2005, 05-27 Permit App: 05001833 ResidenceSpokane
jUalley
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: 1 G; 5 L,
Assessor's Tax Parcel Number(s):
Legal Description: (or b, i'
PERMIT DESCRIPTION:
Building Permit
❑ Relocation
1- .fit 1-es Lot 3 1
n Change in Use n Grading 1 1 Manufactured Home
n Tenant Improvement f j Fire Safety n Other
OWNER/APPLICANT INFORMATION
Owner: D, ct e c%y■ Cciwt s t
Phone: 97y-''`r y Fax: 9z 6, oeyq
A ddress: ii Is 3 I £ . v � ;5 5 %��v1 /fee ti"/i✓4.-,Ad i:4 I �^ 1 /'T- 990 37
City State Zip Code
Contractor: c, vfrttc n 3 2.0c r
Phone: 5 Am i� I-Fax:
Address:
City
State Zip Code
WA State Contractor License #:
Applicant:
Phone:
Address:
Fax:
City
Architect:
Phone:
Address:
State Zip Code
Fax:
City
Contact:
State Zip Code
PERMIT /BUILDING INFORMATION
HEIGHT TO PEAK: i
DIMENSIONS: 9 , 2 i, X 53,�,
# OF STORIES:
MAIN FLOOR.TO SQ. FTG: :.i 3
-.2Nu..FLOOR SQ. FTG: 0,,
UNFIN BASEMENT SQ. FTG: 0
FINISHED BASEMENT SQ. FTG: 1„,..
V
GARAGE SQ. FTG:
L> 3 7
DECK/COV. PATIO SQ. FTG:
/0-0
OCCUPANCY GROUP: _
5 t-
CONSTRUCTION TYPE: Al
! , 1 tJ
HEAT SOURCE: j
ff lyre, 1 61: s Fut flack
# OF BEDROOMS:
3
TOTAL HABITABLE SPACE: _
X30
IMPERVIOUS SURFACE AREA:
COST OF PROJECT: /
G - UOO
30% SLOPES ON PROPERTY:
0
SEWER OR ON -SITE SEPTIC
SYSTEM? $ ;,L, � ",,
MANUFACTURED HOME
Width:
Manufacturer:
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: Phone:
Address:
Fax:
City State Zip
Inspector: Phone: Fax:
Address:
City
State Zip
SPECIAL INSPECTIONS
BOLTING [ I CONCRETE REINFORCEMENT
Firm Name:
Inspector(s):
Phone:
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 property owner.
Print Name PCt (A. 1 C. rct Signature I �t� ° (
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
II
Cash
Bankcard ':
pi Check 1 I Mastercard [ VISA ri Other
Authorized Signature:
Expires: VI HR:
lane
Valley
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
i IAA"' d
MAILING ADDRESS:
(street)
CONTRACTOR
PERMIT
USE:
PHONE (Daytime Contact),
509 - 6880036 Phone
509 - 688 - 0037 -Fax
e
et le 3
MP)
MAILING ADDRESS:
(city /state)
C `f° (en
LICENSE 1:
5 4 114
(street)
DESCRIPTION
1 TOILETS
(city /state)
PLUMBING FIXTURES
DETAILS
WATER CLOSE
PHONE 1:
(Za'')
1 OF UINITS
BATH, STALL„ ON -SITE BUILT
LAVS/BASINS, BAR FLOOR, Krr H$N,
LAUNDRY, UTILITY, JANITOR PHOTO, X-
RAY, FOOD; PREP /CULINARYNEAT
8
9
1D
I1
12
13
CLo1 E$ WASHER
GARBAGE DISPOSAL
WATER SOFTENER
ELECT. HOT WATER TANK
FLOOR DRAINS
NOTE: IE GAS, SEE MECHANICAL
AREA CA5E, COIL, TRENCH, CONDENSATE
INSTALLATION, ALTERATION, REPAIR,
REVERSALS.
SEWAGE EJECTOR
WATER USING DEVICE
CROSS CONNECTION DEVICE
MEDICAL GAS per outlet
GRINDER, SUMP PUMP
ICE AND/OR COFFEE MAKER HOSE BIB,
STEAMER PROOFER, CARBONATDR,
SWAMP COOLER
VACUUM BREAKER, CHECK VALVE, AND
FOR VATS, TANKS, BOILERS
GREASE'IRAp, SAND TM, CHEMICAL
HOLDING TANK
NITROUS, OXYGEN
MLSG PLUMBING FIXTURE
HOD OF PAYMENT
CARD NUM13E1u
EXPIRES:
ORI2ED SIGNATURE;
bcraooac n i
$6
56
56
SUBTOTAL:
1LUS PROCESSING FEE:
TOTAL PERMIT FEE DUE:
$35.00
** S0.39Ud 10101 *- +:
S i ut e
Valley
11707 East Sprague Avenue, Suite 106
509688 = 0035 - Phone
509 - 688 -0037 - Fax
Spokane Valley, WA 99206
Mechanical Permit Application
PROJECT
ADDRESS;
awNER ( S, j9Y 115Y S L_
fidKEG► ' P-C,' r •.e
MAILING ADDRESS: •
PERMIT
USE:
PHONE a
(D ytlme Contact): i' 2c. ,.._ ,�� </
S LSyt �'�'�,. c)€ fe
(street)
(city /state)
CON'I72.ACTOR:
teJ1 fC$.1440'1
MAILING ADDRES$:
5- M
street)
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
FUEL BURNING APPL7ANCE
(city /state)
xi UNLISTED APPLLANCB (ADDITIONAL FEE')
USED APPLIANCE (WBEC nun, AEA rating)
USED APPLIANCE (W$EC min. AFUE rating
BoILERlREFIUGERATIQN
BotLFP/REFRIGERATION
OR K 100,LOO
>100,000
OR < 400,000
LICENSE A:
PHONE A:
1 OF IIMi5
COST
S OI L ER/R EFRICERATION
DA3 LOG, GAS INSERT, Gas FIREPLACE
RANGE
DRYER
FUEL BURNING WATER NEM ER
MSG FUEL BURNING APPL
GAS PIPING (es Q404t)
DUCT SYSTEMS
VENTILATING FANS
or < 400,000
400,000
1 -100M BTU
]O1 • SOBM BTU
Sal - 1,000M BTU
IO01 • L758r r rm
+17s]M BTU
AIR HANDLER (DOES Nc r Indud4 ducting)
AIR HANDLER (DOES NOT Indude ducfn,)
EVAPDRATWVE COOLERS
TYPEIHOoo
TYPE II HOOD
HEAT PUMP /.AIR CONOrI70NER
A1R CONDITIONER
• OR c 10,000CFM
> 70,000 CFM
S20
I2
$19
Elm
3-LS TON
AIR CONDITIONER X 520
1540 TON
AIR CONDITIONER 30-50 TON
AIR CONDITIONER +50 TON
LPG STORAGE TANK —� 0
31 WOOD OR PELLETSTOVE/INSERT b
32 WOOD STOVE • FREESTANDING 470
SUBTOTAL:
METHOD OF PAYMENT
DATE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
I CPLRES!
Project Number: 0 33 Inv: 1 Application Date: 5/27/2005 Page 1 of 3
Sjokiie WJILDING DIVISION
THIS IS NOT A PERM ley be assessed for commencin g �4� i�i � u� , t
Suite 106
P t Information: Spokane Valley, WA 99206
Permit Use: NEW RESIDENCE W /ATTACHED GARAGE - GAS Contact: DIAMOND ROCK CONSTRUCTION
Address: 15321 E MISSION AVE
C - S - Z: SPOKANE VALLEY, WA 99037
Phone: (509) 924 -8964
Group Name:
Project Name:
Setbacks: Front 35 Left: 5 Right: 5 Rear: 43
Site Information:
Plat Key:
MitalEBEIEMPZIMAMM
Name: Corbin Estates Long Plat
ASEMBRIONNiftriiMINMOR
District: East
Parcel Number: 55191.0405
SiteAddress: 16 S ARTIES LN
Location:: CSV
Zoning: UR -7
Water District:
Block: 1
Urban Residential -7
Area: 7,233 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot: 3
Owner: Name: DIAMOND ROCK CONSTRUCTIO
Address: 15321 E MISSION AVE
SPOKANE VALLEY, WA 99037
Hold: ❑
Depth: 0 Right Of Way (ft): 32
Review
Site Plan Review
Originally Released: 5/27/2005 By: ddompier
Plan Review
Released l:
Approach / Drainage
Released By:
N/A PRIVATE LANE
Sewer Review
Originally Released: 5/27/2005 By: ddompier
Released By:
COUNTY SEWER CONNECTION: 05 -3626
Originally Released: 5/27/2005 By: ddompier
Operator: DMD Printed By: DMD Print Date: 5/27/2005
Project Number: 0 33 Inv: 1 Application Date: 5/27/2005 Page 2 of 3
Spo
CITY ofkane THIS IS NOT A PERM UILDING DIVISION
• I be assessed for commencing 111( it g R$POSuite 106
p s; S okane Valley, WA 99206
µ ill
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Building Characteristics
Group: R -3
Group: U -1
Total Area
Building Height
Stories
Dwelling Units
Description
COV DECK
GARAGE
RESIDENCE
Type: VB
Type: VB
1365
21
1
1
Building Permit
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218-8510
Grp Type Notes
R -3 VB
U -1 VB
R -3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
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
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
100 $1,500.00 100 $1,500.00
437 $8,303.00 437 $8,303.00
1,365 $101,938.20 1,365 $101,938.20
Totals: 1,902 $111,741.20
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
1,902 $111,741.20
Fee Amount
$1,060.95
$4.50
$424.38
Permit Total Fees: $1,489.83
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
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: DMD Printed By: DMD
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$10.00
$12.00
$2.00
$30.00
$10.00
$10.00
$84.00
5/27/2005
Project Number: 0 33 Inv: 1 Application Date: 5/27/2005 Page 3 of 3
SC`T okaneUILDING DIVISION
THIS IS NOT A PERM
PVa 1 e l be assessed for commencing viff jlit g gWOSuite 106
Plumbing Permit Spokane Valley, WA 99206
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
TOILETSBIDETS 2 NUMBER OF $12.00
SINKS 4 NUMBER OF $24.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $72.00
Notes:
See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$1,489.83 $1,489.83 $0.00 $1,489.83
$84.00 $84.00 $0.00 $84.00
$72.00 $72.00 $0.00 $72.00
$1,645.83 $1,645.83 $0.00 $1,645.83
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
NOTICE
The ownership of a Spokane Valley Development Permit will inure to the property owner.The permit applicant, by
definition, is the property owner or an authorized agent of the property owner. It is the responsibility of the
applicant/permittee that the use described on the front of this permit complies with applicable codes and that required
inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before
progressing beyond the point where inspections are required may necessitate removal of certain parts of the
construction at the applicant's/permittee's or property owner's expense.At a minimum,the following inspections ARE
REQUIRED by City Code:
FOOTING—when forms and reinforcement are in place and prior to placement of concrete-all structures,including manufactured homes.
NOTE:This inspection includes review of the structure's setback from property lines.Minimum setbacks are established by City of Spokane
Valley Ordinance.Curb lines and fence lines are not necessarily indicative of property lines.The responsibility to comply with applicable
setback provisions lies solely with the permittee-neither the City of Spokane Valley nor its authorized representatives assume any
responsibility for the verification or location of your property lines.Please verify their location prior to locating your structure.Failure to
properly locate the structure may require its relocation at the owner's/permittee's expense.
FOUNDATION—when forms and reinforcement are in place and prior to placement of concrete.
PLUMBING—after rough-in,before covering,and final.
MECHANICAL—rough-in of piping,before covering,metal chimneys before concealment,and final.
FRAMING—after all framing,bracing and blocking is in place, rough electrical,plumbing and mechanical systems are complete,and prior to
concealing.
FINAL—when complete and prior to occupancy and/or use.All permits require final inspection.
NOTE: In addition to inspection of the structure,this inspection includes review of site improvements(typically depicted on the approved site
plan)required by ordinance or as a condition of approval of this permit.Items such as the installation of fire hydrants,fire department access,
on-site drainage('208'swales),road improvements,parking and landscaping are common requirements of a permit/site plan which must be
completed prior to final approval of a building or issuance of a Certificate of Occupancy.
MANUFACTURED HOMES—Final inspection required when complete,stairs,handrails,skirting,etc.installed,and prior to occupancy;
completed inspection record card must be available on site.
PLUMBING REVERSALS FOR SEWER CONNECTIONS—prior to cover.
RIGHT-OF-WAY/APPROACH—prior to placement of concrete/asphalt or,if gravel approach,after completion.
In addition to the above,any plumbing or mechanical systems or material which would be concealed by framing,drywall,concrete,etc.must
be inspected prior to cover.Check with the Building department for"special inspections"in conjunction with commercial projects.
FOR INSPECTIONS
Please give one working day/24 hour notice.Different parts of your project may require permits and inspections from more than one agency.
Building,plumbing(includes interior reversals for sewer)and Road cuts for utilities or driveways,City of Spokane Valley
mechanical,City of Spokane Valley Building Division 688-0054 Public Works 688-0195 or State Dept of Transportation
324-6000
Permits and inspections for electrical winng,State Department of Labor Permits and inspections for Sewer Connection.Spokane County Utilities Division
And Industries 324-2640 477.3604
Permits and inspections for on-site septic systems, Spokane Regional Fire sprinkler and alarm systems and private access road inspections.Spokane Valley
Health Distract 324-1560 Fire Department 892-4122
State law RCW 19.122 requires that prior to any excavation the"CALL BEFORE YOU DIG'center must be notified.Call before you dig at least 2 working days in advance,456-8000.
PERMIT EXPIRATION AND REFUNDS
All permits shall expire by limitation and be declared void if a)work is not started within 180 days of obtaining a permit,or b)work is
abandoned for 180 days or more after beginning work,or c)after two years from the date of permit issuance,regardless of whether the work is
finished.If a permit is expired for time,a new permit may be obtained for half the permit fee based on the value of the remainder of the work to
finish the original permit.
All refund requests must be made in writing by the original permittee to the Building Official no later than 180 days after the date of fee
payment. 100%refunds will be granted for any fee erroneously paid or collected. Refunds of not more than 80%of a permit fee may be
authorized when no work has been done under the permit issued.Refunds of not more than 80%of a plan review fee paid may be authorized
when an application is withdrawn or cancelled prior to the plan review being completed.
Owner/Agent Date
Staff Approval Date
SEF 20 2003 17 :00 FR
TO 9268094
2001 WSEC,Residential Cane
Prescriptive (Chapter ,� Options Form
Z 1 �fr P ) O tions far 211 R Occupancies, Climate Zone • 1-1e2t sou rc"
Sl O ANC VALLEY ALfi, O
fl ILD DE PARE
'.,
E. Spt•alzge Avenue, #106, Spokaese �alle �iQ � < , jj
30 �shie�gfo�ID 99206 - Tel 509- 921-1000 -Fay 509-92,14 (,g h
SITE ADD SS: 1 , i ' S L 'ER IT
INSTRCJC'zONS
)
Your permit will be processed more efficiently if you provide all of the requested information. Department P et staff can
•exceptions or substitutions.
help you with general questions about this form. Your building g must match h
the selected option requirements without
proceeding to the option table below.
Glazing percentage determines which option to choose. Complete the following glazing area calculation before
GLAZING AREA CALCULATION:
I ")7
TOTAL WINDOW AREA
NOTE- Use rough opening (R /O)
SF. = �:
z HEATED FLOOR AREA (ALL FLOOR, % '
• ) •� OF GLAZWG
for window area. Include all ha
calculation- IF-lite and full -cite door glazing in this
CANT COMPLY? If none of the Prescriptive (Chapter 6) Options mow are acceptable, consider systems
(Chapter 4) or; Component Performance (Chapter 5) Approach. The main advantage is flexibili to jug juggle U-
factors (k?- 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 formes and other resources can be downloaded at http://w-ww.energy.wsu.edu/
buildings.
Razing
Option Area 10: % of
Floor
1096
15%
1716
unflrmed
Group R-3
Y
Glazing u -Fast
Verr1c41
0.40
0.43
Overhead"
0.58
0.37
0.35
0.58
sk
Door'
t3.factor
0 a
0.20
0.20
0.20
Ce�n9
Voluted
Ccirt ng'
R-30
R-30
R -30
R30
Wall
Above
Grade
R -21
rr1t1
R-19
R-5'
R -19 f.
R -5°
R -21
ant'
VV311 lnt`
Below
Grade
R -21
R -21
R -21
wail
ext'
Below
Grek.
R-12
R-12
Floor'
R-30
Stab' on
Grade
R-10
R-30
III II
R-30
Nominal RJeak.45S are for wood frame assemblies only or a butt in —�— '
t. tvfnfmmurn requireffe is for each apdon fisted For apn has a Winn Section 801.1
shaft oxrpty w{tt1 aft attic recai enxints of the 15% rig option On opoa d designs, ratio h7 the conditioned he s eras of 13 °�, it
requirem9nfs of 0 sated oppon above. calculate ��' Paced do odrrs �C%h Cannot rltet the speartc
2 ��� to ap c>olA y r�turte by Chapters 4 a 5 deg: t
3. Requiremsnt app&ciabte only single ratter ce single rafter �Id aifiin s. ceilings. 'A�' Fran�!d Ceiling.
4. WOW gads vcaAa chap be 6retdated either onto vaulted -
erade grade rl sOW b irhigiad on beer nxte11or b a n irt:rturn level of R -12, or on the interior to the same level as wafts above 602.2.
acwrrfng to the marxrfacturer'S to a wails shat be a water resistant material. n*anufactur� its intended use, and installed
5. FTonrs over craK1 ° �' Secii n s.
� spaces or e> to am6ie� air conditions.
Requ1red stab Ptvirnete• i>sutgons shat be a water resistant staterlet.�rsrxifactured for its intended tze, and Installed according to
rnanufedurer's speafiwGau- • `
7. int- denotes standard framing le Inches on nentor Wish headers insulated With a r rinimum or R-5 insulation.
8. This waft i<nsuladon r9gtirement denotes R -19 watt cavity inside plus R -5 foam sheaths
9. Doom incitegv al frAS doors, Shag ba as 19rped default U- factors fromTabte 10-6C, n9,
10. 4410 be less than o twe at value. the
eartneed grazing wit'? U-f d vertical plus overhead) ag a percent glazing ofgress Qonartioned floor arm
11. 17verbiad grazing shalt have' Lr-fartyes determ ned in,aaardane4, Wtt R L�40 or lass is shat in &act o in 0 arm lirrtitg$p is,
12, Log and solid tinter Walls with a mini marl, eve NFRC 100 or as specified a in �dton ` 2.1.5_
t}tidQ+[ss 4r 3.s ale exocrpt �, this hhsu(alien regalirgmwri C
R -30
R -10
R-10
R -10
Pollen 5-050801-2 00 1 residential Comp Form
50
�3'
to- 3 I/K /
Comb it/ 15V-es
A/D Zoo
16 S. A-rfi-e S L,i
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines; dimensions, curb Tines, structures and easements
have been identified. Also indicated are wetlands,
bodies of , steep slo.: s or other critical areas.
Signed:
Date:
ADDRE:. 6 S
ZONE
L
ROAD WI
FRONT
COMMENTS
REVIEWED