2011, 05-06 Permit App: 11001146 ResidencePermit Ccntcrspo cane 11707
E Sprague Ave, Suite 106
Valley Spokan9)688-0036e Valley, FA a\VA 99206
(50: (509)688-0
Community Development \VW'\.spokanevallev.org.com
Residential Construction
Permit Application
37 RECEIVE
a PER)\4LI=NWIVIBI R
RPERMIT;PI
//
CSV PERMIT CENTER
MAY is 3 Mt
New ConstQ nc (R-- o Ac essory Bldg
i Proiect #__---
o Addit ion/Re lel-- o Delle
oUhei:
SITE ADDRESS Zo i t At Re ! ( 0
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION: tot' Z) K 2 Flora /40telows
nut din oer T
'
Name: b i A✓NO etc)
COC IC Gs • -
Address:
2"D FLOOR SQ. FTG:
-0'
City:
Zip:
Phone:
Fax:
ContacttP.ersoti
Name: a4.,t
Phone: 'Zt$449 Z Li
Describe the scope of work in detail:
&ttitd G nto ere
Contractor
r'f}'t "*
# OF STORIES: Z
1,1111.1111
MAIN FLOOR TO SO.
FTG: jaw R `'c
2"D FLOOR SQ. FTG:
-0'
UNFIN BASEMENT SQ. FTG:
Address: 2 0 Z. ,
Si! ii
GARAGE SQ. FTG:
/f?o-1-741"
DEC - COV. PATIO SQ. FTG:
30% SLOPES ON
NMA -
MPROPERTY:
Phone: 9ZN-89 ,`1
Fax: 924-gogy
HEA UR-
Matwa1 Cis tursoet..
Lic No:
.Exp. Date:
City Business Lic No:
Cost of Project:
$ 6o, aav
**************The following MUST be complete: (write N/A if not applicable)********************
HEIGHT TO PEAK:
DIMENSIONS: )043'!1t
b
# OF STORIES: Z
TOTAL HABITABLE SPACE:
/y3o
MAIN FLOOR TO SO.
FTG: jaw R `'c
2"D FLOOR SQ. FTG:
-0'
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: &
GARAGE SQ. FTG:
/f?o-1-741"
DEC - COV. PATIO SQ. FTG:
30% SLOPES ON
NMA -
MPROPERTY:
#,OF BEDROOMS: _
CONSTRUCTION TYPE:
t✓oud Fra.H.a
HEA UR-
Matwa1 Cis tursoet..
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) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Date
Method of Payment: (Faxed permit applications will only be accepted with majorbankcard)
0 Cash 0 Chock ❑ Mastercard 0 VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
5/3/1/
0 Other
may- fcrmit Center
Sfiekane
crcis. Valley
Community Development
Mechanical Permit /
SITE ADDRESS .0
11707 E Sprague Ave Suite 106
Spokane \'alley, WA 99206
(509)688-0036 FAX (509)688-0037
wwwspokaneval l ev. ore.com
Application
O Commercial
i. PI RMI RNUN113 ER':'
?PERM ITy'l
Residential
N' !Sell ,ed
',Bantlingnwticr,€yam
mi yy��yyLL }�
./..
Name: pl&yyicn(J Coat.COASt
('hone: 9_7H-f965y Fax 9ZZ-EY04c,,
Address:
City State Zip
t F2Z-2. L'Y. l °"�.ra54 }£-''-"& .jam ri
'.�C011lraefOfk �.�',�kSF9 Y �/ � -'
��+ 1ga - �- ,,---- -44! 0g11y C 3,. k
�.tS����x�.r .}�...tn� A hn.»n`� s�v kik.G��'.3'..j..`�.r1��.1'..?'s �'L K'S�-jM'�'..
Name: Spr.r k.ArtZ Nip, f .t� 7 es145
Cal
Phone: Fax:
Address: 11 JJ
City State - Zip
License No:
City Business License No:
deontact; '�`
:,i- c.. ice _ it>, 'z -e ° ,,.:,i'.;
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
a
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
x
$15.00
JZ
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 (W SEC 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
$35.00
11
BOILER/RE FRIGERATION
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
1
X
$10.00
15
FUEL BURNING WATER HEATER
1
X
$10.00
10
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
2
X
$1.00
i
18
DUCT SYSTEMS
1
X
$10.00
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
$35.00
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
$25.00
33
REPAIR 8. 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:
UCASH O CHECK U VISA U MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
gN
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
(�f� Permit Center
ti717FDji2l❑C �- 11707 13 Sprague Ave, Suite 106
Valley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.ore.com
Plumbing Permit Application o Commercial . Residential
SITE ADDRESS ZO II N ee11 j(4
)'1• IL\91"IsNUDf R 11'.'
:mBn Udm^mvnert9?-R% v:r,>._
DESCRIPTION OF WORK
1/ OF UNITS
Name: Diavvlacld mer- Const: Phone: flL/-7%y Fax qzC.
$tqy
Zip
TOTAL AMOUNT
Address: City Slate
c$ -k W' k'rYyr¢rt Vis" '.� 4 -'� i t "". 4#. tY+%`�`e `SY.. t •"u�'.au�4N�
};
3ContraclarJ�r>L,.Y✓;-..a±. � s.,�. :u. ,t��...3� _.� s_ - ate �� --s�
WATER CLOSET, BIDETS
2.
X
Name: Cold 241 Alec Lsntia/ Phone: Fax:
=
et -
2
Address: City State
Zip
X
License No: City Business License No:
=
3
�..,.-- r .,_
zr:fa*w,.tx
Z
1.2
Contac[ s s F .a.a rjx - r,. k.. i
Name: Phone:
It
4
SHOWERS (PER TRAP)
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
1/ OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
2.
X
$6.00
=
et -
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,.3
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
=
/�
6
DISHWASHER
1
X
$6.00
=
&.
7
CLOTHES WASHER
1
X
X
$6.00
$6.00
=
=
6
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
Z
X
$6.00
=
I Z
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6.00
=
-
16
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 DISPOSAUSVS
X
520.00
=
-
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK
DATE: -
SUBTOTAL
I
0 VISA ❑ MASTERCARD
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Project Number: 11001146 Inv: 1
Application
Date: 5/6/2011 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 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: 55073.2808
SiteAddress: 2011 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: 4,725 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: 5/6/2011 By: tmelbourn
Landuse/Zoning/HE Conditions
_Released By: - - -
Originally Released:
Sewer Review
5/4/2011 By: tschmidt
Relehsed By:
Permits•
Operator: JD Printed By: JD
Print Date: 5/6/2011
Project Number: 11001146
Inv: 1
Application
Date: 5/6/2011 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: DIAMOND ROCK
Address: 2602 N SULLIVAN
SPOKANE VALLEY WA 99216
Description Type Notes
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 W < 7999 SQ FT
Building Permit
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 924-8964
This Application:
Total Project:
Sq Ft Valuation Sq Ft Valuation
746 $75,308.70 746 $75,308.70
1,084 $80,443.64 1,084 $80,443.64
47 $705.00 47 $705.00
470 $8,930.00 470 $8,930.00
Totals: 2,347 $165,387.34 2,347 $165,387.34
Units Unit Desc
1 SELECT
1 SELECT
1 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 11
Fee Amount
$1,363.35
$4.50
$545.34
$1,913.19
Firm: SPOKANE HEATING & COOLING
Phone
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: JD
Permit Total Fees:
(208) 755-8345
Print Date:
Fee Amount
$11.00
$11.00
$13.00
$2.00
$33.00
$10.00
$11.00
$91.00
5/6/2011
Project Number: 11001146 Inv: 1
Application
Date: 5/6/2011 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE
SPOKANE, WA 99212
Plumbing Permit
Firm: GOLD SEAL MECHANICAL INC
Phone: (509) 535-5944
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
MISCELLANEOUS FIXTURES 1 NUMBER OF $6.00
Permit Total Fees: $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 Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,913.19 $1,913.19 $464.70 $1,448.49
Mechanical Permit $91.00 $91.00 $0.00 $91.00
Plumbing Permit $60.00 $60.00 $0.00 $60.00
$2,064.19 $2,064.19 $464.70 $1,599.49
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: JD
Print Date: 5/6/2011
11
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PLANNING DEPT. APPROVED
DATE SSA