2006, 01-18 Permit App: 06000102 Addition, RemodelProject Number: 06000102 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Dale: 1/18/2006 Page 1 of 2
Permit Use: ADDITION AND REMODEL OF SINGLE FAMILY
RESIDENCE
Setbacks: Front 30 Left: 12 Right: Rear: 71
Site Information:
Contact: HETRICK, JAMES K.
Address: 13203 E GUTHRIE DR
C - S - Z: SPOKANE VALLEY, WA 99216
Phone: (741) 544-2200
Group Name:
Project Name:
Plat Key: 001223 Name: HILLCREST ACRES 02ND ADD
District: F
Parcel Number: 45274.1522 Block:
SiteAddress: 13203 E GUTHRIE DR
Location:: CSV
Zoning: SFR
Water District:
Lot:
Owner: Name: HETRICK, JAMES K.
Address: 13203 E GUTHRIE DR
SPOKANE VALLEY, WA 99216
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Permits:
Building Permit
Contractor: NEW HERITAGE BUILDERS Firm: NEW HERITAGE BUILDERS
Address: 11219 E 38TH AVE Phone: (509) 251-1801
SPOKANE VALLEY, WA 99206
This Application: Total Project:
Description Grp Type Notes Sq Fl Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB REMODEL 0 $19,500.00 0 $19,500.00
&
ADDITION
Item Description
RESIDENTIAL PERMIT FEE
SF PLNS RVW < 7999 SQ FT
Totals: 0 519,500.00 0 $19,500.00
Units Unit Desc Fee Amount
1 SELECT $321.25
1 SELECT $128.50
Operator: CJJ Printed By: jmm
Permit Total Fees: $449.75
Print Date: 1/18/2006
Project Number: 06000102 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/18/2006 Page 2 of 2
Contractor
Address:
NEW HERITAGE BUILDERS
11219 E 38TH AVE
SPOKANE VALLEY, WA 99206
Item Description
TOILETS/BIDETS
SINKS
TUBS .
CLOTHES WASHER
WATER HEATER - ELECTRIC
MISCELLANEOUS FIXTURES
WATER PIPING - DWV
Units
4
1
Plumbing Permit
Firm: NEW HERITAGE BUILDERS
Phone: (509)251-1801
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$6.00
$24.00
$6.00
$6.00
$6.00
$6.00
$6.00
$60.00
Notes: ,
Payment Suntnwrj:
Pennit Type
Building Pennit
Plumbing Permit
Fee Amount
$449.75
$60.00
Invoice Amount
$449.75
$60.00
Amount Paid
$0.00
$0.00
Amount Owing
$449.75
$60.00
$509.75 $509.75
$0.00 $509.75
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CJJ Printed By: jmm Print Date: 1/18/2006
K Permit Center
Spokane 11707 E Sprague Ave,
Valley
Spokane Valley,
(509)688-0036 F
Community Development www.spokanevalle i "P
LCflVC 1)
uite iodl 1 f 2006
rialto u
206
Residential Construction
Permit Application
PERMIT NUMBER: 0102.
PERMIT FEE:
o New Construction o Accessory Bldg
)(Addition/Remodel o Deck
o Other:
SITE ADDRESS 13 20 3 5- . G j♦'(n r
e br _Soo knc v467 .IQJA 992/6
ASSESSORS PARCEL NO: 2/52 71/. / 52-y LEGAL DESCRIPTION: il I (&esi-AcrcS 2r'd /1-d d t-'#- 713/0
•Buildingowner . -- _I•.'.''s;._:• s,....a ;
Name: Jctmt3 k. E4e_frrc-L
Address: 152 QoaiI 'vin
City: SAo-Pa AnA zip: 9Z705-
Phone: 11Si/9-ztoo Fax: fly-'$Ny- z62.D
Contact:Perkon :
fic
Name: ,'4-t✓e &Jot"Pick
Phone: 600t • z -Sl -/t30
-Contractor y.+ _z-.::
/
Name: Ntw'7-ie,�iFay e_B0,1cicrs- Si'u/e1-ljeia.
Address: ) I z i 9 r---. 3 8 H' Ave_
City: ookana t/al(e-y zip: 9 90_06
Phone: Z 5/ - / 80 / Fax: 9ZY- 8770
Lic No: Kt g.µ/ N E / B 957P 7Exp. Date: 7 O/z7/o7
City Business Lic No:
Describe the scope of work in detail: Cost of Project:
$ZS,DDD
I� Rcnto✓i CaerP/t, rep/4,i? r„' F a btacheijare;e_/ incr✓Jnq ioJ /o'�,..5 .r par�ialsla�/ root'
lini9ln,'ni roty/,e In k I room doW45Ja;Ps 3) KeVrnoc��lingY�hLev --newc .h ne4-s
*************The following MUST be complete: (write N/A if not applic✓able)**********************
HEIGHT TO PEAK:/
DIMENSIONS:Zy X ciyr
# OF STORIES: /
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG: f 066
2"" FLOOR SQ. FTG:
N/A
UNFIN BASEMENT SQ. FTG:
y/2
IMPERVIOUS SURFACE
AREA: Z/Od
FINISHED BASEMENT
SQ. FTG: /t/</
GARAGE SQ. FTG:
2/ -019C -S-2-9
DECK/COV. PATIO SQ. FTG:
n/4
30% SLOPES ON
PROPERTY: N,4-
# OF BEDROOMS:
3
CONSTF{UCTION TYPE:
Weed-
HEAT SOURCE:
E,Ie -terc- ce- Air
SEWER OR SEPTIC?
Sswa
DISCLAIMER
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 ordi nces. 6) Plans o additioninformation may be required to be submitted, and subsequently approved before
this application can be roressed
Signature
Date 1/5/e6
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash ❑ Check ❑ Mastercard 0 VISA
Bankcard #: Expires: VIN#:
❑ Other
Authorized Signature:
REVISED 6/25/2005
e Permit Center
Spokane 11707 E Sprague Ave, Suite 106
S`J .1ey Spokane Valley, WA 99206
® (509)686-0036 FAX: (509)686-0037
Community Development wvv'.snokancvallev.or_ corn
Plumbing Permit Application ❑ Commercial Residential
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: 13203 (y Ji'(1.r Ie, Dr. SPokar>k. V'Jl WA 99216
Buildiogowner Starnes k.4e-i'- k
-
Name:
8 OF UNITS
Phone: 7/4'.SV/r/-zzoo Fax: 7/q- W 41. g4z0
Address: 10Z Q✓a i / R Jn
=
City. Sa. 4 Ant State: CA Zip: 9276 S
Contiacior
TOILETS
'/ri I
Name:: net,: de - 4-a90 go. �r�ter5 -
off
Sieve 224frtc4
Phone:gry zs/-/�f$�1909/ Fax: QZf-8770
Address: 112/9 E, 3gm4✓e.
51, AO
city :‘olca.nera/{tyState: WA Zip: 412-06
License No: NEWisig- CSq S 7P7
City Business Licensee No:
COatac :: ...
S6.OD
- -
L
Name: 4—ove 1-4 r/a
3
-• -.
Phone: rot -25/-1 soI
AUTHORIZED SIGNATURE:
REVISED 1/26/05
DESCRIPTION OF WORK
8 OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET. BIDETS
I
X
56.0D
=
51, AO
2
URINALS
X
S6.OD
=
3
TUBS
I
X
56.00
=
e. OLD
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
P
X
$6.00
5
SINKS
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR. PHOTO,
X-RAY, FOOD. PREP/CULINARY MEAT
iJ
'7
X
56.00
=
,(� 0
r'•
6
DISHWASHER
X
56.00
=
7
CLOTHES WASHER
1
X
56.00
=
‘.00
8
GARBAGE DISPOSAL
X
56 OD
=
9
WATER SOFTENER
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
1
X
56.00
=
11
FLOOR DRAINS
AREA CASE, COIL, TRENCH, CONDENSATE
X
$6 00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
56 00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING. REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
I
X
56.00
=
6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56.00
F --
16
WATER USING DEVICE
ICE
ICE AN/OR COFFEE MAKER, HOSE BIB.
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
f
I
X
56 DO
=
/
tom' 020
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
=
2D
MISCELLANEOUS PLUMBING
FIXTURE
X
56.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
520.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
515.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
Cards
SUBTOTAL
0 VISA 0 MASTERCARD
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 1/26/05
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