory Bldg
❑ Deck
Slit, ADDRESS
/I508 E rrcXtclweiy
ASSESSORS PARCEL NO: 1-4 5-1 34. o j0 ( LEGAL DESCRIPTION:
Building owner
Name: Joh.ir Py1s ir•elorq
Artriress: i 11 W. a l l /i4C3 4v,
City: S pnJchpi&. Zip: 9 9 W6
Phone:6o9-95.3-99d'SFax: 6.of-92J-o.27/
;•C�on,.tac>�•;Person.,.
Name: ,Je 1-A4
Phone: _.0 3-.iii d e 0 K- R�w QIl 5 f -/ S - /71
Deribe the scope of work in detail:
4:S cf
Contractor-.2...::,;::--
Name: ! C,i2�
Address:
City:
Zip:
Phone:
Fax:
Lic No:
Exp. Date:
City Business Lic No:
Cost of Project:
$ (7.QS, OO a
**************The followin6 MUST be complete: (write N/A if not applicable}**********************
HEIGHT O PEAK:
i
DIMENSIONS:
# 2 TORiES:
TO��BLE SPACE:
MAIN FLOOR TO SQ.
_ / 3 ei/
2'v" FLOR SQ. FTG:
/is /4/'"V
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: p
GARAGE SQ. FTG:
3�a---)c ?27
DECK/ OV. PATIO SQ. FTG:
,; / 20
30% SLOPES ON
PROPERTY:
# OF BEDROO 'IS: .,
-. `T
CONSTRUCTION TYPE:
2.est ' 41 06
HEAT SOURCE:
o c s
SEWER OR SEPTIC?
S.0.9ftL
DISCLAIMER e rk s•1 d -10'
The penmitee 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 rocessed.
Signature
Method of Payment:
❑ Cash
Bankcard n:
Date
(Faxed permit applications will only be accepted with major bankcard)
❑ Check ❑ Mastercard ❑ ViSA
Expires: VIN#:
Authorized Signature:
REVISED 8252005
r6_ to-2-oOc..
❑ Other
11707 E Sprague Ave Suite 1D6 ♦ Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 6 citynall@spokanevai{ey.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.
❑ 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.
❑ 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
❑ 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
0
0
Lo r ia.2 >a 2,6 ci cZ�
GAL �IfLA �t o4 5
4- SR. \20 GPI /g06P0
4"13.0 ).. 0.4_
0,145 SLR z .5 vJh:a.s
e - G4' 'cX.. 4� . i t .S
E EXPIRES: 5/12! o`t 1
41- It — *co
256 LF
•
•3g'': •.
d
3d ‘500 6 5.'1
e+-
st-
1161-'t- \rNtE5
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PLc:T SP k\t\I
•
:3 Gv
d
•
O
♦9 •
•
\ \
O5
Ce4`
•
I CERTIFY THAT THIS DESIGN MEETS
AU.RIAES AND REGULATIONS OF THE
• WP9HINGTON STATE DEPARTMENT
OF HEALTH AND THE SPOKANE
REGION?tI-IEAiS 3DISTRICT.
•
5
MvtirroIL 1'J HLS
"Pre
3504 N. Kam, RdfE
Offs *chards, WA 99027
15010 0274120/21741007
�} sot�7-�1Z0
o
9d d9HSId 9:
OZiO L26 60S:
a
WdOS:0I 900Z EZ
Project Number: 06004053
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Landuse/Zoning/HF Conditions
Permits:
Date: 10/26/2006 Page 2 of 3
Released By:
Originally Released: 10/16/2006 By: mharnois
Contractor: OWNER
. _.. �.Approach
Item Description
APPROACH-CONST IN ROW
Contractor: OWNER
Description Gar Type Notes
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
DECK OPEN R-3 VB
GAR WOOD U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Item Description
DUCT SYSTEMS
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
GAS LOG OR GAS INSERT
Firm: OWNER
Phone: (000)
Units Unit Desc
2 NUMBER OF
000-0000
Fee Amount
$100.00
Permit Total Fees:
Building Permit
Firm: OWNER
Phone: (000)
This Application:
Sq Ft Valuation
1,341 $115,822.17
1,468 $109,630.24
120 $1,800.00
827 $15,713.00
Totals: 3,756 $242,965.41
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
$100.00
000-0000
Total Project:
Sq Ft Valuation
1,341 $115,822.17
1,468 $109,630.24
120 $1,800.00.
827 $15,713.00
3,756 $242,965.41
Fee Amount
$1,794.55
$4.50
$717.82
$2,516.87
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 NUMBER OF
2 NUMBER OF
4 # OF UNITS
2 NUMBER OF
6 NUMBER OF
2 NUMBER OF
Operator: AMB Printed By: AMB
Permit Total Fees:
Print Date:
Fee Amount
$20.00
$24.00
$4.00
$24.00
$60.00
$20.00
$152.00
10/26/2006
Project Number: 06004053 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Date: 10/26/2006 Page 3 of 3
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 6 NUMBER OF $36.00
SINKS 6 NUMBER OF $36.00
TUBS 4 NUMBER OF $24.00
DISHWASHERS 2 NUMBER OF $12.00
CLOTHES WASHER 2 NUMBER OF $12.00
FLOOR DRAINS 2 NUMBER OF $12.00
Permit Total Fees: $132.00
All driveway approaches to be constructed per Spokane County Standards as adopted by the City of
Spokane Valley.
Minimum of 7.5' from each property line, 5' from crosswalks or intersection curb and minimum of 15'
of separation between any two approaches.
Flat portion of a residential approach to be minimum of 16' wide, maximum of 30' wide and combined
approach width not to exceed 50% of total frontage.
Payment Summary: —
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$100.00
$2,516.87
$152.00
$132.00
$100.00
$2,516.87
$152.00
$132.00
$2,900.87 $2,900.87
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owino
$100.00
$2,516.87
$152.00
$132.00
$0.00 $2,900.87
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: 10/26/2006
Project Number: 06004053 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit ,
Project Information:
Permit Use:.,sfgas heat, on septic
uPLE-1(
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: Name: Range
Date: 10/11/2006 Page 1 of 2
,f
0
Contact: ENGEBRETSON, JOHN E/ROBERTS, S
Address: 111 W ROLLAND AVE
C - S - Z: SPOKANE, WA 99218
Phone: (509) 953-8808
Group Name:
Project Name:
District:
Parcel Number: 45134.2801
Block:
SiteAddress: 16808 E BROADWAY AVE
Location:: CSV
Zoning: UNKN Unknown
Water District:
Area: 20,072 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: ENGEBRETSON, JOHN E/ROBER
Address: 111 W ROLLAND AVE
SPOKANE, WA 99218
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Flood Plain %
Released By:
Building Plan Review
Released By: T j 0 ! 74_4
Driveway/Approach
Released By:
Septic Sys Review
'�`tl\aP , 101 Cgae,
Released By:
Landuse/Zoning/HE Conditions
Released By: 7'7( Li" 1_/_0
Operator: AMB Printed By: AMB Print Date: 10/11/2006
Sprnokane
galley
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)658-0037
Community Development www.spokanevallev.ori
Plumbing Permit Application n Commercial
PERMIT NUMBER:
PERMIT FEE:
i iesiiadntiai
SITE ADDRESS: l C0 00`7 t {g9044/
Building Owner
((�5
Name: 3 nw tide I,re_g0... i
Phone: a- 88ai
Fax:
9a-c —03 7
/
Address: / , Qb,# f, , /Cu el/K� 4/
City: G /G.a'�!
Sta;
„�.,.
Zip: pa103 7
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
1
TOILETS
WATER CLOSET. BIDETS
X
$6.00
ate
2
URINALS
X
$6.00
3
4
5
TUBS
SHOWERS (PER TRAP)
SINKS
BATH, STALL, ON -SITE BUILT
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY. UTILITY, JANITOR, PHOTO,
X-RAY. FOOD. PREP/CULINARY MEAT
L1
Lp
x
X
X
$6.00
$6.00
$6.00
.2it
Y Y
6
7
8
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
2_
X
X
$6.00
$6.00
$6.00
/2-
/ 2-
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
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
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19
20
MEDICAL GAS (per outlet)
MISCELLANEOUS PLUMBING FIXTURE
NITROUS, OXYGEN
X
X
$6.00
$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:
/b7
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevailev.oro
Mechanical Permit Application
Valley
PERMIT NUMBER:
PERMIT FEE:
E Commercial [+ tesideatial
SITE ADDRESS:
Building Owner
n9
Name: ADNev L.? O 6/I O,-v
Phone: s'of,,is.�-�48�
Fax: 57�o"0%/
Address: ill „re mad C, J/4,.r(
nits
City ...c/0 do,e .,C.
State: tri.e_
Zip: Spa As
Contractor
..
..
Name:... ( sni TU' "ffruee. Li t a
Phone: q q'ti js02-
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact .. ..:
..
Name:
Phone:....
1
2
3
4
5
6
7
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
USED APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
Equal to or less than 100,000
More than 100,000
Equal to or less than 400,000
More than 400,000
Equal to or less than 400,000
More than 400,000
1- 100M BTU
# OF UNITS
y
X
X
X
X
X
X
X
X
COST
$12.00
$15.00
$50.00
$100.00
$50.00
$100.00
$12.00
= TOTAL AMOUNT
yea
8
BOILER/REFRIGERATION
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
13
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
X
X
$10.00 •
$10.00
20
'14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
18
19
20
21
22
GAS PIPING (each outlet)
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
Equal to or less than 10,000 CFM
Greater than 10.000 CFM
2
X
X
x
X
X
X
$1.00
$10.00
$10.00
$12.00
$15.00
$10.00
At. -
(P4
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
26
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
0-3 TON
3-15 TON
of
X
X
$12.00
$20.00
a4
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
$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
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK [I VISA I -I Mrs
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
VNVI211C0
A UDITOR'S CERTIFICATE;
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BLOCK 7
TRACT
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I'ALLRI'4V,Y AVENUE
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BLOCK 8
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1/4* P a, au tato Tat 11I0-00:
ma n:5a. n re. s51V. 42.71%
Iwi No tog d>ti , PP Ilya. Ss1Ft ye5':
teti cat la{ 3' Pi, toot. 5107.
Found i/5 rebor,
per Plat in
Bk. 15 of Short
Plots, Pg. 57.
LEGEND
J,Sat 1/' n :coho.a3a.
N id
u • iNN a, net'.!
5000nYan om-n4„)
LY:y Ea51rattt
4Va,HIC SCALE IN FEET)
5 39 90 1M
EQUIPMENT &- PROCEDURE
Tole v y v 0 performed using o Neon o131-520
Total Stollen. Tie Field lrovoraa molhods usod
pod Iho Maw end cngulor requhements of WAS332 130-090(1)(C) ono RC'!9 58.09.
The I'neor orrerw of <lora 1 the property cuter
houndery prier to any adjotmmo soon 0.0035.
BASIS OF BEARING
Too Booting of N CO'25'31•1p along thin Trost nno al
Snod Plot 6E13-93 as ,ocerded In Soak 93 of Short
P1011 Page 39 was WO as lho Saab of Boating ter
INS Shari Plot.
SURVEYOR'S CERTIFICATE
Le n,7 euneut nennestn n tatty mil5 by m w!v
.IP nl el at Cap PPP
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Pvin L Smnrn PS. 4 LS 9947
SPOKANE VALLEY FINAL SHORT PLAT
SIIP -. 1.1--05
1HE 11E1/4 OF THE SE1/4 OF
SEC. 13 T.25N.,R.44 E.W.M.
SHEET 2 OF 2
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impson Engineers, Inc.
CIVIL ENGINEERS et LAND SURVEYORS
N. 909 ARGONNE ROAD, SPOI(ANE WA.. 99212-R789
n:@0E 009) 926-13i2 t.55 (sn) 126-I1t
Project Number: 06004053 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DUPLEX, gas heat, on septic
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key:
Name: Range
Date: 10/18/2006 Page 1 of 3
Contact: ENGEBRETSON, JOHN E/ROBERTS, S
Address: 111 W ROLLAND AVE
C - S - Z: SPOKANE, WA 99218
Phone: (509) 953-8808
Group Name:
Project Name:
District:
Parcel Number: 45134.2801 Block:
SiteAddress: 16808 E BROADWAY AVE
Location:: CSV
Zoning: UNKN Unknown
Water District:
Area: 20,072 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: ENGEBRETSON, JOHN E/ROBER
Address: 111 W ROLLAND AVE
SPOKANE, WA 99218
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Flood Plain
Released By:
Building Plan Review
Originally Released: 10/18/2006 By: amblake
Released By:
Driveway/Approach
Originally Released: 10/17/2006 By: TMELBOU
Released By:
Septic Sys Review
Originally Released: 10/18/2006 By: amblake
Released By:
Operator: AMB Printed By: AMB
Print Date: 10/18/2006
Project Number: 06004053
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Landuse/Zoning/HE Conditions
Permits:
Date: 10/18/2006 Page 2 of 3
j Released By:
Originally Released:
10/16/2006 By: mharnois
Contractor: OWNER
Item Description
APPROACH-CONST IN ROW
Contractor: OWNER
Description Grp Type Notes
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
DECK OPEN R-3 VB
GAR WOOD U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Item Description
DUCT SYSTEMS
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
GAS LOG OR GAS INSERT
Operator: AMB
Approach
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 NUMBER OF
Permit Total Fees:
Building Permit
Firm: OWNER
Phone:
Fee Amount
$100.00
$100.00
(000) 000-0000
This Application:
Su Ft Valuation
1,341 $115,822.17
1,468 $109,630.24
120 $1,800.00
827 $15,713.00
Totals: 3,756 $242,965.41
Units Unit Desc
1
1
1
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Total Project:
Se Ft Valuation
1,341 $115,822.17
1,468 $109,630.24
120 $1,800.00
827 $15,713.00
3,756 $242,965.41
Fee Amount
$1,794.55
$4.50
$717.82
$2,516.87
Firm: OWNER
Phone: (000)
Units Unit Desc
2 NUMBER OF
2 NUMBER OF
4 # OF UNITS
2 NUMBER OF
6 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Printed By: AMB Print Date:
000-0000
Fee Amount
$20.00
$24.00
$4.00
$24.00
$60.00
$20.00
$152.00
10/18/2006
Project Number: 06004053 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Date: 10/18/2006
Page 3 of 3
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
Units Unit Desc
6 NUMBER OF
6 NUMBER OF
4 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Fee Amount
$36.00
$36.00
$24.00
$12.00
$12.00
$12.00
$132.00
All driveway approaches to be constructed per Spokane County Standards as adopted by the City of
Spokane Valley.
Minimum of 7.5' from each property line, 5' from crosswalks or intersection club and minimum of 15'
of separation between any two approaches.
Flat portion of a residential approach to be minimum of 16' wide, maximum of 30' wide and combined
approach width not to exceed 50% of total frontage.
Payment Summary: ;,.-.- —,a
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$100.00
$2,516.87
$152.00
$132.00
Invoice Amount
$100.00
$2,516.87
$152.00
$132.00
$2,900.87 $2,900.87
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$100.00
$2,516.87
$152.00
$132.00
$0.00 $2,900.87
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: 10/18/2006