2007, 03-09 Permit App: 07000592 ResidenceSpokane
���alley
Community Development
Pcrnit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.mokanevallev.ors.corn
039 -
Residential Constr_uctio 171.New Constructio
EB 3 2007 l
o Accessory Bldg
Permit Application ((ootier:
I`,AdditonJRemodel o Deck
I-1) n n n n r1 it nrt k
r
SITE ADDRESS
U U
ASSESSORS PARCEL NO:+1 LEGAL DESCRIPTION:
•_ .�. _ _-1 � '••.' •�. JM a cY 1.•6-`�: r\� v. .
Name:
Address: . 1 s
Ci
Zi•:
Phone:4 Fax: •`\'-NN
�ti �., �ry1M]±M.',•!Ni f+._.*y..Y,i �.•: .. ::. �...�.,i
I�LP..r` ti �;:s` Il . .. .`•; vt..�i»t '*•k'.1.•� '..
Name:
Phone:
Describe the scope of work in detail:
Cost of Project:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK
DIMENSIONS: 'it(S s
# OF STORIES:
UNFIN BASEMENT SQ. FTG:
_
TOTAL HABITABLE SPACE
2ND FLOOR SQ. FTG:
MAIN FLOOR TO SQ.
FTG: • 1 dvv
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG: J
S '\ (o0 t3
CONSTRUCTION TYPE:
DECK/COV. PATIO SQ. FTG:
q-2 .
HEAT SOURCE
�
30°Lens ES ON
1 OPER : '-
EWER O SEPTIC?
# OF BEDROOMS:
.--—
�
The pennitee 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: 6) Plans or additional information may be required to be submitted, and subsequent/approved before
..• r : r. . • -_. • - • . i.c-..:
Signature
Date -' ;-
Method of Payment (Faxed permit applications will only be accepted with majorbankcen) •
0 Cash 0 Check . 0 Mastercard 0 VISA
Bankcard Expires: • Vlht
❑ Other
Authorized Slgnatur9:
ata small
�... ` Permit Center
wSp0"kane 11707 E Sprague Ave, Suite 106
�1e3 Spokane Valley, WA 99206
CommunityDevelopment (509)688-0036 FAX: (509)688-0037 PERMIT FEE:
p www.spokanevalley.org.com
Plumbing Permit Application n Commercial [Residential
PERMIT NUMBER:
SITE ADDRESS: �.�l,.A S c..\ W
Building owner
Name:
Phone'
Fax:
I Address:
City:
State:
Zip:
: Conti tof I
Name:
Phone:
Fax:
Address:
City :
State:
Zip:
License No:
City Business License No:
Cootie[
Name:
Phone:
AUTHORIZED SIGNATURE:
REVISED 8)2605
DESCRIPTION OF WORK
# OFAUNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET. BIDETS
k
X
86.00
=
2
URINALS
X
$6.00
=
3
TUBS
i.-
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
`i-.
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN.
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
=
8
DISHWASHER
\
X
$6.00
=
7
CLOTHES WASHER
\
X
$6.00
=
8
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE' IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA CASE, COIL TRENCH, CONDENSATE
\
X
$e 00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$600
=
13
FOUNTAINS, DRINKING
X
$600
=
14
WATER PIPING/DRAIN-IL' WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
=
'
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER. CARBONATOR, SWAMP COOLER
3
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R P.0 P.D. FOR' VATS, TANKS. BOILERS
X
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CI iEmiCAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$1500
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MASTERCARD
Card# EXPIRES.
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8)2605
eaePermii Center
11707 E Sprague Ave, Suite 106
.Valley
Spokane Valley, WA 99206
(509)688-0036 FAN (509)688-0037
Community Development www cookanevallev of com
Mechanical Permit Application n Commercial
PERMIT NUMBER:
PERMIT FEE:
G1] Residential
SITE ADDRESS: �3t
Building owner \--\., c -..e .\ u r 1 Cl'rv.a,irri.-. ,:
-
Name:
Phone
Fax:
Address:
City:
State:
Zip:
Contractor
Nom:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business License No:
Contact ' .
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
x
COST
• TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100.000
1
X
512 00
2
FUEL BURNING APPLIANCE
More than 100,000
X
51500
3
UNLISTED APPLIANCE (Additional Fee)
Equal lo or less than 400,000
X
550.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
5
USED APPLIANCE (WSEC min AFUE rating)
6
USED APPLIANCE (WSEC min AFUE rating)
Equal to or less than 400,000
More than 400,000
X
X
150.00
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12 00
8
BOILER/REFRIGERATION
101 -500M BTU
X
520 00
9
BOI LER/REFR IGE RATI ON
501 - 1,000M BTU .
525 00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
535 00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
160.00
12
GAS LOG. GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
51000
14
DRYER
X
$10 00
15
FUEL BURNING WATER HEATER
x
$10 00
18
MISC FUEL BURNING APPLIANCE
X
510 00
17
GAS PIPING (each outlet)
x
51.00
18
DUCT SYSTEMS
X
510.00
19
VENTILATING FANS
X
510.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
x
512.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
x
515.00
22
EVAPORATIVE COOLERS
X
510.00
23
TYPE I HOOD
X
550 00
24
TYPE II HOOD
X
510 00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
3-15 TON
X
$20 00
27
AIR CONDITIONER
15-30 TON
x
$25.00
28
AIR CONDITIONER
30-50 TON
X
$35.00
29
AIR CONDITIONER
More than 50 TON
X
560.00
30
LPG STORAGE TANK
X
510.00
31
WOOD OR PELLET STOVE/INSERT
X
110.00
32
WOOD STOVE - FREE STANDING
x
525.00
33
REPAIR 8 ADDITIONS
X
515.00
34
VENTILATION SYSTEMS'
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
512.00
36
INCINERATOR - RESIDENCE
X
519.00
37
INCINERATOR - COMMERCIAL
X
522.00
METHOD OF PAYMENT:
UCASH 0 CHECK 0 VISA 0 MC
CARD #.
AUTHORIZED SIGNATURE:
DATE:
EXPIRES -
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8,26/05
Project Number: 07000592 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/9/2007 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE, WA 99206-3666
Setbacks: Front 23 Left: 11 Right: 14 Rear: 32 Phone: (123) 456-7890
Group Name:
Site Information: Project Name:
p.. ,. ...... . i ....... ....n.... _ ,... ..�.._ .,.. tea. a.
Plat Key: Name: Range
District: Sout
Parcel Number: 45334.0612 Block:
SiteAddress: 4006 S BATES RD
Location:: CSV
Zoning: UR -7* Urban Residential -7*
Water District:
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206-3666
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Released
Driveway/Approach
Originally Released: 3/9/2007 By: TMELBOU
Released By:
Originally Released: 2/28/2007 By: jdavis
Landuse/Zoning/HE Conditions
Released By: ` - -
Sewer Review
Originally Released: 3/2/2007 By: m_turbak
Released By:. - -
Originally Released: 2/28/2007 By: jdavis
Permits:
Operator: JD Printed By: JD Print Date: 3/9/2007
Project Number: 07000592
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/9/2007 Page 2 of 3
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
APPROACH -CONST IN ROW
Approach
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
DescriptionGrp Tye Notes
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
BASEMENT U R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Fee Amount
$50.00
$50.00
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
This Application:
Total Project:
So Ft Valuation Sq Ft Valuation
1,000 $91,360.00 1,000 $91,360.00
803 $59,968.04 803 $59,968.04
560 $8,400.00 560 $8,400.00
342 $5,130.00 342 $5,130.00
694 $13,186.00 694 $13,186.00
Totals: 3,399 $178,044.04 3,399 $178,044.04
Units Unit Desc
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
GAS WATER HEATER
GAS APPLIANCE<=t 00,000BTU
VENTILATING FANS
GAS LOG OR GAS INSERT
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,436.15
$4.50
$574.46
$2,015.11
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Units Unit Desc
1 NUMBER OF
1 NUM BER OF
4 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: JD
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$40.00
$10.00
$72.00
3/9/2007
Project Number: 07000592 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/9/2007
Contractor: HOMESTEAD CONSTRUCTION
Plumbing Permit
Page 3 of 3
Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone:
SPOKANE, WA 99206
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Units Unit Desc
4 NUMBER OF
5 NUMBER OF
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
(509) 892-0454
Fee Amount
$24.00
$30.00
$12.00
$12.00
$6.00
$6.00
$6.00
$18.00
$114.00
Notes: .
Payment Summary:
Permit Type Fee Amount
Approach $50.00
Building Perrnit $2,015.11
Mechanical Permit $72.00
Plumbing Permit $114.00
Invoice Amount
$50.00
$2,015.11
$72.00
$114.00
$2,251.11 $2,251.11
Amount Paid
so.bo
$0.00
$0.00
$0.00
Amount Owing
$50.00
$2,015.11
$72.00
$114.00
$0.00 $2,251.11
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: JD Printed By: JD Print Date: 3/9/2007
Project Number: 07000592 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/28/2007 Page 1 of 3
Project Information: _
Permit Use: SFR W/ATT GAR Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE, WA 99206-3666
Setbacks: Front 23 Left: 11 Right: 14 Rear: 32 Phone: (123) 456-7890
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: Sout
Parcel Number: 45334.0612 Block:
SiteAddress: 4006 S BATES RD
Location:: CSV
Zoning: UR -7*
Water District:
Urban Residential -7*
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206-3666
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0.
Nbr of Bldgs: 0; Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Released, By:
Driveway/Approach
Released By:
Originally Released: 2/28/2007 By: jdavis
Landuse/Zoning/HE Conditions Released By: —17;41.641t
-/�'7.
Sewer Review
Permits:
Released By:
Originally Released: 2/28/2007 By: jdavis
Operator: JD Printed By: JD Print Date: 2/28/2007
Project Number: 07000592
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/28/2007 Page 2 of 3
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
APPROACH -CONST IN ROW
Approach
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Description Grp Type Notes
1&2 FAMILY R-3 VB
BASEMENT U R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Fee Amount
$50.00
$50.00
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,360 $124,249.60 1,360 5124,249.60. '
560 $8,400.00 560 $8,400.00
80 $1,200.00 80 $1,200.00
697 $13,243.00 697 $13,243.00 '
Totals: 2,697 $147,092.60 2,697 $147,092.60
Units Unit Des'
1 SELECT
1 SELECT
1 SELECT
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
VENTILATING FANS
GAS LOG OR GAS INSERT
Fee Amount
$1,262.55
$4.50
$505.02
Permit Total Fees: $1,772.07
Mechanical Permit
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: JD
Permit Total Fees:
Pnnt Date:
Fee Amount
$10.00
$12.00
$40.00
$10.00
$72.00
2/28/2007
Project Number: 07000592 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/28/2007 Page 3 of 3
Contractor: HOMESTEAD CONSTRUCTION
Plumbing Permit
Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892-0454
SPOKANE, WA 99206
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Units Unit Desc
4 NUMBER OF
5 NUMBER OF
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Fee Amount
$24.00
$30.00
$12.00
$12.00
$6.00
$6.00
$6.00
$18.00
Permit Total Fees: $114.00
Payment Summary: „ .. .
Permit Type Fee Amount Invoice Amount - Amount Paid Amount Owing e'
Approach $50.00 $50.00 ` . $0.00 $50.00
Building Permit $1,772.07 $1,772.07 $0.00 $1,772.07
Mechanical Permit $72.00 $72.00 $0.00 $72.00
Plumbing Permit $114.00 $114.00 $0.00 $114.00
$2,008.07 $2,008.07 $0.00 $2,008.07
Disclaitner:
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: JD Printed By: JD Print Date: 2/28/2007