2011, 01-28 Permit App: 11000184 Residence1
(tirrrr<x
-ot: Valley
Community Development
Pennit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.ore.com
Residential Construction
Permit Application
g New Construction
o Addition/Remodel
o Other:
PIRMIf NUM13F12.:
19 i!tMIT T
o Accessory Bldg
o Deck
SITE ADDRESS )9 15 Al /Je // re/
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: F/orq vlQotd0 k Z-
ildtngtowner
«1
�x""
=
Name: V; c w+o�not
Remix
/k,
Con S 1
Address:
IMPERVIOUS SURFACE
AREA: Nis
-
City:
Zip:
DEC COV. PATIO SQ. FTG:
32' —
Phone:
Fax:
TYPE:
Wood Frcwtt-
tContacN4erson
Name: Pau 1.
Phone: 2\$-492y
Describe the scope of work in detail:
i3vt sFe
F ' o-s2zctoN"
Cogtrar• _
D�
Name: 0iawo, d (Zoe K (OA s9
Address: Z(voz N• . Suilil.14A led
City: StokaAe VAIIcy Zip: 99z i Co
Phone: gig— i9G -'/ Fax: 7z4,- go ciel
Lic No: .Exp. Date:
City Business Lic No:
Cost of Project:
$ 60,00o
**************The following MUST be complete: (write N/A if not applicable)*****************
HEIGHT TO PEAK: 2 r
DIMENSIONS:Z $, K561
# OF STORIES: 2
TOTAL HABITABLE SPACE:
I'M
MAIN FLOOR TO SQ.
FTG: (O//7Z °v—
2NU FLOOR SQ. FTG:
4.410 a f—
UNFIN BASEMENT SQ. FTG:
8
IMPERVIOUS SURFACE
AREA: Nis
-
FINISHED BASEMENT
SQ. FTG: e-
GARAGE SQ. FTG:
0 I— 1410
DEC COV. PATIO SQ. FTG:
32' —
30% SLOPES ON
PROPERTY: NM -
# OF BEDROOMS:CONSTRUCTION
2
��� ��
TYPE:
Wood Frcwtt-
HEAT U
SEWER OR SEPTIC?
3ewLr
Nawr
+pGa
I s Fvrnet
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) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature 7CUAL 6i�e t
Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
D Other
Authorized Signature:
REVISED8/25/2005
� Permit Center
S9".9 [IC- 11707 E Sprague Ave, Suite 106
Val leySpokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development vww.spokancvaIIey.oriconi
Mechanical Permit Application ❑ Commercial
iy 1'LRYfilk; 'Unll3LR'i
'`PERMITiFI
gr Residential
SITE ADDRESS
rRnUdinq ownerl. i� ;.: roy��)aYr�:+t.-.�' � s�s.,,,.-� 'd,�-�-r'`"�?` �?+s„-.
`.Mr
ci5 ... - '.
Name: tl(iy10/d Roc Ca ACt Phone:
97,N -14.4N
City
Fax
State
Zip
Address.
t i t.ai'.:ak fx ins'r'ta. .
C L 3r �
COntna ClOt�"-ti�ax.F�FSC�ttd�.ia%�i" A�'t�-.:: �.iF:%�u
�y}
Name: cps k ,At E{-e_a, 1-1' 4. iA Phone:
City
Fax
State -
Zip
Address:
License No:
0 y Business License No:
eContac[oa. _ ^-sup_ u..w."4 ;�•...:
:celIk
Name: Phone:
DESCRIPTION OF WORK
1 FUEL BURNING APPLIANCE•
Equal to or less than 100,000
# OF UNITS
I
X
COST
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
515.00
= TOTAL AMOUNT
11 -
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 (WSEC 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
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
535.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560.00
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
to
10
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
2
x
$1.00
2
18
DUCT SYSTEMS
X
510.00
10
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT include dulling)
Equal to or less than 10,000 CFM
4
X
$10.00
90
x
512.00
21 •
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
x
510.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
I
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
525.00
28
AIR CONDITIONER
30-50 TON
X
535.00
29
30
AIR CONDITIONER
LPG STORAGE TANK
More than 50 TON
X
$60.00
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
X
525.00
33
REPAIR & ADDITIONS
.X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
x
522.00
METHOD OF PAYMENT:
['CASH 0 CHECK 0 VISA 0 MC
CARD #:
DATE:
EXPIRES:
AUTHORIZED SIGNATURE:
SUBTOTAL
Grq
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
y ryN. Perini t Cense'
. pc)�C2lf)i'` �� 11707 L Sprague Ave, Suite 106
�;$Nittle Spokane Valley, WA 99206
d y (509)688-0036 FAX: (509)688-0037
Community Development www.tpoka lei JICy.or_.c0m
Plumbing Permit Application ❑ Commercial
Pl RMI I NLTN1BEI
Ri Residential
SITE ADDRESS
Nati !din g.o5ihcr e.a�•k:��nn'__k.�.n .:;.",zj r ._ �_.: z '0�;-i�.,`.. -a;:.c �.- -
DESCRIPTION OF WORK
# OF UNITS
X
e.�.,..
Name: Dip a tWd-1a.p[, - Cori Sr- Phone: 6/-t{ - yg (0 1 _ Fax
=
TOTAL AMOUNT
1
TOILETS
Address City State
3
Zip
$6.00
=
<fiTitti•.ts� gY-..'G _ t'-v`r'-i �V� 'i4+F' 3
;.Contrac/tor„ ` �3u'-t 's+x'''s,. -
''*��`
_
—`�i'.i
.F.,. ...._ _•- s
Name: W id Se fit MtcLom (,l Phone: Fax:
=
3
TUBS
Address: City State
Z
Zip
$6.00
=
License No: City Business License No:
i'.Contacl .,'! ,ai,;`,".x�.i-ihu'..�<'":.A
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
Name: Phone:
=
5
SINKS
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
3
X
$6.00
=
i P
2
URINALS
X
$6.00
=
3
TUBS
Z
X
$6.00
=
L Z
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
(,.,� 1
X
$6,00
=
i7 r'
1.`7
6
DISHWASHER '
I
X
$6.00
=
6
7
CLOTHES WASHER
1
X
$6.00
=
4
8
GARBAGE DISPOSAL
X
$6.00
=
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
X
56.00
=
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:
❑ CASH ❑ CHECK
DATE:
SUBTOTAL
7 6
/ O
0 VISA 0 MASTERCARD
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Project Number: 11000184 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 3
Proiect 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: (509) 000-0000
Group Name:
Site Information:
Project Name:
Plat Key: Name: Range
District: East
Parcel Number: 55073.2801
Block: Lot:
SiteAddress: 1915 N BELL RD Owner: Name: DIAMOND ROCK CONSTRUCTIO
Address: 2602 N SULLIVAN RD
Location:: CSV SPOKANE VALLEY, WA 99216
Zoning: R-3 SF Res District
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 6,098 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:
Sewer Review
Originally Released: 1/26/2011 By: CJJANSSE
Released By:
Originally Released: 1/26/2011 By: jdavis
Permits• ,
Operator: JD Printed By: jmm
Print Date: 1/28/2011
Project Number: 11000184 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 3
Contractor: DIAMOND ROCK
Address: 2602 N SULLIVAN
SPOKANE VALLEY WA 99216
Description Grp Type
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
COV DECK R-3 VB
GAR WOOD U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
SFR / DUP SITE PLN REVIEW
Notes
Building Permit
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 924-8964
This Application:
Total Project:
So Ft Valuation So Ft Valuation
672 $67,838.40 672 $67,838.40
640 $47,494.40 640 $47,494.40
32 $480.00 32 $480.00
440 $8,360.00 440 $8,360.00
Totals: 1,784 $124,172.80 1,784 $124,172.80
Contractor: DIAMOND ROCK
Address: 2602 N SULLIVAN
SPOKANE VALLEY WA 99216
Item Description
DUCT WORK SYSTEM
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS 1 DUCT
CLOTHES DRYER
HOOD -TYPE II
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,133.75
$4.50
$453.50
$50.00
$1,641.75
Finn: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 924-8964
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
I NUMBER OF
2 # OF UNITS
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: jmm
Permit Total Fees:
Print Date:
Fee Amount
$11.00
$11.00
$13.00
$2.00
$44.00
$10.00
$11.00
$102.00
1/28/2011
Project Number: 11000184 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/28/2011 Page 3 of 3
Plumbing Permit
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 2602 N SULLIVAN Phone: (509) 924-8964
SPOKANE VALLEY WA 99216
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
MISCELLANEOUS FIXTURES 2 NUMBER OF $12.00
Permit Total Fees: $78.00
Notes:
ADDRESS CHANGED FROM 17209 W BALDWIN TO 1915 N BELL
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 Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,641.75 $1,641.75 $451.26 $1,190.49
Mechanical Permit $102.00 $102.00 $0.00 $102.00
Plumbing Permit $78:00 $78.00 $0.00 $78.00
$1,821.75 $1,821.75
$451.26 $1,370.49
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: jmm
Print Date: 1/28/2011
A
1
PLANNING DEPT. APPROVED
W
r
0
Sculle 1/4;" S'
Lo±1is' rK
Plast Akec:.eleto
1915 N. [ I I cd
7579°'