2007, 01-17 Permit App: 07000182 ResidenceSP kane
Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206 t� ,
(509)688 -0036 FAX: (509)688 -0037
www. spokanevalley. org. c o rn
Residential Construction
Permit Application
.J
I� rte".
n��l ctl7i/Ne Construction
=J ❑ Addition/Remodel
o Other:
o Accessory Bldg
❑ Deck
SITE ADDRESS ���o� �.. w�E� �c\e.
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: \__•
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Name:
•
•
, • _
GARAGE SQ. FTG:
(. j &
DECK/COV. PATIO SQ. FTG:
II `i
c .
Address:
- - .
HET SOURCE:
�,
SEWER OR SEPTIC?
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Phone:
. O • -�
.
Fax:
•
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Pia�K `y:�^ •�. M�, �• �'2�,- 7VM _
�ji �., f j 1 M)ji� t'S P •F i �t� t � w !� +�
Name.
Phone: !��
Describe the scope of work in detail:
t 1I r od _I t` * :M''r� -r Ct- -7 } ' :2 r t . r+ -: . `.. -,,-;•
tom.. v ..n..:•�a,.� m -s: -A a"�"�a�i .� ss...baa:.y..n� _ ril
Name:
Address:
Ci . Zi.:
Phone: Fax
Lie No: E .. Date:
Ci Business Lic No: �, �— 5 _ . o,,
Cost of Project:
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK:
DIMENSIONS:
'.,�1 ti
# OF STORIES:
TOTAL HABITABLE SPACE:
-)-, A1y z" i �±
MAIN FLOOR TO SQ.
FTG:
\� 'C`
2 "" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
LA"`'. L. 1 C.
IMPERVIOUS SURFACE
AREA: 4��
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
(. j &
DECK/COV. PATIO SQ. FTG:
II `i
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
Il1eP`I AI,*
CONSTRUCTION TYPE:
HET SOURCE:
�,
SEWER OR SEPTIC?
- : -,- —�N.._c
The permitee verifies, acknowledges and agrees by their signature that 1) If this perrnit 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: 6) Plans or additional information may be required to be submitted, and subsequently - approved before
this a • • ieation can be processed.
Signature Date \ \ L,. - "�
Method of Payment (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN #:
Authorized Signature:
REVISED wawa
❑ Other
S ion�an�'
� Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAN: (509)688-0037
www spokanevallev.ore.com
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
Commercial PrResidential
SITE ADDRESS:
Building owner .rn ,.. \., - -A ( •--,E.
d \ .
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
-
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business License No:
Contact
Name:
Phone:
DESCRIPTION OF WORK
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
# OF UNITS
X
COST
= TOTAL AMOUNT
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
5
USED APPLIANCE (W SEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT. GAS FIREPLACE
X
$10.00
13
RANGE
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
x
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE H000
X
$50.00
24
TYPE 11 HOOD
25
HEAT PUMP /AIR CONDITIONER
26
AIR CONDITIONER
27
AIR CONDITIONER
0 -3 TON
3 -15 TON
15-30 TON
X
$10.00
X
$12.00
X
$20.00
X
$25.00
28
AIR CONDITIONER
30 -50 TON
X
$35.00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE /INSERT
32
WOOD STOVE - FREE STANDING
33
REPAIR & ADDITIONS
34
VENTILATION SYSTEMS
X
$10.00
X
$25.00
X
$15.00
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
s\ Talley • Spokane Valley, WA 99206
r/ Vtll (509)688 -0036 FAX: (509)688-0037
Community Development www.spokanevallev.org.com
Plumbing Permit Application
PERMIT NUMBER:
Commercial d Residential
PERMIT FEE:
SITE ADDRESS:
Building owner \-'1�'�c c...�, \Q � c- . �•
DESCRIPTION OF WORK
j
Name:
Phone:
Fax:
Address:
City: State:
Zip:
Contractor
WATER CLOSET, BIDETS
7
Name:
Phone:
Fax:
Address:
City : State:
Zip:
License No:
City Business License No:
X
Contact
=
Name:
Phone:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
7
X
$6.00
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON -SITE BUILT
X
$6.00
=
5
SINKS
LAVS /BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X -RAY, FOOD, PREP /CULINARY MEAT
X
$6.00
=
6
DISHWASHER
\
X
X
$6.00
$6.00
=
=
7
CLOTHES WASHER
8
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6.00
12
ROOF DRAINS /OVERFLOW
DRAINS
X
$6.0o
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING /DRAIN -IN WASTE,
VENT, PLUMBING, REVERSAL
NST! ': ;ON, ALTERATION, REPAIR,
REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE ANIOR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
>
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
X
$6.00
$6.00
=
=
20
MISCELLANEOUS PLUMBING
FIXTURE
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK E VISA 0 MASTERCARD
Card# EXPIRES:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Project Number: 07000182
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/19/2007 Page 1 of 3
Project Information:
Permit Use: SFR W /ATT GAR
Setbacks: Front 33 Left: 7 Right: 7 Rear: 41
Site Information:
Plat Key: Name: Range
Contact: HOMESTEAD COSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 892 -0454
Group Name:
Project Name:
District: East
Parcel Number: 55073.2413
Block:
SiteAddress: 17507 E AUGUSTA LN
Location:: GRE
Zoning: UR -3.5
Water District: 134
Area: .00 Acr
Nbr of Bldgs: 0
Review Information:
Lot:
Owner: Name:
Address:
Urban Residential 3.5
CONSOLIDATED ID #19
es
Width: 0
Nbr of Dwellings: 0
Review
Building Plan Review
HOMESTEAD COSTRUCTION
312 S FARR RD
SPOKANE VALLEY, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
Originally Released: 1/19/2007 By: TMELBOU
Landuse /Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Released By:
Operator: JD
Originally Released: 1/19/2007 By: JDAVIS
Printed By: JD
Print Date:
1/19/2007
Project Number: 07000182 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/19/2007 Page 2 of 3
Building Permit
Contractor: HOMESTEAD BUILDERS Firm: HOMESTEAD BUILDERS
Address: 3510 GREENWICH RD Phone: (208) 640 -3022
COEUR D ALENE ID 83815
This Application: Total Project:
Description Grp Type Notes Sa Ft Valuation Si Ft Valuation
1 &2 FAMILY R -3 VB 1,500 $137,040.00 1,500 $137,040.00
BASEMENT U R -3 VB 676 $10,140.00 676 $10,140.00
DECK OPEN R -3 VB 114 $1,710.00 114 $1,710.00
GARAGE U -1 VB 738 $14,022.00 738 $14,022.00
Totals: 3,028 $162,912.00 3,028 $162,912.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,346.55
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $538.62
Permit Total Fees:
Mechanical Permit
$1,889.67
Contractor: HOMESTEAD BUILDERS Firm: HOMESTEAD BUILDERS
Address: 3510 GREENWICH RD Phone: (208) 640 -3022
COEUR D ALENE ID 83815
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<= 100,000BTU 1 NUMBER OF $12.00
VENTILATING FANS 4 NUMBER OF $40.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $72.00
Operator: JD Printed By: JD Print Date: 1/19/2007
Project Number: 07000182 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/19/2007 Page 3 of 3
Contractor: HOMESTEAD BUILDERS
Address: 3510 GREENWICH RD
COEUR D ALENE ID 83815
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
3
5
1
2
1
1
1
1
3
Fee Amount
$1,889.67
$72.00
$108.00
Firm: HOMESTEAD BUILDERS
Phone: (208) 640 -3022
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$1,889.67
$72.00
$108.00
Fee Amount
$18.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$108.00
$2,069.67 $2,069.67 $0.00
Amount Owing
$1,889.67
$72.00
$108.00
$2,069.67
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: JD Printed By: JD
Print Date: 1/19/2007