2006, 02-21 Permit App: 06000542 Residenceessgs,4e, Permit Center
Spo
11707 E Sprague Ave, Su
Spokane Valley, WA 99_,.,
(509)688 -0036 FAX: (509 688- 00f9EB 2 1 2006
Community Development www.s.okanevalle .or'.c
6
6E C 1E 11
D
Residential Construction
Permit Application
D)
tt1LLD =Ik9
New Construction
❑ Addition/Remodel
❑ Other:
❑ Accessory Bldg
❑ Deck
SITE ADDRESS
ASSESSORS PARCEL NO: Y57) 73 , }. LEGAL DESCRIPTION:
Name: • a 5.*••••-9%. N b
Phone: -
Describe the scope of work in detail:
7s,. Y.
=- 4-- -^r4 - • P ?'ilS oy
,.
ontaa or 1 D
_
Name: 'Cc--.
�c . � C ..„..„.
Address: S. `* \'..
ccc<
_
Q`c?
City:R, ,,. y,
DECK/COV. PATIO SQ. FTG:
s�
Zip: tss.°'\` N- _
Phone: k`Z .•,...•c 6 •I•x Fax:
1::,\".,,k, • W"\"\,
Name: • a 5.*••••-9%. N b
Phone: -
Describe the scope of work in detail:
7s,. Y.
=- 4-- -^r4 - • P ?'ilS oy
,.
ontaa or 1 D
_
Name:
Address:
City: Zip:
Phone: Fax:
Lic No: Exp. Date:
City Business Lic No: \-\c-_c•cN'c,..�-1.o\c\pc.,
Cost of Project:
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK:
\.�
DIMENSIONS:
C4c'' `S\
# OF STORIES: -,
TOTAL HABITABLE SPACE:
\c\\4 /S t7
MAIN FLOOR TO SQ.
FTG: i /1- /
n-.N\
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
\_ (O 9
IMPERVIOUS SURFACE
AREA:
\ Q\
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ.
& (4- � L
DECK/COV. PATIO SQ. FTG:
s�
30% SLOPES ON
PROPERTY:
# OF BEDROQr:
CONSTRUCTION TYPE:
HEAT SOURCE:
C Pc>
SEWER OR SEPTIC?
SAC
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
--t is- applieat•
• ► . • • •
Signature C
Date
Method of Payment (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN #:
❑ Other
Authorized Signature:
REVISED 6/252005
Permit Center
Spokane 11707 E Sprague Ave, Suite .0000Valley Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688-0037
Community Development wwww.spokanevallev.ore.com
Mechanical Permit Application
PERMIT NI NUMBEt':-b LID
PERMIT FEE:
Commercial [71 Residential
SITE ADDRESS: \15.1C)
Building owner \-'C,CN',O.,24 1..yA
C..p(sszA`
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
2 FUEL BURNING APPLIANCE
More than 100,000
X
$12.00
X
$15.00
3 UNLISTED APPLIANCE (Additional Fee)
4 UNLISTED APPLIANCE (Additional Fee)
5 USED APPLIANCE (WSEC min. AFUE rating)
6 USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
More than 400,000
X
$100.00
Equal to or less than 400,000
More than 400,000
X
X
$50.00
$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
12 GAS LOG, GAS INSERT, GAS FIREPLACE
13 RANGE
14 DRYER
More than 1,750M BTU
X
$60.00
X
$10.00
X
$10 00
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
X
$10.00
19 VENTILATING FANS
20 AIR HANDLER (DOES NOT include ducting)
21 AIR HANDLER (DOES NOT include ducting)
22 EVAPORATIVE COOLERS
23 TYPE I HOOD
24 TYPE II HOOD
Equal to or less than 10,000 CFM
Greater than 10,000 CFM
X
$10.00
X
$12.00
X
X
$15.00
$10.00
X
$50.00
X
$10.00
25 HEAT PUMP /AIR CONDITIONER
0 -3 TON
X
$12.00
26 AIR CONDITIONER
27 AIR CONDITIONER
28 AIR CONDITIONER
3-15 TON
X
$20.00
29 AIR CONDITIONER
30 LPG STORAGE TANK
31 WOOD OR PELLET STOVE /INSERT
15 -30 TON
30 -50 TON
More than 50 TON
X
$25.00
X
$35.00
X
$60.00
X
$10.00
X
$10.00
32 WOOD STOVE - FREE STANDING
X
$25.00
33 REPAIR & ADDITIONS
X
$15.00
34 VENTILATION SYSTEMS
35 VENTILATION MECHANICAL EXHAUST
36 INCINERATOR - RESIDENCE
x
$12.00
x
$12.00
X
$19.00
37 INCINERATOR - COMMERCIAL
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
X
$22.00
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8126/05
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
4 . \7alley Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
Community Development www.sookanevallev.ore.com
Plumbing Permit Application
11
Commercial
PERMIT NUMBER:0 `J J
PERMIT FEE:
Residential
SITE ADDRESS: `,
e•v
Building owner ,i e..4,\ t,o,
C� �a ,
Name:
Phone:
Fax:
Address:
City. State:
Zip:
Contractor
WATER CLOSET, BIDETS
3
Namc:
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
3
X
$6.00
=
-
2
URINALS
X
$6.00
=
3
TUBS
7.
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
86.00
=
12
ROOF DRAINS /OVERFLOW
DRAINS
X
-
$6.00
=
13
FOUNTAINS, DRINKING
X
86.00
=
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
$15.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK
Card#
SUBTOTAL
❑ VISA ❑ MASTERCARD
PROCESSING FEE
835.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Spokane`
40,Ual ley
Call 24 hours before inspection required
Phone 509.688 -0036 Fax 509.688 -0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW
ROW CONSTRUCTION PERMIT
Location of property \1S1..0
\� (Address /Parcel #, if available)
Applicant Name cc• a,a�, C��o�•
Address
c_ c c? . Phone
Contractor's Name
Address Phone
Contractor's Reg# Expires
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
Sewer Connection
Curb & Gutter
Cable /Conduit
Other
Pavement Cut?
Driveway
Gas Installation
Sidewalk Repalr /Construction
Dimensions ,
Bond /insurance certification must be on file with the Ci . Bond #
SPECIAL CONDITIONS:
Permittee SignatureCA,_._
Approved
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder Signature
Fees Paid$
(Application) (Inspection)
Date
!nit
In addition to the permit application fee of $16.00 or $25.00, Inspection on each permit will be
billed to the permitee 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
Permit not valid until One -Call Notification Ticket # entered here
PERMIT MUST BE KEPT ON SITE
Project Number: 06000542 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/27/2006 Page 1 of 3
Project Information:
Permit Use: new single family dwelling w/ attached garage /gas
Setbacks: Front
Left: Right: Rear:
Site Information:
womcgrazza-
Plat Key: Name: Range
MEMOMMETWOMN
Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE, WA 99206 -3666
Phone: (509) 892 -0454
Group Name:
Project Name:
District: East
Parcel Number: 55073.2308
Block:
SiteAddress: 17520 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:
Review
Flood Plain
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206 -3666
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
not required
Originally Released:
Building Plan Review
2/27/2006 By: amblake
Released', By:
IGa
Originally Released: 2/23/2006 By: TMELBOU
Landuse /Zoning/HE Conditions
[Released By:
Sewer Review
Originally Released: 2/23/2006 By: HKAUER
Released By:
Operator: AMB
Originally Released: 2/27/2006 By: A_Blake
Printed By: AMB Print Date: 2/27/2006
Project Number: 06000542 Inv: 1
Permits:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/27/2006
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892 -0454
SPOKANE, WA 99206
Building Permit
Page 2 of 3
Firm: HOMESTEAD CONSTRUCTION
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
1 &2 FAMILY R -3 VB 1,251 $108,048.87 1,251 $108,048.87
BASEMENT U R -3 VB 696 $10,440.00 696 $10,440.00
DECK OPEN R -3 VB 80 $1,200.00 80 $1,200.00
GARAGE U -1 VB 682 $15,004.00 682 $15,004.00
Totals: 2,709 $134,692.87 2,709 $134,692.87
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,189.75
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $475.90
Permit Total Fees:
Mechanical Permit
$1,670.15
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
GAS LOG OR GAS INSERT
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
Fee Amount
$10.00
$12.00
$40.00
$10.00
Permit Total Fees: $72.00
Operator: AMB Printed By: AMB Print Date: 2/27/2006
Project Number: 06000542 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/27/2006 Page 3 of 3
Contractor: HOMESTEAD CONSTRUCTION
Plumbing Permit
Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892 -0454
SPOKANE, WA 99206
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
ROOF DRAINS
MISCELLANEOUS FIXTURES
Units Unit Desc
3 NUMBER OF
5 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$18.00
$102.00
Notes:
Payment Summary: gmassomonenwom
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,670.15 $1,670.15 $0.00 $1,670.15
Mechanical Permit $72.00 $72.00 $0.00 $72.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$1,844.15 $1,844.15
$0.00 $1,844.15
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: 2/27/2006
Project Number: 06000542 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/23/2006 Page 1 of 2
Project Information:
Permit Use: new single family dwelling w/ attached garage/gas
Setbacks: Front
Left: Right: Rear:
Site Information:
gemso,
Plat Key: Name: Range
° A.144XMat
Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE, WA 99206-3666
Phone: (509) 892-0454
Group Name:
Project Name:
-eva thI,SSMOSMMIS MtktWe r -non* -/W4Y,40
District: East
Parcel Number: 55073.2308 Block:
Site Address: 17520 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:
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206-3666
Hold:
Depth: 0 Right Of Way (ft): 0
Review
Flood Plain
Released By:
Building Plan Review
Released By:
Originally Released: 2/23/2006 By: TMELBOU
Landuse/Zoning/HE Conditions
Released
Sewer Review
Permits:
Released By:
Operator: AMB Printed By: jmm Print Date: 2/23/2006
Project Number: 06000542 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/23/2006 Page 2 of 2
Building Permit
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Phone: (509) 892 -0454
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:
Payment Summary'
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: jmm Print Date: 2/23/2006