2006, 05-17 Permit App: 0001892 ResidenceSpokane
�IF Valley
Community Development
Permit Center
11707 E Sprague Ave, Suit
Spokane Valley, WA 9920
(509)688 -0036 FAX: (509)'
w w.�.s.okanevalle .orc.co
Residential Construction
Permit Application
MAY 1 7 2
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0037
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/New Construction
❑ Addition/Remodel
❑ Other:
❑ Accessory Bldg
❑ Deck
SITE ADDRESS
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
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Name' \--\--,:...,.?‘ o
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IMPERVIOUS SURFACE
AREA , � 1 i:�
FINISHED BASEMENT
SQ. FTG: '�°`°
Address: . –6\-')._
c c Q
30% SLOPES ON
PROPERTY: —
City:
City: •�Jc�"�.� � �.
ZAP:
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Phone: ``�,°\. ..' Sgr
Fax: 'C
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Exp. Date:
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Phone: c-� _ \�
Describe the scope of work in detail:
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DIMENSIONS:
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Name:
IMPERVIOUS SURFACE
AREA , � 1 i:�
FINISHED BASEMENT
SQ. FTG: '�°`°
Address:
DECK/COV. PAT SQ. FTG:
" Z 3 L
30% SLOPES ON
PROPERTY: —
City:
CONSTRUCTION TYPE:
Zip:
Phone:
Fax:
Lic No:
Exp. Date:
City Business Lic No:
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Cost of Project:
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable) * * * * * * * * * * * * * * * * * * ** t*
HEIGHT TO PEAK:
DIMENSIONS:
_
\
# OF STORIES:
TOTAL HABITABL�S�PA
MAIN FLOOR TO SQ.
FTG: \) ' 121
n
2 FLOOR SQ. FTG:
Ar`' 14/ G 7
UNFIN BASEMENT SQ. FTG:
S 6 0
IMPERVIOUS SURFACE
AREA , � 1 i:�
FINISHED BASEMENT
SQ. FTG: '�°`°
GARAGE SQ. FTG:
1. j\ t� rte.
DECK/COV. PAT SQ. FTG:
" Z 3 L
30% SLOPES ON
PROPERTY: —
# OF BEDROOMS: �_
f11Cl�I A IR�ce,
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
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: 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Date
Method of Payment (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check El Mastercard ❑ VISA
Bankcard #: Expires: VIN #:
Authorized Signature:
REVISED erzsrzoos
❑ Other
Spokan
�Ualley
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
Community Development v,•ww.spokanevalley.ore.com
Mechanical Permit Application
I m'
PERMIT NUMBER:
PERMIT FEE:
Commercial Residential
SITE ADDRESS: � „�o fr^•.•
Building owner
<'J r n •, .. \ e .�,.& C cscw1 •
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
it 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)
5
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
Equal to or less than 400,000
X
X
$100.00
$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
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
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$10.00
X
$10.00
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 I HOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP /AIR CONDITIONER
0 -3 TON
X
$12.00
26
AIR CONDITIONER
3-15 TON
X
$20.00
27
AIR CONDITIONER
15 -30 TON
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
X
$10.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
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 Cl CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
SOkane
�'� Valley
Community Development
Plumbing Permit
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
w ww.snokanevallev. org.com
Application
I
PERMIT NUMBER:
Commercial [-Residential
PERMIT FEE:
SITE ADDRESS:
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Building owner -\C
c_c�,_,- , c cx� o\
Name:
Phone:
Fax:
Address:
City. State:
Zip:
Contractor
WATER CLOSET, BIDETS
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
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
$6.00
=
7
CLOTHES WASHER
\
X
$6.00
_
-
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
86.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN -IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
ICE AN /OR 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
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK
Card#
SUBTOTAL
❑ VISA ❑ MASTERCARD
PROCESSING FEE
835.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Spokane'
Valley
Call 24 hours before inspection required
Phone 509.688 -0036 Fax 509.688 -0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date -17S-.J, Permit # PW
ROW CONSTRUCTION PERMIT
Location of property \-\1 \.:o�•�
(Address /Parcel #, if available)
Applicant Name c-4,,'c,
Address < . C5\" ..-
Phone N°\;
Contractor's Name
Address Phone
Contractor's Re g# Expires
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
Sewer Connection
Curb & Gutter
Cable /Conduit
Other
Pavement Cut? Dimensions
Driveway
Gas Installation
Sidewalk Repair /Construction
Bond/insurance certification must be on file with the City. Bond #
SPECIAL CONDITIONS:
Permittee Signature Approved
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder Signature
Fees Paid$
(Application) (Inspection)
In addition to the permit application fee of $16.00 or $25.00, Inspection on each permit will be
billed to the permlttee at a rate of $50.00 per hour with a $25.00 (1/2 hour) minimum. Permittee
signature on permit constitutes an agreement to these terms and provisions.
Work completed satisfactorily (Signed) Date
Date
Init
Permit not valid until One -Call Notification Ticket # entered here
PERMIT MUST BE KEPT ON SITE
Project Number: 06001892' Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/22/2006
Project Information:
Permit Use: SFR, GAS HEAT, ON SEWER
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Page 1 of 3
Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE, WA 99206
Phone: (509) 892 -0454
Group Name:
Project Name:
Name: FLORA SPRINGS
District: East
Parcel Number: 55073.2412 Block:
SiteAddress: 17511 E AUGUSTA LN
Location:: CSV
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Width: 0 Depth: 0 Right Of Way (ft): 0
Area: .00 Acres
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Released By:
Originally Released: 5/22/2006 By: TMELBOU
Landuse /Zoning/HE Conditions Released By:
Sewer Review
Permits:
Originally Released: 5/18/2006 By: CJJANSSE
Released By:
Originally Released: 5/18/2006 By: amblake
Operator: AMB Printed By: AMB Print Date: 5/22/2006
��t
Project Number: 06001892 • Inv: ' 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/22/2006
Building Permit
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892 -0454
SPOKANE, WA 99206
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1 &2 FAMILY R -3 VB 429 $37,052.73 429 $37,052.73
2ND FLOOR R -3 VB 1,407 $105,074.76 1,407 $105,074.76
BASEMENT U R -3 VB 560 $8,400.00 560 $8,400.00
DECK OPEN R -3 VB 332 $4,980.00 332 $4,980.00
GAR WOOD U -1 VB 451 $8,569.00 451 $8,569.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 3,179 $164,076.49 3,179 $164,076.49
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,357.75
$4.50
$543.10
$1,905.35
Page 2 of 3
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892 -0454
SPOKANE, WA 99206
Item Description
GAS WATER HEATER
GAS APPLIANCE<= 100,000BTU
VENTILATING FANS
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 NUMBER OF
Fee Amount
$10.00
$12.00
$40.00
Permit Total Fees: $62.00
Operator: AMB Printed By: AMB Print Date: 5/22/2006
Project Number: 06001892
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/22/2006
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
WATER PIPING - DWV
Notes:
Payment Summary:
Peiniit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892 -0454
Units
3
5
1
2
1
1
1
3
Fee Amount
$1,905.35
$62.00
$102.00
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$18.00
Invoice Amount Amount Paid
$1,905.35 $0.00
$62.00 $0.00
$102.00 $0.00
$102.00
Amount Owing
$1,905.35
$62.00
$102.00
$2,069.35 $2,069.35
$0.00 $2,069.35
Page 3 of 3
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: AMB Printed By: AMB Print Date: 5/22/2006
Project Number: 06001892 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/18/2006
Project Information:
Page 1 of 2
Permit Use: SFR, GAS HEAT, ON SEWER Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 892 -0454
Group Name:
Site Information: Project Name:
Plat Key: Name: FLORA SPRINGS
District: East
Parcel Number: 55073.2412
Block: Lot:
SiteAddress: 17511 E AUGUSTA LN
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: .00 Acres
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
•
Landuse /Zoning/HE Conditions
Sewer Review
Originally Released: 5/18/2006 By: amblake
Permits: MIEMMINKONSISIESMONA
Building Permit
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Phone: (509) 892 -0454
Operator: AMB Printed By: AMB Print Date: 5/18/2006
Project Number: 06001892 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/18/2006 Page 2 of 2
Mechanical Permit
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892 -0454
SPOKANE, WA 99206
Plumbing Permit
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892 -0454
SPOKANE, WA 99206
Notes:
Pa ment Summa
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: AMB Printed By: AMB Print Date: 5/18/2006