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2009, 09-18 Permit App: 09002937 ResidenceSpokane Valley• Community Development Residential Cons Permit Applicati Permit Center 11703 E Spokane VA 120 (509)0g-vcoE E» 00)$§V 0037 www.s.okas - le .or PERMIT NUMBER:9 4 3 7 PERMIT FEE: ew Construction ❑ Accessory Bldg ddition/Remodel ❑ Deck ❑ Other: SITE ADDRESS: at 2(2., ASSESSORS PARCEL NO: 11%a�34 . lL\5 LEGAL DESCRIPTION: \ C1\\J_ Building;Owner: { _. ♦_ i . . Name:\ NN.1 .• �� ). CC:)r..\ C. Name: Address: S. ''''''-'1., k --,cc Q-� FINISHED BASEMENT SQ. FTG: -- City: State:. Zip. Phone: Fax: HEA e - : 1k� • �(-,2 :Contact Persona Name: • 5..,.. Phone: Describe the scope of work in detail: Contractor . .. .. - j.t: S . ,. .. _. _. ♦_ i . . -ems - Name: UNFIN BASEMENT SQ. FTG: _ — IMPERVIOUS SURFACE AREA: -)_�o� FINISHED BASEMENT SQ. FTG: -- GARAGE SQ. FTG: ° //0 Address: 30% SLOPES ON PROPERTY: # OF BEDROOMS: CONSTRUCTION TYPE: HEA e - : 1k� • �(-,2 City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: � F. >c-.;gquL u Cost of Project: $ Proposed Use: **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: \`�` DIMENSIONS: c'cr\%- # OF STORIES: TOTAL HABITABLE SPACE: \ /1 °C1 MAIN FLOOR TO SQ. FTG: \ \i S f 2Nu FLOOR SQ. FTG: -- UNFIN BASEMENT SQ. FTG: _ — IMPERVIOUS SURFACE AREA: -)_�o� FINISHED BASEMENT SQ. FTG: -- GARAGE SQ. FTG: ° //0 DEC 4COV. PATI• SQ. FTG: k-7 30% SLOPES ON PROPERTY: # OF BEDROOMS: CONSTRUCTION TYPE: HEA e - : 1k� • �(-,2 SEWER OR SEPTIC? �r, Q.,. . e 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. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. SIGNATURE: Method of Payment: ❑ Cash Bankcard #: Authorized Signature: REVISED 2)15/07 D Check ❑ Mastercard Expires: DATE: tz)\_ ❑ VISA VIN#: .61*aI1C • 11707 E Sprague Ave, Suitt 106 Permit Center Spokane Valley, WA 99206 (509)688-0036 FAX: (509)683-0037 Cotvnunity Drdoprncnt wr_jithimilaurri Mechanical Permit Application 0 Commercial El Residential PERMIT NUMBER: PERMIT FEE: SITE ADDRESS: 1\\1 . Q c>c•-a BtadlnB OAaer \-\\O.v... ><+-o.\. L.ac,..)C .. .. Namc: Phtae:• Fax: Addreu: City State: - Zip: Coetrs_:a: .-. . . Name: ?hp= Fax: Aelcrcz City: State: Zip: Lica:az no: at/BMWm_Liz Contact= .. ' - '_•iv.%w �.',w ".":.;.14564P47...- Nam.: FhOpC DESCRIPTION OF WORK 1 FUEL BURNING APPLIANCE Ectal *or Mon Man 100.000 OF UNITS k X COST 512.00 TOTAL AMOUNT • 2 FUEL BURNING APPLIANCE Mn than 100,000 X 115.00 3 UNLISTED APPLIANCE (Additional Fee) Nur b ar Inc than 400000 X 550.00 4 UNLISTED APPLIANCE (Additional Fn) Mn Pan 400.000 x 515x1.00 USED APPLIANCE (WSEC min. AFVE rung) e USED APPLIANCE (WSEC min. AFUE rang) Era* *Of MOS Man 400,000 Ikea than 400.000 X X 850.00 5100.00 7 BOILER/REFRIGERATION 1-1004 BTU X 512.00 • COILER'REEFRIGERATION 0 BCILERREFRIGERAT1ON BOILER/REFRIGERATION 11t1 • SOON BTU x 520.00 001_1.000M BTU X 1A01-1 MOH BTU X 525.00 835.00 11 12 13 00ILER/REFRIGERATON Mpg then 1.760M BTU X 860.00 GAS LOG, GAS INSERT, GAS FIREPLACE X 810.00 RANGE X 510.00 1, Urc(ER X 510.00 FUEL BURNING WATER HEATER X 510.00 iu MISC. FUEL BURNING APPLIANCE X 510.00 11 18 GAS PIPING (each outlet) DIRT SYSTEMS X (1.00 510.00 3 .t_=N RATING FAN* i7 JR HANDLER (DOES NOT Include du t% ,) 21 AIR I'.ANDLER (DOES NOT Include dt146tp) r 22 EVAPORATIVE COOLERS 23 TYPE I:;BOO Epp 19 a(bn Alan 10.000 t�AM SI1vs*ton 10.000 Cr4 x 510.00 - x 112.00 - X x 516.00 510.00 • • X 550.00 T'^•E II HOOD X 510.00 1.. HEAT PU:.1P/AIR CONDITIONER oa TON X 512.00 23 AIR CCNOITIONER 8.16 TON X 520.00 27 i i3R CC.1OrONER *SO TON X 525.00 25 AJR CC:IDrTICNER 252 .iR CCHon LONER IVO TON Mai lhan50TON X 535.00 560.00 31 LPG 5 fOPAGE TANK X 510.00 31 WOOD OR PELLET STOVEANSERT' X 510.00 \ IOCO S rOVE - FREE STANDING X 125.00 73 KEPAJR - ADDmoNs X 116.00 3: VERTIL..TION SYSTEMS &d ."EN IlLA11CN MECHANICAL EXHAUST X X S3 KCINERATOR-RESIDENCE 147 I ,ACli4ERATOR-COMMERCIAL x x 512.00 512.00 519.00 $2.00 • • • LISTHC0 OF PAYMENT: ❑CSFi ❑ CHECK O VISA OMC GPD t.. ALIT iCRIZ:D SIGNATURE: • t11Y.cS vat •yl•10TA4 PROCRITI40 FEE 536.00 TOTAL POSIT FEZ DUE: Permit Center 11707 B Sprague Ave, Suite 106 Spokane Valley, WA 99206 .—.'t Developmrnl (309)682-0036 FAX (SO9)688-0037 elte'lambing Permit Application El Comscisupsisampaeaucaa mercial PERMIT NUMBER PERMIT FEE: Residential Irs ADDERS& '\vf14 S. y3o-'Cw ilIdleilaviiii,:. .. . \eke\c-,se. .i...6S:.:aIk^•i��.A;:.W •'-. ':.: :,, .;:cY�s-'.'�.;.. - .. lame: Phone: Fax: • TOTAL AMOUNT ddror,e�� City, - State tie: 1 X .. I a int 1 ' Phone: Fax: ddrew 1 City: State: Zip: leave No: 1 City Business LioniseNe: 1 etatt.inle o,:;i,+'L��.: N•..:,::' • ': r..F..'1.. fr ' � ._ iJ-'ai..•fl...r.. I..F. a.f...:t. .. t0iraa':^«r.Esa?=� Y«f. 4:iS: ..."r�..d.al,, .cit;'Uil..k1t"x..r �?k... .., ... '�:7:i.... ..... ..... .::"! e Phone: BATH, STALL, oN-Erre BUILT \ AUTHORIZED SIGNATURE: IJIVIUD NSW DESORPTION or WORK - II OF UNITS X COST • TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 1 X 16.00 a 3 URINALS- X 16.00 3 TUBS 1 X 18Ao - e SHOWERS (PER TRAP) BATH, STALL, oN-Erre BUILT \ x 13.00 - 6 SOIKB LAVSfBASWS,BAR. FLOOR, KITCHEN. . LAUNDRY, LRWN, JANrTOR, RCM, X-RAY. P000. PREP/CUUNARY MEAT - -. X 80.00 - 9 D44MNASHER \ X 16.00 • 7 CLOTHES WASHER \ X 84.00 • • e GARBAGE DISPOSAL X 86.00 • 9 WATER SOFTENER' , X 80.00 • 19 ELECTRIC NOT WATER TANK - • ' NOTE; IP 1AS,SEEMECIVWICAL X 10,00 • 11 JS 'AREA. CASE, COIL, TRENCH. CONDENSATE \ x 0900 • 12 eRFLCAv DR)JNS X 10.00 • 13 POUN1AMa, DRrnallo 1 x woo • . 14 WATER PPPWGCRAYLJW WASTE, VEnr.PIUAERW,REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X 60.00 • 1a SEWAGE EJECTOR ' GRINDER. SUMP PUMP X 16.00 • 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOk SWAMP COOLER X WOO • 17 CROSS CONNECTION DEVICE VACUUM BREAXER OW( VALVE, ANO RP.B•P.D. FOR VATS, TANKS, BOILERS X 1600 • 16 MJTERCEPTORS GREASE YRAP SAND TRAP, CHEMICAL HOLDING TANK X 16.09 ' • 19 MEDICAL GAS baroud.t) NRROUS, OXYGEN X x600 • .20 WSC81AN60U8PLWIBWG POawe ' - X N,00 • 21 PRNATE SEWAGE DI$POSA{JSYB - X 120.00 • as INDUSTRIAL WASTE INTERCePTORsit6T 110.00 • METHOD Of PAYMENT: ❑ CASH . ❑ CHEai . - ElVLSA ❑ MASTERcam • Carlo EXPIRES: - AL PROC8ESW0PEE saa.00 TOTALsaner FES ME: AUTHORIZED SIGNATURE: IJIVIUD NSW Project Number: 09002937 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/18/2009 Page 1 of 3 Project Information: Permit Use: NEW SFR - SEWER Contact: HOMESTEAD CONSTRUCTION Address: 6519 N MAPLE ST C - S - Z: SPOKANE, WA 99208-7115 Setbacks: Front Left: Right: Rear: Phone: (509) 892-0454 Group Name: Site Information: Project Name: Plat Key: Name: Range District: Sout Parcel Number: 45334.0615 Block: SiteAddress: 4024 S BATES RD Location:: CSV Lot: Owner: Name: HOMESTEAD CONSTRUCTION Address: 6519 N MAPLE ST SPOKANE, WA 99208-7115 Zoning: R-4 SF Res Urban District Water District: Hold: ❑ Area: 6,305 Sq Ft Width: 0 Depth: 0 Right Of Way (11): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information • Review Building Plan Review Released.By: Originally Released: 9/17/2009 By: tmelbourn Landuse/Zoning/HE Conditions Sewer Review Originally Released: 9/15/2009 By: cjjanssen Released'By:•.. Permits ,. -_.. Originally Released: 9/15/2009 By: JLMain Operator: jmm Printed By: JD Print Date: 9/18/2009 Project Number: 09002937 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/18/2009 Page 2 of 3 Building Permit Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD SPOKANE, WA 99206 Phone: (509) 892-0454 This Application: Total Project: Description Grp 'ha Notes Su Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB 1,109 $107,384.47 1,109 $107,384.47 COV DECK R-3 VB 87 $1,305.00 87 $1,305.00 GARAGE U-1 VB 410 $7,790.00 410 $7,790.00 Totals: 1,606 $116,479.47 1,606 $116,479.47 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,088.95 WSBCC SURCHARGE 1 SELECT $4.50 SF PLNS RVW <7999 SQ FT 1 SELECT $435.58 Permit Total Fees: Mechanical Permit $1,529.03 Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD Phone: (509) 892-0454 SPOKANE, WA 99206 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU VENTILATING FANS 1 DUCT Units Unit Desc 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Permit Total Fees: Plumbing Permit Fee Amount $11.00 $13.00 $33.00 $57.00 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 TOILETS/BIDETS 2 NUMBER OF $12.00 SINKS 3 NUMBER OF $18.00 SHOWERS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 DISH WASHERS 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00 Operator: jmm Printed By: JD Permit Total Fees: $78.00 Print Date: 9/18/2009 Project Number: 09002937 Notes: , Inv: / Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/18/2009 Page 3 of 3 Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount Invoice Amount $1,529.03 $57.00 $78.00 $1,529.03 $57.00 $78.00 $1,664.03 $1,664.03 Amount Paid $453.50 $0.00 $0.00 Amount Owing $1,075.53 $57.00 $78.00 $453.50 $1,210.53 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: jmm Printed By: JD Print Date: 9/18/2009 J`\„..-. \Q\ 6 2 d I 1 C`l PLANNING DEPT. APPROVED BY:/C1,v1.� e.,f&U DATE: 671 )167 n K.