2005, 06-28 Permit App: 05002358 ResidenceBUILDING PERMIT APPLICATION WORKSHEET
Iley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
(509) 688 -0036; Fax: (509) 688 -0037
Sp6kTane
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.000Ualle
y
D JUN 18 20E3
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REQUIRED SITE INFORMATION
1n// ld h -,
Street Address:
ne:
Assessor's Tax Parcel Number(s):
Legal Description: K Uel' t,', k b piQ x L s L,, 7L l/ i? Z
PERMIT DESCRIPTION: 814
] Building Permit Change in Use
Relocation Tenant Improvement
11
II
II
II
Grading
Fire Safety
(� Manufactured Home
Other
OWNER/APPLICANT INFORMATION
Owner: DZ;l•2o,lt0 LC, L ,C ( sf
Phone: 92Y -IN69 Fax: 926 - qra
Address: IS 3Z1 Z. ill% -Ssran
Lie ci f csi\ Q/o 3.7
City State Zip Code
Contractor: [ ci✓vtc4 2.43c t Coo S (l
Phone: Fax:
Address:
City
State
Zip Code
Applicant:
Phone:
Address:
Fax:
City
Architect:
Phone:
Address:
State Zip Code
Fax:
City
State
WA State Contractor License #: Contact:
Zip Code
PERMIT /BUILDING INFORMATION
II
II
HEIGHT TO PEAK: �� 5 I
DIMENSIONS: 3 7 it Xy9, y �I
# OF STORIES:
MAIN FLOOR TO SQ. FTG: :
I r j s
2N" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
/
DECK/COV. PATIO SQ. FTG: PC3
OCCUPANCY GROUP:
S' � �
CONSTR � e,) UCTION TYPE:
�
El
HEAT SOURCE:
# OF BEDROOMS: -.L.
TOTAL HABITABLE SPACE:
Ills
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
50,000
30% SLOPES ON PROPERTY:
SEWER OR ON -SITE SEPTIC
SYSTEM? se e 1-1
II
II
Width:
Manufacturer:
Length:
MANUFACTURED HOME
Year:
Pit Set:
Previous Address:
Proposed Use:
RELOCATION
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:
Inspector:
Address:
City State
Phone: Fax:
Zip
City
State Zip
SPECIAL INSPECTIONS
BOLTING [ ( CONCRETE ( I REINFORCEMENT [ I WELDING
Firm Name:
Inspector(s):
Phone: 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 t iii. d
Signature -Fat_d-41
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
II
Cash
Bankcard #:
Check n Mastercard
Authorized Signature:
Expires:
[l VISA
VI N #:
II
Other
SOlane
11707 East Sprague Avenue, Suite 106
509-688-0036 r Phone
S09 -688 -0037 - Fax
Spokane Valley, WA 99206
Plumbing Permit Application
PROJECT
ADDRESS:
OWNER: �iCib
MAILING ADDRESS:
$%1
E
1532/ E, 4lis, (Dy.
(street)
CONTRACTOR
MAILING ADDRESS:
PERMIT
US&
PHONE (Daytime Contact): y
Ve- rz+L)4 to (.44. 196 ;7
A41_
(city/state) (ZIP)
LICENSE I
C
PHONE I:
street)
(city/state)
PLUMBING FIXTURES
DETAILS
DESCRIPTION
(')
• OF mars
DISHWASHER
BATH, STAt.L, ON -SITE BUILT
t.A VSBASINS, BAR FLOOR K rFcx N.
LAUNDRY, UTILITY, JANI'T'OR PHOTO, X-
RAY, FOOD; PREP /CULINARY/MEAT
AMOUNT
/Z
/ 2-
Z "/
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTENER
ELECT, HOT WATER TANK
FLOOR DRAINS
FOUNTAINS, DRINKING
WATER PIPING/DRAIN -IN
WASTE VENT, PLUMSINC
REVERSAL
SEWAGE EJECTOR
WATER USING DEVICE
NOTE: IF GAS, SEE MECHANICAL
AREA, CA5E, COIL, TRENCH, CONDENSATE
GRINDER, SUMP PUMP
CROSS CONNECTION DEVICE
X
MEDICAL GAS per outlet
MISG PLUMBING FIXTURE
HOD OF PAYMENT
kSI-I p CI-rEC.c ❑ MM. 0 — - -- .
-CARD NUMBER-
EXPIRES:
ORIVE:D SIGNATURE:
SG1 /tri'd
t'6089E6 01
S6
x
SUBTOTAL:
PLUS PROCESSING FEE:
TOTAL PERMIT FEE DUE:
$35.00
dd tiO :Lti MOE OE ddS
Jey
Mechanical Permit Application
11707 East Sprague Avenue, Suite n6
Spokane 1/2;11ey, W:), 99206
PROTECT
ADbRESS: 7/1 t, I
OWNER
C
MAILING K (� S
ADDRESS:
L5-321 g r: i's5
(street)
CONTRACTOR:
I)
MAILING ADDRESS_
PERMIT
USE: F'NONE (Daytime Contact):
`
2 -• 6e/
eradefile 90 37
(city /state)
bl1
LICENSE t:
RIP)
(street)
Ski
PHONE s:
DESCRIPTION OF Wow(
.OR
au UNi1SI -ED APPLIANCE (ADDmONAL FEe)
UNLRTED APPI.IANCii (ADDITIONAL FED ��
fl USED APP(•UANcE (WSEC min. AIDE rating)
�901LER/REFRIGERATION
(city /state)
(ZIP)
> 100,000
BOI-ER/R EFRIGERAT10N
- OR < 400,000
MUM�
vw
�
1- loom BTU � �
� 8011. ER/REFR1GERAnPN 01-1, 00M ETU X SZd
ma °1LErugEFRIGERAn1N "1.000{8113 �� v
® 90ILER/REFRIGERATION 1001.1 M BT B171 �_®
Ell
GAS LOG, GAS INSERT, GAS FIREPLACE *1��Q�!o BIM
El OR>'RR ��1''1 s�10� —3111
m FUEL BURNING WATER HfiA r51t �� $10
ID ?41SG FUPL I URNING APR- f10 � �
El GAS IS1NC (« a,a.m � � sla �'�
�} DUCT SYSTEMS
EE Am HANDLER (FOES NOr Induda ducting) • OR a lO,M �1 I� 510
El AIR HANDLER (DOE,S NOT dude dudin,) >10,000 ( ����
el EVAPORATIVE COOLERS
11111111111111131 $1° 11.=
III WPC 1 HOOD
11111111.11131 NM
El TYPE 11 HOOD _
0-9TON �� D
Q A>rt CONDfffONER�EZ,��
AIR CONDMONER 3-IS TON
Q
MICIII
AIR CONDITIONER 1540 Tow
30-S0 ToN 1111.11111E311 MIME
dLea ST STORAGE N � S10 �
I LPG SI'ORACfi 7ANIC
N
HEAT PUMP/AIR CONDITIONER
wQOD Ott PELLET sTOVE/tNSSRT
WOOD STOVE • FREE STANDING
METHOD OP PAYMENT
DATE:
BANKCA.RD NUMBER2
AUT')- 3ORIZD SiGlv'ATUR.E:
S0 %S0'd
EXPIRES:
P60096 Di
PLUS PROCESSING FEE
TOTAL PERMIT FEE DUDE:
d. tiO:LT 200C 0Z d3S
Project Number: 05002358 Inv: I
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: 07/12/2005 Page 1 of 4
Setbacks: Front 34 Left: 5 Right: 7 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
District: East
Parcel Number: 55083.6322 Block: 2
SiteAddress: 18711 E BALDWIN CT
Location:: GRE
Zoning: UR -7*
Water District:
Urban Residential -7*
Area: 6,269 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 2
Review Information:
Lot: 11B
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
Plan Review
Released By:
Approach / Drainage
Released By:
Sewer Review
Permits:
Released By:
� Ali, 4i-
OS^ 3 3.
Operator: K_C Printed By: K_C
Print Date: 07/12/2005
Project Number: 05002358 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Date: 07/12/2005 Page 2 of 4
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509) 218 -8510
VERADALE, WA 99037
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
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 1115
Building Height 18
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
COV DECK R -3 VB 100 $1,500.00 100 $1,500.00
GARAGE U -1 VB 361 $6,859.00 361 $6,859.00
RESIDENCE R -3 VB 1,115 $83,268.20 1,115 $83,268.20
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 1,576 $91,627.20 1,576 $91,627.20
Units Unit Desc Fee Amount
1 SELECT $937.75
1 SELECT $4.50
1 SELECT $375.10
Permit Total Fees: $1,317.35
Operator: KS Printed By: K_C Print Date: 07/12/2005
Project Number: 05002358 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/12/2005 Page 3 of 4
Mechanical Permit
Contractor: DIAMOND ROCK Firm: 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
HOOD -TYPE II
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
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509) 218 -8510
VERADALE, WA 99037
Item Description Units Unit Desc
TOILETS/BIDETS 2 NUMBER OF
SINKS 4 NUMBER OF
TUBS 2 NUMBER OF
DISH WASHERS 1 NUMBER OF
CLOTHES WASHER 1 NUMBER OF
WATER USING DEVICES 2 NUMBER OF
Operator: K_C Printed By: K_C
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$12.00
Permit Total Fees: $72.00
Print Date: 07/12/2005
Project Number: 05002358
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Date: 07/12/2005
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
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.
Fee Amount
$50.00
$1,317.35
$74.00
$72.00
Invoice Amount
$50.00
$1,317.35
$74.00
$72.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,317.35
$74.00
$72.00
$1,513.35 $1,513.35
$0.00
$1,513.35
Page 4 of 4
Signature:
Operator: K_C Printed By: K_C Print Date: 07/12/2005
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This site plan is
This in being submitted f
representation ini building Permit for the
and is Purpose of
d o of the a true and c
lines/dimensions, proposal Al! known orrect
have been curb Imes, structures property
bodies identified. Also indicated and easements
of w -ter, steep slopes the are wetlands,
areas,
Signed: peS or other critical areas.
.ti
Date:
sy
to
�Cr G✓J GbvJ, -} 1 r • U'vJ rrr
TD 9268094
200 WZEC
l�rescripeive (Ch Residential Compliance For
�Z1 of • P Lees 6) Options for all R Occupancies,
Occu a
Weiss, Clmate Zone 2 0; I
Het Source: ALL VALLEY
11707 E. Spt-aage Avenue, #106, S $ ��� DEPARTMENT
pokane _'Valley, Washington 99206 - TeX 509 -921 -1000 - Fax 509 -921 -,1008
SITE Apps: E in PERMIT NO.
DATE:
F. 01/05
INSTRUCTIONS
C
1) Your permit will be races
p sed more efficiently It-you provide aft of the Yequested infor
help you with general questions about this form. Your help you with gen substitutions. ur building must oration_ Department staff without
match the selected option re uirerne
2) Glazing percentage determines which option to q �� without
8 rmines w p choose. Complete
proceeding to the option table below pests the following- glazing a
g g g tea calculation before
GLAZING AREA CALCULATION:
TION:
TOTAL WINDOW AREA SF. = /� 1
i HEATED FLOOR AREA (ALL .. ______ C
NOTE- Use rough openin R . ( FLOORS) % OF GLAZING
calculation. g ( /O) for window area Include all half -fits and fate Iite door glazing in this
CAN'T COMPLY? if none of the Prescriptive (Chapter
6) (Chapter 4) or, Component Performance (Chapter Options below are acceptable, consider systetms analysis
factors (R•- values) as Long as an overall maximum value isn't exceeded. Note that the overall performance re
are no Less stringent than the Prescriptive requirements. Calculations main age is flexibility to juggle individual (]-
computer software program. Helpful forms and other resources can be downloaded of http://www.eriergy.wsu.edu/
may be performed by hand or, using an acceptable
buildings. ttp: / /w�vw,eriergy,wsu.edu/
CI
unumted
Group iR-3
4Y
Option
1
Glazing
Arvin Y. of
Moor
1056
15%
Glaring U-F
Vereeel
0.40
0.40
0.3,
0.35
Overhead"
0.56
0.58
0,56
Goof'
t1-factor
0.20
0,20
0.20
Vafuted
Cciltne
R.30
R-30
R 30
weer
Above
Grade
War tnt`
Berew
Grade
el=
R 54 �I
f�19 f. I
f2-b°
Afxrn Rregt o- e wed For�or aamesbuiltInaccr „9Q ,
a curvy e1 an of Ste at the t r example, If a p design has a glazing Section b _
2
requirements ohs to cif bon above. S v>c. may cat:utak single raflerp =planet by Chapters 4 or� which C meet the sPedAc of 13%, it
3.
Requirement ,ap g p yoy b single rafter or foist rued ceilings, 'per' denotes Advanced Framed Ceiling_
6 tsaf3Gob installed on the exfeffor to a t level of R -12, or on the interior to the sarrr level as watts above
lade. belay/grade s shall be
5. Flags oni„gers�s°- See Section BOZZ water ftrsrgtant rt>ateriaf, for its intended use and installed
el4osed b conditions.
8. Required slab peYirrLkY StmO be - RI water � ant
7. M denotes lurrrs naming 18 on ^g' manufactured for its mended use, and installed aaording to
standard center with
9.
a, This Claire, wall he on cerement denotes R -19 watt in trtara, pies R-5 ffbam seam or Rti5 insutagon_
eng all fins doors, shaft be sheathing.
10. Where a irexi listed. �� �r�rs from Table 10-6C,
Owl a fens tan re area is glaring area vertical
1Z. r Or a itv tat value. tavertead�' a �o l Boot glazing 9 r amdtiones ffapr area
04 tarter wahs with a d n� ►RC 100 or as s
area lirritaYp is.
mmti average thickness or 3.5- are exempt this ldfifa b requirement
502.1.5.
n:geirernen t
Form 5- 050801 -2001 Residential Comp Form
Weir
set'
Below
Grads
R -21
fntz
Fioor4
R-30
R-30
R -30
R-30
$1abr on
Grade
R40
R -10
P• 10
n -t0