2011, 01-28 Permit App: 11000183 ResidenceSppokane
Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
wuw.spokanevat l ev.ora.com
Residential Construction
Permit Application
pii? RMTIIVUMRI?.l
?,. P LRMITLE
63New Construction
o Addition/Remodel
o Other:
o Accessory Bldg
❑ Deck
SITE ADDRESS lel l N /U. gen lad
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION: Floret Meadow S Lot 9 glk 3
Bnildmggb�vner
ConuTactor . ` g i
i'�� r��''''
Name: 1Jio,,,i4o el()
Cot,K COWS j'
Address:
Lic No: .Exp. Date:
City:
Zip:
Phone:
Fax
Contactt
„erson
Name: 'P' .'t
Phone: Zis-Mq Zy
Describe the scope of work in detail:
Still() o. A&.,, SF e
Cost of Project:
**************The following MUST be complete: (write N/A if not applicable)*********************
HEIGHT TO PEAK:
ConuTactor . ` g i
Name: 171Q,40Ad 2n GK G».er
Address: 2(4o Z N. Sr,t ii vat l(
city: Spo Ott 11a llty Zip: ?f a t
Phone: qz 4-? 9 4 N Fax: 924 - 80 qy
Lic No: .Exp. Date:
City Business Lie No:
Cost of Project:
**************The following MUST be complete: (write N/A if not applicable)*********************
HEIGHT TO PEAK:
DIMENSIONS: )043.` b 1t
33'/y3o
# OF STORIES: Z
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG: /o'j q 01
2rr FLOOR SQ. FTG:
-A"
UNFIN BASEMENT SQ. FTG:
7`l(e oto
IMPERVIOUS SURFACE
AREA: N/A
FINISHED BASEMENT
SQ. FTG: §.
GARAGE SQ. FTG:�/yr
%,-t
DECK/COV. PATIO SQ. FTG:
$'
30% SLOPES ON
PROPERTY: N/4
#.OF BEDROOMS: ,�
CONSTRUCTION TYPE:
Wood France
HEAT SOURCE:
No. tyro l Gas kr .e.
SEWER OR SEPTIC?
Sewer
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) Pians or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature (244 _ ("09,
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 8/25/2005
.4c Permit Center
SO yiC2l C2i; 11707 E Sprague Ave, Suite 106
�4 iley Spokane Valley, WA 99206
�� (509)688-0036 FAX: (509)688-0037
Community Development wevw.spokanevalley.oru.com
Mechanical Permit Application o Commercial
RNIIT;INUJMI31 f2
PBRI�TI'P=T7
$Residential
SITE ADDRESS j9 /Y N• 8e 1L_Zd
DESCRIPTION OF WORK
1 FUEL BURNING APPLIANCE
# OF UNITS
X
COST
= TOTAL AMOUNT
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
$100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
6
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
$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
560.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510.00'
13
RANGE
X
$10.00
14
DRYER
X
$10.00
u)
15
FUEL BURNING WATER HEATER
X
$10.00
IU
16
MISC. FUEL BURNING APPLIANCE
X
510.00
17
GAS PIPING (each outlet)
X
51.00
2
18
DUCT SYSTEMS
1
X
510.00
b
19
VENTILATING FANS
3
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10.000 CFM
X
$12.00
30
21•
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE 1 HOOD
X
$50.00
24
TYPE II HOOD
1
X
$10.00
10
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
535.00
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
525.00
33
REPAIR 8 ADDITIONS
515.00
34
VENTILATION SYSTEMS
x
$12.00
35
VENTILATION MECHANICAL EXHAUST _
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
522.00
METHOD OF PAYMENT:
:CASH 0 CHECK 0 VISA 0 MC
CARD 8:
DATE:
EXPIRES:
AUTHORIZED SIGNATURE:
SUBTOTAL
PROCESSING FEE
SN
535.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
Name: Di as) VorK C0,4 SJ• Phone: 9.i.'1-7y6'i Fax 9z3-s-ogq/
Zip
Address: City State
'.vZ.s ..:a' -_-''C' -. :)YT" 2i � - `x-' 5x uh�L'--�,�
�-_::�'�`:,��n41 s,f_f: �z4, ...-.-'�...r �'a��`s.a�C '-..,?, '
?nContraclnr�°�i1,;tt.1:S ,-a et�16,1-01
Name: . nLA,ytt $t . r (Ofiby Phone: Fax:
Zip
Address: J City State
License No: City Business License No:
g."-aT s+r e.0 rK n :e:. 'Y v5 "' n " . +, S o-il$F c
aContaet�h!�;i.t; 5��,,.�51;r=..., �tt„,,, �.sit'�.k ���'�i`z�c`'k...,,. +s�'.^m 1 -'
Name: - Phone:
DESCRIPTION OF WORK
1 FUEL BURNING APPLIANCE
# OF UNITS
X
COST
= TOTAL AMOUNT
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
$100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
6
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
$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
560.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510.00'
13
RANGE
X
$10.00
14
DRYER
X
$10.00
u)
15
FUEL BURNING WATER HEATER
X
$10.00
IU
16
MISC. FUEL BURNING APPLIANCE
X
510.00
17
GAS PIPING (each outlet)
X
51.00
2
18
DUCT SYSTEMS
1
X
510.00
b
19
VENTILATING FANS
3
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10.000 CFM
X
$12.00
30
21•
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE 1 HOOD
X
$50.00
24
TYPE II HOOD
1
X
$10.00
10
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
535.00
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
525.00
33
REPAIR 8 ADDITIONS
515.00
34
VENTILATION SYSTEMS
x
$12.00
35
VENTILATION MECHANICAL EXHAUST _
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
522.00
METHOD OF PAYMENT:
:CASH 0 CHECK 0 VISA 0 MC
CARD 8:
DATE:
EXPIRES:
AUTHORIZED SIGNATURE:
SUBTOTAL
PROCESSING FEE
SN
535.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
c y...v� Penni I Center
S iolcane 11707 13 Sprague Ave, Suite 106
/a Hey Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
!_n.E.R.\41T:NUMI3ER:
Community Development www.spokanevalley.onr coni 6 P,L'•ILMIhi
Plumbing Permit Application /� o Commercial Residential
SITEADDRESS /9iy jV• &// Rd
%-Buddmo,o niter s , ......,. .,
DESCRIPTION OF WORK
, - - _ , ry o ., sss$� -Z�` 3i2'^' _
.
Name: Dialvtnnd ger r- Cons1T
COST
Phone: 9?,q-1746y Fax 9u.-togsl
City Slate Zip
�. _ ....
Address
�y�r
s-:Contractor.'�Fp:,."#,...'�;a'€r.rk"4'I`,�Y?"'',.",.._�. .:' ..`...
WATER CLOSET, BIDETS
�'� ;'�-C.s3tr N...,,9P4""'•�..",p+';''�E s'lx`c#'�rcxu4�k>' ;_'•�
a -''`*:*i
Name: Gold 2a 1 filieLiss-ALLA/
=
Phone: Fax:
2
Address:
City State Zip
X
License No:
=
City Business License No:
3
Conlac[-.,.+'"o.-,'r. `':.L:'"�..2st'a,�Vx"<€'0�*
Z
Name:
-
Phone:
4
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
11 OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
Z
X
$6.00
=
17..
2
URINALS
X
$6.00
=
3
TUBS
Z
X
$6.00
-
It
4
SHOWERS (PER TRAP)
BATH. STALL, ON-SITE BUILT
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD. PREP/CULINARY MEAT
3
X
$6.00
/i
6
DISHWASHER
_
1
'
X
X
X
$6.00
$6.00
$6.00
=
=
=
4,
6
7
CLOTHES WASHER
8
GARBAGE DISPOSAL
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
. $6.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
13
FOUNTAINS DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP ..
X
$6.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER •
_
n
L
X
$600
=
'
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
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
-
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
DATE:
SUBTOTAL
�j
0 VISA 0 MASTERCARD
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Project Number: , 11000183 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/28/2011 Page 1 of 2
Project Information:
Permit Use: SFR W/ATT GAR Contact: DIAMOND ROCK CONSTRUCTION
Address: 2602 N SULLIVAN RD
C - S - Z: SPOKANE VALLEY, WA 99216
Setbacks: Front Left: Right: Rear: Phone: (000) 000-0000
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: East
Parcel Number: 55073.2909
SiteAddress: 1914 N BELL RD
Location:: CSV
Block: Lot:
Owner: Name: DIAMOND ROCK CONSTRUCTIO
Address: 2602 N SULLIVAN RD
SPOKANE VALLEY, WA 99216
Zoning: R-3 SF Res District
Water District: 134. CONSOLIDATED ID #19 Hold: ❑
Area: 6,611 Sq Ft 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
Originally Released: 1/28/2011 By: tmelbourn
Landuse/Zoning/HE Conditions
Released By - _
Driveway/Approach
Originally Released: 1/28/2011 By: CJJANSSE
Released By:
Sewer Review
Originally Released: 1/28/2011 By: jdavis
Released By
Originally Released: 1/28/2011 By: jdavis
Permits:
Operator: JD Printed By: JD
Print Date: 1/28/2011
Project Number: 11000183 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/28/2011 Page 2 of 2
Building Permit
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 2602 N SULLIVAN Phone: (509) 924-8964
SPOKANE VALLEY WA 99216
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,084 $109,429.80 1,084 $109,429.80
BASEMENT R-3 VB 746 $11,190.00 746 $11,190.00
GAR WOOD U-1 VB 470 $8,930.00 470 $8,930.00
Totals: 2,300 $129,549.80 2,300 $129,549.80
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,161.75
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT , 1 - SELECT ,$464.70
SFR / DUP SITE PLN REVIEW 1 SELECT $50.00
Permit Total Fees: $1,680.95
Mechanical Permit
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 2602 N SULLIVAN Phone: (509) 924-8964
SPOKANE VALLEY WA 99216
Plumbing Permit
Contractor: DIAMOND ROCK Firm:' DIAMOND ROCK CONSTRUCTIO
Address: 2602 N SULLIVAN Phone: '(509) 924-8964
SPOKANE VALLEY WA 99216
Notes: ,
FLORA ESTATES -REFER TO ADE -19-06 FOR LOT WIDTH/FRONTAGE-MH
FLORA ESTATES -SEE FILE ADE -19-06 FOR LOT FRINTAGE/WIDTH-MH
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount
$1,680.95 $1,680.95
$1,680.95 $1,680.95
Amount Paid
$464.70
Amount Owinv
$1,216.25
$464.70 $1,216.25
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 he 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: 1/28/2011