2005, 06-20 Permit App: 05002179 ResidenceSp "okane
�Ualle
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
E C E a V E n 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
hone: (509) 688 -0036; Fax: (509) 688 -0037
�' 1•I!= . y y r+t r ORMA T ION
Street Address: 23 S. Ar ft"e E
Assessor's Tax Parcel Number(s):
Leal, Description: LO f!
PERMIT DESCRIPTION:
H Building Permit
(7 Relocation
111 Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
R----- Owner: 7 i r ,: ,5 'ro _
Phone: 9Z y - -tgg if Fax: 926 - ga 9N
Address: 15-3 -,.f f. MIS s 164 e
(ie radafe (.1 rx
State Zip Code City State Zip Code
(l Contractor: 0 i a
cmc-/- , ❑ Architect:
Phone: ^Th / f-- Fax: Phone: Fax:
Address --' i— 1 / ' IK Address:
City
Applicant:
Phone:
Address:
Fax:
City State Zip Code City State Zip Code
WA State Contractor License #: Contact:
PERMIT /BUILDING INFORMATION
HEIGHT TO PEAK: 0'i
DIMENSIONS: x In, �t t
•..2 "FLOOR SQ. FTG: 7,
f
# OF STORIES: y
UNFIN BASEMENT SQ. FTG: in.
MAIN FLOOR TO SQ. FTG: ..
125 0
FINISHED BASEMENT SQ. FTG
li
GARAGE SQ. FTG:
3 7z, 1_,/
CONSTRUCTION TYPE:
He
TOTAL HABITABLE SPACE:
/Z$o
DECK/COV. PATIO SQ. FTG: /00
HEAT S
1 J _64 t'2
IMPERVIOUS SURFACE AREA:
OCCUPANCY GROUP:9
# OF BEDROOMS: 3
COST OF PROJECT:
6o, t' 0
30% SLOPES ON PROPERTY: p9(
(/1
SEWER OR ON -SITE SEPTIC
SYSTEM? Se ti -e r
MANUFACTURED HOME
Width:
Length: Year:
Manufacturer:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent: Fireworks Display: Blasting:
Valuation: Above /Underground Storage Tank Size:
Paint Booth:
Date/Time:
WASHINGTON STATE NON - RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
❑ REINFORCEMENT
Firm Name: 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 i
Print Name ACA 1 CrOP Signature
to the property owner.
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ' ❑ Check ❑ Mastercard n VISA ❑ Other
Bankcard #:
Authorized Signature:
Expires:
VIN #:
Or' N 11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Valley
Plumbing Peranif Application
PROJECT
ADDRFSS:Z3 5. /J-r� —/C s G"1
OWNER: rear, ^J„
MAILING ADDRESS:
(street)
CONTRACTOR:
MAILING ADDRESS:
street)
509 - 6880036 Phone
509 - 688 -0037 - Pax
PERMIT
USE:
PHONE (Daytime Contact):
(city/state)
(ZIT)
LICENSE 1:
DESCRIPTION
2
3
4
s
TOILETS
URINALS
PHONE A:
(city/state)
PLUMBING FIXTURES
DETAILS
WATER CLOSET, BIDETS
TUBS
SHOWERS (PER TRAP)
SINKS
6 DISHWASHER
BATH, STALL„ ON -SITE BUILT
LAVS/BASINS, BAR, FLOOR KITCI-i$N,
LAUNDRY, UTILITY, JAN I IUR, PHOTO, X-
RAY, FOOD; PREP /CULINARY/MEAT
(')
t OF LThTITS
7 CLOTHES WASHER_
8 GARBAGE DI$1'0SAL
9 WATERSOFFENER
10 ELECT: HOT WATER TANK
11
FLOOR DRAINS
12 FOUNTAINS, DRINKING
COST
$6
X $6
X
EQUALS AMOUNT
X . '$6
X y6
X 56
X $6
NOTE: IF GAS, SEE MECHANICAL
AREA, CASE, COIL, TRENCH, CONDENSATE
13 WATER PIPING/DRAIN -TN
WASTE, VENT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS.
14
SEWAGE EJECTOR
15
WATER USING DEVICE
GRINDER, SUMP PUMP
l a AND/OR COFFEE MAKER HUSK BIB,
STEAMER, ?ROOFER, CAR$ONATOR,
SWAMP COOLER
16
CROSS CONNECTION DEVICE
X
211
56
X $6
X $6
VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.D. FOR VATS, TANKS, BOILERS
17
SPRINKLER SYSTEM
18
INIERCErTOR$
GREiA.SERRA?, SAND TRAP, CHEMICAL
HOLDING TANK
19
MEDICAL GAS per outlet
20
MISC. PLUMBING 1 IXIURE
HQD OF PAYMENT
SH 0 CHECK 0
NITROUS, OXYGEN
CARD NUMBER
EXPIRES:
OW ZED SIGNATURE
SOit'O ' d
176089E6 01
X
X �6
X 56
X
56
SUBTOTAL:
PLUS PROCESSING FEE:
TOTAL PERMIT FEE DUE:
S35.00
c'Jd TO:2,I 200E OE d9S
_
Spokane
Valley
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-683-0037 - Fax
• Mechanical Permit Application
PROJECT
PERMIT
ADDRESS: 2s 1-Vril S IA USE:
MAIT-ING ADDRESS: •
OWNER: r\--:9 `f( iC
PHONE (-6aTtane -7„•
r 'If P" tP1.*
(street) (city/state) (ZIP)
CONTRAcroR: LICENSE
MAILING ADDRESS: • •
ken
Th
(street)
DESCRIPTION OF WORX
FUEL BURNING APPLIANCE • OR <100,000
2 FUEL 13(JRN1NC APPLIANCE >100,000
3 tiniurs-rEDAmtAuct (AoorrIONAL PEE) - OE< 400,000
4 UNLISTED APPLIANCE (ADDITIONAL FEE) 400,000
5 USED APPLIANCE (w5Ec min, AFUE wing) - o <400,000
6 USE0 APPLIANCE (WSEC min, AFUE rating) >400,320
7 BolLER/REMIGERATION 1 - 10014 BTU
8 BorLuvRESRIGFRATION lot • 500M BTU
9 801LEitiREFFIGERATIoN sal - 1,0301■4 311.1
10 BOILEMEFELGERATIGN 1001 • 1,75DM BTU
BOILERFEEFRICEPATroN +mom tiro
22 AS LOG, GAS ENSERT, AS FIREPLACE
(city/state)
(Zip)
COST EQUALS AMOUN't
)
13 RANGE
14 DRYER
15 FUEL BURNING WATER HEATER
16 KIX. ft/EL BURNING APPL
17 GAS PIPIN6 (e. 0,404t)
18 oucrvessztyls
VWI1T-ATING FANS
1
(;)
$10 • 0
X $10
X $10
20 AIR FIANDLfirt (CMS NOT includ4 chiding) • OR maxxxm X %LI
21 AIR HANDLER (DOEs NOT indude &idling) >10,000 X $19
22 EVAPORATIVE COoLERS X s10
22 TYPE I libou
X S50
24 TYPE 11 HOOD
810
2S HEAT PTIMP/AfR CONOmONER
$12 •
26 AiR CONDMONER
27 AIR CONDMONER
0-3 TON
3-15 TON
28 AIR CONDITIONER
29 AIR CONDITIONER
30 LPG STORAGE TANK
w000 OR PELLET STOVE4NEERT
32 WOOD STOVE • FREESTANDING
1543 TON
30-S0 TON
+SO TON
METHOD Q1 PAYMENT
D CASH 0 0-recx D MINN 0
DATE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
E03.1.TtES:
SA/SO'd
P6009E6 01
SUBTOTAL:
PLUS PROCESSING FEE
TOTAL PERMIT FEE put;
a 7
$35.00
dJ TO;6T E00E OE d3S
Prbj ect Number: 05002179 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: �b . =... vArr - . 4V.
Permit Use: NEW RESIDENCE W /ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 26 Left: 5 Right: 5 Rear: 47
Site Information:
Plat Key: Name: Corbin Estates Long Plat
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 Block: 2
SiteAddress: 23 S ARTIES LN
Location:: CSV
Zoning: UR -7
Water District:
Area: 5,838 Sq Ft
Urban Residential -7
Width: 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot: 4
Owner: Name:
Address:
DIAMOND ROCK CONSTRUCTIO
15321 E MISSION AVE
SPOKANE VALLEY, WA 99037
Hold: ❑
Depth: 116 Right Of Way (ft): 32
Review
Site Plan Review
Plan Review
Sewer Review
Permits:
Released By:
Operator: K_C
Released By:
Printed By: DMD
Print Date: 6/24/2005
Project Number: 05002179
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
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Building Characteristics
Group: R -3
Total Area
Building Height
Stories
Dwelling Units 1
Type: VB
1250
20
1
Description
CARPORT
GARAGE
RESIDENCE
Grp
U -1
U -1
R -3
Building Permit
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218-8510
Type
VB
VB
VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes
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: Total Project:
Su Ft Valuation Sq Ft Valuation
100 $1,500.00 100 $1,500.00
373 $7,087.00 373 $7,087.00
1,250 $93,350.00 1,250 $93,350.00
Totals: 1,723 $101,937.00 1,723 $101,937.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,004.95
$4.50
$401.98
$1,411.43
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218 -8510
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: K_C Printed By: DMD
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$2.00
$30.00
$10.00
$10.00
$74.00
6/24/2005
Project Number: 05002179 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/24/2005
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
TOILETS/BIDETS
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
$72.00
See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,411.43
$74.00
$72.00
Invoice Amount
$1,411.43
$74.00
$72.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,411.43
$74.00
$72.00
$1,557.43 $1,557.43
$0.00
$1,557.43
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: K_C Printed By: DMD
Print Date: 6/24/2005
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