2005, 06-20 Permit App: 05002180 Residencef
S"p"okane
Valley
jj I G PERMIT APPLICATION WORKSHEET
c f dka lley Community Development Department
Building Division
(509) 688 -0036; Fax: (509) 688 -0037 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Gne:
REQUIRED SITE INFORMATION
Street Address: 27 S.
Assessor's Tax Parcel Number(s):
Legal. Description:
6:0 f- s` c °i S
PERMIT DESCRIPTION:
[r Building Permit
❑ Relocation
n Change in Use ❑ Grading n Manufactured Home
n Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
�
7
Owner: l.:J o c,.'fc /t ` r(- -c't . L (o1 S t 1 1 Applicant:
Phone: 97.4- algibti Fax: q 4, - n96/ Phone: Fax:
Address: 15-1 a1 I, A ; s5;e:4 rive Address:
tie P- c,.Oci.( -e i ,..) - tici'o 3 7
City State Zip Code City State Zip Code
Contractor: D,cu4'tci :) iaot : !- CcbcS f" ❑ Architect:
Phone: cA_Im Fax: Phone: . Fax:
Address: Address:
City
State Zip Code
City
WA State Contractor License #: Contact:
State
Zip Code
PERMIT /BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS: ;' i
.2NU FLOOR SQ. FTG:
# OF STORIES:
UNFIN BASEMENT SQ. FTG:
Qsi
MAIN FLOOR.TO SQ. FTG:
)2%�
FINISHED BASEMENT SQ. FTG:
(
GARAGE SQ. FTG:
0
DECK/COV. PATIO SQ. FTG:
0t%
OCCUPANCY GROUP: _
5 F g
CONSTRUCTION TYPE:
Ale e L..:
HEAT SOURCE:
i' is i-v- - 1 6ci / o ytt: Lt`_
IMPERVIOUS SURFACE AREA:
# OF BEDROOMS: 3
TOTAL HABITABLE SPACE:
I Z-75
COST OF PROJECT :1 gP
9:/ (.. }_ CC)
30% SLOPES ON PROPERTY:
�r
SEWER OR ON -SITE SEPTIC
MANUFACTURED HOME
Width:
Manufacturer:
Length:
Year:
RELOCATION
Pit Set:
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 ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT ❑ WELDING
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 reviewat 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 Lt l Cra J)o Signature ?aJ etial r i
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
[-1 Cash . ❑ Check ❑ Mastercard ❑ VISA
❑Other
1ankcard #: Expires: VIN#:
Authorized Signature:
USE
—
—'4Ene Contact).
6 ci
Sficolcag%te
allay
443'
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
509-688-0036 Phone
509-688-0037 - Fax
PROJECT
ADIDRF5A, 2?5
S
OWNTER: ,
f—Ct
MAILING ADDRESS:
(street) (city/state)
CONTRACTOR:
z
MAILING ADDRESS:
54-
(street)
(city/State)
LICENSE It:
PHONE t:
(Z11')
(Zan
PLUMBING FIXTURES
DESCRIPTION
I TOILETS
2 URINALS
3 TUBS
4 SHOWERS (PER TRAP
5 SINKS
DETAILS
WATER CLOSET, BIDETS
6 DISHWASHER
7 CLOTHES WASHER
.1•■•■■■■■•■■■-.,-,
8A11-1, STALL, ON-SITE BUILT
LAVS/BASINS, BAR, FLOOR,
LAUNDRY, UTILITY, JANITOR, PHOTo, ;C-
RAY, FOOD, TREP/CULINARYMEAT
8 GARBAGE DISPOSAL
9 WATER SOFTENER
10 ELECT. HOT WATER TANK
11 FLOOR DRAINS
q
-7) .14
NCrTE: IF GAS, SEE MECHANICAL
AREA, CASE, COIL, TRENCH, CONDENSATE
12 FOUNTAINS, DRINKING
33 WATER PLPING/DRAIN-IN
WASTE, VENT, PLUMBING
REVERSAL.
14 SEWAGE EJECTOR
15 WATER USINC DEVICE
INSTALIAT1ON, ALTERATION, REPAIR,
REVERSALS
GRINDER, sump rum?
ICE AND/OR COFFEE MAKER, HOsEi
STEAMER, TROOPER, CARBONATOR„
SWAMP COOLER
16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.D. FOR: VATS, TANKS, BOILERS
17 SPRINKLER SYSTEM
18 INTERCEPTORS
GMASE TRAP, SAND TRAP, CHEMICAL
HOLONG TANK
19 MEDICAL GAS per outlet NrTROUS. OXYGEN
20 MSC. PLUMBING PiXTURE
HOD OF PAYINW,IT
151-1 0 CHECX 0
CARD N UMBER'
IMMO
VISA' •
n
EXPIRES:
=ZED SIGNATURE;
z
X
$5
X
SUBTOTAL:
PLUS PROCESSING YEE:
•
** S0.3Et)d 14101 **
Wiley
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Mechanical Permit Application
PROJECT
ADt ESS: 27 S A.r--l:..'113 j r 1
OWNER: f);6iN'Lt1t+'1.d L, 1c:.
MAILING ADDRESS:
(street) (city /stAte)
CONTRACTOR: T
E._ .t (0)1
MAILING ADDRESS: -.
509688 -0036 - Pktone
509 -68$ -0037 - Fax
20
22
23
24
25
26
27
PHONE (Daytime Contact): q
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
UNLISTED APPLIANCE (ADDRIONAL FEE)
UNLISTED APPLIANCE (ADDT ZONAL FEE)
USED APPLIANCE (WSEC mtn. AFUE nbno
USED APPLIANCE (WSEC tram AFUE nBrig)
BOfLER/REFIUGERATTON
B Oa.E7ZItEFR1G E'RATION
B OIL E RATED RIG (RATION
BOILER/REFRIGERATION
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
FOG FUEL BURNING APPL
GAS PIPING (ea- Outi4t)
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER (DOES NOT Indad4 ducting)
AIR HANDLER (DOES NOT include ducHn )
EVAPORATIVE COOLERS
IYPE I H e°
TYPE it HOOD
HEAT PUMP /AIR CONDIITONER
AIR CONDMONER
AIR CONDITIONER
AIR CONDITIONER
29 AIR CONDITIONER
30 LPG sTORACE TANK
3I WOOD OR ruler srovE/INSEwr
32 WOOD STOVE • FREE STANDING
1 OF tLNjTS
..oR <100,000 4:11111111117111 > 10R,tl00
1 <fp00p0
400.000 X $102
} '� �'� $100
1 -5 BTU on an
1o1 -S00M BTU X S22
$39
COST
EOL 4rL
A MOLDN7'
16
501- 1,000M BTU
x
1001 - L750bt B1il - X S37
+1752M BTU X 0
S10
SIO
d S10
ammant Ott
510
Milliff1.11111.311
510
510
512
/c
0-3 TIM
450 TON
METHOD OF PAYMENT
D CASH 0 CHECK []
(DATE:
BANKCARIS NUMBER
EXPIRES:
SUBTOTAL:
PLUS PROCESSING FEE
TOTAL PERMIT FIE DUE:
$35 -00
Project Number: 05002180 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:
Contact: DIAMOND ROCK CONSTRUCTION
Address: 15321 E MISSION AVE
C - S - Z: SPOKANE VALLEY, WA 99037
Setbacks: Front 26 Left: 5 Right: 5 Rear: 32 Phone: (509) 924 -8964
Group Name:
Project Name:
Permit Use: NEW RESIDENCE W /ATTACHED GARAGE -
NATURAL GAS
Site Information:
Plat Key:
Name: Corbin Estates Long Plat
District: East
Parcel Number: 55191.0405
SiteAddress: 27 S ARTIES LN
Location:: CSV
Zoning: UR -7
Water District:
Area: 5,853 Sq Ft
Block: 2 Lot: 5
Owner: Name: DIAMOND ROCK CONSTRUCTIO
Address: 15321 E MISSION AVE
SPOKANE VALLEY, WA 99037
Urban Residential -7
Hold: 111
Width: 50 Depth: 116 Right Of Way (ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Sewer Review
Permits:
361 i
Operator: K C Printed By: DMD
Released By
Released By:
Released By:
Print Date: 6/24/2005
Project Number: 05002180 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
1275
26
1
Description
CARPORT
GARAGE
RESIDENCE
Building Permit
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218-8510
Grp In Notes
U -1 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
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
440 $8,360.00 440 $8,360.00
1,275 $95,217.00 1,275 $95,217.00
Totals: 1,815 $105,077.00 1,815 $105,077.00
Units Unit Desc Fee Amount
1 SELECT $1,027.35
1 SELECT $4.50
1 SELECT $410.94
Permit Total Fees:
Mechanical Permit
Units
1
1
2
3
1
1
$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:
Fee Amount
$10.00
$12.00
$2.00
$30.00
$10.00
$10.00
$74.00
Operator: K_C Printed By: DMD Print Date: 6/24/2005
Project Number: 05002180 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
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
WATER USING DEVICES
Plumbing Permit
Units
2
4
2
1
Page 3 of 3
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218 -8510
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
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
Notes: .. Y. JoMT.EVNIMANA
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
MOV.MS,th WO' >.
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: DMD
Print Date: 6/24/2005
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