2005, 05-17 Permit App: 05001605 Residence W/GarageProject Number: 05001605 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/17/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W /ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 39 Left: 5 Right: 5 Rear: 50
Site Information:
Plat Key:
Contact: DIAMOND ROCK CONSTRUCTION
Address: 15321 E MISSION AVE
C - S - Z: SPOKANE VALLEY, WA 99037
Phone: (509) 924 -8964
Group Name:
Project Name: ROW
Name: RANGE
District: East
Parcel Number: 55083.6311 Block: 2
SiteAddress: 18709 E AUGUSTA CT
Location:: CSV
Zoning: UR -7*
Water District:
Urban Residential -7*
Area: 12,040 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:��,,:;,_
Lot: 6A
Owner: Name: DIAMOND ROCK CONSTRUCTIO
Address: 15321 E MISSION AVE
SPOKANE VALLEY, WA 99037
Hold: ❑
Depth: 0 Right Of Way (ft): 50
Review
Site Plan Review
L2.4.4.-■,k0A., sat -
Plan Review
L.J A
Released By:
Released By:'
Approach / Drainage
Released By:
Sewer Review
Permits:
Operator: K_C Printed By: K_C Print Date: 05/17/2005
Project Number: 05001605 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/17/2005 Page 2 of 4
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Building Characteristics
Group: R -3.
Total Area
Building Height
Stories
Dwelling Units
Description
DECK
GARAGE
RESIDENCE
Approach
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218-8510
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
$50.00
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218-8510
Type: VB
1387
18
1
1
Grp Type
R -3 VB
U -1 VB
R -3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
100 $1,500.00 100 $1,500.00
473 $8,987.00 473 $8,987.00
1,387 $103,581.16 1,387 $103,581.16
Totals: 1,960 $114,068.16 1,960 $114,068.16
Units Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Fee Amount
$1,077.75
$4.50
$431.10
$1,513.35
Operator: K_C Printed By: K_C Print Date: 05/17/2005
Project Number: 05001605 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/17/2005 Page 3 of 4
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
GAS WATER HEATER
GAS APPLIANCE<= 100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
HOOD -TYPE II
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
WATER USING DEVICES
Mechanical Permit
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218-8510
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Units
2
3
1
2
1
1
2
Fee Amount
$10.00
$12.00
$2.00
$30.00
$10.00
$10.00
$74.00
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218-8510
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$18.00
$6.00
$12.00
$6.00
$6.00
$12.00
$72.00
Operator: K_C Printed By: K_C Print Date: 05/17/2005
Project Number: 05001605 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/17/2005 Page 4 of 4
ALL PERMIT APPLICATIONS IN MISSION MEADOWS MHP MUST HAVE PLANNING
DIVISION REVIEW BY MICKI HARNOIS OR GREG MCCORRMICK
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,513.35
$74.00
$72.00
Invoice Amount
$50.00
$1,513.35
$74.00
$72.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,513.35
$74.00
$72.00
$1,709.35 $1,709.35 $0.00 $1,709.35
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: KS Printed By: K_C Print Date: 05/17/2005
Sp "okane
4.0"alley
(0(9'44
a/1 eatqKgaM
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688 -0036; Fax: (509) 688 -0037
REQUIRED SITE INFORMATION
4_'1��
Street Address: ! / von v
Assessor's Tax Parcel Number(s):
Legal Description: ;9er--u j k Z)uple Lo A E ! Y 'i..
PERMIT DESCRIPTION:
[Building Permit
n Relocation
n Change in Use
I
Grading
Manufactured Home
Tenant Improvement Fire Safety 1 I Other
OWNER/APPLICANT INFORMATION
Owner: ID; G >M c) VOC
Phone: /2 Lt - %- c/ Fax: a ?c, - f3'OQrf
Address: IS T7 ', ; sS>r0n 14ci°
UeroDc -e W R g9c;37
City State Zip Code
Contractor: r.,■.6A 6 Q Q t r (6f)S4
Phone: A \ Fax:
Address:
City
State Zip Code
WA State Contractor License #:
1
Applicant:
Phone:
Address:
Fax:
City
Architect:
Phone:
Address:
State Zip Code
Fax:
City
Contact:
State
Zip Code
PERMIT /BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS: 1
qc x So
# OF STORIES:
MAIN FLOOR TO SQ. FTG: ) g
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
/00
OCCUPANCY GROUP: ,
CONSTRUCTION TYPE: ��
Lj
TOTAL HABITABLE SPACE: �3
HEAT SOURCE:
r;, CJr -AEtCF
IMPERVIOUS SURFACE AREA: �,
# OF BEDROOMS: __
COST OF PROJECT::
n J _OOP)
30% SLOPES ON PROPERTY:
)
SEWER OR ON -SITE SEPTIC
SYSTEM? 52 c <.)
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above /Underground Storage Tank Size:
WASHINGTON STATE NON - RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City
Inspector: Phone:
Address:
State
Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
BOLTING
Firm Name:
CONCRETE
REINFORCEMENT
Phone:
Inspector(s):
Fax:
WELDING
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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name ) I Cr Apo
Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
Cash
Bankcard #:
❑ Check n Mastercard
❑ VISA ❑ Other
Expires: VIN #:
Authorized Signature:
Sinib lane
,.rlly
Plumbing Permit Application
A
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
509 -688 -0036 Phone
509 -688 -0037 - pax
PROJECT O / PERMIT
ADDRESS_ �"
QWNER i0. C�f�E`L Lf K COBS, PHONE (Daytime Contact):
MAILING ADDRESS:
(S3 Z J I�SSS t lase aoradcol JJA,
(street) (city/state)
CONTRACTOR ..
MAILING ADDRESS:
574 M
(street)
(ZIP)
LICENSE t:
(city/state)
PHONE 1:
(')
DESCRIPTION
TOILETS
2 URINALS
3 TUBS
SHOWERS (PER TRAP)
PLUMBING FIX'T'URES
DETAILS
t OF UNITS
WATER CLOSET, BIDETS
SINKS
DISHWASHER
BATH, STAL L, ON -SITE BUILT
CAVS/BASINS, BAR FLOOR, IQrCHEN,
LAUNDRY, UTILTIY, JANITOR PHCTID, X-
RAY, FOOD; PREP /CULINARY/MEAT
7 CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTENER
1D ELECT. HOT WATER TANK
I1 FLOOR DRAINS
X
COST
56
EQUALS
X
56
NOTE: IF GAS, SEE MECHANICAL
AREA, CASE, COIL, TRENCH, CONDENSATE
12 FOUNTAINS, DRINKING
13 WATER PIPING/DRAIN -iN
WASTE, VENT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS.
SEWAGE EJECTOR
GRINDER, SUMP PUMP
15
WATER USING DEVICE
ICE AND/OR COFFEE MAIM, HOSE BIB,
STEER, ?ROOFER, CARBONA1DR,
SWAMP COOLER
16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND
R.P.B.. D. FOR: VATS, TANKS, BOILERS
17 SPRINKLER SYSTEM
I8 INTERCEPTORS
29 MEDICAL GAS per outlet
56
56
56
$6
56
X
$6
X
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
NITROUS, OXYGEN
20 MSC. PLUMBING FIXTURE
X
HOD OF PAYMENT
Y
ASH ❑ Ci -IECK ❑ n
EXPIRES:
.CAItD NUMBER:
ORTZED SIGNATURE;
SO/170'd
176089E6 01
$6
$6
56
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
dd TO:LT 200E O ddS
** SO '390d 14101 **
dleY
11707 East Sprague Avenue, Suite n6
Spokane Valley, WA 99206
Mechanical Permit Application
TPROrECT - -
509- 688 -0036 - Phone
509 -6$8 -0037 -Fax
PERMIT
ADDRESS:
MAT[ WG A1?�D� R EG S S,: m w ri �ss�_fC C✓1 PHO
NE OwNE USE: (Daytime Conta
9 r�•' Q f`
S/ U, 'r /L. 1 4^ ) e c N .5
(street) (city /state) (ZIP)
CONTRACTOR: • LICENSE t;
MAILING ADDRESS: • - • •
(street)
PHONE $:
(city /state) (�,)
DESCRIPTION OF W ORK
1 FUEL BURNING APPLIANCE
2 FUEL BURNING APpUANCE
3 UNLETED APPLIANCE (ADDRIONAL FEE)
4 UNLISTED APPLIANCE (ADDn7ONAL FEE)_
5 USED APPLIANCE (WBEC min. ANA rating)
6USED APPLIANCE (WSEC min. AFRJE riling)
7 BOR.ER/REFRIGERATION T�
g BoILE7VREFRIGERATION
9 0OILER/Rt:FRICERAT1QN
10 BOILERJFRIGERATIoN
11 BO ILER/REFRIC5RATION
OF UNITS X COST EQUALS AMOUNT
..OR<100,000 X , 31,5 -
> 100,000 X 319
- OR < 400400 X S50
‘00,000 X 5100
or <400,000 X • 350
)400,000 X 5100
_ 1 -100M BTU X 315
101 • 500M BTU X 518
501- 1.000M BTU X $ag
3001.1,750M BTU X S57
12 GAS LOG, GAS INSERT, GAS FIREPLACE
13 RANGE
14 PRYER
IS FUEL BURNING WATER HEATER
16 MISC. FUEL BURNING APPL.
17 GAS PIPING (ea Out4q
+1750M BTU X 395
•
310
13 DUCT SYSTEMS
19 VENITLATING FANS
510
•
_ f X 510
X 510
X 310
T- X 310
20 AIR HANDLER (DOES NOT indud+ ducting)
21 AIR HANDLER (DOE5 NOT Include dudin
22 EVAPDRAIIVE COOLERS_
23 TYPE I HOoo
•0RcmotoCFM
•
X 310
X 512
>10,00o CPM
X 319
x
24 TYPE II HOOD
r 2S HEAT PUMP /AIR CON OLTION ER 0-3 TON
26 AIR CONDITIONER 3-55 TON
27 AIR CONDmoNER
X 350
X 510
X
28 AIR CONDITIONER
29 AIR CONDn7oNER
30 LPG STORAGE TANx
25-30 TON
30-50 TON
_ x
x
320
325
31 WOOD OR PELLET STOVE/tN5ERT
32 WOOD STOVE • FREE STANDING
+50 TON X sso
X $10
METHOD OF PAYMENT
X $10
$25
DATE: EXPIRES:
BANKCARr NUMBS
AUT1-3OR1Z SIGNATURE.
S0 '-SO'd
1'60896 Ol
SUBTOTAL:
PLUS PROCESSING FEE $35 -00
TOTAL PERMIT FEE DUE:
ad TO :Lti MCC OC ddS
RVer Wei Pt/ PleX
BIK
4444 E, A lusi-a
/00
afd