2007, 04-12 Permit App: 07001227 ResidenceSine
Community Dtvelopment
Permit Center F' » (N
--E
11707 E Sprague Ave, Suite:106� ��
Spokane Valley, WA 99206 j
(509)688-0036 FAX: (509)688-0(> "?R 0
www. spokanevalleY,org. Corr)
Residential Construction
Permit Application
r►
�4T
Ll _
o New Construction
o Addition/Remodel
o Other:
o Accessory Bldg
❑ Deck
SITE ADDRESS \ ick, S . �. a.
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: \ `h O\u \>\i
.^q,:.t,F: "a�._ _ -.77-...E7.7;!,... .t..l:cy.�'�iN u•• y�''�s��i�' r:t.'`"T
4 ::.7� -n:Q4.. 5, N1 t— .P 't•: ', '.d, /•,'l.'
��i .1. i� lel �_ ; �'r •�I LJ 7 �y � •�, t • _} D•.
Name:
DIMENSIONS:
n.
.
. —
.:
2Nu FLOOR SQ. FTG:
‘ o 3
Address:
=
FINISHED BASEMENT
SQ. FTG: 3:..1.
C _
Ss'--...,
X30% SLOPES ON
PROPERTY:
, Z4,
Ci
_w.-
CONSTRUCTION TYPE:
HEAT(SOURCE: •
SEWER OR SEPTIC?
Zi
Phone:
-
- - 2
•z::,, •+r•
Fax:
`'T .
--."-2,-
`�
Gti tileit r- r t.`$ ,t :u?• ?'la '1/4,4 '•r.?Li. _ ,,:,+: Kn: ,l, .
Name:
r...
Phone:
Describe the scope of work in detail:
71.
.Ya•�e���k �tir� ;y' 3;y�'1r,'!�.•; "QTY•
cr
Name:
Address:
Phone:
Fax:
Lie No:
•.. Date:
Ci Business Lie No:
Cost of Projecst:
**************The following? MUST be complete: (write N/A if not aDnlicablel**********************
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE;
MAIN FLOOR TO SQ.
FTG:AREA:
6?
1
2Nu FLOOR SQ. FTG:
‘ o 3
UNFIN BASEMENT SQ. FTG:
�t,e\ ~ o I`
IMPERVIOUS SURFACE
'..S��
FINISHED BASEMENT
SQ. FTG: 3:..1.
GARAGE SQ. FTG:
470 1
DEC OV. PA SQ. FTG:
X30% SLOPES ON
PROPERTY:
, Z4,
# OF BEDRhOOMS:
CONSTRUCTION TYPE:
HEAT(SOURCE: •
SEWER OR SEPTIC?
The pennitee verifies, acknowledges and agrees by their signature that 1) If this pemmit is for construction of or on a dwelling, the
dwelling islwt l 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 nota 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
... • , r... -.1 • . . .._c .:.
Signature
Date -
Method ofPaymtntr (Faxed permit applications will only be accepted with majorbankcard)
0 Cash 0 Check • 0 Mastercard 0 VISA
Bankcard # Expires: ViN#:
Authorized Signature:
. REAM sesame
❑ Other
Permit Center
Spokane _ 11707 E Sprague Ave, Suite 106
�jL'alley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www-sookanevallev.org
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial Residential
SITE ADDRESS:
Building Owner �i -,s^ L \t ` ,- \ \. c,...N .
_, \- a.
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contac' I
Name:
Phone:
DESCRIPTION OF WORK
0 OF UNITS
X
COST
TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or loss than 100,000
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
x
31500
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
x
350.00
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
350.00
6
USED APPLIANCE CWSEC 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
320 00
9
BOILER/REFRIGERATION
501 -1,000M BTU
x
325.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
335.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
x
380.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
x
310.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
x
$10.00 '
18
MISC. FUEL BURNING APPLIANCE
X
310.00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
310.00
19
VENTILATING FANS
e
x
$10.00
20
AIR HANDLER (DOES NOT Include ducdng)
Equal to or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
315.00
22
EVAPORATIVE COOLERS
23
24
TYPE I HOOD
TYPE II HOOD
x
X
X
310.00
350.00
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
x
$12.00
28
AIR CONDITIONER
3-15 TON
X
320.00
27
AIR CONDITIONER
15-30 TON
X
325.00
28
AIR CONDITIONER
30-50 TON
X
335.00
29
AIR CONDITIONER
More than 50 TON
X
380.00
30
LPG STORAGE TANK
X
310.00
31
WOOD OR PELLET STOVE/INSERT
x
310.00
32
WOOD STOVE - FREE STANDING
X
325.00
33
REPAIR 8, ADDITIONS
x
$15.00
34
VENTILATION SYSTEMS
X
312.00
35
VENTILATION MECHANICAL EXHAUST
X
312.00
38
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
322.00
METHOD OF PAYMENT:
OCASH
CARD 0:
AUTHORIZED SIGNATURE:
REVISED 11/26rg5
O CHECK O VISA
0 MC
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
335.00
TOTAL PERMIT FEE DUE:
Permit Ceuta
11707 E Sprague Ave, Suite 106
��I.11....
Spokane Valley, WA 99206
(509)6830036 FAX (509)688-0037 PERMIT FEE:
CaTs1011ItyDevelop111011t www.aoolomevallev.ota.com
Plumbing Permit Application ❑ Commercial dResidential
PERMIT NUMBER:
SITE ADDRESS: 1 c \AS\ t>
BnllditigowilAII,
r._.. \41‘.-‘,.-. \e <-�. i'. t.^ 2f--;\.'.,'.,_
Name:
Phone:
Fax:
Address:
TOTAL AMOUNT
City: State:
Zip:
'Contractor'..
.. ..... .....,
- - - ti -,a ; -
- -
Name:
I
Phone:
Fax:
Address:
1
City : State:
Zip:
license No:
!
City Business license No:
TUBS
w .. ..
X
58.00
Name:
Phone:
SHOWERS (PER TRAP)
AUTHORIZED SIGNATURE:
REVISED 1/7605
DESCRIPTION OF WORK
It OF UNITS
X
COST
al
TOTAL AMOUNT
1
TOILETS
WATER CLOSET BIDETS t*
4-1-
X
*6.00
•
2
URINALS
X
68.00
•
~
3
TUBS
`%-
X
58.00
•
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
\
X
$8.00
5
SINKS
tAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
.S ..
X
$8.00
•
8
DISHWASHER
\
X
58.00
•
7
CLOTHES WASHER
\
X
$8,00
•
8
GARBAGE DISPOSAL
X
58.00
•
B
WATER SOFTENER
_
X
56.00
•
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
DRIUNS
1
X
$8.00
•
13
FOUNTAINS, DRINKING
1
X
58.00
•
14
WATER PIPINGVDRAIN-lN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$8.00
•
15
SEWAGE EJECTOR -
GRINDER, SUMP PUMP
X
' • $8.00
18
WATER USING DEVICE
ICE ANIOR COER, HOSE BIB,
STEAMER
PROOFER CARBONATOR SWAMP COOLER
X
$8.00
•
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$8.00.
•
1e
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
58.00
•
19
MEDICAL GAS (pee outlet)
NITROUS, OXYGEN
X
58.00
•
20
MISCELLANEOUS PLUMBING
FIXTURE
X
58.00
•
21
PRNATE SEWAGE DISPOSAL/SYS
X
520.00
•
22
INDUSTRIA. WASTE
INTERCEPTORX
$15.00
•
METHOD OF PAYMENT:
0 CASH 0 CHECK . . - 0 VISA 0 MASTERCARD
Gids EXPIRES:
'SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE: •
AUTHORIZED SIGNATURE:
REVISED 1/7605
Project Number: 07001227 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/12/2007 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 33 Left: 6 Right: 8 Rear: 29
Site Information:
Plat Key:
Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 892-0454
Group Name:
Project Name:
Name: Range
District: Sout
Parcel Number: 45334.0508 Block:
SiteAddress: 4108 S BATES RD
Location:: CSV
Lot:
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE VALLEY, WA 99206
Zoning: UR -7* Urban Residential -7*
Water District: 999 UNKNOWN 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: 4/12/2007 13y: TMELBOU
Released By:
Landuse/Zoning/HE Conditions
Released By: -IV - 49:
Sewer Review
Permits -
Released By:, .
Originally Released: 4/12/2007 By: jdavis
Operator: JD
Printed By: JD
Print Date: 4/12/2007
Project Number: 07001227
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/12/2007 Page 2 of 3
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
APPROACH -CONST IN ROW
Approach
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Units Unit Desc
I NUMBER OF
Permit Total Fees:
Building Permit
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Description Grp Type Notes
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
BASEMENT F R-3 VB
BASEMENT U R-3 VB
COV DECK R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW <7999 SQ FT
Fee Amount
$50.00
$50.00
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
This Application: Total Project:
Se Ft Valuation Sq Ft Valuation
991 $90,537.76 991 $90,537.76
803 $59,968.04 803 $59,968.04
462 $9,240.00 462 $9,240.00
560 $8,400.00 560 $8,400.00
126 $1,890.00 126 $1,890.00
88 $1,320.00 88 $1,320.00
476 $9,044.00 476 $9,044.00
Totals: 3,506 $180,399.80 3,506 $180,399.80
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
VENTILATING FANS
GAS LOG OR GAS INSERT
Fee Amount
$1,447.35
$4.50
$578.94
Permit Total Fees: $2,030.79
Mechanical Permit
Firm: HOMESTEAD CONSTRUCTION
Phone
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
5 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: JD
Permit Total Fees:
(509) 892-0454
Pnnt Date:
Fee Amount
$10.00
$12 00
$50.00
$10.00
$82.00
4/12/2007
Project Number: 07001227
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/12/2007
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Units
4
5
1
2
1
1
1
3
Plumbing Permit
Firm:
Phone
Page 3 of 3
HOMESTEAD CONSTRUCTION
(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
$24.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$18.00
$108.00
Notes
Payment Summon:: ,
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$2,030.79
$82.00
$108.00
Invoice Amount
$50.00
$2,030.79
$82.00
$108.00
$2,270.79 $2,270.79
Amount Paid
$0:00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$2,030.79
$82.00
$108.00
$0.00 $2,270.79
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: 4/12/2007
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