2007, 02-22 Permit App: 07000473 ResidenceSpSkan�
�'�alley
Community Development
Permit Center
11707 E Sprague Ave, Sue 106
Spokane Valley, WA 99206 FEB
(509)688-0036 FAX: (509la8-0037
wiaa'w.sDokanevallcv,org•cS`
ED ECEAVNE
Residential Construction
Permit Application
U u
tiNew Constructioi
o Addition/Remodel
_
o Other:
o Accessory Bldg
o Deck
SITE ADDRESS
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:i, \ °� G\�, �. , r �� . X c1
��t c •y �i I` J
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.. =_1 � C i. �'vJ rrV]Lyt ���� '�•�-E � !
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jG.,• ;-�a:,:••• i%'•rr,:'+r..�}'r::r', + J••.-.�•; ._:, �!i,;-`�s''
a._.._....A �A a.�+ --Aja_» •' �♦ n.•
Name:
Phone:
Describe the scope of work in detail:
...,.i.-•r'A;
stiy1'.:yS,;<y�,:�.! Yi,.17‘,.
••rl .uf !••- .:%'.••• !•:1ti_1.r _i�n�. dL;l
Name:
Address:
111111111111111111111121111111111111111111111
Phone:
Fax:
Lic No:
.. Date:
Ci Business LIC No:
•
Cost of Proje5t:
**************The followine MUST be complete: (write N/A if not aDDlicable)**********************
HEIGHT TO, PEAK:
vk
DIMENSIONS:
# OF STORIES:
TOTAL `2HABITABLECS 2-
MAIN FLOOR TO SQ.
FTG:.
\5 i02
21'" FLOOR SQ. FTG:
100-3 .
UNFIN BASEMENT SQ. FTG:
—'1,-.--
IMPERVIOUS SURFACE
AREA:
�FINISHED
FINISHEDBASEMENT
SO. FTG: '
GARAGE SQ. FTG:
"1-S1
' DECKICOV. PATIO SQ. FTG:
< a33 r
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
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 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 cco 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 subsequentiy:epproved before
Signature C
Date `1-•\L,-
Method of Payment (Faxed permit applications will only be accepted with maJor benkcard) •
0 Cash 0 Check . 0 Mastercard ❑ VISA
Bankcard # Expires: VIN#:
❑ Other
Authorized Signature:
. MIMED sow
Spokane
e
��rValley
Community Development
Permit Center
11707 E Sprague Ave. Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037 •
www sookanevallcv.orn.com
Mechanical Permit Application n Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: a1krS\ ) • IZ2) c�
Building owner
e -„.-.a_,
‘i,.oc]
C.i--.
�e
c.>k•.��
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
'Contractor
. . .
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business License No:
ta.: _
..Gonet
Name:
,
Phone:
1
2
3
4
5
5
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
DESCRIPTION OF WORK
# OF UNITS
X
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100,000
x
512.00
More than 100,000
X
515.00
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
More than 400,000
X
550.00
x
$100.00
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
550.00
USED APPLIANCE (WSEC min. AFUE rating)
BOILERlREFRIGERATION
More than 400,000
X
1100.00
1.100M BTU
x
$12,00
BOILER/REFRIGERATION
BOILER/REFRIGERATION
101 - 5D0M BTU
X
820.00
501 - 1,000M BTU .
x
525.00
BOILER/REFRIGERATION
BOILER/REFRIGERATION
1,001 - 1,750M BTU
x
$35.00
More than 1.750M BTU
X
560.00
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
DRYER
X
510.00
X
510.00
X
$10.00
FUEL BURNING WATER HEATER
X
510.00
MISC. FUEL BURNING APPLIANCE
GAS PIPING (each outlet)
DUCT SYSTEMS
x
$10.00
• X
51.00
X
510.00
VENTILATING FANS
X
510.00
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
TYPE IHOOD
Equal to or less than 10,000 CFM
Greater than 10,000 CFM
X
512.00
x
$15.00
X
$10.00
X
850.00
25
28
27
28
TYPE 0 HOOD
• X
510.00
HEAT PUMP/AtR CONDITIONER
0-3 TON
X
$12.00
AIR CONDITIONER
3-15 TON
x
520.00
29
30
31
32
33
34
35
36
AIR CONDITIONER
15-30 TON
X
525.00
AIR CONDITIONER
30-50 TON
X
535.00
AIR CONDITIONER
More than 50 TON
X
560.00
LPG STORAGE TANK
X
510.00
WOOD OR PELLET STOVE/INSERT
WOOD STOVE - FREE STANDING
REPAIR & ADDITIONS
X
510.00
X
125.00
X
515.00
VENTILATION SYSTEMS
X
512.00
VENTILATION MECHANICAL EXHAUST
x
512.00
INCINERATOR - RESIDENCE
x
519.00
37
INCINERATOR - COMMERCIAL
X
522.00
METHOD OF PAYMENT:
DCASH 0 CHECK 0 VISA D MC
CARD it:
DATE:
EXPIRES:
AUTHORIZED SIGNATURE:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
REVISED It26/0$
Sn-liblane
y
Community Development
Plumbing Permit Application ❑ Commercial
Perms Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-00
www.sookanevallev.org.com
37.
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: " \� S c --;N\
iuildi�i g owner •
%\.,c-�., v.� s.. a � C tv--.. s — . .ate
.
.
0 OF UNITS
X
Name:
=
Phone:
Fax:
TOILETS
Address:City
Stale:
56.00
Zip:
Contractor
2
URINALS
Name:
•
Phone:
Fax:
3 •
Address:
City : State:
X
Zip:
License No:
City Business ISeetse No:
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
Contact' .. „
o: .. ..
. .i:' . f�. .. .Y�t ;. -Y..; n.if : ''..
••
., ,. ..
Name:
SINKS -
Phone:
-
X
AUTHORIZED SIGNATURE:
REVISED sr26/03
DESCRIPTION OF WORK
0 OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
56.00
=
2
URINALS
X
56.00
=
3 •
TUBS
"1-
X
56.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
\
X
. 56.00
=
5
SINKS -
LAVS/BASINS, BAR, FLOOR KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
-
X
56.00
=
6
DISHWASHER
\
X
56.00
=
7
CLOTHES WASHER
\
X
56.00
=
8
GARBAGE DISPOSAL
X
56.00
=
9
WATER SOFTENER
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS. SEE MECHANICAL
X
56.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
\
X
56.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
56.00
=
13
FOUNTAINS, DRINKING
X
56.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
56.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,,
STEAMER
PROOFER, CARBONATOR. SWAMP COOLER
X
56.00
=
.
17
CROSS CONNECTION DEVICE
VACUUM BREAKER. CHECK VALVE,
AND R,P.B.P.D, FOR VATS, TANKS, BOILERS
X
56.00
=
16
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
56.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
520.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
515.00
=
METHOD OF PAYMENT: •
0 CASH 0 CHECK 0 VISA 0 MASTERCARD
Card# EXPIRES:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED sr26/03
Pioject Number: 07000473 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/22/2007 Page I of 3
Project Information:
Permit Use: SFR W/ATT GAR Contact: HOMESTEAD CONSTRUCTION INC
Address: 312 S FARR RD
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front 33 Left: 15 Right: 10 Rear: 28 Phone: (509) 892-0454
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: Sout
Parcel Number: 45334.0604 Block:
SiteAddress: 4035 S BATES RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION I
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: r
Review
Building Plan Review
• Released By:
Driveway/Approach
Originally Released: 2/21/2007 By: TMELBOU
Released By: .
Originally Released: 2/22/2007 By: jdavis
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Originally Released: 2/22/2007 By: SKUHTA
Released By: '
Originally Released: 2/22/2007 By: jdavis
Permits: ,
Operator: JD Printed By: JD
Print Date: 2/22/2007
Project Number: 07000473 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/22/2007 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
APPROACH -CONST IN ROW
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$50.00
$50.00
Contractor: HOMESTEAD CONSTRUCTION Firrn: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Phone: • (509) 892-0454
This Application: Total Project:
Description Grp Type Notes Se Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,022 $93,369.92 1,022 $93,369.92
2ND FLOOR R-3 VB 1,003 $74,904.04 1,003 $74,904.04
DECK OPEN R-3 VB 338 $5,070.00 338 $5,070.00
GARAGE 13-1 VB 451 $8,569.00 451 $8,569.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW <7999 SQ FT
Totals: 2,814 $181,912.96 2,814 $181,912.96
Units Unit Desc Fee Amount
1 SELECT $1,452.95
1 SELELI $4.50
1 SELECT $581.18
Permit Total Fees:
Mechanical Permit
$2,038.63
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892-0454
SPOKANE, WA 99206
Item Description
GAS APPLIANCE<=100,000BTU
VENTILATING FANS
GAS LOG OR GAS INSERT
GAS APPLIANCE - MISC.
Units Unit Desc
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: JD
Fee Amount
$12.00
$40.00
$10.00
$10.00
Permit Total Fees: $72.00
Print Date: 2/22/2007
Project Number: 07000473
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/22/2007
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
Notes •
Units
3
3
2
3
Plumbing Permit
Page 3 of 3
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$18.00
$6.00
$12.00
$6.00
$6.00
$6.00
$18.00
$90.00
Payment Summary: ,--
Permit
,Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$2,038.63
$72.00
$90.00
Invoice Amount
$50.00
$2,038.63
$72.00
$90.00
$2,250.63 $2,250.63
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$2,038.63
$72.00
$90.00
$0.00
$2,250.63
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: 2/22/2007
Project Number: 07000473 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/16/2007 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR Contact: HOMESTEAD CONSTRUCTION INC
Address: 312 S FARR RD
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front. 33 Left: 15 Right: 10 Rear: 28 Phone: (509) 892-0454
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: Sout
Parcel Number: 45334.0604 Block:
SiteAddress: 4035 S BATES RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION 1
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 • . v ,, m
Review
Building Plan Review
Released By:
Driveway/Approach
Released By:
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits.
Released By:
Operator: JD Printed By: JD Print Date: 2/16/2007
Project Number: 07000473 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/16/2007 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
APPROACH -CONST IN ROW
Units Unit Desc Fee Amount
I 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 Grp Type Notes Sq Ft . Valuation Sq Ft Valuation
I&2 FAMILY R-3 VB 1,407 $128,543.52 1,407 $128,543.52
BASEMENT U R-3 VB 462 $6,930.00 462 $6,930.00
DECK OPEN R-3 VB 80 $1,200.00 80 $1,200.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 1,949 $136,673.52 1,949 $136,673.52
Units Unit Desc Fee Amount
1 SELECT $1,200.95
1 SELECT $4.50
1 SELECT $480.38
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
GAS APPLIANCE<=100,000BTU
VENTILATING FANS
GAS LOG OR GAS INSERT
GAS APPLIANCE - MISC
Permit Total Fees: $1,685.83
Mechanical Permit
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Units Unit Desc
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
I NUMBER OF
Operator: JD Printed By: JD
Fee Amount
$12.00
$40.00
$10.00
$10.00
Permit Total Fees: $72.00
Print Date: 2/16/2007
Project Number: 07000473 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/16/2007 Page 3 of 3
Plumbing Permit
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
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 3 NUMBER OF $18.00
SHOWERS 1 NUMBER OF $6.00
TUBS 2 NUMBER OF $12.00
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
Permit Total Fees: $90.00
Notes: ,
Payment Summary:
Permit Type Fee Amount .Invoice Amount Amount Paid Amount Owing
Approach $50.00 550.00" $0.00 $50.00
Building Permit $1,685.83 $1,685.83' $0.00 $1,685.83 •
Mechanical Permit $72.00 572.00 $0.00 $72.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$1,897.83 $1,897.83. $0.00 $1,897.83
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: 2/16/2007