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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 I 9 I /V RCiN na7� ere01• 0 / \� S8T0�14�W/ 0°~ e °r firm. 2 %4 7 / -c. j7 c SE aOYC4�E3.9 G� . - f .o').S � >E.g- 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 O u z In o ILI O H. IZ Ja I to to p �AG�� GE &?") GA 1 •, _ EP'-6. \% h c,L YIgpO , h15. S pP�10 \oPe 01 Pi FD. 7/2'I. P. 1 J 15.Da'- -250.20'— — — 25' 5.5. v: 9ET #4 R9 /1 W/YPC MAD. P1 ▪ ADAMS 7317 O (TYP.) cc • PARCEL "D" }' A y 2.00 Acr.. ADDRESS: E. E. 19422 In aJ 40 57437'54'E 37.97' m N°< i-2-' ��E eE. cc 100 �0P5\5 PLO 10' cP RE V-% °j jg N 3335;°` g6c'\NGl 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