2010, 02-25 Permit App: 10000484 ResidenceScika ems'
V 3J3
Permit Center
11707 E Sprague Ave, Suite 106
..0000 Valle Spokane Valley, WA 99206
1 (509)688-0036 FAX: (509)688-0037
Community Development kVIVW.shokaueva11ev.org.com
Residential Construction
Permit Application
RECEIVED
NL RsliH c1=N I M
99,,qq ry �t
,PERMTPEs_ 2`zPoai ;`;f
Project # �C5C5`1`d`t
Name
XNew Constructio Submittal ❑ ccessorfEldg
o Addition/Remodel o Deck
o Other:.
SITE ADDRESS 7o `6 yv. Fell
D ASSESSORS PARCEL NO:
LEGAL DESCRIPTION: uri 4,- gLt FIa m
rB�uil ng 8rxner.
Name: rvte,v1 Rc c X Chit. S f
Address:
City:
Zip:
Phone:
Fax:
!ea
.P:
erson,
Name: Raj, \
Phone: ZI
Describe the scope of work in detail:
13o;Iri o, tnlzw S F (�
'� ' t?
.Contractor.
Name: h;Ce WtOAC{ PO( K (OASt•
Address: ZGOL. AI-Su/lit/a ✓I
City: Spon t tiZ tt tLey Zip: qt Z/l;
Phone: qtq-cto6,4 Fax: qz.6,-ire,741
Lic No: Exp. Date:
City Business Lic No:
Cost of Project:
1 $ 60, coo
**************The following MUST be complete• (write N/A if not a licahl **
HEIGHT TO PEAK:;
DIMENSIONS: tic'xZ6,
PP e)
# OF STORIES: ,
TOTAL HABITABLE SPACE:
lbE L
MAIN FLOOR TO SO.
FTG:l-C-Eta 1114
2"D FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA: AREA: VI
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
_CO 7 wen'
DEC OV. PATI Q. FTG:
D
30% SLOP ON ,
PROPERTY: 4,//-4
#OF BEDROOMS: .3
nisei AIMPP
CONSTRUCTION7TYPE:
V U
HEAT RCE:
li0.±V21 I 6c, j FtrNe, c'
SEWER OR SEPTIC?
S'VI.J-er'
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
h4 Ci e
Method of Payment:. (Faxed permit applications will only be accepted with major bankcard) .,
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
Date Z-Zt-lb
r
Permit Center
Sp"ol<arie • - 11707 E Sprague Ave, Suite 106
Valley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley orii.com
Mechanical Permit Application
?P] R_MITNUMBER.':'
'`PERMIT 1 EE
❑ Commercial p<Residential
SITE ADDRESS sZOQ T ,I/- j'// /2
-,Buildingor ner �r w=S:,:;,.4
, ._
.``d.. `?
�
' : -116 ,. L
_ _ i.:-
Name: i:")TIX✓1A ,/1 ecc k Cr -NL S. i.,
Phone:
DI - 817 e,iI
City
Fax
Fax
State
Zip
Address:
se F FAp'E�°d
'Contractor,:sib"€.a�.i'iw,.� '•'uYckair<:.,.,
Name: S'pc KL„, -2 Ileo. FIR/ 4' (c i; 'ty
' Phone:
Fax:
Address:
City
State -
Zip
License No:
City Business License No:
{�� u�}�1y'�
Gteontact .r�`. .._"ASS y'a ,�4i 4--S.¢4+S�w'
y[µ.t,.�, L.
PL"e :S_;_4.7,7ay.
Name: p,-ot1
- Phone:
®ZIT - (It T-4/
WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
• Equal to or less than 100,000
1
x
112.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
iZ
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/RE FRI GERATION
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
1
X
$10.00
/0
/0
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$too
Z
18
DUCT SYSTEMS
19
VENTILATING FANS
Z.3
X
$10.00
IO
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
�3a
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
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
$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 & 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 ❑ CHECK 0 VISA 0 MC
CARD it
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
35.00
TOTAL PERMIT FEE DUE:
REVISED a/26/05
_ Permit Center
Sprague I3FJ�{<Illy 11707 13 Ave, Suite 106
Uil ly Spokane Valley, WA 99206
y (509)688-0036 FAX (509)688-0037
Community Development www.spokanevallcv ore.corn
Plumbing Permit Application o Commercial £ Residential
* PERM17;.:NUn113ER
SITE ADDRESS t.ww At &II ed
PERM[TT
a
Bridding ol'rncr'�2_,,,. :;-. ..,
DESCRIPTION OF WORK
# OF UNITS
X
_
=
£Yi7it
Name thAP€VVI F-Qc K C dSr
TOILETS
Phone: 9.y- :il G'i
Fax—
.
56.00
Address:
2
City
State
Zip
X
=Contrac[oh�
.�.,..�. s ... „ � >wT Y'
k"*`Lc
�.-'rte .§� :;
� J
-wf *
-�
`''v,�
Name: Go C
ceG 1
=
Phone:
Fax:
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
Address:
X
56.00
City
State
Zip
SINKS
License No:
X
City Business License No:
=
6
3Con(act 3.(; '"i"+.:�
c.»,ca"a`-..a
,-. .-
�'F"#°'xs"`aik „ a`. 'at:.i ._3 ice'-
'T�'Ys"i-1•Y'"
v%..
G
Name: Rte`
CLOTHES WASHER
Phone: 71Q--44.7 U
.
56.00
=
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
. TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
"7—
X
56.00
=
i 7
2
URINALS
X
$6.00
=
3
TUBS
Z-
X
$6.00
=
; 1 Z
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
X
56.00
=
6
' DISHWASHER •
1/
x
$6.00
=
G
7
CLOTHES WASHER
1
X
56.00
=
8
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER
X
56.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
56.00
=
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
$6.00
=
16
WATER USING DEVICE
CE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
7
`�
X
56.00
=
1 2—
17
CROSS CONNECTION DEVICE
VACUUM
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
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21 -
PRIVATE SEWAGE DISPOSAUSYS_
-
X
520.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR_
X
$15.00
=
METHOD OF PAYMENT:
9 CASH 9 CHECK
DATE:
SUBTOTAL
66
9 VISA 9 MASTERCARD
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Project Number: 10000484
Inv: 1
Application
Date: 2/25/2010 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front Left:
Site Information:
Plat Key:
Right: Rear:
Contact: DIAMOND ROCK CONSTRUCTION
Address: 2602 N SULLIVAN RD
C - S - Z: SPOKANE VALLEY, WA 99216
Phone: (509) 218-4924
Group Name:
Project Name:
Name: Range
District: East
Parcel Number: 55073.2903
SiteAddress: 2008 N BELL RD
Location:: CSV
Zoning: R-3
Water District: 134
Area: 5,207 Sq
Nbr of Bldgs: 0
Review Information:
Block:
Lot:
Owner: Name: DIAMOND ROCK CONSTRUCTIO
Address: 2602 N SULLIVAN RD
SPOKANE VALLEY, WA 99216
SF Res District
CONSOLIDATED ID #19
Ft Width: 0
Nbr of Dwellings: 0
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released: 2/24/2010 By: tmelbourn
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Originally Released: 2/23/2010 By: tschmidt
Released By:
Originally Released: 2/25/2010 By: jdavis
Permits:
Operator: JD
Printed By: JD
Print Date:
2/25/2010
Project Number: 10000484
Inv: 1
Application
THIS 1S NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/25/2010 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
BASEMENT U 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
Building Permit
Firm:
Phone:
DIAMOND ROCK CONSTRUCTIO
(509) 924-8964
This Application:
Su Ft Valuation
1,116 $110,428.20
559 $8,385.00
28 $420.00
507 $9,633.00
Total Project:
Sq Ft Valuation
1,116 $110,428.20
559 $8,385.00
28 $420.00
507 $9,633.00
Totals: 2,210 $128,866.20
Units
1
1
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Contractor: SPOKANE HEATING & COOLING
Address: PO BOX 28929
SPOKANE WA 99228
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
2
3
1
1
Operator: JD Printed By: JD
2,210 $128,866.20
Fee Amount
$1,156.15
$4.50
$462.46
$1 623 11
Firm: SPOKANE HEATING & COOLING
Phone: (208) 755-8345
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$11.00
$11.00
$13.00
$2.00
$33.00
$10.00
$11.00
$91.00
2/25/2010
Project Number: 10000484 Inv: 1
Application
THIS 1S NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/25/2010 Page 3 of 3
Contractor: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE
SPOKANE, WA 99212
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
MISCELLANEOUS FIXTURES
Units
2
3
2
1
1
Plumbing Permit
Firm: GOLD SEAL MECHANICAL INC
Phone: (509) 535-5944
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$60.00
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 Summar ,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,623.11 $1,623.11 $446.78 $1,176.33
Mechanical Permit $91.00 $91.00 $0.00 $91.00
Plumbing Permit $60.00 $60.00 $0.00 $60.00
$1,774.11 $1,774.11
$446.78 $1,327.33
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: JD Print Date: 2/25/2010
A
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1- Iorc- i ci:w1f:bJ.;j
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PLANNING DEPT. APPROVED
RECEIVED
CSV PERMIT CENTER
FEB 2 X220'0
DATE. 2/2-340 Proect tX�
Name—
Submittal ii _—
tvti,l4'
1
5m)"
)0(1. 19'
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