2010, 01-05 Permit App: 09004109 Residencevalley
Community Development
eRuECEitl EIV
Perimt Center (`Q�/ pr.. (777."7"--(777."7"--P11707 E Sprague Ave, Suite'] 06 -
Spokane Valley, WA 99206 [ u
(509)688-0036 FAX: (509)�
688-003 �}1
WWW. spokanevallev.orr;'.coiii k– —
Residential Construction
Permit Application
,PERMIT NUMBER
IPERMIT FEE n
New Construction
o Addition/Remodel
o Other:
o Accessory Bldg
o Deck
SITE ADDRESS l L 0 ki. ge i I GA
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION: Li' 814 3 Fla, -4 Mar/ar,5
rBuildtng owne
rAA
_ -
^
Name: Ora,Ano"Fac k (asn S'Ffli(+iCA
Address:
Phone: rj Zq- 2 9 (o N Fax: 9 Z6 - 1;014/
Lic No: .Exp. Date:
City:
IMPERVIOUS SURFACE
AREA: N/A -
Zip -
Phone:
Fax:
DEC OPATIO SQ. FTG:
IOo
,, ys-_
ContactPerson
Name:I?Lu.A.l
Phone: tIS–in 2.44
Describe the scope of work in detail:
Zuilw a 042 c SFR•
r- ate...
Contractor"
Name: pia.tiwne, £cc .0 rt-z.d[/-fo0
Address: 7(poi Al_ Sujtl✓c,A £r./
Ctty: S(Dnk A --e. UCalky Zip: ...
Phone: rj Zq- 2 9 (o N Fax: 9 Z6 - 1;014/
Lic No: .Exp. Date:
City Business Lic No:
Cost of Project:
1 $ 50, oar. tL)
**************The following MUST be complete: (write N/A {e nota li
HEIGHT TO PEAK:Z 5 ,
DIMENSIONS: X 3y
PP.auIc,
# OF STORIES: Z
TOTAL HABITABLE SPACE:
ion=
MAIN FLOOR TO Q.
FTG: 1 ? dpi
lyi5
2"u FLOOR SQ FTG:
r r .30 .
UNFIN BASEMENT SQ.
NA
IMPERVIOUS SURFACE
AREA: N/A -
FINISHED BASEMENT
SQ. FTG: --
GARAGE SQ, FTG:
S >et
DEC OPATIO SQ. FTG:
IOo
30% SLOPES ON
PROPERTY: Ailfj
#OF BEDROOMS:
Z
rncrt AIMPP
CONSTRUCTION TYPE:
Lieeet Fru "KC
T SOURCE:
A)OktUre,I Gss Furnace
SEWER OR SEPTIC?
5-e40.0e-
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 lA all (lye
Date IV 29 /oq
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
❑ Other
Permit Center
ra
11707 E Sprague Ave, Suite 106
tika[le r s
Spokane Valley, WX
(509)688-0003G6(509) FAX: (509)688-0037
Community Development www.spokanevalley.ore.corn
Plumbing Permit Application
RMIT NUMI3ER:
tI?rR1VIITFL
❑ Commercial gResidential
SITE ADDRESS 1911 N• 1 1/ £d
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
-
# OF UNITS
X
--TBuildi g ownr )Y'�u• 1 . L f^; 'a1,41.1:T8.-A1.618,1
' _ `var.. �__
11.{q i..}"�+�"�_'.y� ,�,,:i ci §.F�'. , �. _
�RrYT XC .G' .:4+'%u+an �
r _ :•; ..
Name: n;c, Inc exei Q.ce_t_ /'tvr1T,
TOILETS
Phone:
`1 '7(. - S'91;6/ Fax /' <
tui XC 7Y
Address:
--a.'
=
1n
City State Zip_
URINALS
: gagG'z`t4's,,,n.e
-Con[ractor:t,E:ra`e'-.L.L,:�.s'>.. oJ',„It'�uir"i. .`
a
h'S” "-n`5
J4 AY�`....^.VLi
X
�:. :, P»ti l.;•y� {z"F Fr`,+. rc q�
JS(3 »M._�ye11L"'�S-"X'A�'h4yG..At`Lti-Fi ?iJyM1IY
ri.:yy'�il
Name: G. id 1Pa_L
3
Phone:
' Fax:
1
Address:
$6.00
=
City State Zip
4
License No:
BATH, STALL, ON-SITE BUILT
City Business License No
Xontact
5
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,".
X-RAY, FOOD, PREP/CULINARY MEAT
Name:
X
Phone:
=
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
-
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
1
X
$6.00
=
1n
2
URINALS
X
$6.00
3
TUBS
1
X
$6.00
=
t.:
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
G..-
X
56.00
=
6
6
DISHWASHER -
1
X
56.00
=
W
7
CLOTHES WASHER
-
1
X
56.00
=
6
8
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA. CASE, COIL, TRENCH, CONDENSATE
X
56.00
-
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
56.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
CARBONATOR, SWAMP COOLER
2-PROOFER,
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER. CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
56.00
=
18
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 DISPOSAUSYS
-
X
520.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR _
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK
DATE:
SUBTOTAL
L! q
U
9 VISA ❑ MASTERCARD
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
•
soar Permit Center
11707 E Sprague Ave, Suite 106
�UR11Cy Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokancvalley.ore.com
Mechanical Permit Application
( PERIVI.T,NUMBER
°� PCRMITtPEE'
o Commercial ®.Residential
SITE ADDRESS I 9 It N. ge u _aa
Ruilding'owner ' r rr'',b- 4S,-, � � >>t r ,
..
.t ,° •#
'.. F:3(T' K '' t gat... :3Y�` i#'
r° k `'s
, r.:!
Name: (;);'ri ,A.«+A.41 go. -t Co A S'9-
Phone: 0Z'-( -t9 f.',c1 Fax C/ 7(..: reCe
.•
Address:
State
Zip
isagieirt`-`r -as-„
."+_ 2•.i'
+h`�,r
-zt t
4
+... -. -C .
Name: e..." wt FN.- t-
63.44 f-rn i
Phone: LiW-e-11;N) Fax
=(.c0 /r S.C.)
Address:
City State
Zip
License No:
City Business License No:
hontact %'t`�r. 4 ...,
ate - :' .'*
_-"
a
`a2... e'-
.- _lu' ' _z-.sre a i - --. v
Name:
Phone: -
1
FUEL BURNING APPLIANCE
NOF UNITS X
COST
= TOTAL AMOUNT
Equal to or less than 100,000
E
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
550.00
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
520.00
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
$60.00
12
GAS LOG. GAS INSERT, GAS FIREPLACE
x
510.00
13
RANGE
X
$10.00
14
DRYER
f
X
510.00
15
FUEL BURNING WATER HEATER
1
X
510.00
10
rt)
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00
L.
18
DUCT SYSTEMS
X
510.00
IC
19
VENTILATING FANS
X
$10.00
U
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
515.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
X
510.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512.00
I i1
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
560.00
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 & ADDITIONS
X
515.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
519.00
37
INCINERATOR - COMMERCIAL
X
METHOD OF PAYMENT:
DCASH I] CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
_ 522.00
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
REVISED 8/26105
Project Number: 09004109 Inv:. 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/5/2010 Page 1 of 3
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: 55073.2908
SiteAddress: 1918 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: D
Area: 5,207 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:, r_
Driveway/Approach
Originally Released: 12/31/2009 By: tmelbourn
Released -By:
NOT REQUIRED
Originally Released:
Landuse/Zoning/HE Conditions
1/4/2010 By: JLMain
Released ,By: _
Sewer Review
Originally Released: 1/4/2010 By: tschmidt
Released,By , 3
Permits •
Operator: JD Printed By: jmm Print Date: 1/5/2010
Project Number: 09004109
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/5/2010 Page 2 of 3
Contractor: DIAMOND ROCK
Address: 2602 N SULLIVAN
SPOKANE VALLEY WA 99216
Description Grp Type Notes
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
COV DECK R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Building Permit
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 924-8964
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
584 $56,548.72 584 $56,548.72
1,130 $84,388.40 1,130 $84,388.40
45 $675.00 45 $675.00
100 $1,500.00 100 $1,500.00
546 $10,374.00 546 $10,374.00
Totals: 2,405 $153,486.12 2,405 $153,486.12
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 Unit Desc
1
1
1
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,296.15
$4.50
$518.46
$1,819.11
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 924-8964
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
3 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
$33.00
$10.00
$11.00
$91.00
1/5/2010
Project Number: 09004109 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/5/2010 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
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 2 NUMBER OF $12.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
MISCELLANEOUS FIXTURES 2 NUMBER OF $12.00
Permit Total Fees: $48.00
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
Mechanical Permit
Plumbing Permit
Fee Amount
$1,819.11
$91.00
$48.00
Invoice Amount
$1,819.11
$91.00
$48.00
Amount Paid
$446.78
$0.00
$0.00
Amount Owing
$1,372.33
$91.00
$48.00
$1,958.11 $1,958.11 $446.78 $1,511.33
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: 1/5/2010
PLANNING DEPT. APPROVED
By. ---r:
DATE /No
c6
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