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2004, 06-30 Permit App: BLD-04-04837 Residence W/Garageokane alley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit NEW SINGLE FAMILY RESIDENTIAL Application #: BLD -04 -04837 709 S ARTIES LN GREENACRES WA NEW RESIDENCE W /ATTACHED GARAGE - NATURAL GAS Lot: CRAPO, DENNIS A & MELISSA A DIAMOND ROCK CONSTRUCTION INC 15321 E MISSION AVE VERADALE, WA 99037 -9552 DIAMOND ROCK CONSTRUCTION INC 15321 E MISSION AVE VERADALE WA 99037 -9552 Blk: Parcel No: Phone: (509) 924 -8964 Phone: Lic No: (509) 924 -8964 DIAMORC032OQ Applied: Issued: Expires: Zoning: 06/30/2004 01/05/2005 General Information: TYPE OF RESIDENTIAL PERMIT VALUATION CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE STRUCTURES ON PROPERTY CURRENT PROPERTY USE SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SHOWERS (PER TRAP) SINKS DISHWASHER sfr 150227 1 1 1 2 1 1 1 2 3 1 20 50 x 65 1 3 22 15 17 17 r -3 5 -b 1 residence no no 2 1 2 3 1 Fees: PLAN CHECK FEE TYPE II HOOD DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SHOWERS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 Total Calculated: Deposits /Receipts: Tntal f)iiP• CITY OF SPOKANE VALLEY APPROVED FOR SUBMITTAL Initials / Date Building Planning 511.74 10.00 10.00 10.00 2.00 30.00 1,279.35 4.50 12.00 6.00 12.00 18.00 6.00 6.00 6.00 6.00 12.00 15.00 1,956.59 0.00 1,956.59 THIS IS NOT A RECEIPT Spokane . MdlHey 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Conditions of Approval: THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit NEW SINGLE FAMILY RESIDENTIAL Application #: BLD -04 -04837 CONDITIONS: PER HE FINDINGS /PE- 1888 -01 /PUDE -6 -01, 12. THE APPLICANT SHALL EITHER INSTALL A SIX (6) -FOOT HIGH, RESIDENTIAL - STYLE,SIGHT- OBSCURING FENCE ALONG THE EAST BOUNDARY OF THE SITE, OR REDUCE THE NUMBER OF SINGLE - FAMILY LOTS LOCATED ALONG THE EAST BOUNDARY OF THE SITE TO FOUR (4). IF THE FENCING OPTION IS CHOSEN, THE FENCE DETAIL SHALL BE INCLUDED ON THE FINAL PUD SITE PLAN, AND THE FENCE INSTALLED PRIOR TO ISSUANCE OF THE FIRST BUILDING PERMIT FOR ANY LOT IN THE PROPOSAL LOCATED ALONG THE EAST BOUNDARY OF THE SITE; PROVIDED, THE ADJOINING PROPERTY TO THE EAST MAY WAIVE THE FENCING REQUIREMENT IN WRITING, IN WHOLE OR IN PART. THIS IS NOT A RECEIPT JUL 22 2004 13:09 FR TO 9269094 P.01/01 (,0. 00 7001 S . Pqr- Lo+ _ _ASS , eV.. • x.,.01... JUL 22 2004 12 :05 JUL 22 2004 14:01 TIM a1,00 a04 awl e+'° 01101101101.01 reminfes 200000010=1.101:0;iiew 0,. vorge go cow ci4.11; j %v bed of 9fl� PAGE.02 ** TOTAL FPGE.01 PAGE.02 PERMIT APPLICATION WORK SHEET .SPOKANE VALLEY COMMUNITYDEVELOPMENT BUILDING DIVISION 71707 East Sprague Ave Ste 106 Spokane Valley, Wig 99206 Phone; 509 688-0036 Fax: 509 688 -0 097 REQUIRED SITE INFORMATION STREET ADDRESS: ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DISCRIPTION: L'C' t'OC Lo;m'L)1r <c.. PERMIT DESCRIPTION: /JP IICIJ LDING PST /3 RELOCATION C7A.1`IGE USE a GRADING Cl SIGN DTENANT MANCFA.CTU HONE 0-0173ER OWNER / APPLICANT INFORMATION �oWN1ER• O,`r nR1 I � �cm5l� PHONE: 9,X(- 7146,7 FAX: 'U X16 ADDRESS: / ?mac 1 CONTRACTOR' PHONE: FAX: PHONE: ADDRESS: ADDRESS: • APPLICANT: PHONE: FAX; S s ' ke, td // V ADDRESS: G . ,STATE, ZIP 99G+J/ © ARCHITECT: CITY,.STATE, ZIP CITY, STATE, ZIP WA ST CONTRACTOR LICENSE M CONTACT: CAST OF PROJECT. &DO r f 30% SLOPES ON PROPERTY: /V r.% BUILDING HEIGHT TO PEAK:. 2 r CTCCUPANCY GROUP: BUILDING DIMENSIONS: 5C3 X 66 CONSTRUCTION TYPE; NUMBER OF STORIES / STRUCTURES ON PROPERTY: /00 NUMBER of BEDROOMS: 3 CRITICAL AREAS: /0e, METHOD OF PAYMENT' D 0 CASH CHECK BANKCARD AUTHORIZED SIGNATURE : .. . SO /20'd 17608SZ6 Ol MAIN FLOOR SQ FT: /560 2N0 FLOOR SQ FT: . )e: UNFIN BASEMENT: �Q ) FINISHED BASEMENT: `" GARAGE: JUN 3 0 2004 ?Id TO :LT £OOE OE ddS TOTAL PERMTT FEE DUE SPolaril.°19\`'e 40000ValleY Plumbing Permit Application 11707 East Sprague. Avenue, Site 106 Spokane Valley, WA 99206 "olowssemser0610411111114111111.1susgananwr 509-688-0036 Phone 509-688-0037 - Fax PROJECT ADDRESS: .20 OWNER MAILING ADDRESS: 71t e2dr?7,1777;1- PERMIT USE! PHONE (Daytime Contact): (street) (city/state) 7 8 9 10 11 12 )3 14 DESCRIPTION 7DrLETs URINALS SHOWERS (PER TRAP) PLUMB INC FDCIITRES DETAILS WATER CLOSET, BIDETS SINKS DISHWASHER CLOIBES WASHER GARBAGE DISPOSAL WATER SOFTENER ELECT, HOT WATER TANK FLOOR DRAINS FOUNTAINS, DRINKING WATER PWLNG/DRAIN.IN WASTE vENT, PLUMBING REVERSAL SEWAGE EJECTOR WATER USING DEVICE tAvsmasINs, BAR, FLOOR, Knr—HBN, LAUNDRY, UTILTIY, JANITOR PHOTO, x- RA.Y, FOOD; PREP/CULINARY/MEAT NOTE IF GAS, SEE MECHANICAL ARE CASE, COIL, TRENCH, CONDENSATE INSTALLATION, ALTERATION, REPAIR, REVERSALS 16 CROSS CONNECTION DEVICE 17 SPRINKLER SYSTEM la INTERCEPTORS • 19 MEDICAL GAS per outlet 20 MISC. PLUMBING FIXTURE HOD OF PAYMENT GRINDER, SUMP PUMP ICE AND/OR COME MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER VACUUM BItEAKER, CHECK VALVE, AND R.P.B.P.D. FOIL: VATS, TANKS, BOILERS GMASEIRAP, SAND TRAP, CHEMICAL HOLDING TANK Nrmous, OXYGEN ks13 0 a - r E c K 0 OM= 0 0 - - - 191Itil CARD NUMBER: EX7'IRES: (MUD GNIATUR,E, I OF UNITS 1111111 COST EQUALS ill= ma 06 S6 111111 11311111 11111111111 $73 111111111111111111111 11111111111 1111111111111 111111111111111111111 11111101 1111111111111111311 $6 56 SUBTOTAL, PLUS PROCESSING TEE: $35.00 Tra.)T rrAM7 M7 AqQ *4( S0.391dcl 7U101 ** *lat.:1\4'1k' Malley Mechanical Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone 509-6U-0037 - Fax Spokane Valley, WA 99206 PROTECT ADDRESS: 709 5: (street) IVIARING ADDRESS: • - • ' • (street) (city/state) ( city/state) (ZIP) LICENSE it; PHONE St: ; OF UNITS 2 3 4 5 FUEL BURNING APPLIANCE EQUALS AMOUN7' FUEL BURNING APPLIANCE UNLISTEDAPPLIANCE (ADEMONAL Fee) untusrto APPLIANCE (ADDITIONAL ;co TAEO APPLIANCE (MEC min. AMU rating) USED APPLIANCE (MEC mirL AFUE rating) BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION ROMER/REFRIGERATION BOILER/REFRIGERATION .. DR 100,000 5100,000 °RI 400,0150- 1M BTiJ 11E111010111111111111111111111111111 GAS LOG, GAS INSERT. GAS FIREPLACE eimmi RANGE 510 DRYER FUEL BURNING WATER HEATER MISC. wer.. mamma APR/- GAS PIPtNG (en- Ot4Ott) 11111111111111111MIEMEMMEMEIMIll DUCT SVSTEMS 111111.11111111311 VENTILATING FANS 11M1111111111311 520 1L_ AIR HANDLER (DOES. NCrr nthjd4 duetins) surnmeireiman AIR HANDLER (DOES NCYP Include &Jelin / 10EJ2CTM 1111111111111imirEMINIIIII EVAPORATIVE COOLERS TYPE I HOOD TYPE II HOOD 1111111111=11111=111.11111131111 510 111131111a1111 HEAT PINNAIR CONDITIONER 11111111111111112.111311111111111 Ix 2O Eirn 111111111111111111311 II111111111.1101111111111111 AIR CONDITIONER ADZ CONDITIONER LPG sroaAct TANK WOOD OR ?u.ETsTovE/tr.4sEgr WOOD STOVE FREE STANDING METHOD OP PAYMENT 10 CASH 0 CHECK 0 DATE. BAN KCARD NUMBER AUTHORIZED SIGNATURE. EXPIRES. SUBTOTAL: PLUS PROCESSING FEL TOTAL PERMIT FEE DU ?-1-1 Tn-/T cr:)C)7 GIF c. E0'3Jdd DATE: c1/44.,1 4se, r tdx 0(2 80:80 1700E 60 lflf S P O K A N ;c;, ,.JA .�1'rt`'r+ Its #ll:. u N UTILITIES btvistoN N. Bruce Rawls, P.E., Utilities Director SPECIAL CONNECTION CRARGE (SCC) PAYMENT OPTION SELECTION RECORD A DIVISION OF THE PUBLIC WORKS DEPARTMENT Form must be filled out accurately and in its en*ety,and signed or a permit will not be issued 1. 6.04 SITE ADDRESS: 1O q s tams PARCEL #: 55 15 I • z5OG OWNER NAME: 014 ,-404 0 ea Gtr CON $TRUC7t Oki LvT 4 13'44 £ OWNER ADDRESS: 00 15321 G • MtSSIc'ty 9903 7 PAYMENT OPTION SELECTED (check one): 1. ( ) SCC and General Facilities Charge (GFC), ( ), paid at issuance of Sewer Connection Permit. Total of SCC & GFC Received BY: Amount Paid Receipt# Check# noret, To G porado a CGOSW 4 Are /14. cc di 1.8'o4 00 le. CC • Rd at issuance of permit. The General Facilities Charge (GFC) (lg. ) to be aid in tw ' four equal monthly payments, with no interest, upon establishment of Sewer Billing Account. Received By: Amount Paid: Receipt# Check# 3. ( ) SCC and GFC ( ) to be paid at per month (includes interest) over a twenty (20) year Total of SCC & (9FC period upon establishment of Sewer Billing Account above figures are based on the current use of the property and that if the use of the property changes i the firtur . ional Sewer Connection Fees may be required. Signature of Property Owner or Property Owners Agent W Signalf of Utilities Staff Date 78-04 Date Located at: 1026 W. Broadway, 4th Floor Mailing Address: PWK -4 • 1116 W. Broadway • Spokane, WA 99260 -0430 (509) 477 -3604 • FAX: (509) 477 -4715 • TDD: (509) 477 -7133