2007, 04-03 Permit App: 07001008 ResidenceSpBkan��
Valley
Community Development
Pcrrnit Center
11707 E Sprague Ave,S�tlite 106'
Spokane Valley, WA 9992 , A
(509)688-0036 FAX: (509)688-0c >�R 2
Ni,'%w.spokanevaIle v,oIg. c
Residential Construction
Permit Application
—vv
New Constructioli
o Addition/Remodel
o Other:.
o Accessory Bldg
❑ Deck
SITE ADDRESS
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: \ 1 O\\ 1 �v a�A.t.. ,. � C4„ c� :
v. ti l --z-_ .... .4�" , ,l+r l� • 3,-6.77V.1,1 . '^'�7^.,.,�;;i ""'",
J, -c• ..�iti1 K�4 -•1.: C t�ll: •�: I�:n'ud d� �.�i,.� ar-•rye•�.1:
.•
Name:
Address:
Phone:
Fax:
Lic No:
... Date:
Ci Business Lic No: \-
Describe the scope of work in detail: Cost of Project:
0. tel.
•
$
**************The followin MUST be complete: (write N/A if not anvlicable)**********************
HEIGHT TO PEAK:
\\
DIMENSIONS:
5 oir # tir ..`t
# OF STORIES:
TrTAL HABITABLE SPACE:
j,. tG 2 3 S- `f
MAIN FLOOR TO SQ.
FTG: . 9 gi.
2""'' FLOOR SQ. FTG:
d03
UNFIN BASEMFNT SQ. FTG:
vK
IMPERVIOUS SURFACE
AREA:
1... S<�.
FINISHED
SQ. FTG: Alf}
GARAGE Sg, FTG:
. a G
DECK/COV. PATIASQ. FTG:
o P zp, C'-044 t 2 .
30% SLOPES ON
PROPERTY:
# OF BEDROO S: 1 '
CONSTRUCTION TYPE:
HEAT OURCE:
SEWER OR SEPTIC?
The permltea verifies, acknowledges and agrees by their signature that 1) if this permit Is for construction of or on a dwelling, the
dwelling ls/wlq be served by potable water. 2) Ownership of this City of Spokane Valley Peanit Inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner In this tra' nsaction. 4) Alf 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, codas or ordinances: 6) Plans or additional Information may be required to be submitted, and st:bsequently-approved before
.r.. -. . • —. t .. . ..:c. -.
Signature
Date
Method of Payment (Faxed permit applications will only be accepted with met/or bankcard) •
0 Cash ❑ Check 0 Mastercard ❑ VISA
Bankcard Expires: VIN#:
❑ Other
Authorized Signature:
artvrssa sra5r:oa
•
Sfii kane 11707E Sprague Ave, Suite 106
.0000 Malley
Permit Center
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www spokanevallev ore
Mechanical Permit Application n Commercial 2 Residential
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: gQ tZS 5. O�„+br
Building Owner
S\ , C�
T'v L
\ \ r'
fir+-�dl ` cc..
Name:
Phone:
Fax:
Address:
City
State:
Zip
Contractor
_
Name:
Phone:
Fax:
Address:
City:
State:
Zip
License No.
City Business Lie:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
x
5100 00
5
USED APPLIANCE (WSEC min AFUE rating)
Equal to or less than 400,000
X
$50.00
6
USED APPLIANCE (WSEC min AFUE rating)
More than 400,000
X
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10 00
13
RANGE
X
510 00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
510 00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
4
X
510.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
515.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
550.00
24
TYPE II HOOD
X
510 00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
51200
26
AIR CONDITIONER
3-15 TON
X
520 00
27
AIR CONDITIONER
15-30 TON
X
525 00
28
AIR CONDITIONER
30-50 TON
X
535 00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
X
$10 00
31
WOOD OR PELLET STOVE/INSERT
X
51000
32
WOOD STOVE - FREE STANDING
X
525 00
33
REPAIR & ADDITIONS
X
515.00
34
VENTILATION SYSTEMS
X
512.00
35
VENTILATION MECHANICAL EXHAUST
x
512.00
36
INCINERATOR — RESIDENCE
X
519.00
37
INCINERATOR — COMMERCIAL
X
522.00
METHOD OF PAYMENT:
❑CASH 0 CHECK 0 VISA 0 MC
CARD #.
AUTHORIZED SIGNATURE.
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
Community Development
Plumbing Permit
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
waookanevallev.ora,eom PERMIT FEE:
ww
Application ❑ Commercial Et1 Residential
PERMIT NUMBER:
SITE ADDRESS: tic`L� S • CI)e..AwV,>
EondlnRownerN
c.% w SC w ,..,..
Name
COST
Phone:
Fax:
Addren:
TOILETS
City: State:
Zip:
X
58.00
Mune:
I
Phone:
Fax:
Address:
I
City: State:
Zip:
Iicaue No:
I
City Business License No:
5
X
58.00
Name:
SHOWERS (PER TRAP)
Phone:
AUTHORIZED SIGNATURE:
RIMMED 146435
DESCRIPTION OF WORK
0 OF UNITS
X
COST
•
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
1
X
58.00
2
URINALS
X
58.00
s
3
TUBS
5
X
58.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
58.00
=
5
SINKS "
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
/a -,
`i
X
58.00
=
8
DISHWASHER
-
\
- X
58.00
•
7
CLOTHES WASHER
-
\
X
$8.00 '
•
8
GARBAGE DISPOSAL
X
58.00
a
0
WATER SOFTENER
- -
X
58.00
s
10
ELECTRIC NOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
58.00
s
11
FLOOR DRAINS
- AREA, CASE, COIL, TRENCH, CONDENSATE
\
. X
58.00
s
12
ROOF DRAWSIOVERFLOW
DRAINS
1
X
18.00
•
13
FOUNTAINS, DRINKING
I
X
58.00
•
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
58.00
•
15
SEWAGE EJECTOR '
- GRINDER, SUMP PUMP
X
58.00
•
18
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
• ,'
X
58.00
.
•
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS. BOILERS
X
58.00
•
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
58.00
•
18
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
58.00
•
20
MISCELLANEOUS PLUMBING
FIXTURE
X
58.00
•
21
PRNATE SEWAGE DISPOSAUSYS
X
520.00
•
22
INDUSTRIAL WASTE
INTERCEPTOR•
X
- 515.00
•
METHOD OF PAYMENT:
a CASH • 0 CHECK , - - 0 VISA 0 MASTERCARD
C81'd� EXPIRES:
SUBTOTAL'
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
RIMMED 146435
Project Number: 07001008 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/3/2007 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front 33 Left: 6 Right: 5 Rear: 27 Phone: (509) 892-0454
Group Name:
Site Information: Project Name:
Plat Key: Name: WATKINS ADDITION District: Sout
Parcel Number: 45334.0607 Block:
SiteAddress: 4023 S BATES RD
Location:: CSV
Zoning: UR -3.5
Water District:
Area: .00 Acres
Urban Residential 3.5
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE VALLEY, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Driveway/Approach
Originally Released: 3/29/2007 By: TMELBOU
•Released 13y:. .
Originally Released: 3/29/2007 By: jdavis
Landuse/Zoning/HE Conditions
Released Byy ' -
Sewer Review
Permits:
Originally Released: 4/3/2007 By: cjjanssen
Originally Released: 3/29/2007 By: jdavis
Operator: JD Printed By: JD
Print Date: 4/3/2007
• Project Number: 07001008 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/3/2007 Page 2 of 3
Approach
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892-0454
SPOKANE, WA 99206
Item Description Units Unit Desc Fee Amount
APPROACH -CONST IN ROW 1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892-0454
SPOKANE, WA 99206
This Application: - Total Project:
Description Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 991 $90,537.76 991 $90,537.76
2ND FLOOR R-3 VB 803 $59,968.04 803 $59,968.04
BASEMENT U R-3 VB 560 $8,400.00 560 $8,400.00
COV DECK R-3 VB 126 $1,890.00 126 $1,890.00
DECK OPEN R-3 . VB 80 $1,200.00 80 $1,200.00
GARAGE U-1 VB 836 $15,884.00 836 $15,884.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 3,396 $177,879.80 3,396 $177,879.80
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,430.55
$4.50
$572.22
$2,007.27
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
GAS APPLIANCE<=100,000BTU
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
GAS LOG OR GAS INSERT
Phone: (509) 892-0454
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: JD
Fee Amount
$12.00
$12.00
$40.00
$10.00
Permit Total Fees: $74.00
Print Date: 4/3/2007
• Project Number: 07001008 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/3/2007
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
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes •
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
(509) 892-0454
Fee Amount
$18.00
$24.00
$18.00
$6.00
$6.00
$6.00
$18.00
$96.00
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$2,007.27
$74.00
$96.00
Invoice Amount
$50.00
$2,007.27
$74.00
$96.00
$2,227.27 $2,227.27
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$2,007.27
$74.00
$96.00
$0.00 $2,227.27
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: 4/3/2007
• Project Number: 07001008 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/29/2007 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front 33 Left: 6 Right: 5 Rear: 27 Phone: (509) 892-0454
Group Name:
Site Information: Project Name:
Plat Key: Name: WATKINS ADDITION District: Sout
Parcel Number: 45334.0607 Block:
SiteAddress: 4023 S BATES RD
Location:: CSV
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE VALLEY, WA 99206
Zoning: UR?34 731 Urban Residential 3a 7 *
Water District. Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: w.n ...,.
Review
Building Plan Review'
Released'By: -
Driveway/Approach
Originally Released: 03/29/2007 By: TMELBOU
.Released By'
Originally Released: 03/29/2007 By: jdavis
Landuse/Zoning/HE Conditions
;Released.By:
Sewer Review
Permits: ,
Originally Released: 03/29/2007 By: jdavis
Operator: JD Printed By: JD Print Date: 03/29/2007
.,_
•
•
p��INING DEPT - F�ROdEa
v i •
1 f;
Y• '
!-1-1--1
-4-t