2009, 01-27 Permit App 09000119 Residence, GarageProject Number: 09000119 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Date: 1/27/2009 Page 1 of 3
Contact: ANDERSON, GERALD W
Address: 9874 TWIN LAKES RD
C - S - Z: RATIIDRUM, ID 83858
Phone: (208) 687-6210
Group Name:
Project Name: SHP-12-08 LOT C
District: East
Parcel Number: 45242.0747 Block:
SiteAddress: 15903 E 4TH AVE
Location:: CSV
Zoning: MF-2
Water District:
MF HDR District
Area: .32 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: ANDERSON, GERALD W
Address: 9874 TWIN LAKES RD
RATHDRUM, ID 83858
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Other Reviews
Originally Released: 1/22/2009 By: tmelbourn
Released By:
address
Driveway/Approach
Originally Released: 1/23/2009 By: jdavis
Released By:
Originally Released: 1/27/2009 By: jdavis
Landuse/Zoning/HE Conditions
Released By:
Originally Released: 1/23/2009 By: tschmidt
Operator: ID Printed By: JD Print Date: 1/27/2009
Project Number: 09000119 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Review
Permits:
Date: 1/27/2009 Page 2 of 3
Released By:
Contractor: OWNER
Item Description
Approach
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
APPROACH-CONST IN ROW 1 NUMBER OF
Contractor: OWNER
Fee Amount
$50.00
Permit Total Fees: $50.00
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes So Ft Valuation Su Ft Valuation
1&2FAMILY R-3 VB 1,209 $117,067.47 1,209 $117,067.47
DECK OPEN R-3 VB 64 $960.00 64 $960.00
GARAGE U-1 VB 352 $6,688.00 352 $6,688.00
Totals: 1,625 $124,715.47 1,625 $124,715.47
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,133.75
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RV W < 7999 SQ FT 1 SELECT $453.50
Contractor: OWNER
Permit Total Fees:
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
$1,591.75
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER HEATER - ELECTRIC 1 NUMBER OF $6.00
Permit Total Fees: $60.00
Operator: JD Printed By: JD Print Date: 1/27/2009
Project Number: 09000119
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type
Approach
Building Permit
Plumbing Permit
Inv: 1
Fee Amount
$50.00
$1,591.75
$60.00
Invoice Amount
$50.00
$1,591.75
$60.00
Amount Paid
$0.00
$453.50
$0.00
Date: 1/27/2009
Amount Owing
$50.00
$1,138.25
$60.00
$1,701.75 $1,701.75
$453.50 $1,248.25
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: JD Printed By: JD
Print Date: 1/27/2009
Proposed Use:
*Mane
_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: 9 —If
PERMIT FEE:
New Construction
Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS:
SN►/'-IZ-0
eisritc_et- C--
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
Name: GI ER48 L-o i i D 4 S-O'^�
Address: 98 j q (Ai, 1 (u) L(cS , j2,0 ,
City: to A}-771-3 Ate vt,... State: 644_
Zip: 83 gs 8
Phone:51)1 _ cpy y - y/2_ - Fax: __
Contact Person
Name: /-`i/ Aso
Phone: 7- Z Lcc =/ J n 7
Describe the scope of work in detail:
Contractor:
Name: iim p A-;
04,4
4,
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Cost of Project: $
/1 /gip/ C2v,r5 (A-c o „✓ (�i = 5 i ^�� G % d ��`
Ai 6Le
*************The followin MUST be : (write NIA if not applicable)**********************
complete
g
# OF ST j IES:
TOTAL HABITABLE SPACE:
HEIGHT TO PEAK:
/ 3 1
DIMENSIONS:
5 _f 5 i 7-� P t-,'r'J
MAIN FLOOR TO SQ.
FTG: l i7 9 OIL
2NU FLOOR SQ. FTG:
/V t/A
UNFIN BASEMENT SQ. FTG:
, /
/l/ /f
IMPERVIOUS SURFACE
AREA:
3 Z 0 S 0
FINISHED BASEMENT
SQ. FTG: Al // Ar"
GARAGE SQ. FTG:
..3 _5 Z v
DECK/COV. PATIO SQ. FTG:
(o `f ore—
30% SLOPES ON /! -
PROPERTY:
# OF BEDROOMS:
3
CONSTRU T N TYPE:
HEAT SOURCE:
2- R. e - 5/-)k-e--er-Fo•c,J4
SEWER OR SEPTIC?
The permitee verifies, acknowledges and agrees by their signature that: 1) If this perrnit 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 perrnit 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:
0 Cash
Bankcard #:
❑ Check
❑ Mastercard
Expires:
DATE:
❑ VISA
VIN#:
Authorized Signature:
REVISED 2/15/07
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
Ef/SITE PLAN
O/Property lines and dimensions
Ed/Direction arrow pointing North and orientation to streets
tProposed/existing buildings (footprint and dimensions)
[Utilities, septic tank/drain field locations and distances
:'Setbacks to property lines
Er Distance between buildings
VRight of way/easement location & sizes
VDriveway approach size and location
0 BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned)
fi2'Elevations (Front/Rear/Sides) with roof peak and wall height including basement:
foundation Plan (crawlspace, basement or slab on grade):
o Footing sizes and locations
®"Perimeter concrete foundation wall sizes
o Crawlspace ventilation
ET/Supporting wood cripple walls or beams
Thickened concrete pads supporting
beams or girder trusses
Q Floor Plan of each level (finished or unfinished) with dimensions:
cn Floor Joist direction, size and spacing
o Header, beam or concrete lintel sizes
:-Brace wall panel locations
o Water heater and furnace locations
o Exhaust fan locations
o Deck or concrete patio sizes and locations
o Roof Plan:
o Engineered truss direction and spacing
o Rafter and over frame direction, size and spacing
t]'Wall Section Detail including:
Roof
o-Slope/ roofing material/ underlayment/ ice dam protection
mwSheathing size and type
Ceiling
ra Joist size and spacing
Wall
o Height/ top plate/ stud size and spacing/ sole plate
m Exterior sheathing size and type
Floor
CT Joist size and spacing
Foundation Wall
o Concrete or Masonry unit width
o Earth to wood separation distance
Footing
:'Size
Radon
Passive system with 6mi1 vapor barrier
Miscellaneous Construction Details
❑ Deck:
o Floor plan/ side view/ dimensions
o Floor Joist/ decking direction, size and spacing
O Stairway tread rise & run and nosing
:'Window and door location and sizes
o Window well locations if applicable
:'Room usage labels
®'Smoke detector locations
d Attic and crawl space access locations
Ei Fire Wall construction
:'Ridge, eave and valley lines
m"Beam and girder size and location
:'Truss or rafter size, spacing & connection
0 Attic insulation/ air space baffle/ ventilation
oSize of ceiling gypsum wall board
Et Siding/ exterior house wrap/ anchor bolts
0/Insulation, vapor barrier, gypsum wall board
e"Sheathing or concrete floor size/ insulation
:'Footing bottom to finished ground level depth
:'Horizontal & vertical reinforcement if any
o Reinforcement if any
cd Active system with 6 mil vapor barrier
❑ Footings/ post/ and beam size and locations
O Handrail / Guard height & spacing
Permit Center
Spokane 11703 E Sprague Ave, Suite B-3
_..Valley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development perinitcenter@sookanevalley-org
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
Commercial 1 S&Residential
SITE ADDRESS. P C cf 3 °.r- it its.' ` // /' 12 - c>.?
Building Owner
SA
re-
Ai o/e (as-,
sag
iiiz"
Name:
e9
6
0 /
& J
Phone
__
Fax:
Address:
_
`
City
h
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
2
TOILETS
URINALS
WATER CLOSET, BIDETS
Z
X
X
$6.00
$6.o0
I7
3
TUBS
X
$6.00
4
5
SHOWERS (PER TRAP)
SINKS
BATH, STALL, ON -SITE BUILT
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
moo
Ig
6
7
DISHWASHER
CLOTHES WASHER
1
x
X
$6.00
$6.00
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
x
$6.00
10
11
ELECTRIC WATER HEATER
FLOOR DRAINS
NOTE: IF GAS, SEE MECHANICAL
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
X
$6.00
$6.00
6
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:
DCASH ❑ CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
AUTHORIZED SIGNATURE:
REVISED S/26/05
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Spokane
Valley®
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spokanevalley. orQ
Approach Permit Application
PROJECT ADDRESS ` ,3r— 0 3 E
START DATE Z --
PERMIT NUMBER:
PERMIT FEE:
ANTICIPA1± D COMPLETION DATE, �-- i - 7
Building Owner: rr pp��/
Name: C7 , -t-" Ai • A/1/,�:I z_-v-� I
Address: ' ) y `/(�. 77v /�l/ 144 %0.,2 •
State: J3 Zip:? J' ?
City: / f ThiAett-i' .
PhoneL509 — f, i — ilt/ 2, Fax:
Contact Person 6(%';�;`/
Name: S', f—/I/S-- 44i 4
Phone:
S69 — Z _ /(PV 7
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
.... ...... .....
Contractor:
Name:
-5
Address: 4111---
4--A4
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No: Exp Date:
City Business Lic. No:
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
Bond/Insurance certification must be on file with the city.
DISCLAIMER
The permittee verifies, acknowledges and agrees by their signatures 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 pr ssed.
Signature
Method of Payment:
❑ Cash ❑ Check
Bankcard #:
Authorized Signature:
REVISED 3/9/06
Date 1 ' z z — 7
El Mastercard ❑ VISA
Expires: VIN#:
Jk 1 2c 2009
Sp�®bane
Valley
Urban Driveway Approach
Requirements
► Minimum of 7.5' from property line
► Minimum of 5' from crosswalks or intersection curb arc
► Minimum of 16' wide flat portion of approach
► Maximum of 30' wide flat portion of approach
► Combined approach width not to exceed 50% of total frontage
► Minimum of 15' of separation between any two approaches
** All driveway approaches to be constructed per the
Spokane County Standards as adopted by the City of Spokane
Valley **
Spokane
Valley®
For City Use Only
PLUS Project Number (9 (Jf \
Project Address
L! 7L4?
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
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 9/07
PLANNING DEPT. PROVED
B Y
72
DATE:
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