2005, 05-27 Permit App: 05001837 ResidenceSpiikane
�Ualley
!VS.?
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688 -0036; Fax (509) 688 -0037
REQUIRED SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
Legal Description: " 6K •2 'f
PERMIT DESCRIPTION:
Building Permit
❑ Relocation
❑ Change in Use (1 Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety (1 Other
lj
OWNER/APPLICANT INFORMATION
Owner: 1.)I if,Lbr 6 Koc C.o/ts /-
Phone: 9 Z y— 3,q , y Fax: f z6- 8o911
Address: IS 3 zI /41 ;ssicon Av
g9o17
City State Zip Code
(l Contractor: ) kerc X Cans'-
Phone: �,. , Fax:
Address•
City
State Zip Code
Applicant:
Phone:
Address:
Fax:
City
❑ Architect:
Phone:
Address:
State Zip Code
Fax:
City
WA State Contractor License #: Contact:
State Zip Code
PERMIT /BUILDING INFORMATION
HEIGHT TO PEAK: 1
DIMENSIONS: t I ,,
# OF STORIES:
MAIN FLOOR TO SQ. FTG: ;.
12-50
,..214 .FLOOR SQ. FTG:
(
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG • -
kie,
GARAGE SQ. FTG: 3 7z, q
DECK/COV. PATIO SQ. FTG: l,
OCCUPANCY GROUP:
s F
CONSTRUCTION TYPE:
Ale Li)
HEAT SOURCE:
/Y **rs.1 664. Fr/mace'
# OF BEDROOMS: -
TOTAL HABITABLE SPACE :ZS,�
IMPERVIOUS SURFACE AREA:
COST OF PROJECT: ff
C?%()'
30% SLOPES ON PROPERTY: 0
SEWER OR ON -SITE SEPTIC
SYSTEM? Se, e T"
MANUFACTURED HOME
Width: Length: Year:
Manufacturer:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above /Underground Storage Tank Size:
WASHINGTON STATE NON - RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City
Inspector: Phone:
Address:
State
Fax:
Zip
City
State Zip
SPECIAL INSPECTIONS
❑ BOLTING (1 CONCRETE
❑ REINFORCEMENT ❑ WELDING
Firm Name: Phone:
Inspector(s):
Fax:
DISCLAIMER
The permitee 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.
Ownership of resulting development rights granted by any issued permit inu to the property owner.
Print Name Crape Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ' ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN #:
Authorized Signature:
11707 East Sprague Avenue, Suite 106 n � e Spokane Valley, WA 99206 500509-688-0036
••00 Phone
-- 003v 9- b$g37 - F Fax
Valley
Plumbing Permit Application
PROJECT
ADDRF�S: 2 fi( '_S_
QWNER: or
MAILING ADDRESS:
(street)
PERMIT
USE:
PHONE (Daytime Contact),
(city/state)
CONTRACTOR
MAILING ADDRESS:
street)
(Z)
-41V c/. a' LICENSE 1:
PHONE F:
(city /state)
DESCRIPTION
TOILETS
uR1NAtS
PLUMBING FIXTURES
DETAILS
WATER CLOSET, BIDETS
T u135
SHOWERS (PER TRAP)
SINKS
DISHWASHER
OF UNITS
COST
$6
ss
S6
BATH, STALL, ON -SIZE BUfLT
EQUALS AMOUNT'
.2
�2
LAVS/BASINS, BAR FLOOR KTTCHBN,
LAUNDRY, u Time, JANITOR PHOTO, x_
RAY, FOOD; PREP /CULINARY/MEAT
CLOT TIES WASHER
GARBAGE DISPOSAL
10
11
WATER SOFTENER
ELECT. HOT WATER TANK Nom: IF GAS, SF_E pgB c 4 L
FLOOR DRAINS
12
FOUNTAINS, DRINKING
Sb
AREA, CASE, COIL, TRENCH, CONDENSATE
13
WATER PIFINC/DRAIN -IN
WASTE, VENT, PLUMBNG
REVERSAL
S6
INSTALLATION, ALTERATION, REPAIR,
REVERSALS.
14
SEWAGE EJECTOR
15
WATER USING DEVICE
GRINDER, SUMP PUMP
X
$6
ICE AND/OR COFFEE MA/ER, HOSE BIB,
STEAMER, PROOFER, CARBONATOR,
SWAMP COOLER
16
17
CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND
R.P.BY+.D. PM VATS, TANKS, 'BMus
SPRINKLER SYSTEM
IS
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
19 MEDICAL GAS per outlet NITROUS, OXYGEN
20 MISC. PLUMBING FIXTURE
ROD OF PAYIVNT
ssH 0 cI•IEG1c [] =WM 0
CARD NUMBF.IZ
OARED SIGNATURE-
EXPIRES:
X
S0ib01 ' d
V6089EG 01
PLUS PROCESSING FEE:
$.35.00
?H TO :Lti 200E OE d3S
Sfkikane
Valley
Mechanical Perniit Application
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
OWNER
MAILING ADDRESS: •
PERMIT
USE:
509 -688 -0036 - Phone
509 -6$8 -0037 - Fax
PHONE (Daytime Contact):
r • (street) (City /state) PP.
�)
CONTRACTOR: -
1 _c 1 ? ear ' = LICENSER:
MAILING ADDRESS: •
(street)
DESCRIPTION OF WORK
(dty /state)
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
UNLISTED APPLIANCE (ADOrr1ONAL FEE)
UNLISTED APPLIANCE (ADDITIONAL FE
USED APPLIANCE (WBEC m1n, AFUE wing)
USED APPLIANCE (WSEC min AFUe riling)
BoImystEFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
B OIL E RrREFRIG ERATION
BOIL ER /REFRIGERATION
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
MISC. FUEL BURNING APPL,
GAS PIPING
DUCT SYSTEMS
VENTTLATtNG FANS
AIR HANDLER (DOES NOT indudi dulling)
AIR HANDLER (DOES NOT Include dudin )
EVAPORATIVE COOLERS
TYPE I HOOD
TYPE It HOOD
HEAT PUMP/AIR CONDmONER
AJR CONDITIONER
AIR CONomoNER
AIR CONDITIONER
AIR CONDITIONER
LPG S]'ORACE TANK
(ZIP)
COST
EQLIALs AMOLWi
.1<:
$15 EMI
>100,03o
- OR <f00,000 iminwmumen
&
., or < 400,000
> 400,000
slaa
95a
$lit
1- SoOM BTU ��
701 • SOOM 871J 92d
501 - LLCM ETU X 139
001.1,750M BTU . X 537
+1250M BX 195
"an' 510
S10
S10
$1a
• OR < 10,000(T1v(
>10,000 CkM
0-9 TON
3-15 TON
1530 TON
30-50 TON
+50 TON
X
x
X
X
G
X
910
immemilim_
morn
morn
mem
910
120
012
119
WOOD OR ?suer $rOVElW SERT
WOOD STOVE • FM STANDING
METHOD OF PAYMENT
[] CASH 0 Ci4ECK 0 ROM
DATE:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
S0!S0•d
X
X
X
EMPIRES:
P6089C6 01
$10
950
510
112
920
$10
1111
FZS
NMI
SUBTOTAL:
3/
PLUS PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE:
dJ TO:LT MOE dSS
Project Number: 05001837 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/27/2005 Page 1 of 3
Project Information:
xv , a, .14.0.,,e' 4, OM No
Permit Use: NEW RESIDENCE W /ATTACHED GARAGE - GAS Contact: DIAMOND ROCK CONSTRUCTION
Address: 15321 E MISSION AVE
C - S - Z: SPOKANE VALLEY, WA 99037
Phone: (509) 924 -8964
Group Name:
Site Information: Project Name:
Plat Key:
Setbacks: Front 36 Left: 5 Right: 5 Rear: 20
Name: Corbin Estates Long Plat
,.._ R ::.
District: East
Parcel Number: 55191.0405
SiteAddress: 11 S ARTIES LN
Location:: CSV
Zoning: UR -7
Water District:
Area: 7,233 Sq Ft
Block: 2
Urban Residential -7
Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: p -
Review
Site Plan Review
Lot: 1
Owner: Name: DIAMOND ROCK CONSTRUCTIO
Address: 15321 E MISSION AVE
SPOKANE VALLEY, WA 99037
Hold: ❑
Depth: 0 Right Of Way (ft): 32
Released By:
Plan Review
Originally Released: 5/27/2005 By: ddompier
Released By:
Approach / Drainage
Released By:
N/A PRIVATE LANE
Originally Released: 5/27/2005 By: ddompier
Sewer Review
Released By:
COUNTY SEWER CONNECTION: 05 -3621
Originally Released: 5/27/2005 By: ddompier
Operator: DMD Printed By: DMD
Print Date: 5/27/2005
Project Number: 05001837 Inv: 1
Permits:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/27/2005 Page 2 of 3
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE Phone: (509) 218 -8510
VERADALE, WA 99037
Building Characteristics
Building Permit
Firm: DIAMOND ROCK CONSTRUCTIO
Group: R -3 Type: VB
Group: U -1 Type: VB
Total Area 1250
Building Height 20
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
COV DECK R -3 VB 100 $1,500.00 100 $1,500.00
GARAGE U -1 VB 372 $7,068.00 372 $7,068.00
RESIDENCE R -3 VB 1,250 $93,350.00 1,250 $93,350.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 1,722 $101,918.00 1,722 $101,918.00
Units Unit Desc Fee Amount
1 SELECT $1,004.95
1 SELECT $4.50
1 SELECT $401.98
Permit Total Fees: $1,411.43
Mechanical Permit
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509) 218 -8510
VERADALE, WA 99037
Item Description Units Unit Desc Fee Amount
DUCT SYSTEMS 1 NUMBER OF $10.00
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE <= 100,000BTU 1 NUMBER OF $12.00
GAS PIPING 2 # OF UNITS $2.00
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
HOOD -TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $84.00
Operator: DMD Printed By: DMD Print Date: 5/27/2005
Project Number: 05001837 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/27/2005
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
WATER USING DEVICES
Plumbing Permit
Units
2
4
2
1
1
2
Page 3 of 3
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218 -8510
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$12.00
Notes:
See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements
Payment Summary: :._. }gut .... .:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,411.43
$ 84.00
$72.00
Invoice Amount
$1,411.43
$84.00
$72.00
$1,567.43 $1,567.43
$72.00
Amount Paid
$0.00
$0.00
$0.00
p=er - . _:
Amount Owing
$1,411.43
$84.00
$72.00
$0.00
$1,567.43
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: 5/27/2005
Cizy of
11707 � Slat -Inge
r .`9 I U y2btik94
11 /�+ /!
2001 WS:EC,Residential Compliance Form
1''rescriprivc (Chapter 6) Options for aI1 R Occupancies, Climate .Zone 2
�t �p � ,r } �;s �T TTI-ie2t source: ALL -
SPOKAr VALLEd Bum
E. Inge venue, #145, Spokane - 'alley, Washfggto
8,
SITE ADDRESS: 11 %?1'} i� Lr� PERmI o
INSTRUCTIONS
2)
A1 /05
0; 1
DEP.A.141 / `_ ` NT
- 921-1008
Your permit will be processed more efficiently if you provide ail of the re information. rJ �
quested Jec requirements staff can
help you with genera[ questions about this form. Your building must match the selected option requirements without
exceptions or substitutions_
Glazing percentage determines which option to choose. Complete the following glazing area calculation before
proceeding to the option table below.
GLAZING AREA. CACCULA,TION:
NOTE. Use rough opening (R /O) for window area. Include all half - -Iite and full -Iite 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 Perforw ice (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.eriergy.wsu.edu/
tell: / /wsvw,eriergy.wsu.edu/
I
SF.
SF. =
HEATED FLOOR AREA (ALL FLOORS) =
TOTAL WINDOW AREA
rn
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9. Norrinal R- Vakkes are for wood frame ass*rrbries only oc gs4bttf bolt In accordance with Section 601.1
t tyYnitivrn
shalt Ca n re Witt far cf, . e a posed design has a glazing rako to the conditioned ti4or Ines of 13 %, it
requirements of s fisted option above. may of the 15% glazing calculate rp* fin' Chapters higher] Proposed , rovtrfCh cannot rivet tte spy8c
2. l t nt lc all c Lffngs except Single tatter er 4 or 5 of this Code.
3. Requirenvnt appacable pr{y to single ratter or Joist vaulted 'Pdv' denotes AdYattOetl FrErtYxj Ce1P,r�-
4_ Wow grads walls shall be;mutated either on the exterior to a minutum level of R -1Z or on the interior to the same tevei as walls above
grade. 6derior Iris: Wm installed on below wade wads shalt be a water resistant rr�terial, rranufac for its intended use, and installed
awning to the marwfaduntr's spaificatlxg. See Section 802.2:
a Floors over crawl f spews or exposed to arttier f air conditions.
s. Required slab perimeter insulabony shaft be a water resistant matelot, n jr n� for its intended use, artd installed amtor�ing to
rnanufaduxer's spa .
T, Int. denotes Standard framing 18 irtic on censer with headers insulated with a minimum Or R,5 insutatlon.
8. This watt neuletian requirement denotes R•14 watt cavity i sotatiat plus R-5 foam sheath;
a. Doom inducting all fins doors, shaft be assigned default U_fac cars from Tabre 10-6C-
10. she be less than ca w that v the ez'n El ar too b`ned vertical plus overhead) as a percent of gr a�nditioned floor area
11. Overhead glazing shalt have td.facborS deterrrined fr with l with Nr R 1100 o or less ci led in Sec included in glazing area li ritateris,
12, Log and solid timber watts with a minimum average thickness with NFL 100 or as specifUra in 3equir men t b_
M 3.5' grg exompt form this hlSiriati[+n reauirsrr�rt t_
Form 5.050801 -2001 Ftesideatist Comp Form
loo. 37
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125.