2005, 06-20 Permit App: 05002182 Residence*lane
Vaiie
LDING PERMIT APPLICATION WORKSHEET
C i y v' ; + Valley Community Development Department
U Building. Division
JUN .2 0 2005 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
0) D [I L D [I N hone: (509) 688 -0036; Fax: (509) 688 -0037
REQUIRED SITE INFORMATION
Street Address: 20 S. kr f-;e S L'
Assessor's Tax Parcel Number(s):
Legal Description: ( IL vl %3 Ca v- 1 S to k
PERMIT DESCRIPTION:
uilding Permit ❑ Change in Use n Grading n Manufactured Home
H Relocation ❑ Tenant Improvement n Fire Safety n Other
OWNER/APPLICANT INFORMATION
❑ Owner:
Phone: Fax:
Address:
❑ Applicant:
Phone: Fax:
Address:
City State Zip Code City State Zip Code
n Contractor: V i-aaIA e A d 120c/6-- Cel S -'/:. n Architect:
Phone: q Zcr - yqq 6, tc Fax: 4 Z 6, - 5 -.496/ Phone: Fax:
Address: / s 3 z ( �., ,4/5 sre Address:
t.' ' A,e i 1C c.,rvi- qv 37
City State Zip Code City State Zip Code
WA State Contractor License #:
Contact:
PERMIT /BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS: ir .
# OF STORIES:
MAIN FLOOR TO SQ.. FTG: 1133 .•..2m-
FLOOR SQ. FTG:
- :UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ_ FTG:.
ar
GARAGE SQ. FTG: ,3 -S
DECK/COV. PATIO SQ. FTG:
i 7-6
OCCUPANCY GROUP:
S (' 12
CONSTRUCTION TYPE:
ti
HEAT SOURCE:
Nara l as rn t,
# OF BEDROOMS: 3
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA
COST OF PROJECT:
a)
Sor )
30% SLOPES ON PROPERT��
SEWER OR ON -SITE SEPTIC
SYSTEM? ,5'ez J
Width:
Manufacturer:
MANUFACTURED HOME
Length: Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above /Underground Storage Tank Size:
l WASHINGTON STATE NON - RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City
Inspector: Phone:
Address:
State
Fax:
Zip
City
State Zip
SPECIAL INSPECTIONS
❑ BOLTING fl CONCRETE
fl 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 inure to the property owner.
Print Name a IA f Cctp o Signature a „�
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check
Bankcard #:
Authorized Signature:
El Mastercard
❑ VISA C Other
Expires: VIN #:
Wiley
11707 East Sprague Avenue, Suite 106
Spokane VaIley, WA 99206
Plumbing Permit Application
509- 688 -0036 Phone
509 - 688-0037 - Pax
PROJECT
ADDRESS: ci
MAILING ADDRESS:
(street)
CONT ACFOR
MAILING ADDRESS:
(street)
(city /State)
6 5
PERMIT
USE:
PHONE
(Daytime Contact): c� 2
LICENSE 1;
PHONE /:
V/ ,d,Ie Lit4
(city /state)
(')
92 - 896 y
o
czal
PLUMBING FIXTURES
DESCRIPTION
DETAILS
2
3
4
3
'TOILETS
URINALS
WATER CLOSET, BIDETS
T[1BS
SHOWERS (PPER TRAP
SINKS
6 DIS}IWASHER
7 CLOTHES WASHER
0 OF UNITS
BATH, STALL„ ON -Siff BUILT
CAVS/BASINS, DAR FLOOR, (qTC-F
LAUNDRY, UTILITY, JANITOR, PHO' i, X-
RAY, FOOD; PREP /CULINARY/MEAT
8 GARBAGE DISPOSAL
9 WATER SOFTENER
10 ELECT, HOT WATER TANK NOTE. W GAS, SEE MECI-TANICAL
I1 FLOOR DRAINS
12
FOUNTAINS, DRINKING
AREA, CASE, COIL„ TRENCH, CONDENSATE
13
WATER PIPING/DRAIN -IN
WASTE, VENT, PLUMBTLVG
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSAts.
14
SEWAGE EJECTOR
15 WATER USING DEVICE
GRINDER, SUMP PUMP
ICE AND/OR COFFEE MAK1ET, HOSE BIB,
STEAMER, PROOFER, CARBONATOR,
SWAlka COOLER
16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND
R.P.D.. D. FOR VATS, TANKS, BOILERS
17 SPRINKLER SYSTEM
18 INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
19 MEDICAL GAS per outlet
NITROUS, OMEN
20 MISC. PLUMBING FIXTURE
HOD OF ,PAYMENT
kSH 0 CMEC{ 0
CARD NUMBER:
ORIZED SIGNATURE:
X
X
EXPIRES:
SO /PO'd
t'6089EG Oi.
X
X
56
56
56
SUBTOTAL:
PLUS PROCESSING FEE:
TOTAL PERMIT FEE DUE:
$35.o0
ad I O : L 1 200E OE d3S
** Se•A9dd 14101 **
SSio e :,.,..
.00017alley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
PROTECT
AD �f y
DR ES$ Zc:) . fte s Li"
OWNER
-7--- i i 2) toi
MAN ./NG ADDRESS:
4-44 E
(street)
CONTRACTOR:
MAILING ADDRESS; •
509-688:0036 - riktone
509 - 688 -0037 -Fax
PERMIT
USE:
PHONE (Daytime Contact):
(city /state)
1 311 A/ 55-i 0/$ /1-ti
(street)
DESCRIPTION OF WORK
LICENSE P:
PHONE S;
(city /state)
/e i-
657
T OF Lam'$
AMowir
FUEL BURNING APPLIANCE
1/NLLSFED APPLrANCE (ADDrrIONAL PEg)
UNLISTED APPuANCE (ADDITIONAL FEE)
USED APPLIANCE (WBEC m(n. AFUE rtbng)
USED APPLIANCE (WS£C mia AFLIE rating)
Bon -ER/R E!` RIGERATToN
BOILER/R EFRI GERATION
B OI L ER/R E FRIG ERAI iO N
BOfl ttUREFRIGERATION
BOILER/REFRIGERATION
GAS [LC, GAS INSERT, GAS FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
MISG FUEL BURNING APPS.
GAS PIPNC (ei auu *i1
DUCrsYSTEMs
VENTILATING FANS
100,000
OR 1 ,000
1 -100/4 BTU
IOI• Kai BTU
Sin - I.opOM BTU
i001 • L75IXI BTLI
+175)M Br;
AIR HANDLER (DOES NOT indud4 dueling)
AIR HANDLER (DOES NOT Include dud io )
TYPEIHOoD
TYPE II HOOD
HEAT PUMP /AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
0-3 TON
1.543 TON
30-50 TON
LPG S ORAGETANK
31 WOOD OR PELLET$rovE/tNsERT
32 WOOD STOVE • PREE STANDING
METHOD OP PAYMENT
ITEW
CASH 0 CHECK
DA'L'E:
BANKCARD NUMBER!
AUTHORIZED SiGNA71J? :
SO'SO•d
EXPIRES!
P6089Z6 01 a>
SUBTOTAL:
PLUS PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
d3 TO:LT EO ®Z 0Z dSS
Project Number: 05002182 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/24/2005 Page 1 of 3
Project Information:
Peh% rt
Permit Use: NEW RESIDENCE W /ATTACHED GARAGE - Contact: DIAMOND ROCK CONSTRUCTION
NATURAL GAS Address: 15321 E MISSION AVE
C - S - Z: SPOKANE VALLEY, WA 99037
Phone: (509) 924 -8964
Group Name:
Site Information: Project Name:
Setbacks: Front 27 Left: 5 Right: 5 Rear: 88
Plat Key: Name: Corbin Estates Long Plat
District: East
Parcel Number: 55191.0405 Block: 1
SiteAddress: 20 S ARTIES LN
Location:: CSV
Zoning: UR -7
Water District:
Area: 7,174 Sq Ft
Urban Residential -7
Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot: 4
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
Plan Review
Sewer Review
0 - s
Permits:
Released By:
Released By: ,
Operator: K_C Printed By: DMD Print Date: 6/24/2005
Project Number: 05002182 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/24/2005 Page 2 of 3
Building Permit
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509) 218 -8510
VERADALE, WA 99037
Building Characteristics
Group: R -3 Type: VB
Total Area 1633
Building Height 23.5
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Tape Notes Su Ft Valuation Su Ft Valuation
BASEMENT U R -3 VB 500 $7,500.00 500 $7,500.00
DECK R -3 VB 120 $1,800.00 120 $1,800.00
GARAGE U -1 VB 533 $10,127.00 533 $10,127.00
RESIDENCE R -3 VB 1,133 $84,612.44 1,133 $84,612.44
Totals: 2,286 $104,039.44 2,286 $104,039.44
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,021.75
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $408.70
Permit Total Fees:
Mechanical Permit
$1,434.95
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
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
Operator: K_C Printed By: DMD
Permit Total Fees: $74.00
Print Date: 6/24/2005
Project Number: 05002182 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/24/2005 Page 3 of 3
Plumbing Permit
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509) 218 -8510
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
WATER USING DEVICES
Notes:
See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$12.00
Fee Amount Invoice Amount
$1,434.95
$74.00
$66.00
$1,434.95
$74.00
$66.00
Amount Paid
$0.00
$0.00
$0.00
$66.00
Amount Owing
$1,434.95
$74.00
$66.00
$1,574.95 $1,574.95 $0.00 $1,574.95
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: DMD
Print Date: 6/24/2005
N
C
QI 'a �0
.f,, !T
Aiwa
1—>
.r`