2006, 06-02 Permit App: 06002150 ResidenceSpo
� Valley
Community Development
Permit Center ((��'�
11707 E Sprague Ave, Suite 1'@K
Spokane Valley, WA 99206
(509)688 -0036 FAX:(509)688-
www.spokanevalley.org.com
Residential Construction
Permit Application
1 New Construction
❑ Addition/Remodel
❑ Other:
❑ Accessory Bldg
❑ Deck
SITE ADDRESS \ , \1 S\
c■ �
ASSESSORS PARCEL NO: 6' L' �j�c (1C? LEGAL DESCRIPTION: \ \� �j\�'� \mac
'1 A,1_ rosy 31 J. - y •
Name. \--\\,.. 3 - X o.a� C oc.,a, \
Address: \°�, ',, cc C..1—S.
City :. fir, ��c C... by Zip: O"\�'�....>
Phone: `'b��. ■At2S°C Fax �V'la -'V -\%
Name •
Phone:
Describe the scope of work in detail:
SF Q�
a�Y l% � y .aj` A�, 'ar"�� .e3o- �i Sc''
'' e„�,
Name:
# OF STORIES:
Address:
MAIN FLOOR TO SQ.
FTG: i
City: Zip:
2Nu FLOOR SQ. FTG:
8 4-0
Phone: Fax:
IMPERVIOUS SURFACE
AREA
Lic No: Exp. Date:
City Business Lic No: \ -\c j�
o\,
Cost of Project:
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK:
\SC
DIMENSIONS:
Ace.... �
# OF STORIES:
TOTAL HABITABLE SPACE:
\`) -:'\ /& j
MAIN FLOOR TO SQ.
FTG: i
'1
2Nu FLOOR SQ. FTG:
8 4-0
UNFIN BASEMENT SQ. FTG:
—
IMPERVIOUS SURFACE
AREA
FINISHED BASEMENT
SQ. FTG: - _
GARAGE SQ. FTG: , -
(YAO 4-<i
CONSTRUCTION TYPE:
DECK/COV. PAT
— 7
HEAT SOURCE:
C-
SQ. FTG:
30% SLOPES ON
PROPERTY: —
SEWER OR SEPTIC?
.z:Pa- -,-.
# OF BEDROOMS:
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: 6) Plans or additional information may be required to be submitted, and subsequently approved before
Signature , X.
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN #:
Authorized Signature:
REVISED erzsrzoos
Date
❑ Other
Spokane
Valley
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
•
DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW
ROW CONSTRUCTION PERMIT
Location of property \ '7)\
(Address/Parcel #, if available)
Applicant Name \-\1/4
Address Phone - -
Contractor's Name
Address Phone
Contractor's Reg# \\\ -1 Expires
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
Sewer Connection Driveway
Curb & Gutter
Cable/Conduit
Other
Gas Installation
Sidewalk Repair/Construction
•
•*,
•••••
• ;!. :14
•
Pavement Cut? Dimensions
Bond/insurance certification must be on file with the City. Bond #
SPECIAL CONDITIONS:
•
PermIttee Signature Approved
• ?..,,-;:',;sx,e,;:=7,,;
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$ Date
(Application) (Inspection)
In1
In addition to the permit application fee of $16.00 or $25.00, Inspection on each permit will be • 4
billed to the permlttee at a rate of $50.00 per hour with a $25.00 (1/2 hour) minimum Permits()
signature on permit constitutes an agreement to these terms and provisions.
Work completed satisfactorily (Signed)
Date
Permit not valid until One-Call Notification Ticket # entered here
PERMIT MUST BE KEPT ON SITE
Sii kan' ems°
.000 Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www.spokanevalley.org.com
Mechanical Permit Application
Commercial
J
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: \1
Building owner \�,- -.,,m, �'ta.acS,
Wc., •_.Nr •
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
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
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
6
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
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
13
RANGE
14
DRYER
15
FUEL BURNING WATER HEATER
X
$10.00
x
$10.00
16
MISC. FUEL BURNING APPLIANCE
17
18
GAS PIPING (each outlet)
DUCT SYSTEMS
X
$10.00
X
X
$10.00
$10.00
X
$1.00
X
$10.00
19
VENTILATING FANS
4
x
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
21
22
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
Greater than 10,000 CFM
X
X
$15.00
$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
34
VENTILATION SYSTEMS
35
VENTILATION MECHANICAL EXHAUST
X
X
X
$15.00
$12.00
$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
� P�nnit Center
Spokane 11707 E Sprague .Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
Community Development www•.spokanevallev.ore.coni
Plumbing Permit Application
�� Valley
11
PERMIT NUMBER:
PERMIT FEE:
Commercial 171 Residential
SITE ADDRESS: \ -\;>\ \ �� .
Building owner \-\
,--, c,„ \ o. a.., C ,--,r.1 ,
Nom:
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:
RT' 'MED E126/05
DESCRIPTION OF WORK
it OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
06.00
=
3
TUBS
1
X
06.00
=
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
r
X
$6.00
=
6
DISHWASHER
X
06.00
=
7
CLOTHES WASHER
X
$6.00
=
-
8
GARBAGE DISPOSAL
X
06.00
=
9
WATER SOFTENER
X
06.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
06.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
\
X
06.00
=
12
ROOF DRAINS /OVERFLOW
DRAINS
X
06.00
=
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
$8.00
=
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
06.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$2000
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK
Card#
❑ VISA ❑ MASTERCARD
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
RT' 'MED E126/05
Project Number: 06002150 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/9/2006 Page 1 of 3
Project Information:
Permit Use: SFR, GAS HEAT, ON SEWER
Setbacks: Front
Site Information:
Plat Key:
Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE, WA 99206 -3666
Left: Right: Rear: Phone: (509) 892 -0454
Group Name:
Project Name:
Name: FLORA SPRINGS
District: East
Parcel Number: 55073.2410 Block:
SiteAddress: 17519 E AUGUSTA LN
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206 -3666
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information •
Review
Building Plan Review
Driveway /Approach
Originally Released: 6/8/2006 By: TMELBOU
Released By:
Originally Released: 6/9/2006 By: a_blake
Landuse /Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 6/6/2006 By: KKENDAL
Released By:
Operator: AMB
Originally Released: 6/9/2006 By: a_blake
Printed By: AMB
Print Date:
6/9/2006
Project Number: 060021 50 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/9/2006 Page 2 of 3
Approach
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892 -0454
SPOKANE, WA 99206
Item Description
APPROACH -CONST IN ROW
Units Unit Desc Fee Amount
1 NUMBER OF $50.00
Permit Total Fees: $50.00
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 Tyne Notes Sq Ft Valuation Sq Ft Valuation
1 &2 FAMILY R -3 VB 817 $70,564.29 817 $70,564.29
2ND FLOOR R -3 VB 840 $62,731.20 840 $62,731.20
DECK OPEN R -3 VB 96 $1,440.00 96 $1,440.00
GAR WOOD U -1 VB 495 $9,405.00 495 $9,405.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 2,248 $144,140.49 2,248 $144,140.49
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,245.75
$4.50
$498.30
$1,748.55
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892 -0454
SPOKANE, WA 99206
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
Operator: AMB Printed By: AMB
Permit Total Fees: $62.00
Print Date: 6/9/2006
Project Number: 06002150 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/9/2006
Plumbing Permit
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892 -0454
SPOKANE, WA 99206
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
SHOWERS 1 NUMBER OF $6.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER PIPING - DWV 3 NUMBER OF $18.00
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$ 1,748.55
$62.00
$102.00
Permit Total Fees: $102.00
Page 3 of 3
Invoice Amount
$50.00
$1,748.55
$62.00
$102.00
$1,962.55 $1,962.55
Amount Paid
$0.00
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,748.55
$62.00
$102.00
$1,962.55
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: 6/9/2006
Project Number: 06002150 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/5/2006
Project Information:
Permit Use: SFR, GAS HEAT, ON SEWER
Setbacks: Front
Site Information:
Left:
Right: Rear:
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
Page 1 of 2
HOMESTEAD CONSTRUCTION
312 S FARR RD
SPOKANE, WA 99206 -3666
(509) 892-0454
Plat Key: Name: FLORA SPRINGS
Parcel Number: 55073.2410 Block:
SiteAddress: 17519 E AUGUSTA LN
Location:: CSV
Zoning: UR -3.5
Water District:
District: East
Urban Residential 3.5
Area: .00 Acres
Nbr of Bldgs: 0
Width: 0
Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206 -3666
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Driveway /Approach
Landuse /Zoning/HE Conditions
Sewer Review
Permits:
Released By: T
Released By:
Released By:
Operator: AMB
Printed By: AMB
Print Date:
6/5/2006
PLANNING DEPT. APPROVED
BY
DATE: (-Of/UV
e)