2006, 10-19 Permit App: 06004157 ResidenceCommunity Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
v.-ww.spokanevalley.org.com
Residential Construction
Permit Application
dNew Construction
o Addition/Remodel
o Other:
o Accessory Bldg
a- D eck
SITE ADDRESS
t \ s.
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
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+'�,J ?tn`=lie.-,: .k. . '�., :'�� f-. ..
'. v . :1":, -a :+k � t: '«::
Name:
cy.....s........-,..\-\ C.Ar.0..‘"‘•
Phone: Fax
Address:
\7..
, •••.. c e s4r.-
FINISHED BASEMENT
SQ. FTG: —'
Ci .. .
Zi .: •
`
Phone:S.°`Z-c4S°e
Fax: .\-.\-..%.--c'\--\`',
�,.� d-� �� � ..: s, .qN r �.. •!' 3�-tr="',. +r', T':�,;'' .' .�� �;'•• r_+.s,
'ff.� ►i.!l.!IC�..� �..,�C�tf ILt'�+ il:F� :"fi'�':r �, � s,,,.�'••'::,;•,....s•,1^� ��:,-.
Name:
Phone:
� atZ• �'`��a3
Describe the scope of work in detail:
\..r o�\l�, (•�
•... .11 .�,�-.''i- li.S' Y:-�iyii �' �i1 ., �'('• .t•1;'•y.'z1'``t4b--
......_,tt�•� :i:G:'• - - 4 ...�...itis:.a.".s.il:I:.i�..:.aai.W..�
Name:
Address: •
reIIIIIIIIIIIIIIrgIIIIIIIIIIIIIII
Phone: Fax
Lic No: .. Date:
Ci Business Lic No: , c.. . may, - ,k ,..._
Cost of Project:
$ `\' ' s
**************The followinl= MUST be complete: (write N/A if not applicable}**********************
HEIGHT TO PEAK:
\N
DIMENSIONS:
4'C4t + %.k), 1
# OF STORIES:..
TOTAL HABITABLE SPACE:
\11\\
MAIN FLOOR TO SQ.
FTG: \-' 4t\ a l<
2N" FLOOR SQ. FTG:
UNFIN BASEMENT SQ.'G.TG:
S.� a K
IMPERVIOUS SURFACE
AREA:\C1/4,C0
FINISHED BASEMENT
SQ. FTG: —'
GARAGES FTG:
% {
DECK/COV. PATIO SQ. FTG:
o sL
305 SLOPES ON
PROPERTY: —
# OF BEDROOMS:r
J
CONSTRUCTION TYPE:
HEAT?
SOURCE: • . ;
P•.
SEWER OR SEPTIC
r`s� vgt,e...)...."-ILK
DISGLAYMEi
The permitee verifies, acknowledges and agrees by their signature that 1) If this permit Is for oonstruction of or on a dwelling, the
dwelling isfwi! 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
to 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 subrfiltted, and subsequentiy•approved before
•
Signature C
Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash [] Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
❑ Other
Authorized Signature:
REVISED e26I2005
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX. (509)688-0037
Community Development wmw.spokanevaIIcv ore
Mechanical Permit Application n Commercial
. jUalley
t
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: 4\,1/4Th
Building Owner
``
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor _
- -
Name'
Phone:
Fax:
Address:
City:
State:
Zip:
License No
City Business Lic.
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
$50.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
5
USED APPLIANCE (WSEC min AFUE rating)
Equal to or less than 400,000
X
$50.00
6
USED APPLIANCE (W SEC min. AFUE rating)
More than 400,000
X
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12 00
6
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35 00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10 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
$10.00
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
$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
$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'
$60.00
30
LPG STORAGE TANK
X
$10 00
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
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
36
INCINERATOR — RESIDENCE
X
$19.00
37
INCINERATOR — COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
[CASH 0 CHECK 0 VISA 0 MC
CARD It.
AUTHORIZED SIGNATURE -
REVISED 8/26/05
EXPIRES
VIN
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Permit Center
Spo_-kerne 1 1707 E Sprague Ave, Suite 106
Spokane Valicy, WA 99205
(509)688-0036 FAX: (509)686-0037
Camm:erity DevelopmRit wuu.SDol:at e''al ev pr�.earrl
Plumbing Permit Application
11
Commercial
PERMIT NUMBER:
PERMIT FEE:
Residen€ial
SrrE ADDRESS: '\O S . \.A. V.
Building owner
\--\..e......... n.c4 C.be,..t�•N.
t
Name:
COST
Phone:
,•r Fax:
Address:
TOILETS
City State:
Zip:
Contractor
..
- .. ... ._
..
Name:
URINALS
?hone:
Fax:
Address:
$6.00
City : State:
Zip:
License No:
TUBS
City Business License No:
Z.
X
:.
is
Name:
SHOWERS (PER TRAP)
Phone:
i
AUTHORIZED SIGNATURE:
UV; SED 6/2 Nos
DESCRIPTION OF WORK
II OF UNITS
X
COST
-
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
Z.
X
56.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
i
X
$6:0D
=
5
SINKS
LAVS/BASINS. BAR FLOOR KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
A
T
X
$6.00
=
6
D1SHWASHER
\
X
$6.00
-
7
CLOTHES WASHER
k
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
S6.D0
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
\
X
$6.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
56.00
-
13
FOUNTAINS, DRINKING
iC
$5.00
=
14
WATER PIPING/DRAIN-IN WASTE_,
VENT, PLUMBING. REVERSAL
NSTALLATION. ALTERATION, REPAIR
REVERSALS
X
56.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
ICE ANIOR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER. CARBONATOR, SWAMP COOLER
3
I
X
$8.00
=•
17
CROSS CONNECTION DEVICE
VACUUM BREAKER CHECK VALVE,
AND R.P. B.P.O. FOR: VATS, TANKS, BOILERS
X
$5.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$8.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$8.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT: _
0 CASH 0 CHECK D VISA 0 MASTERCARD
Card# EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.09
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
UV; SED 6/2 Nos
Project Number: 06004157 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR. GAS HEAT, ON SEWER Contact: HOMESTEAD ONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 892-0454
Group Name:
Site Information: Project Name:
Date: 10/19/2006 Page 1 of 3
Plat Key: Name: WATKINS ADDITION
District: Sout
Parcel Number: 45334.9056 Block:
SiteAddress: 4105 S BATES RD
Location:: CSV
Lot:
Owner: Name: HOMESTEAD ONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Flood Plain
Released 13y:
Building Plan Review
Originally Released: 10/19/2006 By: amblake
Released By:
Driveway/Approach
Originally Released: 10/18/2006 By: TMELBOU
Released By:
Originally Released: 10/19/2006 By: amblake
Landuse/Zoning/HE Conditions
Released By:
Originally Released: 10/18/2006 By: MBASINGE
Operator: AMB Printed By: AMB
Print Date: 10/19/2006
Project Number: 06004157 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/19/2006 Page 2 of 3
Sewer Review
Permits:
Released By:'
Approach
Contractor: HOMESTEAD BUILDERS Firm: HOMESTEAD BUILDERS
Address: 3510 GREENWICH RD Phone: (208) 640-3022
COEUR D ALENE ID 83815
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 BUILDERS Firm: HOMESTEAD BUILDERS
Address: 3510 GREENWICH RD Phone: (208) 640-3022
COEUR D ALENE ID 83815
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation. ;I.
1&2 FAMILY R-3 VB 1,241 $107,185.17 1,241 $107,185.17
BASEMENT U R-3 VB 536 $8,040.00 536 $8,040.00. :
DECK OPEN R-3 VB 80 $1,200.00 80 $1,200.00.
GAR WOOD U-1 VB 611 511,609.00 611 $11,609.00
Item Description
RESIDENTIAL PERMIT FEE
SF PLNS RVW < 7999 SQ FT
Totals: 2,468 $128,034.17 2,468 $128,034.17
Units Unit Desc
1 SELECT
1 SELECT
Fee Amount
$1,156.15
$462.46
Permit Total Fees: $1,618.61
Mechanical Permit
Contractor: HOMESTEAD BUILDERS Firm: HOMESTEAD BUILDERS
Address: 3510 GREENWICH RD Phone: (208) 640-3022
COEUR D ALENE ID 83815
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
Operator: AMB Panted 13y: AMB
Fee Amount
$10.00
$12.00
$40.00
$10.00
Permit Total Fees: $72.00
Print Date: 10/19/2006
Project Number: 06004157 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/19/2006
Contractor: HOMESTEAD BUILDERS
Address: 3510 GREENWICH RD Phone: (208) 640-3022
COEUR D ALENE ID 83815
Plumbing Permit
Page 3 of 3
Firm: HOMESTEAD BUILDERS
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
WATER PIPING - DWV
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
Fee Amount
$18.00
$24.00
$6.00
$12.00
$6.00
$6.00
$6.00
$18.00
Permit Total Fees: $96.00
Notes: . .
All driveway approaches to be constructed per Spokane County Standards as adopted by the City of
Spokane Valley.
Minimum of 7.5' from each property line, 5' from crosswalks or intersection curb and minimum of 15'
of separation between any two approaches.
Flat portion of a residential approach to be minimum of 16' wide, maximum of 30' wide and combined ..
approach width not to exceed 50% of total frontage. .'
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,618.61
$72.00
$96.00
Invoice Amount
$50.00
$1,618.61
$72.00
$96.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,618.61
$72.00
$96.00
$1,836.61 $1,836.61 $0.00 $1,836.61
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: AMB Printed 13y: AMB
Print Date: 10/19/2006
Landuse/Zoning/HE Conditions
See Si 4e pia #..J 71. -
Project Number: 06004157 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/17/2006 Page 1 of 2
Project Information:
, a
Permit Use: SFR. GAS HEAT, ON SEWER Contact: HOMESTEAD ONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 892-0454
Group Name:
Site Information: Project Name:
Plat Key: Name: WATKINS ADDITION District: Sout
Parcel Number: 45334.9056 Block:
SiteAddress: 4105 S BATES RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: HOMESTEAD ONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr.of Dwellings: 0 . ,
Review Information:
Review
Flood Plain
.Released Byi ...
Building Plan Review
Released By: .✓t
Driveway/Approach
Released By:
Released By: Wu,/0,/, 8/0C, •
Sewer Review
Released By:
Operator: AMB Printed By: AMB
Print Date: 10/17/2006
Print Map
Page 1 of 1
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Scale 1:3,000
Information shown in the PRISM application is compiled from various sources, subject to ongoing
changes and is not warranted for accuracy. PRISM should serve as a starting point for your investigation
in — 250 ft
or inquiry. Legal documents should be obtained from the appropriate agency before taking any action.
Please contact the appropriate county division or department for additional information.
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10/18/2006
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145334.9056
Neighborhood:
Site Address:
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3841 45331.4703 3833
4533E4702 45331.4706
3817
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MIIpI111.14i
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10/17/2006
-24-03 4' STRAND BARBED WIRE
FENCE, EAST 1.89' ---�-
)F SHORT PLATS,
34&35
ED
4'37"E 300.00'
FOUND #4 REBAR WITH YELLOW
PLASTIC CAP, MARKED
'WELBORN 15043' PER (D)
co 6,361 S.F.
13' BORDER
EASEMENT
Ilbi9 C7
51.68' C
N87'24'37"E 1 N87'24'37"E
65.00' 65.00'
23
to
01
N
rri
22
6,321 S.F.
54.20'
EASEMENT
N87'24'37"E
I
13' BORDER 1
EASEMENT
21 Itl 01
"' i
N 6,106 S. F.lN1
1-^!l619 c'`
35.00'
CO
O
v
N8724'37"E 381.59' 41ST AVE
351.59'
1 65.00'
_ 1157
TAO' UTILITY
o EASEMENT
7,602 S.F.
65.00'
65.00'
115!8
11606
f
•C1 •C2•
"8 N87'07'36"E 138.20'
• • •- •
26.40' C4 C5
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0
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to
rn
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53.10'x •
65.00'
FOUND ,#4 REBAR WITH YELLOW
PLASTIC CAP MARKED "ABC
7317/13315" PER (H)
UNE TABLE
(0
co
U)
cJi 5
7,780 S.F.
r.
rn
115.00'
t0
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EASEMENT of
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7,773 S.F.
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74.90'
11614-
6,239
161
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6,239 S.F. i l
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4
6,703 S.F.
N87'07'36"E
103.23'
3
6,717 S.F.
N87'07'36"E
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0
103.44'
2
6,725 S.F.
1 1.5. 5'�
a ¶I 103.65'
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N87'07'36"E•
4' STRAND BARBED
WIRE FENCE, 0.17'
NORTH
104.90'
13' BORDER ----1-°-1
EASEMENT
6,137 S.F.
10490'
488.16'
4' STRAND BARBED UNPLATTED
WIRE FENCE, 0.21'
NORTH
I 19'
•
11 1
6,509 S.F.
Tit i 'TRACT A*
19, w 3,466 S.F.
• 97.16'
L30' SANITARY
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PLASTIC CAP MARKED "ABC
7317/13315" PER (1i)
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PLASTIC CAP M
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LOT 1
LOT 2