2011, 07-12 Permit App 11001905 ResidenceProject Number: 11001905 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 7/12/2011 Page 1 of 3
Permit Use: NEW SFR-SEWER Contact: STALLMAN, VERLA-CHAPPELL, SHAR
Address: PO BOX 604
C - S - Z: OTIS ORCHARDS WA 99027
Setbacks: Front Left: Right: Rear: Phone: (509) 226-3788
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: Range District: East
Parcel Number: 55082.0145 Block: Lot:
SiteAddress: 19312 E BUCKEYE AVE
Location:: CSV
Owner: Name: STALLMAN, VERLA-CHAPPELL,
Address: PO BOX 604
OTIS ORCHARDS WA 99027
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19
Area: 1.58 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Originally Released:
Landuse/Zoning/HE Conditions
Driveway/Approach
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
6/30/2011 By: tmelbourn
Released By:
Originally Released: 6/29/2011 By: tschmidt
Released By:
APPLIED FOR AND APPROVED #11002015
Originally Released: 7/12/2011 By: jdavis
Sewer Review
Permits:
Released By: _
Operator: jmm Printed By: JD
Print Date: 7/12/2011
Project Number: 11001905 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Date: 7/12/2011 Page 2 of 3
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 2,875 $290,231.25 2,875 $290,231.25
2ND FLOOR R-3 VB 1,466 S108,791.86 1,466 $108,791.86
DECK OPEN R-3 VB 750 $11250.00 750 $11,250.00
GAR WOOD U-I VB 960 $18.240.00 960 $18,240.00
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW <7999 SQ FT
SFR / DUP SITE PLN REVIEW
Totals: 6,051 $428,513.11 6,051 $428,513.11
Units Unit Desc
1 SELECT
I SELECT
I SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$2,836.15
$4.50
$1,134.46
$50.00
$4,025.11
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $11.00
GAS PIPING 3 # OF UNITS $3.00
BOILER/REFER 501-1000 BTU 1 NUMBER OF $26.00
VENTILATING FANS 1 DUCT 6 NUMBER OF $66.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 2 NUMBER OF $20.00
GAS LOG OR GAS INSERT 1 NUMBER OF $11.00
HOOD -TYPE 11 I NUMBER OF $11.00
Permit Total Fees: $158.00
Operator: jmm Printed By: JD
Print Date: 7/12/2011
Project Number: 11001905
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Inv: 1
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Date: 7/12/2011
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
4 NUMBER OF
7 NUMBER OF
4 NUMBER OF
1 NUMBER OF
I NUMBER OF
1 NUMBER OF
1 NUMBER OF
6 NUMBER OF
Permit Total Fees:
Fee Amount
$24.00
$42.00
$24.00
$6.00
$6.00
$6.00
$6.00
$36.00
$150.00
Notes:
APPROACH PERMIT MUST BE SUBMITTED AND APPROVED BEFORE RELEASE OF
BUILDING PERMIT 11 -1905. OWNERS KNOW OF THIS CONDITION -
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$4,025.11
$158.00
$150.00
Amount Paid
$4,025.11 $1,152.58
$158.00 $0.00
$150.00 $0.00
$4,333.11 $4,333.11
Amount Owing
$2,872.53
$158.00
$150.00
$1,152.58 $3,180.53
Page 3 of 3
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: 7/12/2011
/V)9.re.51
Ale /.)ii0J-•
A
RECEIVED
CSV PERMIT CENTER
JUN 2 2011
Project
Name
Submittal
PLANNING DEPT. APPROVED
DATE: 0-14
'57 X1 80
&7 dL 0/)
PAo,e2 111.
/ 0 I
.5-
.26 ' '1____,------------ — , -7, d k-----------7------
----- `
vs N ' '
:20-9-•?---
-c• \ ,
`i -------------T-r9. 0
RECEIVED
. C_T.r D=RMIT CENTE omm nity Development Department
Permit Center
=.__` • s.• Y1703E�ast Sprague Avenue, Suite B-3
c:TyoF
o,Spokan Valley, WA 99206
—"Tel: (50�) 720-2540
_Fax: (5. 9) 688-0037
permitcdnter@spoka nevalley.orq
Submittal
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
mm
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION 7 ADDITION/REMODEL ACCESSORY BUILDING
DECK ❑ OTHER
SITE ADDRESS: /9 .? e:
ASSESSORS PARCEL NO.: =, ,5?) • 4 /S/5
BUILDING OWNER NAME:
LEGAL DESCRIPTION/-F
NAME:
ADDRESS: /J i� �"�.4. ;•
CITY:
PHONE: �:2_ > r� /' 3 7,P„5----
a
CONTACT NAME: �ijf f ` / j n `) J
f
^ g� hi PHONE: / - c..2,- ' �y - ' ( CJ FAX:
CONTRACTOR NAME:
} J ..';',1,', .....y — ----- %-__(:),,,.../... i (.....ika .11/C .s, .6f
:1 / ,-31.D.F?� J,,/,1
F"
STATE: /,
kg- . ZIP:Y %.4•....'
FAX: CELL:
CELL:
MAILING ADDRESS:
CITY:
all-6--{t 2 r
STATE:
ZIP:
PHONE:
CONTRACTOR LICENSE NO.:
FAX:
CELL: 4,9 -
EXPIRES: CITY BUSINESS LICENSE NO.:
DESRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A I
Height to Peak/ _'� "/
c'/ /v 7 '
Dimensions:
7.�� f a--
No. of Stories:
•
Total Habitable
Space:-gl•?-'//,
Main Floor SQ FT:
0 !L ‘,.-2, 7
Upper Floor SQ FT: Dr_
' '
Unfinished Base ent SQ
FT: /V
Finished Basement SQ
FT:
j/ ,', /// /
Garage SQ FT: �� rr,..,, /
���((
Deck/tiered Patio SQ
Impervious Surface
Area: f
Heat Source:,'. /.1./6,4,-,.Sewer
30% Slopes on
Property:
rty:
or Septic:,, , ;, -77i
FT:
K
Construction Type:,/7i4,4)
No./of Bedrooms: ?
TOTAL COST OF PROJECT: $
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) All construction is to be done In full compliance with the City of
Spokane Valley Development code. Referenced codes are available forreview 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 robe submitted and subsequently approved before this application can be processed.
c-mow••^----,
Signatt.
Date: %, tJ S' - / /
Updated 1-11-11 Page 1 of 1
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Building Permit - Residential 11-
11-11.doc
Sal kane
Malley
Community Development www.spokanevalley.org
Plumbing Permit Application n Commercial
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: / 4X/c 2
Building Owner
��
,,Qi l%
Name:
Phone: _
�� � � �
_,
� 7�5
Address:%�
`
z,D
City:
yZ/ / 4 ,
$fate: 1
1j4
Zip:
4f9
7
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
COST
TOTAL AMOUNT
1
2
TOILETS
URINALS
WATER CLOSET, BIDETS
$6.00
$6.00
3
TUBS
$6.00
/,—
4
5
6
7
8
SHOWERS PER TRAP
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
BATH, STALL, ON -SITE BUILT
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
7
1
1
$6.00
$6.00
$6.00
$6.00
$6.00
9
WATER SOFTENER
$6.00
10
ELECTRIC WATER HEATER
NOTE: IF GAS, SEE MECHANICAL
$6.00
11
12
FLOOR DRAINS
ROOF DRAINS/OVERFLOW DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
l
$6.00
$6.00
13
FOUNTAINS, DRINKING
$6.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
66.00
15
16
17
18
SEWAGE EJECTOR
WATER USING DEVICE
CROSS CONNECTION DEVICE
INTERCEPTORS
GRINDER, SUMP PUMP
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
$6.00
$6.00
$6.00
19
20
MEDICAL GAS (per outlet)
MISCELLANEOUS PLUMBING FIXTURE
NITROUS, OXYGEN
66.00
$6.00
21
PRIVATE SEWAGE DISPOSAL/SYS
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
$15.00
METHOD OF PAYMENT:
❑CASH I CHECK ❑ VISA ❑ MC
Card# l/
AUTHORIZED SIGNAT1
REVISED 8/26/05
EXPIRES:
VIN:
(14y4
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
Community Development
Mechanical Permit Application ❑ Commercial
SITE ADDRESS:
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
/9,f/..2 e
PERMIT NUMBER:
PERMIT FEE:
Vj Residential
Building Owner 404.62, < /�ci
•J
Name:
Phone: 9- .a
6.-57� 'Fax:
Address:Jg 6,„,
CityLg& hi.,,,,A
, State: L(..)4 `
Zip: 99�,=:)
7
Contractor Q a
a_../, J
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
COST
= TOTAL AMOUNT
1
2
3
4
5
6
7
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 Tess 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
X
$12.00
$15.00
$50.00
$100.00
$50.00
$100.00
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
$60.00
12
13
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
X
X
$10.00
$10.00
14
DRYER
$10.00
15
FUEL BURNING WATER HEATER
$10.00
16
MISC. FUEL BURNING APPLIANCE
$10.00
17
18
GAS PIPING (each outlet)
DUCT SYSTEMS
$1.00
$10.00
19
20
21
22
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
$10.00
$12.00
$15.00
$10.00
7. -
23
TYPE I HOOD
$50.00
24
25
TYPE II HOOD
HEAT PUMP/AIR CONDITIONER
0-3 TON
7J
X
$10.00
$12.00
/)
26
AIR CONDITIONER
4-15 TON
$20.00
27
AIR CONDITIONER
15-30 TON
$25.00
28
AIR CONDITIONER
30-50 TON
$35.00
29
AIR CONDITIONER
More than 50 TON
$60.00
30
LPG STORAGE TANK
S10.00
31
WOOD OR PELLET STOVE/INSERT
$10.00
32
WOOD STOVE - FREE STANDING
$25.00
33
REPAIR & ADDITIONS
$15.00
34
VENTILATION SYSTEMS
$12.00
35
VENTILATION MECHANICAL EXHAUST
$12.00
36
INCINERATOR - RESIDENCE
$19.00
37
INCINERATOR - COMMERCIAL
$22.00
METHOD OF PAYMENT:
❑CASH CHECK ❑ VISA ❑I C
CARD #:
AUTHORIZED SIGNAT1 :
REVISED 8/26/05
EXPIRES:
P-lef2p4/
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
411
0C BLD COR
12 00'
SRCH BR CAP
400
SRCH BR CAP
407 I
OC BLD COR
08
0C
3LD COR
402
SRCH RB
0
10
N
20
40
SCALE: 1" = 20'
165.5
0
82.76
19228 East Montgomery Drive
1411164
19218 19224'
.
19226
165.5 Feet
� 1
This map is a user generated static output from an
Internet mapping site and is for reference only.
Data layers that appear on this map may or may
not be accurate, current, or otherwise reliable.
SCIMAP
0.1
9
0.03 0.1 Miles
0
This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise
reliable.
Legend
L'r City of Spokane Valley
BPA Easement
Yellowstone Pipeline
Condos and other Vertical Unil
Lease Number
Leased Improvement Value
Leased Land
Leased Lend And Building
Level 0 Mezzanine
Level 1 Mezzanlne
Level Mezzanine
Sub Level
Sub Level
Sub Level 1
Ground Floor
Level 1
Level 2
Level 3
Level4
Level 5
Level 6
Level?
Level 8
Level 9
Level 10
Levelll
Level 12
Level 13
Level 14
1 Level 15
Levell6
Level 1]
Level 18
Level 19
Level 20
Notes
Enter Map Description
a .502
_:,,. 3/4' ; P. / J'--124.14'—
IO UTILITY
EASEMENT
B
MARIETTA
AVENUE
—�1
8 I
i
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aE
cyDfril
EO'
m
u
0
PARCEL "A"
1.58 Acre.
ADDRESS:
E. 19312
1
TRACT 39
BUCKEYE___ —AVENUE —
N89'53'43"E 614 70'
--39.20'--
-120.0C'— _- 120.D0''i i,
II
II
PARCEL "B" PARCEL '•C"
1.45 Acres 1.27 Acre.
ADDRESS: ADDRESS to
m E 19324 N E. 19410 I
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P1 ▪ ADAMS 7317
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cc
• PARCEL "D" }'
A y
2.00 Acr..
ADDRESS: E.
E. 19422 In
aJ
40
57437'54'E
37.97'
m N°< i-2-'
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cc
100
�0P5\5 PLO
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TRACT 33
tc9
NOTE: 3.9. — BUI .DING St IeACK
NOTE TBM — SPINE M P.P. N
NE. QUAD. OF BUCKEYE &
AIc4JULLAN. ELEV. — 2024.00
GRAPHIC SCALE
( INYnr)
1 Inch 4/100 Eh
NOTE ORDINARY HIGH WATER MARK (OHM1./) AS DETERMINED BY RCW 90.5e.030(10
A PORTION OF THE NW QUARTER OP SECTION 8
SPOKANE
.* COUNTY
1'1'I LE
"Service Is The Difference"
N
TOWNSItt 25 NORTH RANGE 45 EAST, INN.
THIS SKETCH IS FURNISHED FOR NFORMATIORAL PU.R'CSES
ONLY TO ASSIST IN PROPERTY LOCATION DIMENSIONS ARE
NOT GUARANTEED ANO MUST NOT EE RELIED UPON TO
DETERMINE ACREAGE OR SHAPE. THIS COMPANY PESUNIE i NO
LIABILITY FOR LOSS INCURRED B' REASON OR RELIANCE
THEREON.
SPOKANE COUNTY TITLE COMPANY
326-2626