2005, 07-12 Permit App: 05002781 ResidenceSpokane "
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City o
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ING PERMIT APPLICATION WORKSHEET
alley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
hone: (509) 688 -0036; Fax: (509) 688 -0037
REQUIRED SITE INFORMATION
Street Address: Z'/ S, ,rte IVS' 241
Assessor's Tax Parcel Number(s): icn , 2/00,c-
Legal Description: 1' fj -, )-es Z 74- S' )K. 1-
PERMIT DESCRIPTION:
[Building Permit fl Change in Use ❑ Grading
(l Tenant Improvement ❑ Fire Safety
[-1 Relocation
❑ Manufactured Home
Other
OWNER/APPLICANT INFORMATION
n
Owner: D; i t:2 Dc. ( S'f
Phone: LY Z y 49.zi Fax: q 2‘ - vice 9c1
Address: t5-3-z_ t. M>ss :ovi cyr,.'
U.e -Ori[e C) A 9903,
City State Zip Code
Contractor: ✓vkoA6 12o C too s .r
Phone: Fax:
Address::/ 1 ��
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: �.-�
DIMENSIONS: r� 1
# OF STORIES:
MAIN FLOORTO SQ. -.
-2 "".FLOOR SQ. FTG: , S� °""_"`
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:/0v
OCCUPANCY GROUP:
CONSTRUCTION TYPE: „ ,
HEAT SOURCE:
# OF BEDROOMS: 3
TOTAL HABITABLE SPACE: 1 44
IMPERVIOUS SURFACE AREA: ,.°
COST OF PROJECT:
0 000
30% SLOPES ON PROPERTY:
✓
SEWER OR ON -SITE SEPTIC
SYSTEM? 5 e.t ✓
Width:
Manufacturer:
MANUFACTURE
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
BOLTING
Firm Name:
CONCRETE
I I REINFORCEMENT
Phone:
Fax:
WELDING
Inspector(s):
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 re to the property owner.
Signature 444'—
Print Name
f" ttI (1"-a
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
II
Cash
Bankcard ?:
II
Check 1 I Mastercard VISA
E Other.
Authorized Signature:
Expires: ViN:
S lane
Valley
11707 EastSprague Avenue, Suite X06
Spokane valley, WA 99206
Plumbing Permit Application
509 - 6850036 Phone
509 - 6880037 - Fax
rick, at
ADDRESS! S- /41-71--IV ..S
OWNER 0 i Le7leeft 6!
MAILING ADDRESS:
PERMIT
USE:
PHONE (D a
-- -. ytsme Contact): 9 Z `i 2 t`
� _ _ l i ✓ S , � 7 y� _ L ) e r o C ) / 4)/ L l C
(street) (city /State) (ZIP)
CONTRACTOR: Ca 14404_
MAILING ADDRESS:
(street)
5A-IIAL•
(city /state)
(ZrE')
PLUMBING FIXTURES
DESCRIPTION
TOILETS
URINALS
DETAILS
WATER CLOSET, BIDETS
TUBS
SHOWERS (PER TRAP)
SINKS
BATH, STALL„ ON -SITE BUILT
LAvs/BASINS, BAR, FLOOR, KrrC;EN,
LAUNDRY, UTILITY, JANI lugs, PHc'I'O, )(_
RAY, FOOA; PREP /CUUNARY/MFAT
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTENER
ELECT, HOT WATER TANK
FLOOR DRAINS
COST EQi1AL$ AMOUNT
NOTE: IF GAS, SEE MECHANICAL
AREA, CASE, COIL, TRENCH, CONDENSATE
FOUNTAINS, DRINKING
WATER PIPING/DRAIN -IN
WASTE, VENT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS.
SEWAGE EJECTOR
WATER USING DEVICE
GRINDER, SLIM', PUMP
ICE AND/OR COFFEE MAKER, HOSE BIB,
STEAMER, ',ROOFER, CARBONATOR,
SWAMP COOLER
CROSS CONNECTION DEVICE
SPRINKLER SYSTEM
X
VACUUM BREAKER, CHECK VALVE AND
R.P.BP.D. FOR: VATS, TANKS, BOILERS
INTERCEPTORS
MEDICAL. GAS Per autiet
MLSC PLUMHINO FIXTURE
HOD OF PAYI■tENT
'SH [] CJ -IECK ❑ DIME fl
GRLASEZRAP, SAND TRAP, CHEMICAL
HOLDING TANK
NITROUS, OXYGEN
CARD NUNIBEBI
ORI2ED SIGNATURE:
EXPIRES:
SLit'O'd
i6089E6 01
x Sys 111311�
X S4
X S6
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
did TO:LT 200E 0? dd3
** Std "Obd 7U101 **
cm
Slane
J1ey
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206 509 -688 =0036 - 1'kloae
509-688-0037 - Fax
Mechanical Permit Application
PROJECT
ADt RES$: 7 S /f
oWNER I Lira•.c,AFI C e� yL
MAILING ATaDRESS: —
(city/state)
S Z../
PERMIT
VISE:
PHONE (Daytime Contact): 9 2
(street)
CON TRACTOR:
MAILING ADDRESS: — •
(street)
-5W/4/7P-
(dty /state)
LICENSE P:
PHONES:
`/9 -7
(
DESCRIPTION OF WORK
(ZIP)
FUEL BURNING APPLIANCE
UNLISI'ED.AFPLIANCE ( ADDrTIONAL PEI:)
UNLISTED APPLIANCE (ADDITIONAL FEE)
USED APPLIANCE (WHEC min. AF TIE rating}
USED APPLIANCE (WS£C min AFUE ntlng)
BDILEIt/jt EPA/GERATION
BoMER/REFRIGERATION
8o:LER/REFRIcsru noN
BOILER/REFRIGERATION
8 OIL ER/REFRIG6rtATrON
GA3 LOG, GA5INSERT, GAS FIREPLACE
RANCE
DRYER
. OR <100,000
> 100,008
000000
• or < 400.000
> 400,000
1- IOpMBTU
301 .500M BTU
Sol -1,030M STU
1001 •1,750M BTU
-17sum BTU
FUEL BURNING WATER HEATER
) EM fLIEL BURNING APPL
GAS PIPING (ei OW 4I)
DUCT SY$TEA5
VENTILATING FANS
AIR HANDLER (DOES NOT indudi dueling)
AIR HANDLER (DES NOT Include duthn )
EVAPORATIVE COOLERS
TYPE I HOOD
TYPE II HOOD
HEAT PUMP /AIR CONDInONER
AIR CONDmrNE
AIR CONDmoNER
AIR CONDITIONER
Zs' AIR [CONDITIONER
30 LPG STORAGE TANK
31 WOOD OR YELL ET$TOVE/4NSERT
32 WOOD STOVE • FREE STANDING
METHOD OF PAYMENT
d CASH ❑ ccx
DATE:
BA KCARD NUMBEfl
AM- 130RJZT:ID SbGNA'ilJR.R:
0-3 TON
3-IS TON
1540 TON
30-50 TON
SUBTOTAL:
PLUS PROCESSING FEE
$35.00
SO %SO'd
b■a89.,6 01
TOTAL PERMIT FEE DUE:
Project Number. 0 12781 Inv: 1 Application Date: 08/08/2005
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W /ATTACHED GARAGE -GAS
Setbacks: Front 27 Left: 11 Right: 5 Rear: 62
Site Information:
Plat Key: Name: orbin Estates I ng -L at
Parcel Number: 5191.2605 ( Block:
SiteAddress: 24 S ARTIES LN
Location:: CSV
Zoning: UR -7*
Water District:
Urban Residential -7*
Page 1 of 3
Contact: DIAMOND ROCK CONSTRUCTION INC
Address: 15321 E MISSION AVE
C - S - Z: SPOKANE VALLEY, WA 99037
Phone: (509) 924 -8964
Group Name:
Project Name: ROW
District: East
Owner: Name: DIAMOND ROCK CONSTRUCTIO
Address: 15321 E MISSION AVE
SPOKANE VALLEY, WA 99037
Hold: ❑
Area: .00 Acres Width: 50 Depth: 143 Right Of Way (ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 08/08/2005 By: cjjanssen
Released By:
Approach / Drainage
Originally Released: 08/05/2005 By: TMELBOU
Released By:
Sewer Review
Permits:
Originally Released: 08/08/2005 By: cjjanssen
Released By:
Operator: CJJ
Printed By: CJJ
Print Date: 08/08/2005
Project Number: 05002781
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/08/2005
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Building Characteristics
Total Area
Building Height
Stories
Dwelling Units
1644
23
2
1
Approach
Page 2 of 3
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218-8510
Building Permit
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218-8510
Description Grp Type Notes
2ND FLOOR R -3 VB
DECK R -3 VB
GARAGE U -1 VB
RESIDENCE R -3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
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
433 $32,336.44 433 $32,336.44
100 $1,500.00 100 $1,500.00
458 $8,702.00 458 $8,702.00
1,095 $81,774.60 1,095 $81,774.60
Totals: 2,086 $124,313.04 2,086 $124,313.04
Units Unit Desc
1 SELECT
1 SELECT
Fee Amount
$1,133.75
$4.50
Permit Total Fees: $1,138.25
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
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$10.00
$12.00
$2.00
$40.00
$10.00
$10.00
$94.00
Operator: CJJ Printed By: CJJ Print Date: 08/08/2005
Project Number: 05002781
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/08/2005
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
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
3 NUMBER OF
5 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$30.00
$6.00
$6.00
$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 Invoice Amount
$1,138.25 $1,138.25
$94.00 $94.00
$84.00 $84.00
Amount Paid
$0.00
$0.00
$0.00
$ 84.00
Amount Owing
$1,138.25
$94.00
$84.00
$1,316.25 $1,316.25
$0.00 $1,316.25
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: CJJ Printed By: CJJ
Print Date: 08/08/2005
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 lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of , ' /�p slopes critical areas.
Signed* '/
Date*
•L
evil-