2007, 06-28 Permit App: 07002489 ResidenceProject Number: 07002489 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/28/2007 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 55 Left: 50 Right: 15 Rear: 25
Site Information:
Plat Key:
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
NORTHWEST HOMES & REMODELIN
PO BOX 72
SPOKANE VALLEY, WA 99016
(509) 924-1491
Name: Range
District: Nort
Parcel Number: 45151.1105 Block:
SiteAddress: 1108 N BLAKE RD
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA
Area: .00 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Lot:
Owner: Name
Address
KLEIN,J D & L M/OWENS, G A
721 N PINES RD
SPOKANE, WA 99206-4955
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review Information:
Review
Building Plan Review
Released By:
Other Reviews
`Released By
Driveway/Approach
Released By:. I
Landuse/Zoning/HE Conditions
Released By a.AN J'L
a
Sewer Review
Released -BY:-
Operator:
yi
Operator: JD Printed By: JD
Print Date:
6/28/2007
Project Number: 07002489 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/28/2007 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 55 Left: 50 Right: 15 Rear: 25
Site Information:
Plat Key:
Contact: NORTHWEST HOMES & REMODELIN
Address: PO BOX 72
C - S - Z: SPOKANE VALLEY, WA 99016
Phone: (509) 924-1491
Group Name:
Project Name:
Name: Range
District: Nort
Parcel Number: 45151.1105 Block:
SiteAddress: 1108 N BLAKE RD
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA
Lot:
Owner: Name: KLEIN,J D & L M/OWENS, G A
Address: 721 N PINES RD
SPOKANE, WA 99206-4955
Hold: ❑•
Area: .00 Acres 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:
Z d' /v`7
Other Reviews
Released By:
Driveway/Approach
•Released By:
Landuse/Zoning/HE Conditions
Released By: •
Sewer Review
'Released By:.'. .
Operator: JD Printed By: JD
Print Date: 6/28/2007
Project Number: 07002489
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/28/2007 Page 2 of 3
Permits•
Building Permit
Contractor: NORTHWEST HOMES &
Address: PO BOX 72
GREENACRES, WA 99016
Building Characteristics
Building Height 20.6
Firm: NORTHWEST HOMES & REMOD
Phone: (509) 924-1491
This Application: Total Project:
Valuation Sq Ft Valuation
$152,114.40 1,665 $152,114.40
$20,910.40 280 $20,910.40
$3,000.00 200 $3,000.00
$18,145.00 955 $18,145.00
Description Grp Type Notes Sq Ft
1&2 FAMILY R-3 VB 1f2° -15655
2ND FLOOR R-3 VB Or` -280
DECK OPEN R-'3' VD —290—
GARAGE U-1 VB 93, 9.s5 -
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: NORTHWEST HOMES &
Address: PO BOX 72
GREENACRES, WA 99016
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
HOOD - TYPE I
RANGE
GAS LOG OR GAS INSERT
Totals: 3,100 $194,169.80 3,100 $194,169.80
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,525.75
$4.50
$610.30
Permit Total Fees: $2,140.55
Mechanical Permit
Firm: NORTHWEST HOMES & REMOD
Phone: (509) 924-1491
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: .JD
Fee Amount
$10.00
$10.00
$12.00
$4.00
$12.00
$40.00
$50.00
$10.00
$10.00
Permit Total Fees: $158.00
Print Date:
6/28/2007
Project Number: 07002489 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/28/2007
Contractor: NORTHWEST HOMES &
Address: PO BOX 72
GREENACRES, WA 99016
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
CROSS CONNECTION DEVICES
MISCELLANEOUS FIXTURES
Notes: ,W.,
Plumbing Permit
Page 3 of 3
Firm: NORTHWEST HOMES & REMOD
Phone: (509) 924-1491
Units Unit Desc
3 NUMBER OF
5 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$30.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$90.00
Payment Summary -
Permit Type
Building Perrmt
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$2,140.55
$158.00
$90.00
$2,140.55
$158.00
$90.00
$2,388.55
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$2,140.55
$158.00
$90.00
$2,388.55 $0.00
$2,388.55
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: 6/28/2007
ISMIcankan e
Valley.
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spokanevallev. orr
PERMIT NUMBER: 7 t.4.9•P\
•P\
PERMIT FEE:
Residential Construction $New Construction ❑ Accessory Bldg
Permit Application ❑ Addition/Remodel ❑ Deck
❑ Other:
SITE ADDRESS: / / / /o /./ /3/,4 ,Er Pe)
ASSESSORS PARCEL NO: </S/ 5/./ Het S LEGAL DESCRIPTION: ,. P /'/at. 4 o i 3
Building Owner:
Contractor:
Name•Name:
—7--ti. /-lQ/,In�i.r
M,tn.,... ,-.r 1-h n-n,a t'Pr M, -,-111..n.
Address: R. a r3v D z
Address: Pi a i a / i
City GState: Zip:
Sse, YY LLE in a t.SO.G
City State: Zip:
City., State:
:Li-Ll 1.....• di._ Se, OiL,
Phone: gFax:
ti a kb H',ens s At 3;.,,,, , L....
Phone: ' Fax:
co
5La — l •••/- el r Ni-.� I-I•e..�es A-) Z., ..
• "—
Contractor Lic No: Exp Date:
Non 61,01n1 1- Z3- 09
Contact Person
# OF BEDROOMS:
3
+*wH R
City Business Lic. No:
HEAT SOURCE:
C> 3
SEWER OR SEPTIC?
sIt...-2...de
Name: -Ti_.l 44p,....,..% i_ .0
Phone: 079 s— a-,--) a a
Describe the scope of work in detail:
Cost of Project: $
412 2 D, tl& 0.
Proposed Use:
**************The following MUST be complete: (write N/A if not annlicable)**********************
HEIGHT TO PEAK:
Zo' 4."
DIMENSIONS:
(,8'X 4-04
# OF STORIES:
!yi
TOTAL HABITABLE SPACE:
i• ei4A sit
MAIN FLOOR TO SQ.
FTG:
),LLS
2"" FLOOR SQ. FTG:
'i Ffo
UNFIN BASEMENT SQ. FTG:
—
IMPERVIOUS SURFACE
AREA
/cer
FINISHED BASEMENT
SQ. FTG: ---
GARAGE SQ. FTG:
955-
DECK/COV. PATIO SQ. FTG:
yov s
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
3
CONSTRUCTION TYPE:
L , ��./-he.. r_
HEAT SOURCE:
C> 3
SEWER OR SEPTIC?
sIt...-2...de
The perrnitee 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: ® 7, DATE: L
-c....G�/ 2-e— %
Method of Payment:
0 Cash Check 0 Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 2/15/D7
1pakane
.Valley
11707 E Sprague Ave Suite 106 0 Spokane Valley WA 99206
509.921.1000 0 Fax: 509.921.1008 0 cityhall@spokanevalRey.org
•
Residential Plan Submittal Minimums
Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor. Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
D 18° X 24" crawl space access:
❑ One-hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Fumace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
Spokane 11707 E Sprague Ave, Suite 106
Permit Center
s% ley Spokane Valley, WA 99206
7 (509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev org
Plumbing Permit Application n Commercial ® Residential
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: _ /// 4, .5/A/Lf Si, se Yeral-/ /ft .7
Building Owner.
• -
-,
Name:
# JL /�AY�t.# e..."e'1
Phone:
a..,-1 —1 LL A t
Fax:
AI. W I�Ie MC 4, N �Y NP L/+W"i
e.f
Address: ss: /gip Rv iL
City:/
SPr V.210 hr,/
State: Zr
r., -,a p'1. 55ot ..
Contractor " '� _�•--
., ', `.
)'.,'
-z;':.
Name.
N. -i. '-/br•"4.. S ZI.Kte...Ce 1.
1
Phone:
1 r -u 4 I
Fax:
H w+ Hama♦
/1
In/ �..... Leet,
Address: t
<R0, -!5K 7L
y
City: �`]
fro f�.<a
State: ...�
Zip:
S5Dl L
License No'
mar2.T NM 2 9n 1 {N.1
CityBusiness Gc
Ci• (
`Contact'•-�-
---
-;2i- _ae .' -., - -_
.. .. .-,
Name, -%t. do /;2,4Zn. a LD
Phone 91 d — 4 7 2,0
DESCRIPTION OF WORK
#OFUNITS X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
X
$6.00
/g
2
URINALS
X
$6 00
3
TUBS
X
$6,00
1-
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
x
$6 00
4-
5 5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY. JANITOR, PHOTO,
X-RAY. FOOD, PREP/CULINARY MEAT
X
$6 00
3a. —
6
DISHWASHER
X
$6 00
7
CLOTHES WASHER
X
$6 00
G.
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$8,00
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
L —
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
$6.00
b•
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R P.8 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 DISPOSAUSYS
X
$20 00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15 00
METHOD OF PAYMENT:
DCASH
Card#
[ZiCHECK ❑ VISA - 0 MC
AUTHORIZED SIGNA
REVISED 8/26/05
EXPIRES:
VIN
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
1
Permit Center
Spo"lkane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX' (509)688-0037
Community Development www.spokanevallev or¢
Mechanical Permit Application (l Commercial
1.0.00Valley
PERMIT NUMBER:
PERMIT FEE:
esidential
SITE ADDRESS• // / 1- N. SI i 1ir S/oo ke Lest -,
Building Owner
Name: /P. 1 14,eKo/r1
Phone: 92 ti_e.4 S/
Fax: IV 1-> hien-. sS cT wn •Gen•.
Address: RO-R e 7 2_
City:
Sno CUs ..,
State v .` Zip: S4 ey ,,
Contractor -
Name:
N w Y'/otric.s t•lfhto</t4-en.
Phone:
' 7.11-.4 1 1
Fax: ,ve • Le w.
Ns.-+ M/orrc S A T
Address: RD. roeI
Ctty:Sp^ f 4r e..
State: we. Zip: 4,4,0I I,
License No:
MnP T e4N D 4 1 "-^ 1
City Business Lie:
Contact,,-,T"x-:i (..-144.,,,i s b('
=- -
' -1 5 2 -- @S'7 2 b__,:'.:aazLL)_ .-
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100.000
/
X
$12.00
/
2
FUEL BURNING APPLIANCE
More than 100,000
$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
512.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
520.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525.00
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
510 00
13
RANGE
X
$10.00
/0
14
DRYER
X
510 00
15
FUEL BURNING WATER HEATER
X
$10.00
/O•^
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
N
x
$t o0
y.-
18
DUCT SYSTEMS
X
$10.00
6 •
19
VENTILATING FANS
X
51000
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
$15,00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
550.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
I
X
512 00
/2• -
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
$35.00
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
525.00
33
REPAIR S. ADDITIONS
x
515.00
34
VENTILATION SYSTEMS
•X
512.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
x
$19.00
37
INCINERATOR - COMMERCIAL
X
522.00
METHOD OF PAYMENT:
DCASH ,CHECK D VISA DMC
CARD #.
AUTHORIZED SIGNATURE
REVISED 2/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
/S3.
J
U
L_.
PLANNING DEPT. APPROVED
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