2005, 04-19 Permit App: 05001461 ResidenceS"p"okane
jUalley
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
Street Address:
i 7n r , r T a d d cst C
Assessor's Tax Parcel Number(s):
Legal Description: • LaY /0 13/4 2 12,x. r t�Jc (I� dup /ex /o c'
PERMIT DESCRIPTION:
Building Permit
Relocation
Change in Use
Tenant Improvement
I
11
Grading
Fire Safety
Manufactured Home
Other
IJ
OWNER/APPLICANT INFORMATION
Owner: LD. icy moftd 20C. t." Lo /157,
Phone: 97 9 ( Fax: 9 ?6- Fo 9,
Address: I s 3 2 I [. 44; .sg ;Or /hie,
State Zip Code
City
Contractor: aicrv1o.A c 1oc /C rn✓IS71.
Phone: Fax:
Address:
City State
WA State Contractor License #:
Applicant:
Phone:
Address:
Fax:
City
Architect:
hone
dfeg:EF��
Zip Code City
Con
0
State Zip Code
r,
State Zip Code
iJu R
PERMIT /BUILDING INFORMATION
HEIGHT TO PEAK: 77. t
DIMENSIONS:
,.i yr L/0 I
/
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
13"
2 "" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
3�e1, "75,-...t
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: F
IC
CONSTRUCTION TYPE: f /�
/I/
HEAT SOURCE:
r> f
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
05'
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
6, 000
30% SLOPES ON t
SEWER OR ON -SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
Width: Length: Year:
Manufacturer:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above /Underground Storage Tank Size:
i
WASHINGTON STATE NON - RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City
Inspector: Phone:
Address:
State
Fax:
Zip
City
State Zip
SPECIAL INSPECTIONS
BOLTING ( ( CONCRETE 1 I REINFORCEMENT 1 1 WELDING
Firm Name:
Phone:
Inspector(s):
Fax:
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 1)(2` t t i! .ry ° Signature �� t,
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
(1 Cash [1 Check
Bankcard #:
Authorized Signature:
11
Mastercard
f VISA [ 1 Other
Expires: VIN #:
sue- e�..
jvatley
11707 East Sprague Avenue, Suite 106
509-688-0036 Phone
Spokane Valley, WA 99206
509 -688 -0037 - Fax
Plumbing Permit Application
PROJECt
ADDRESS: 10 7 (, pI�,Q) L\ L
OWNER /V C'M�i G
",
MAILING ADDRESS: e
157 ( l�)5310AA - *"
(street) (city/state)
PERMIT
USE:
CONTRACTOR:
LICENSE is
MAILING ADDRESS: PHONE $:
PHONE (Daytime Contact): () 2
(street)
DESCRIPTION
1 TOn.EIS WATER CLOSET, Mims
(city /state)
PLUMBING FIXTURES
DETAILS
z URINALS
3 TUBS
4 SHOWERS (PER TRAP)
5 SINKS
6
7
8
DISHWASHER
(?037
RIF)
RIP) '
COST
EQUALS AMOUNT
BATH, STALL„ ON -SITE BUILT
LA VS/BASINS, PAR FLOOR KITCHz.,/,
LAUNDRY, UTILITY, JANITOR PHOTO, X-
RAY, FOOD: PREP /CULINARY/MEAT
CLOTHES WASHER_
GARBAGE DISPOSAL
9 WATER $OFTENER
10
ELECT. HOT WATER TANK
I1
FLOOR DRAINS
12
FOUNTAINS, DRINKING
13
WATER PIPING/DRAIN -IN
WASTE, VENT, PLUMBING
REVERSAL
X
x
x
$6
X
NOTE; IF GAS, SEE MECHANICAL
AAA, CASE, COIL„ TRENCEL CONDENSATE
INSTALLATION, ALTERATION, REPAID
REVERSALS.
14
SEWAGE EJECTOR
15
16
17
WATER USING DEVICE
GRINDER, SUMP PUMP
ICE AND/OR COFFEE MAKE HOSE BIB,
GAMER PROOFER, CAR$ONATOR,
SWAMP COOLER
CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND
R.P 3.P.D. FOR VATS, TANKS, BOILERS
SPRINKLER SYSTEM
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
19
MEDICAL GAS per cutkt
X
$6
$6
NXIROUS, or(GEN
70
MISC. PLUMBING FIXTURE
HOD OF PAYMENT
LEH ❑ CHECG
EXPIRES:
CARD NUMBER
ORIZED SIGNATURE:
SO/170'd
176089E6 01
$35.00
dd TC:LT 280E CZ d8S
SO ' 390d 14101 **
SRC all°e‘i 414144
117C7 East Sprague Avenue, Suite 7.06
Spokane Valley, WA 99206
Mechanical permit Application.
PROJECT -7
ADDRESS: 1 �! o� 1-)(�
G ld Co
OWNER: .. e
MAILING ADDRESS: •
509- 688 =0036 - 'hone
509 -6$$ -0037 - Fax
(street)
CONTRACTOR:
Dim r' eJ
MAILING ADDRESS: •
Mfs
street)
(City /state)
51;51-,01'
(city/state)
DESCRIPTION OF WORK
1 FUEL BURNING APPLIANCE
2 FUEL BURNING APPLIANCE
3 UNLISTED APPLIANCE (ADDITIONAL FEE)
UNLISTED APPLIANCE ( ADDITIONAL PEE)
USED APPLIANCE (WSEC min. MIT ntfng)
USED APPLIANCE (WSEC tun. AFT,JE rating)
PERMIT
!USE:
PRONE (Daytime Contact
LICENSE 0:
PHONE$
r OF =Ts
)91 3 7
(ZIP)
OR <100,000
>100,000
- OR <400,000
B OIL ER/R EFRICERATION
GAS LOG, GAS o+ISERT, GAS FIREPLACE
RANCE
DRYER
FUEL BURNING WATER HEATER
MISG fUEI. BURNING APPL.
GAS PIPING (eu Outl4t/
DUCT SYSTEMS
VENITLATING FANS
1- loots BTU
101 • SOOM BTU
S01- 1.000M 6211
1001 • 1,790m BTU
+1750M BTU
AIR HANDLER (ODES NOT indudi ducting)
AIR HANDLER (DOES NOT Include dudin
EVAPDRATIVE COOLERS
TYPE I HOOD
TYPE II HOOD
HEAT PUMP /AIR CONDITIONER
AIR CONDITIONER
AIR CONDfl1ONER
AIR CONDITIONER
AIR CONDITIONER
30 I.PC SPORAGs TANK
31 WOOD OR PELLETSTOVE/INSERT•
32 WOOD STOVE • FREE STANDING 1111111111I
• OR c TQOODGEM
>10,00D CFM 519
510
S50
310
0-3 TON
3-15 TON
30-50 TON
+50 TON
METHOD Op PAYMENT
CASH 0 cnEcK
DA'T'E:
EXPIRES!
BAT4 CART NUMBER!
AUTHORIZED SIGNATURE•
SO /SO'd
P6089z6 01
TOTAL PERMIT FEE DUE;
ad TO:LT MCC OC d85
Project Number: 05001461 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W /ATTACHED GARAGE -
NATURAL GAS
Date: 05/09/2005 Page 1 of 4
Setbacks: Front 42 Left: 5 Right: 5 Rear: 64
Site Information:
Plat Key:
Name: RANGE
Contact: DIAMOND ROCK CONSTRUCTION
Address: 15321 E MISSION AVE
C - S - Z: SPOKANE VALLEY, WA 99037
Phone: (509) 924 -8964
Group Name:
Project Name:
District: East
Parcel Number: 55083.6320 Block: 2
SiteAddress: 18706 E BALDWIN CT
Location:: GRE
Lot: 10B
Owner: Name: DIAMOND ROCK CONSTRUCTIO
Address: 15321 E MISSION AVE
SPOKANE VALLEY, WA 99037
Zoning: UR -7* Urban Residential -7*
Water District: Hold: ❑
Area: 11,394 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: -ve,w ,k. mt� q
a.;
Review
Site Plan Review
Plan Review
Approach / Drainage
Released By:
Sewer Review
Permits:
CS C003
Released By:
Operator: K_C Printed By: K_C Print Date: 05/09/2005
Project Number: 05001461 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/09/2005 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
Type: VB
1340
22
1
1
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
Description Grp Type Notes
CARPORT U -1 VB
GARAGE U -1 VB
RESIDENCE R -3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
This Application:
Su Ft Valuation
100 $1,500.00
370 $7,030.00
1,340 $100,071.20
Totals: 1,810 $108,601.20
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: K_C Printed By: KC
Permit Total Fees:
Print Date:
Total Project:
Su Ft Valuation
100 $1,500.00
370 $7,030.00
1,340 $100,071.20
1,810 $108,601.20
Fee Amount
$1,044.15
$4.50
$417.66
$1,466.31
05/09/2005
Project Number: 05001461 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/09/2005 Page 3 of 4
Mechanical Permit
Contractor: DIAMOND ROCK Finn: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509) 218 -8510
VERADALE, WA 99037
Item Description
GAS WATER HEATER
GAS APPLIANCE <= 100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Units Unit Desc Fee Amount
1 NUMBER OF $10.00
1 NUMBER OF $12.00
3 # OF UNITS $3.00
3 NUMBER OF $30.00
1 NUMBER OF $10.00
1 NUMBER OF $10.00
1 NUMBER OF $10.00
Permit Total Fees:
Plumbing Permit
$85.00
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509) 218 -8510
VERADALE, WA 99037
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $66.00
Operator: K_C Printed By: K_C Print Date: 05/09/2005
Project Number: 05001461 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/09/2005 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 Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,466.31 $1,466.31 $0.00 $1,466.31
Mechanical Permit $85.00 $85.00 $0.00 $85.00
Plumbing Permit $66.00 $66.00 $0.00 $66.00
$1,667.31 $1,667.31 $0.00 $1,667.31
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: K_C Printed By: K_C Print Date: 05/09/2005
VI(TP°:) '1=7 `C)Z(
1-407 /-in Q. >/i ,ty
,X1Y Vol 46'7