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2005, 04-14 Permit App: 05001356 Residence
Stiokane jUalley BUILDING PERMIT APPLICATION WORKSHEET •v e h(ey Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688 -0036; Fax: (509) 688 -0037 lJ11 (I.. in) Il III REQUIRED SITE INFORMATION ION Street Address: 1'7O C jR O C f. Assessor's Tax Parcel Number(s): Legal Description: Lo f 1C> f t ,Q /K Z Z.; L rwo,I k 1) op(Q PERMIT DESCRIPTION: Building Permit n Change in Use n Relocation Tenant Improvement II Grading Fire Safety I I Other Manufactured Home OWNER/APPLICANT INFORMATION Owner: yv vt) 0Ck t'cAS7 Phone: (A-v-1 40)(9y Fax: Address: )S3z //Wss }at\ fie, VQvo.dale Li R 940 7 City State Zip Code Contractor: 17 %A✓loI1 d fo c k (cr Phone: 5 -y Fax: Address: City State WA State Contractor License #: Zip Code Li Gl Ot Applicant: Phone: Address: Fax: City Architect: Phone: Address: State Zip Code Fax: City Contact: State Zip Code PERMIT /BUILDING INFORMATION HEIGHT TO PEAK: I 'ZS DIMENSIONS: L// i�.,, y9 i # OF STORIES: I MAIN FLOOR.TO SQ. FTG: . .2 "" .FLOOR SQ. FTG: UNPIN BASEMENT SO. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: �l3 7 DECK/COV. PATIO SQ. FTG: y y OCCUPANCY GROUP: n S I R CONSTRUCTION TYPE: Ale Gi HEAT SOURCE: /.;r c F% 4. , G Le # OF BEDROOMS: 3 TOTAL HABITABLE SPACE: 13� IMPERVIOUS SURFACE AREA: COST OF PROJECT: /., W ©6 SLOPES ON PROPERTY: SEWER OR ON -SITE SEPTIC SYSTEM? St,,,X' r MANUFACTURED HOME Width: Length: Year: Manufacturer: 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: Phone: Fax: Address: City Inspector: Phone: Address: State Fax: Zip City State Zip SPECIAL INSPECTIONS II 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 kA ` l T42 c' Signature �,({ L Method of Payment: (Faxed permit applications will only be accepted with major bankcard) 1_ j Cash ❑ Check 1 1 Mastercard [l VISA ❑ Other Bankcard #: Expires: VIN #: Authorized Signature: *'one ill Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 IPROJECC PERMIT ADDRESS: U� 7 (0 f Cf • I USE: NP(,) t. QWNER i Gt W1_ dVi n C K CON. , PHONE (Daytime Contact): MAILING ADDRESS: 9 Z - �9G e/ 509 - 688 - 0036'- phone S09 -688 -0037 - Fax (S � Z � �. /i4 � 55 rc &G I e , LJ . • Ql q a -r7 (street) (city/state) CONRRACTOR r a v>� r n r 2�, k MAlI ING ADORES$: (street) (c✓t e 71 LICENSE 1: (city /state) PHONE 9: REF) 1 2 3 DESCRIPI7ON TOILETS URINALS PLUMBING FIXTURES DETAILS -- OF iIIVITS X COST EQUALS W. AER CLOSET, BIDES `�• -- F � X x TUBS 4 SHOWERS (PER TRAP) BATH, STALL„ ON -SITE BUILT 5 SINKS tAVS/BASINS, BAR. FLOOR, KITCHEN, LAUNDRY, UTILITY, JAN! /UR PHOTO, X- RAY, FOOD: PREP /CULINARY/MEAT 6 DISHWASHER 7 CLOTHES WASHER 8 GARBAGE DISPOSAL X X $6 X s6 X • $6 X S6 $6 $6 AMOUNT Z IZ 7.(1 9 WATER SOFTENER 10 ELECT. HOT WATER TANK NOTE; IF GAS, SEE MECHANICAL - I1 FLOOR DRAINS 'AREA, CASE, COIL TRENCH, CONDENSATE 12 FOUNTA1NS DRINKING 13 $6 WATER PIPING/DRAIN -IN INSTALLATION, ALTERATION, REPAIR, WASTE, VENT, PLUMBING REVERSALS. REVERSAL 14 SEWAGE EJECTOR 15 WATER USING DEVICE GRINDER, SUMP PUMP ICE AND /OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER 16 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.BP.D. FOR VATS, TANKS, BOILERS SPRINKLER SYSTEM 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK 19 MEDICAL GAS per outlet NITROUS, OXYGEN 20 MISC. PLUMBING FIXTURE HOD OF PAYMENT ksH 0 CI -rEgt ❑ X X $6 x EXPIRES: CARD NUMBER ORIZLD SIGNATURE- SO/170'd V6089E6 Ol x $6 $6 SUBTOTAL: PLUS PROCESSING FIE: TOTAL PERMIT FEE DUE: $35.00 07 NA TO:Lti MOO OE d8S SO '391±:1 11d101 ** SNkane 11707 East Sprague Avenue, Suite 106 509 - 688 =0036 - Phone Spokane Va1Iey, WA 99206 509 -688 -0037 - Fax Mechanical Permit Application rPROTECT ADDRESS; I R7U S( L , / ..1 OWNER: ,/b,l Tr. t / MAILING ADDRESS: • c 21 [. I55; cV1 ctse, e A. (street) (city /state) CONTRACTOR: 0 ✓, 6✓) d ,20c (U n LICENSE R: MAILING ADDRESS: PHONE R: ( 4A PERMIT USE: Nei) (c.x? PRONE (Daytime Contact); .d ?7 ( 54\ E street) (city /state) (ZIP) (/-3•96c-/ IMP DESCRIPTION OF WORK 1 _FUEL BURNING APPLIANCE . • OR <100,000 2 FUEL BURNING APPLIANCE >100,000 3 UNLISTED APPLIANCE (ADDrrIONAL PEE) - OR < 400,000 4 UNLISTED APPLIANCE (ADORIONAL PEE) ' 410„000 5 USED APPLIANCE (WMEC min. AFUE Wing) •• or <400,000 6 USED APPLIANCE (WSEC xnin. AIT,JE rating) > 400,000 7 Bo1LEIVITEFRIGERATTON 1- 100MBTU e BOR-ER/REFRIGERAT10N 1 OF wars f COEQIL4LS AMOUNT -•e 509 • 550 5100 500 9 BOILER/REFRIGERATION 10 ROILERIREFRIGERATION II BOILER/REFRIGERATION 12 GA5 LOG, CAS INSERT, GAS FIREPLACE 13 RANGE 14 DRYER 201•503METV 5100 S15 528 501- 1,000M SW X S34 - 1001.1,750M BTIJ - x S57 +1750M BTU X 595 X 510 - 15 FUEL BURNING WATER HEATER 16 M1SC FUE . SURNING APPL I7 GAS PIPING (ea Outlet) 18 DUCT SYSTEMS 19 VENTILATING FANS X s10 X 510 X 510 X 550 x_ s1 X 510 /0 510 3 0 20 AIR HANDLER (DOES NOT Indud4 ducting) • OR c 10,000CI'M X 5L2 _21 AoI HANDLER (DOES NOT include dudingJ >10,000 CFM X 519 ?2 EVAPORATIVE COOLERS • 21 TYPE I HOOD 24 TYPE 11 HOOD 25 HEAT PUMP /AIR CONDITIONER 26 A.112 CONDITIONER 27 AIR CONOMONER 28 AIR CONDITIONER 29 AIR CONDITIONER X 510 X 550 ., 0-3 TON 3-15 TON 15-30 TON 30-50 TON +50 TON _x SIO / D x 30 Lea srORACE TANK 31 WOOD OR PELLET STOVMNSERT X 525 S35 560 510 32 WOOD STOVE • FREE STANDING METHOD OF PAYMENT FIWN [] CASH 0 GREG( 0 111111111111111 X 510 OM DATE: EXPIRES: BAN KCARD NUMBER! AUTHORIZED SIGNATURE. S0 ,-S0•d b6089C6 01 SUBTOTAL: PLUS PRQCF58JNG FEE $95.00 TOTAL PERATT FEE DUE: Zld TO :LT 200Z 0Z dJS Project Number: 05001356 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/28/2005 Page 1 of 4 Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Setbacks: Front 40 Left: 9 Right: 5 Rear: 53 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: ROW District: East Parcel Number: 55083.6319 Block: 2 SiteAddress: 18708 E BALDWIN CT Location:: CSV Zoning: UR-7* Water District: Urban Residential-7* Area: 10,636 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Lot: 10A Owner: Name: DIAMOND ROCK CONSTRUCTIO Address: 15321 E MISSION AVE SPOKANE VALLEY, WA 99037 Hold: 0 Depth: 0 Right Of Way (ft): 50 Review Site Plan Reviel ',1,4LoRAckf- Released By: Plan Review Released By: Approach / Drainage Released By: Sewer Review () c Released By: Operator: K_C Printed By: K_C Print Date: 04/28/2005 Project Number: 05001356 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/28/2005 Page 2 of 4 Contractor: OWNER Item Description APPROACH INSPECTION CONST IN ROW - APPROACH Approach Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Building Permit Fee Amount $25.00 $25.00 $50.00 Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 15706 E VALLEYWAY AVE Phone: (509) 218 -8510 VERADALE, WA 99037 Building Characteristics Group: R -3 Type: VB Total Area 1365 Building Height 22 Stories 1 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sn Ft Valuation Sq Ft Valuation CARPORT U -1 VB 48 $720.00 48 $720.00 GARAGE U -1 VB 437 $8,303.00 437 $8,303.00 RESIDENCE R -3 VB 1,365 $101,938.20 1,365 $101,938.20 Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Totals: 1,850 $110,961.20 1,850 $110,961.20 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Fee Amount $1,055.35 $4.50 $422.14 Permit Total Fees: $1,481.99 Operator: K_C Printed By: K_C Print Date: 04/28/2005 Project Number: 05001356 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/28/2005 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 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 4 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 Permit Total Fees: Fee Amount $12.00 $24.00 $12.00 $6.00 $6.00 $12.00 $72.00 Operator: K_C Printed By: K_C Print Date: 04/28/2005 Project Number: 05001356 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/28/2005 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 $1,481.99 $74.00 $72.00 Invoice Amount $50.00 $1,481.99 $74.00 $72.00 $1,677.99 $1,677.99 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,481.99 $74.00 $72.00 $0.00 $1,677.99 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: 04/28/2005 54lc / Lot. to ell: 2 P.1).87'vey 01)6;17 r.S This site plan is being submitted for the purpose of obtaining a building permit and is a true and correct representation of the proposal. All known property lines /dimensions, curb lines, structures and easements have been identified. Also indicated are wetlands, bodies of r, steep slopes or other critical areas. Signed: 4,4 6u4 r- -_ Date: 5Z los