2005, 05-26 Permit App: 05001811 ResidenceSpokane
j�Ualley
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: 11-70 r A„ 1A ;y, e'
Assessor's Tax Parcel Number(s):
Legal Description: Rit,iP f '_. ex Za k 4.01 11,
PERMIT DESCRIPTION:
❑Building Permit
❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
C
Phone: ? 2 �- Applicant:
2 ern y Fax: qz ; - ?-) ' Phone: Fax:
Address: // a, Address:
) ' �F z
City State Zip Code City
Contractor: , ,, ,.> � ' ,, � - - Architect:
Phone: ^��., r Fax: Phone:
Address Address:
City State Zip Code City
State Zip Code
Fax:
State Zip Code
WA State Contractor License #: Contact:
PERMIT /BUILDING INFORMATION
HEIGHT TO PEAK: zo'
DIMENSIONS: 01/1#1/3t 1%
# OF STORIES: j
f
MAIN FLOOR.TO SQ.. FTG: :.
•..2 4 1-.FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG;
GARAGE SQ. FTG:
3 77.
DECK/COV. PATIO SQ. FTG:
00
OCCUPANCY GROUP
CONSTRUCTION TYPE:
a
HEAT SOURCE:
/i )' ;,1,5 Ft/r-na Le
# OF BEDROOMS: 3
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA: 0.
COST OF PROJECT: /,..,,
UD C1
SLOPES ON PROPERTY
SEWER OR ON -SITE SEPTIC
SYSTEM? sPr
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: Phone:
Address:
Inspector:
Address:
Fax:
City
Phone:
State
Fax:
Zip
City
State Zip
SPECIAL INSPECTIONS
BOLTING (l CONCRETE REINFORCEMENT I—I WELDING
Firm Name:
Phone:
I nspector(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) re to the property owner.
Print Name # ( y Signature
of Payment: (Faxed permit applications will only be accepted with major bankcard)
n Cash n Check n Mastercard n VISA U Other
Bankcard #: Expires: VIN#:
Authorized Signature:
11ey
11707 East Sprague Avenue, Suite 106 509 - 688 -0036 Phone
Spokane Valley, WA 99206 509 - 688.0037 - Fax
Plumbing Permit Application
rRO6C1
ADDRFCS:
,
OWNER _ r r_
MAILING ADDRESS:
(street)
CONTRACTOR
MAILING ADDRESS:
(Qty /State)
PERtvII7'
USE
PHONE (Daytime Contact),
LICENSE 1:
(ZIP)
PHONE I:
PLUMBING FIXTURES
DESCRIPTION
z
3
4
5
TOILETS
URINALS
DETAILS
WATER CLOSET, BIDETS
TUBS
SHOWERS (PER TRAP)
SINKS
6 DISHWASHER
BATH, STALL„ ON -SITS BUILT
LAVSIBASINS, BAR, FLOOR ICTCHEN,
LAUNDRY, UTILITY, JANITOR PHOTO, X-
RAY, FOOD: PREP/CULINARY/MEAT
7 CLOTHES WASHER
8
GARBAGE DISPOSAL
(zn')
COST EQUALS
S4
AMOUNT
9
WATER SOFTENER
1D
11
ELECT, HOT WATER TANK
FLOOR DRAINS
NOTE; IF GAS, SEE M- ECHANtcAL,
AREA, CA5E, COIL, TRENCH, CONDENSATE
12
FOUNTAINS, DRINKING
13
WATER P1PNG/DRAIN-IN
WASTE, VENT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS.
14
SEWAGE EJECTOR
15
WATER USING DEVICE
GRINDER, SUMP PUMP
ICE AND/OR COFFEE MAKER HOSE BID,
STEAMER, TROOPER, LAPBONATOP,
SWAMP COOLER
16
CROSS CONNECTION DEVICE
17
SPRINKLER SYSTEM
X
$6
56
VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.b, FOR VATS, TANKS, BOILERS
18
INTERCEPTORS
GREASE 'TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
19 MEDICAL GAS per outlet NITROUS, OXYGEN
20 MSC. PLUMBING FDCFURE
HOD OF PAYMENT
~•i
LSH [] CHECK 0 mam Mir!
CARD NUMBER-
ORIZEIa SIGNATURE,
EXPIRES:
SE /t-11' d
V6089E6 01
X
PLUS PROCESSING FEE:
$35.00
ed TO:LT 200E OE d3S
JJVU I! ,1V1
*lane
ley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106
Spokane Va11Ty, WA 99206
PROTECT
j--
OWNER 1
I�i Q +/n p. /.,^ c 2
� a,
MAILING ADDRESS: •
(street)
CONTRACTOR:
MAILING ADDRESS:
509 -688 =0036 - Phone
509 -638 -0037 - Fax
PERMIT
USE:
PHONE (Daytime Contact):
(street)
(City /state)
DESCRIPTION OF WORD
FUEL BURNING APPLIANCE
(city/state)
FUEL BURNING APPLIANCE
UNLISTED APPLIANCE (ADDITIONAL FEI )
UNL1$jto APPLIANc (ADDITIONAL FEE)
USED APPLIANCE (WSEC mtn, AFUE ratting)
USED APPLIANCE (W$EC min AFUE rating)
BOILER/R EFRMCERATION
BoILE /RF.FRIOERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
+OR<
100,000
> 100,000
- OR < 400,000
ur <4 0,00J
1 -100M BTU
10t. SOOM BTU
501 -1000M BTU
tool .1,750x,1 BTU
GAS LOG. GAS INSERT, GAS FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
MSG FUEL 8URNING APPL,
GAS PIPING (ea 04040
DUCTSY$TEMS
VENTILATING FANS
AIR HANDLER (DOES NOT indud4 ducting)
AIR HANDLER (DOES NOT include ductln,)
+1750M BTU
TYPE I HOOD
TYPE II HOOD
HEAT Pt1UU //IRCONDITIONER
NM
310-- -
rio
INIMMIIIIN
■ OR c 1mown{ i10 EMI
>10,00D CFM �g��
S10
IIMU S50
0 9 7T?N SIO laill
AIR CONDITIONER 3-IS 7TC7 TON CONDITIONER
Al R CONDITIONER 30-SS TON
AIR CONDITIONER alln +A TON nil
as LPGSCORACErANK _ �� $1° $1
32 WOOD STOVE. FREE STANDThJ
MIIMIIIIIIIIIIIMNIIIIIIIIIIIIAIIEIIIMIIIIIEIUII
r �
METHOD OX PAYMENT
0 CASH ❑ area< ❑ MEM
DATE:
BANKCARD NUMBE1
AUTHORIZED SIGNATURE:
S0 /S0'd
EXPIRES:
t'6085E6 01
Lid t2 :LT £002 0z d8S
Project Number: 05001811 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/26/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W /ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 35 Left: 6 Right: 5 Rear: 20+
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
A
District: East
Parcel Number: 55083.6321 Block: 2
SiteAddress: 18709 E BALDWIN CT
Location:: CSV
Zoning: UR -7*
Water District:
Urban Residential -7*
Area: 12,907 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot: 11A
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
1 Released By:
(t14 1,(AA,A_A7
c
Plan Review
Approach / Drainage
Released By:
Sewer Review
Permits:
Released By: _ ti Y
US
05- M335
Operator: K_C Printed By: K_C Print Date: 05/26/2005
Project Number: 05001811 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/26/2005 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 1
Type: VB
1250
20
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: Total Project:
Sq Ft Valuation Sq Ft Valuation
38 $570.00 38 $570.00
373 $7,087.00 373 $7,087.00
1,250 $93,350.00 1,250 $93,350.00
Totals: 1,661 $101,007.00 1,661 $101,007.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: K_C Printed By: K_C
Permit Total Fees:
Print Date:
Fee Amount
$1,004.95
$4.50
$401.98
$1,411.43
05/26/2005
Project Number: 05001811 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/26/2005 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
Fee Amount
$10.00
$12.00
$2.00
$30.00
$10.00
$10.00
$74.00
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218 -8510
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Operator: K_C Printed By: K_C
Permit Total Fees:
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$12.00
$72.00
Print Date: 05/26/2005
Project Number: 05001811 Inv: 1
Notes:
Application
Date: 05/26/2005 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
ALL PERMIT APPLICATIONS IN MISSION MEADOWS MEP MUST HAVE PLANNING
DIVISION REVIEW BY MICKI HARNOIS OR GREG MCCORRMICK
Payment Summary: -.u, „ ,a., „�
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,411.43 $1,411.43 $0.00 $1,411.43
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $72.00 $72.00 $0.00 $72.00
$1,607.43 $1,607.43
$0.00 $1,607.43
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: 05/26/2005
.Sc /e. All =
/�,' ✓crwo /K 7)Lc)!ex C.o1'S
1?701£,[ e, f )u3i'v, C +,
,)-
— /0' —
0}(-, L at 615 tatr•
so'
y3r'A"
ADDRE
ZSS
ROAD WIDTH - . 50
COMMENTS
N Ft ANKING- 1 U
REVIEWED By
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.
bodies of. Also indicated are wetlands,
stet slopes or other critical areas.
Signed: t,�e€
Date:
RECERVED
LJM0�1 pw C5