2004, 12-22 Permit App: 05000183 Residence.0"a lley
ECEPWE
STREET ADDRESS:
05- l S3
U PERMIT APPLICATION WORK SHEET
2 2 2004 SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
L , ! Spokane Valley, Wq 99206
Phone: (5098 -0036 Fax: (509)688 -0037
AIMINNIW
REQUIRED SITE INFORMATION
40' /16' 5, Irfite5 /aee-
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL INSCRIPTION: AZ Of / J /oX I CDrALv 44/71G,r
PERMIT DESCRIPTION:
1 BUILDING PERMF1' al CHANGE XN USE 0 GRADING D mANUFACTURED HOY E
�RELOCATION 0SEGUE TENANT ELD') R
OWNER / APPLICANT INFORMATION
OWNER'
PI -BONE: 171- iqI J FAX: y�/ -e�J PHONE: FAX:
ADDRESS: /5.5 .2- / 6. /1)j5L0A/ VC,°add/c &, 1Q0s3t ,DDRESS: -
CITY,STATE, ZIP CITY, STATE, ZIP
® CONTRACTOR: ARCHITECT:
® APPLICANT:
PHONE: FAX: PHONE: FAX:
ADDRESS: ADDRESS: -
CITY, STATE, ZIP CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE # CONTACT:
PERMIT /BUILDING INFORMATION
COST OF PROJECT: 60 M__ 3Q% SLOPES ON PROPERTY: MAIN FLOOR SQ FT: /25_0
BUILDING HEIGHT TO PEAK: L� CfCCUPANCY GROUP:_ _ 2N0 FLOOR SQ FT:
BUILDING DIMENSIONS: CONSTRUCTION TYPE; UNFIN BASEMENT:_
NUMBER OF STORtES :_
NUMBER of BEDROOMS:
[DATE:
STRUCTURES ON PROPERTY: FINISHED BASEMENT:
CRITICAL. AREAS: GARAGE: 3-9
METHOD QFPA YMENT:
0 0
CASH CHECK
STAFF:
0
BANKGA/70 f; - EXPIRES, VIN E
AUTHORIZED SIGNATURE,'
S1.L0'd 176089E6 01
dd TO:LT £00E 0Z d3S
i
SEP 20 2003 17:00 FR
TO 9268094
P.01 /05
2001 WSEC Residential Compliance Form
Prescriptive (Chapter 6) Options For all R Occupancies, Climate Zortc 2 0, 1
City of -
Heat source: ALL
SPOKANE VALLEY BUILDING DPAR.TIVIENT
11707 E. Sprauge Avenue, #106, Spokane yaltey, Washington 99206 - Tel 509 -921 -1000 - Fax 509 -921 4008
SITE ADDRESS: PERMIT NO,
C r ��!! _ DATE:
/f
INSTRUCTIONS
1) Your permit will be processed more efficiently if you provide all of the requested information. Department staff can
help you with general questions about this form. Your building must match the selected option requirements without
'exceptions or substitutions_
2) Glazing percentage determines which option to choose. Complete the following glazing area calculation before
proceeding to the option table below.
GLAZING AREA. CALCULATION:
SF S� SF. =
TOTAL WINDOW AREA �e�—
÷ HEATED FLOOR AREA (ALL FLOORS) % OF GLAZING
NOM_ Use rough opening (RIO) for window area. Include all half -lite and full-lite door glazing in this
calculation_
CAN'T COMPLY? If none of the Prescriptive (Chapter 6) Options below are acceptable, consider systems analysis
(Chapter 4) or; Component Performance (Chapter 5) Approach. The main advantage is flexibility to juggle individual V-
factors (R- values) as Iong as an overall maximum value isn't exceeded. Note that the overall performance requirements •
are no less stringent than the Prescriptive 'requirements. Calculations may be performed by hand or, using an acceptable
computer software program. Helpful forms and other resources can be downloaded at http : / /www.energy.wsu.edu/
buildings.
Wan- Int`
Below
Grade
0.56
R-21
NOJIrtal R-'akte5 are foc WaOd frame assemblies **or asseRbroeS but In Section 601.1
1 l�Nnim]rn herds for each option r ed For accordance wits,
shall =ply with a 1 of the requirements of the 15 % %e glazing option Pfd destyn opo a d desi ratio hi the n nil rrred boor arcs of 13 °6, it
requirements of s fisted pp6at above. may aciculate by �� Proposed 'de. which carrot meet the SpedAC
2 Re�rerrent ap�ppes to al callings singled ter or rued 4 "Adv' denotes Advanced Framer! Court
3, app s only to single rafter a
4- Below grade wAns shaft be Insulated either on the odor b rrinieurn lever of R -12, or on the interior to the sarrx level as walls above
grads 6derior insulation installed on belay grade walls shall be a water resistant material. manufactured for its Intended use, and installed
5 according rufarturers specifications. See Section 602.2 over crawl spaces or exx,a,ed to arrtienl air conddtons-
s. Required stab perimetc irtsulationg shaft be a water resistant traterial.'rrenufactur+ed for its intended use. and installed according to
7. fntsstarl
7. This enN e sadand framing 16 Indies on center hilt headers insulated with a minimum or R-5 insulation_
Q. Doors, s?g al doors, sign wan f cavity . ifac t Li-factors from plena R•5 ream sheathing.
10- Where a ' � �� ��`Y from Table 10-6O
she e ee equal to that value. listed
the total ad (combined vertical plus overhead) as a percent of gross conditioned floor area
11. shOverhead glazing shall have glazing with it-factor of C t40 or is is not irfduder? in glaring area limitations.
12. Log and sold timber wars with f minimum ermined Ima ante, with NFRC 100 or as specified in
Rum average thickness Or 3.5- aryl a errpt horn this Insu(atlon r ,rrmmen t b
R -t0
form 5.050801-2001 Residential Comp Form
S" e
.00.1F1Talley
Plumbing Permit Application
11707 East Spragi le Ave, ue, Suite 106
Spokane Valley, WA 99206
509 -688 -0036 Phone
509 - 688 -0037 - Fax
PROJECT
ADDRESS:
OWNER:
MAILING A ■ DRESS:
(street)
CONTRACTOR:
MAILING ADDRESS:
/t7 3serrI
(city/state)
(street) (city /state)
PLUMBING FIXTURES
PERMIT
USE!
PHONE (Daytime Contact): g.2/
(2:CP)
LICENSE ?:
PHONE A:
(a')
DESCRIPTION
I TOILETS
2 URINALS
3 TUBS
4 SHOWERS (PER TRAP)
DETAILS 8 OF !UNITS
WATER CLOSET, mE15 , X
5 SINKS
6
7
s
DISHWASHER
BATH, STALL, ON -SITE BUILT
LAVS/BASINS, BAR, FLOOR KITCHEN,
LAUNDRY, tTfur, JAN! 1UR PHOTO, X-
RAY, FOOD; PREP /CUL/NARY/MEAT
CLOTHES WASHER
GARBAGE DISPOSAL
9 WATER SOFTENER
10 ELECT, HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
11 FLOOR DRAINS
12 FOUNTAIN'S, DRINKING
x
COST
Ss
s6
x s6
AREA, CASE, COIL, TRENCH, CONDENSATE
13 WATERPIPING/DRAIN•IN
WASTE, VENT, PLTJMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER HOSE BIB,
STEAMER, PROOFER, CARBONATDR,
swAMP COOLER
16
17
18
CROSS CONNECTION DEVICE
SPRINKLER SYSTEM
INTERCE/TT0R5
19
MEDICAL GAS per cutlet
20
MISC. PLUMBING FIxrURE
HOD OF PAYMENT
VACUUM BREAKER, CHECK VALVE, AND
R.P.BP.D. FOR VATS, TANKS, BOILERS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
NITROUS, OXYGEN
LS1! 0 CHECK ❑ n_
EXPIRES:
CARD NUMBER
ORIZED SIGNATURE;
V6089E6 01
X
X
X
$6
$6
$6
$6
$6
$25
56
56
X
EQLIAI.S
SUBTOTAL:
PLUS PROCESSING FEE:
TOTAL PERMIT FEE DUE:
$35.00
dd TO:T 200E OE d3S
* S0 ' 39 Ud 111101 **
SAarTh.'1:"'
11707 East Sprague Avenue, Suite 106 509 - 688 -0036 - Phone
Spokane Valley, WA 99206 509 -6$8 -0037 - Fax
• Mechanical Permit Application
PRO CT
�G% /
5CCf7A ,fpfr es L-QA1C,
ADDRESS:
OWNER
MAILING ADDRESS:
2
(street)
CONTRACTOR:
MAILING ADDRESS!'-
(street)
V
(City /state)
PERMIT
USE:
PHONE (Daytime Contact):
(ZIP)
LICENSE 1:
(city /state)
PHONE A:
(ZIP)
DESCRIPTION OF WORK
1 FUEL BURNING APPLIANCE , OR < 100,000
2 FUEL 8URNING APPLIANCE > 100,000
3 UNL1RTED APPLIANCE (ADOrrIONAL FEQ) - OR < 400,000
4 UNU$TED APPUANCB (ADDITIONAL FEE) 400,000
5 USED APPLIANCE (WBEC mint AFUE Ming) , or <400,000
6 USED APPLIANCE (WSEC min. AFUE rating)
7 BoILER/REFRIGERATION
9 BoILERJREFRIGERATION
4 BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
AMOUNT
515
519
1 -100M BTU
101.500M BTU
501- 1,000M 6TU
1001.1,750M BTU
+1750M BTU
12 GAS LOG, GA5 0 5ERT, GAS FIREPLACE
13 RANGE
19 DRYER
15 FUEL BURNING WATER HEATER
16 MISC FUEL BURNING APPL.
17 GAS PIPING (ea. Oath!)
18 DUCFSY$TEMS
19 VENTILATING FANS
20 AIR HANDLER (DOES NOT Indud4 ducting)
21 AIR HANDLER (DOES NOT Include eluding)
22 EVAPORATIVE COOLERS
595
S10
510
23 TYPE I HOOD
24 TYPE II HOOD
25 HEATPUMP /AIR CONDITIONER
26 Alit CONDMONER
27 AIR CONDITIONER
28 A1R CONDITIONER
29 AIR CONDrrIQNER
• ORS 10,130CCFM
> 10,000 CFM
510
s12
519
30 LPG STORAGE TANK
31
wOOD OR PELLET STOVE/INSERT
32 WOOD STOVE • FREE STANDING
MET/30D OF PAYMENT
0-3 TON
3-1S TON
1543 TON
30-50 TON
+50 TON
SUBTOTAL:
DA'T'E:
BANKCARD NUMBET
AUTHORIZED SIGNATURE:
SO 'SO •d
EXPIRES!
I6089C6 01
PLUS PROCESSING FEE $95.00
TOTAL PERMIT FEE DUE:
d1 tiO :LT 200f Of ddS
,i'pq 9
w pan ar5
,O5
mons / ArfittLsLi
ZONE
ROAD VADV
FRONT
COMMENTS
REVIEWED
inK X.K. VaDlcs
I q's"
5o'
This site plan is being submitted for the purpose
obtaining a building permit and is a true and corre
representation of the proposal. All known proper
Tines /dimensions, curb lines, structures and easemen
have been identified. Also indicated are wetland;
bodies of v tef, step slopes or other critical area
Signed'
Date:
z// r /o5
Project Number: 05000183 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W /ATTACHED GARAGE - GAS Contact: DIAMOND ROCK CONSTRUCTION, IN
Address: 17924 E SPRAGUE
C - S - Z: GREENACRES, WA 99016
Setbacks: Front 20+ Left: 5 Right: 5 Rear: 73+ Phone: (509) 924 -8964
Group Name:
Site Information: Project Name:
Date: 01/20/2005 Page 1 of 4
Plat Key:
Name: CORBIN ADD TO GREENACRES
District: East
Parcel Number: 55191.0405
SiteAddress: 10 S ARTIES LN
Location:: CSV
Zoning: UR -7
Water District
Area: 213,090 Sq Ft
Block: 1 Lot: 1
Urban Residential -7
Owner: Name: DIAMOND ROCK CONSTRUCTIO
Address: 17924 E SPRAGUE
GREENACRES, WA 99016
Hold: ❑
Width: 50 Depth: 141 Right Of Way (ft): 28
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Originally Released: 01/20/2005 By: ddompier
Released
Approach / Drainage
Originally Released: 01/20/2005 By: RTA
Ic B :
N/A PRIVATE LANE DD
Originally Released: 01/20/2005 By: ddompier
Operator: DMD Printed By: DMD Print Date: 01/20/2005
Project Number: 05000183
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work with
Date: 01 /20/2005 Page 2 of 4
Landuse /Zoning
ut a permit
Released! B
...................
1ST HOUSE IN PRELIM SUBDIVISION
Originally Released: 01/20/2005 By: KKEND
Subdivision
Released By:
T HOUSE IN PRELIM SUBDIVISION
Originally Released: 01/20/2005 By: KKENDAL
Sewer Review
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Building Characteristics
Group: R -3
Total Area
Building Height
Stories
Type: VB
1250
19
1
Description Gtr
GARAGE U -1
RESIDENCE R -3
Released By:
Building Permit
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218 -8510
Type Notes
VB
VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
This Application:
Su Ft Valuation
394 $7,486.00
1,250 $93,350.00
Totals: 1,644 $100,836.00
Units Unit Desc
1
1
1
Operator: DMD Printed By: DMD
SELECT
SELECT
SELECT
Permit Total Fees:
Print Date:
Total Project:
Su Ft Valuation
394 $7,486.00
1,250 $93,350.00
1,644 $100,836.00
Fee Amount
$999.35
$4.50
$399.74
$1,403.59
01/20/2005
Project Number: 05000183 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 01/20/2005 Page 3 of 4
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE <= 100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
HOOD -TYPE II
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Mechanical Permit
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218 -8510
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
5 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$10.00
$10.00
$12.00
$2.00
$50.00
$10.00
$10.00
Permit Total Fees: $104.00
Plumbing Permit
Units
2
5
2
1
1
1
2
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218 -8510
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$30.00
$12.00
$6.00
$6.00
$6.00
$12.00
$84.00
Operator: DMD Printed By: DMD Print Date: 01/20/2005
Project Number: 05000183
Notes:
See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements
Payment Summary:
Permit Type Fee Amount
Building Permit $1,403.59
Mechanical Permit $104.00
Plumbing Permit $84.00
Inv: 1
Application
Date: 01/20/2005 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Invoice Amount
$1,403.59
$104.00
$84.00
$1,591.59 $1,591.59
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,403.59
$104.00
. $84.00!
$0.00 $1,591.59
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: DMD Printed By: DMD
Print Date: 01/20/2005