2007, 04-02 Permit App: 07001049 ResidenceSgSkane�
Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite106
Spokane Valley, WA 99206 WA
(509)688-0036 FAX: (509)688-0037
wwrw.spokanevafley.org.cortl
r
Residential Construction
Permit Application
tO��}j.\I�UuUu
UT -
ad New Construction
❑ Addition/Remodel
❑ Other:
n Accessory Bldg
❑ Deck
SITE ADDRESS \ S .'
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
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•
h
Name:
Address:
c
Zi.: •
Phone:
• .sc c Fax: -
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- ;rti ►•.` :a.•' '_ r.��J,�-y{�lAr,1M . r;�•. n:� •at'i, h,,?•�'i :n
Name: C_ c • >
Phone:
Describe the scope of work in detail:
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Gei�•'rw. cif
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Ara
Name:
Address:
Phone:
Fax:
Lic No:
... Date:
Ci Business Lic No:
Cost of ProjeSt:
•
**************The followint7 MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
A.
DIMENSIONS:
I\ L.' i- NI-
# OF STORIES:
TOTAL HABITABLE SPACE:
'1,- V 2-3
MAIN FLOOR TO SQ.
FTG:AREA:
27''w FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
FINISHED BASEMEN p�
SQ. FTG: �e.l }
GARAG S FFG�:/�y�
r'f U �.
DECK/COV. PATIO SQ. FTG:
%(1
30°�o SLOPES ON
PROPERTY: -
# OF BEDROOi1S:
CONSTRUCTION TYPE:
HEAT SOURCE
SEWER OR SEPTIC?
The permitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the
dwelling Eslwl>J 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) Ai! construction Is to be done
fug 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 subsequentlyapproved before
w . � • • ►. . • - a • . • • .. s-.: .
Signature c_%
Date
Method otPayment: (Faxed permit applications will only be accepted with majorbankcarrl) •
0 Cash 0 Check ' 0 Mastercard 0 VISA
Bankcard t: Expires:
0 Other
Authorized Signature:
_ Permit Center
SpSkane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
jValley
PERMIT NUMBER:
(509)688-0036 FAX: (509)688-0037 PERMIT FEE:
Community Development www.spokagevalley.org
Mechanical Permit Application ❑ Commercial d Residential
SITE ADDRESS:
Building Owner ,\_\...H....,
11 ♦ P n\
C ...„......\cam\ - ., ..
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Cootrac_tor
'..
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact:...=
Name:
Phone:
DESCRIPTION OF WORK
e OF UNITS
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
550.00
8
USED APPLIANCE (WSEC min AFUE rating)
More than 400,000
X
5100.00
7
BOILER/REFRIGERATION
1 . 100M BTU
X
512.00
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
525.00
11
BOILER/REFRIGERATION
Mae than 1,750M BTU
X
$80 00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
$10 00
14
DRYER
X
510.00
15
FUEL BURNING WATER HEATER
x
510.00
18
MISC. FUEL BURNING APPLIANCE
X
510.00
17
GAS PIPING (each outlet)
x
$1.00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to a less than 10,000 CFM
X
512.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
51200
28
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
560.00
30
LPG STORAGE TANK
x
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
510.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR 8 ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
x
$12.00
38
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
x
$22.00
METHOD OF PAYMENT:
DCASH D CHECK
CARD It
AUTHORIZED SIGNATURE:
REVISED 1/2495
0 VISA
0 MC
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
Commllmi I)evel r (509)688-0036 FAX: (509)688-0037
IY oilmen www.snol:anevallevEGLEom
Plumbing Permit Application El Commercial it Residential
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS;
4cy>\ s. Otx._
Buildkngow'ner.
Name-.
Phone:
Fax:
Address:
..Contrietui
City:
State:
Zip:
Name•.
Phone:
Fax:
Address:
City :
State:
Zip:
License No:
City Business License No:
'Contid"4�.'
Name:
Phone:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
8 OF UNITS
X
COST
•
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
.3
X
$8.00
•
2
URINALS
X
. $8.00
•
3
TUBS
1.-
X
$8.00
•
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
lb. \
X
se.00
•
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
4. ,
X
$8.00
•
8
DISHWASHER
\
X
$8.00
•
7
CLOTHES WASHER
\
X
$6.00
•
8
GARBAGE DISPOSAL
X
$8.00
•
9
WATER SOFTENER
X
" s8.00
•
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
58.00
•
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
\
X
$8.00
•
'
12
ROOF DRAINS/OVERFLOW
DRAINS
I
-I
X
$0.00
•
19
FOUNTAINS, DRINKING
1
X
$8.00
•
14
WATER PIPINGIDRNN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$8.00
•
.
15
SEWAGE EJECTOR
• GRINDER, SUMP PUMP
X
$6.00
•
18
WATER USING DEVICE
ICE AWOR COFFEE MAKER. HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
3
X
$8.00
gi
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6.00
•
18
INTERCEPTORS
GREASE TRAP. SAND TRAP,
CHEMICAL HOLDING TANK
X
58.00
•
19
MEDICAL GAS (per outlet)
' NITROUS. OXYGEN
X
$8.00
•
20
MlcrFI I ANEOUS PLUMBING
FIXTURE
X
58.00
•
21
PRNATE SEWAGE DISPOSAUSYS
X
520.00
•
22
INDUSTRIAL WASTE
INTERCEPTORX
115.00
•
-
METHOD OF PAYMENT:
0 CASH 0 CHECK , - 0 VISA 0 MASTERCARD
CBfdar EXPIRES:
'SUBTOTAL
PROCESSING FEE
*35.00'
TOTAL PERMIT FEE DUE:.
AUTHORIZED SIGNATURE:
Project Number: 07001049 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/02/2007 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 30 Left: 10 Right: 13 Rear: 27
Site Information:
Plat Key:
Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE WA 99206
Phone: (509) 892-0454
Group Name:
Project Name:
Name: WATKINS ADDITION District: Sout
Parcel Number: 45334.0605 Block:
SiteAddress: 4031 S BATES RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE VALLEY, WA 99206
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
Originally Released: 04/02/2007 By: TMELBOU
Released -By:
Originally Released: 04/02/2007 By: jdavis
Landuse/Zoning/HE Conditions
Sewer Review
Permits -
Released By:-
Operator: JD Printed By: JD Print Date: 04/02/2007
Project Number: 07001049 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/02/2007 Page 1 of 3
Project Information: ..�
Permit Use: SFR W/ATT GAR
Setbacks: Front 30 Left: 10 Right: 13 Rear: 27
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
HOMESTEAD CONSTRUCTION
312SFARR RD
SPOKANE WA 99206
(509) 892-0454
Site Information:
Plat Key: Name: WATKINS ADDITION
District: Sout
Parcel Number: 45334.0605 Block:
SiteAddress: 4031 S BATES RD
Location:: CSV
Zoning: UR -3.5
Water District:
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE VALLEY, WA 99206
Urban Residential 3.5 '
Area: .00 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Hold: ❑ •
Depth: 0 Right Of Way (ft): 0
Review Information: E
Review
Building Plan Review
Released By:
Driveway/Approach
Originally Released: 04/02/2007 By: TMELBOU
"Released By: "
Originally Released: 04/02/2007 By: jdavis
Landuse/Zoning/HE Conditions
•Released By:
Sewer Review
Permits •
Released By:
Operator: JD Printed By: JD
Print Date:
04/02/2007
Project Number: 07001049 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/02/2007 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:
Building Permit
$50.00
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Phone: (509) 892-0454
This Application: Total Project:
Description Grp Type Notes So Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 989 $90,355.04 989 $90,355.04
2ND FLOOR R-3 VB 822 $61,386.96 822 $61,386.96
BASEMENT U R-3 VB 560 $8,400.00 560 $8,400.00
GARAGE U-1 VB 489 $9,291.00 489 $9,291.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 2,860 $169,433.00 2,860 $169,433.00
Units Unit Desc Fee Amount
I SELECT $1,385.75
I SELECT $4.50
1 SELECT $554.30
Permit Total Fees: $1,944.55
Mechanical Permit
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
GAS LOG OR GAS INSERT
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
Fee Amount
$10.00
$12.00
$40.00
$10.00
Permit Total Fees: $72.00
Operator: JD Printed By: JD Print Date: 04/02/2007
Project Number: 07001049 Inv: 1
Application
Date: 04/02/2007
• THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Plumbing Permit
Firm:
Phone:
Page 3 of 3
HOMESTEAD CONSTRUCTION
(509) 892-0454
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$24.00
$6.00
$12.00
$6.00
$6.00
$6.00
$18.00
$96.00
Notes•
Payment SummarV:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$50.00 - $50.00
$1,944.55 $1,944.55
$72.00 $72.00
$96.00 $96.00
$2,162.55 $2,162.55
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owin1
$50.00
$1,944.55
$72.00
$96.00
$0.00 $2,162.55
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: 04/02/2007
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