2005, 05-26 Permit App: 05001817 ResidenceSpokane
Valley
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
ii REQUIRED SITE INFORMATION
Street Address: 114 S, A-rl s GY/
Assessor's Tax Parcel Number(s): 55-7 91, 6 LE6s
Legal Description: Cot" S ,° s Lo i- z. I I K i
PERMIT DESCRIPTION:
Er Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation n Tenant Improvement ❑ Fire Safety f] Other
OWNER/APPLICANT INFORMATION
Owner: rflo ( °G iv11S'
Phone: 9z4 - 7i"ib, Fax: % 26- ro99
Address: 15-1 21 1'. ylil ; s s ,i 4.ve
State Zip Code
City
C
Applicant:
Phone:
Address:
Fax:
City
State Zip Code
(1 Contractor: D tt s -cttcc c)t lC GlAs f ❑ Architect:
Phone: i Fax Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #:
Contact:
PERMIT /BUILDING INFORMATION
HEIGHT TO PEAK:
2(., i
DIMENSIONS:
'lU" X :6 ii
X
# OF STORIES:
_
MAIN FLOOR TO SQ. FTG::.
•.2Nu.. FLOOR SQ. FTG:
UNFIN BASEMENT Q. :
DECK/COV. PAT 0 SQ. FTc ii
. 7
HEAT SOURCE:
,Va % 16,z s For,14 Ce
IMPERVIOUS SURFACE AREA:
FINISHED BASEMENT SQ. FTG:
0
GARAGE SQ. FTG:
wyo
CONSTRUCTION TYPE:
Ne :)
TOTAL HABITABLE SPACE:
/Z7r
OCCUPANCY GROUP: _
5 f-- g
# OF BEDROOMS:
COST OF PROJECT: t
0, 00C)
30% SLOPES ON PROPERTY:
SEWER OR ON -SITE SEPTIC
SYSTEM? .-f"
Width:
Manufacturer:
MANUFACTURED HOME
Length: Year: 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
11
BOLTING
Firm Name:
CONCRETE
REINFORCEMENT
Phone:
Inspector(s):
Fax:
WELDING
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 inure to the p roperty owner.
Print Name [ ld 1 (r t Signature ?uJ (Lei � c,
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
Cash
I3ankcard #:
Li Check I I Mastercard n VISA 11 Other
Authorized Signature:
Expires: 1tll�:
alley
Plumbing Permit Application
•
11707 East Sprague Avenue, Suite 106 509- 68€8 - 0036'- Phone
Spokane Valley, WA 99206 509_688 -0037 e Fax
PROJECT
ADDRESS: J_ j ( S. Af
°WINTER E
°) ctr''vt t'14-CO f ' sic
MAILING ADDRESS:
(street) (city/state)
CONTRACTOR r_ CejY1
MAILING ADDRESS:
PERMIT
USE
Yi PHONE (Daytime Contact):, &
(street)
DES S ON
1 TOILETS
2 URINALS
3 TUBS
(city /state)
PLUMBING FIXTURES
4 SHOWERS (PER TRAP)
5 SINKS
6 DISHWASHER
T CLOTHES WASHER
8 GARBAGE DISPOSAL
DETAILS
WATER CLOSET, BIDETS
LICENSE is
PHONE A:
BATH, STALLS ON -SITE BUILT
LAVS/BASINS, BAR FLOOR, CF,
LAUNDRY, UTILITY, JANITOR PHOTO, x-
RAY, FOOD, PREP /CULINARY/MEAT
9 WATER SOFTENER
1D ELECT. HOT WATER TANK
11 FLOOR DRAINS
NOTE: IF GAS, SEE MECHANICAL
AREA, CASE, COIL, TRENCH, CONDENSATE
12 FOUNTAINS, DRINKING
13 WATER PTPING/DRAIN -IN
WASTE, VENT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS.
14 SEWAGE EJECTOR
15 WATER USING DEVICE
GRINDER SUMP PUMP
ICE AND/OR COFFEE MAKER HOSE BIB,
STEAMER, PROOFER, CARBONATOR,
SWAMP COOLER
16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND
R.P.BP.D. FOR VATS, TANKS, $OILERS
17 SPRINKLER SYSTEM
18 INTERCEP TORS
GREASE TRAP, SAND TRAX, CHEMICAL
HOLDNG TANK
19 MEDICAL GAS per outlet NITROUS, OXYGEN
20 MISC. PLUMBING Fl?CURE
EiOD OF PAYMENT
',EH 0 CHECK [] NOMI fl
CAW NUMEERz
EXPIRES:
x
OPJZED S1GNATEJRE:
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
•
**
SCE • 3OUd 14101 **
1
%Bey.
• Mechanical Permit Application
PROJECT
ADDRESS: )Li S. ChY s PERMIT
4/ 1� USE:
OWNER ;;�•� .. „
:J r �1 &too_ ' 20 c, k-. (eel 5, 71-: PHONE (Daytime Contact):
11707 East Sprague Avenue, Suite 106 509 -688 =0036 - Phone
Spokane Valley, WA 99206 509 - 688 -0037 - Fax
MAILING ADDRESS: •
3 a :
(street)
CONTRACTOR:
kr J L` J r-a ��n[� t)A. (/9; 7
(city /state) (ZIP)
MAILING ADDRESS: •
AN
(street)
DESCRIPTION OF WORK
(dty /state)
1 FUEL SURNING APPLIANCE • OR <100,000
2 FUEL BURNING APPUANCE > 10Q00o
3 UM-SrED APPLIANCE (ADOITiONAL Fee) - OR <400,000
4 uNLa STED APPLIANCfi (ADDITIONAL FEE) a. 600,400
5 USED APPLIANCE (WSEC man. AFUE rating) + or <400,000
6 U5ED APFI•IANCE (WSEC tnin. ARA ntln6) > 400,000
7 ooILERIREF11GERATION 1 -107M BTU
e eo/LER/REFRIGERATION lot •500MBTU
9 8 OIL ER/RE FRIG ERATION 501.I.wOMBTU
10 BOIL EFUREFRICERATION 1001.1,750MBTU
I1 BOILER/REFRICERATION +17soM BTU
12 GAS LOG, GAS INSERT, GAS FIREPLACE
13 RANCE
14 DRYER
15 FUEL BURNING WATER HEATER
16 M1SC FUEL BURNING APPL.
17 GAS PIPING (ea. Owlet]
18 DUCT SYSTEMS
19 VENT1LATING FANS
20 AIR HANDLER (GOES NOT indud+ ducting) • OR . 10p00CFM
1 OF LET$
COST
AM0w47
$15
X
21 AIR HANDLER (DOES NOT Include dudinF) > 10 Poo C1M
22 EVAPORATIVE COOLERS
21 TYPE I HOOD
24 TYPE II HOOD
25 HEAT PUMP /AIR CONDITIONER 0-3 TON
25 Apt CONDITIONER 3-15 TON
27 AIR CONDITIONER 535 TON
28 AIRCONDIT1ONER 30-50 TON
29 AIR CONDITIONER +50 TON
30 LPG STORACE TANK
31 WOOD ORPELLETgrOVE4N5ER'r
32 WOOD STOVE • PREE 5rAND1NG
METHOD OE PAYMENT
CASH 0 CHECK
DATE;
BANKCAR.D NUMBER!
AUTHORIZED SIGNATURE:
EXPMRS!
SUBTOTAL:
PLUS PROCESSING FEE
7
$35.00
TOTAL P'P_RCM(IT FEE DUE;
s�
‘,3
0
Q
z
v.
' v, i Q
W k:
■
O
i
O
0
Project Number: 05001817 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/26/2005 Page 1 of 3
Project Information:
Permit Use: NEW RESIDENCE W /ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 35 Left: 5 Right: 5 Rear: 48
Site Information:
Plat Key: Name: RANGE
Contact: DIAMOND ROCK CONSTRUCTION
Address: 15321 E MISSION AVE
C - S - Z: SPOKANE VALLEY, WA 99037
Phone: (509) 924 -8964
Group Name:
Project Name:
District: East
Parcel Number: 55191.0405
SiteAddress: 14 S ARTIES LN
Location:: CSV
Zoning: UR -7
Water District:
Area: 7,233 Sq Ft
Block: 1
Urban Residential -7
Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot: 2
Owner: Name: DIAMOND ROCK CONSTRUCTIO
Address: 15321 E MISSION AVE
SPOKANE VALLEY, WA 99037
Hold: ❑
Depth: 0 Right Of Way (ft): 32
Review
Site Plan Review
srre--1
Plan Review
Released By:
Sewer Review
Permits:
clue (a-
os OD :C
Released By:
Operator: K_C Printed By: K_C Print Date: 05/26/2005
Project Number 05001817
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/26/2005 Page 2 of 3
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Building Characteristics
Group: R -3
Total Area
Building Height
Stories
Dwelling Units
Type: VB
1275
26
1
1
Description Grp
COV DECK R -3
GARAGE U -1
RESIDENCE R -3
Building Permit
Finn: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218-8510
Type Notes
VB
VB
VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
GAS WATER HEATER
GAS APPLIANCE <= 100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
HOOD -TYPE II
This Application:
Su Ft Valuation
100 $1,500.00
440 $8,360.00
1,275 $95,217.00
Totals: 1,815 $105,077.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Units
1
1
2
3
1
1
Operator: K_C Printed By: K_C
Total Project:
Su Ft Valuation
100 $1,500.00
440 $8,360.00
1,275 $95,217.00
1,815 $105,077.00
Fee Amount
$1,027.35
$4.50
$410.94
$1,442.79
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218-8510
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$2.00
$30.00
$10.00
$10.00
$74.00
05/26/2005
Project Number: 05001817 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/26/2005
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
WATER USING DEVICES
Notes:
Plumbing Permit
Page 3 of 3
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218 -8510
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$12.00
See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,442.79
$74.00
$72.00
Invoice Amount
$1,442.79
$74.00
$72.00
Amount Paid
$0.00
$0.00
$0.00
$72.00
Amount Owing
$1,442.79
$74.00
$72.00
$1,588.79 $1,588.79
$0.00 $1,588.79
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: K_C Printed By: K_C
Print Date: 05/26/2005