2007, 04-09 Permit App: 07000751 ResidenceProject Number: 07000751 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/09/2007 Page 1 of 2
Project Information:
WINNINWESENSESEgnek
Permit Use: SFR W/ATT GAR AND ACCESSORY BLDG
Setbacks: Front 37 Left: 10 Right: 68 Rear: 13
Site Information:
Plat Key:
Name: BEVERLY HILLS 01ST ADD
Contact: G D HENRY COMPANY INC
Address: PO BOX 44
C - S - Z: LOON LAKE, WA 99148
Phone: (509) 981-2589
Group Name:
Project Name:
District: Sout
Parcel Number: 45193.0305 Block:
SiteAddress: 1112 S HIGHLAND DR
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 020 EAST SPOKANE
Area: 15,400 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:,
Review
Building Plan Review
Lot:
Owner: Name: SCOTT, RICHARD & LUCILLE
Address: 11920 E MANSFIELD AVE #36
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
Landuse/Zoning/HE Conditions
Sewer Review
Permits:
Released By:
Originally Released: 03/13/2007 By: SKUHTA
Released By:
Operator: JD Printed By: JD Print Date: 04/09/2007
Project Number: 07000751 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/09/2007 Page 2 of 2
Building Permit
Contractor: G D HENRY COMPANY INC Firm: G D HENRY COMPANY INC
Address: PO BOX 44 Phone: (509) 981-2589
LOON LAKE, WA 99148
This Application: Total Project:
Description Grp Type Notes So Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,736 $158,600.96 1,736 $158,600.96
BASEMENT F R-3 VB 383 $7,660.00 383 $7,660.00
BASEMENTU R-3 VB 1,165 $17,475.00 1,165 $17,475.00
GARAGE U-1 VB 672 $12,768.00 672 $12,768.00
Totals: 3,956 $196,503.96 3,956 $196,503.96
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,536.95
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $614.78
Permit Total Fees: $2,156.23
Notes: _ M. _ W ..SNZ . V,m .M
LOTS 12 & 16 BLOCK 6 HAVE SPECIAL DRAINAGE REQUIREMENTS PLEASE REFER TO
ENGINEERS
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment ummary'':NRMGZEIEEFM;M. MIn._ M-
x V VIN .,.
Permit Type Fee Amount Invoice Amount
Building Permit
$2,156.23 $2,156.23
Amount Paid
$0.00
Amount Owing
$2,156.23
$2,156.23 $2,156.23 $0.00 $2,156.23
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: 04/09/2007
Project Number: 07000751 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/9/2007 Page 1 of 2
Project Information:
Permit Use: SFR W/ATT GAR AND ACCESSORY BLDG
Setbacks: Front 37 Left: 10 Right: 68 Rear: 13
Site Information:
Plat Key: Name: BEVERLY HILLS 01ST ADD
Contact: G D HENRY COMPANY INC
Address: PO BOX 44
C - S - Z: LOON LAKE, WA 99148
Phone: (509) 981-2589
Group Name:
Project Name:
District: West
Parcel Number: 45193.0305 Block:
SiteAddress: 1112 S HIGHLAND DR
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 020 EAST SPOKANE
Area: 15,400 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Landuse
ning/HE Conditions
Sewer Review
Permits:
Lot:
Owner: Name: SCOTT, RICHARD & LUCILLE
Address: 11920 E MANSFIELD AVE #36
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
Released By:
Released By:
,b MR V ,.:F .-,STV . I sOUK ..FKrglt.ro,. _ V.. ._ E C; ftE_ VkraVZ,ZE..z MW : V -
Operator: JD Printed By: JD Print Date: 3/9/2007
Project Number: 07000751
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/9/2007
Contractor: G D HENRY COMPANY INC
Address: PO BOX 44
LOON LAKE, WA 99148
Description
1&2 FAMILY
BASEMENT F
BASEMENT U
GARAGE
Grp Type Notes
R-3 VB
R-3 VB
R-3 VB
U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Building Permit
Page 2 of 2
Firm: G D HENRY COMPANY INC
Phone: (509) 981-2589
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,564 $142,887.04 1,564 $142,887.04
383 $7,660.00 383 $7,660.00
1,181 $17,715.00 1,181 $17,715.00
624 $11,856.00 624 $11,856.00
Totals: 3,752 $180,118.04 3,752 $180,118.04
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount
$1,447.35
$4.50
$578.94
$2,030.79
Notes: x A q -M
LOTS 12 & 16 BLOCK 6 HAVE SPECIAL DRAINAGE REQUIREMENTS PLEASE REFER TO
ENGINEERS
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary: mizawor
Permit Type
Building Permit
Fee Amount Invoice Amount
$2,030.79 $2,030.79
Amount Paid
$0.00
Amount Owing
$2,030.79
$2,030.79 $2,030.79 $0.00 $2,030.79
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: 3/9/2007
Project Number: 07000751 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/9/2007 Page 1 of 2
Project Information:
Permit Use: SFR W/ATT GAR AND ACCESSORY BLDG
Setbacks: Front 37 Left: 10 Right: 68 Rear: 13
Site Information:
Plat Key:
,12VEMOW,MaggfVW _=
Contact: G D HENRY COMPANY INC
Address: PO BOX 44
C - S - Z: LOON LAKE, WA 99148
Phone: (509) 981-2589
Group Name:
Project Name:
Igegegmmew
Name: BEVERLY HILLS 01ST ADD
District: West
Parcel Number: 45193.0305
Block:
SiteAddress: 1112 S HIGHLAND DR
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 020 EAST SPOKANE
Area: 15,400 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: SCOTT, RICHARD & LUCILLE
Address: 11920 E MANSFIELD AVE #36
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released
Y
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Released By:
Permits:
Operator: JD Printed By: JD Print Date: 3/9/2007
Project Number: 07000751 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/9/2007 Page 2 of 2
Building Permit
Contractor: G D HENRY COMPANY INC Firm: G D HENRY COMPANY INC
Address: PO BOX 44 Phone: (509) 981-2589
LOON LAKE, WA 99148
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,564 $142,887.04 1,564 $142,887.04
BASEMENT F R-3 VB 383 $7,660.00 383 $7,660.00
BASEMENT U R-3 VB 1,181 $17,715.00 1,181 $17,715.00
GARAGE U-1 VB 624 $11,856.00 624 $11,856.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 3,752 $180,118.04 3,752 $180,118.04
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount
$1,447.35
$4.50
$578.94
$2,030.79
Notes: msmengtmalow1 �., :b. ,
LOTS 12 & 16 BLOCK 6 HAVE SPECIAL DRAINAGE REQUIREMENTS PLEASE REFER TO
ENGINEERS
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary ;w;:
Permit Type
Building Permit
KAnv-
Fee Amount Invoice Amount Amount Paid
$2,030.79 $2,030.79
Amount Owing
$0.00 $2,030.79
$2,030.79 $2,030.79 $0.00 $2,030.79
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: 3/9/2007
Spokane
jValley.
Community Development MAR 0
Residential Construction
Permit Application
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
PERMIT NUMBER:w 'S
�.1�y
PERMIT FEE:
C New Construction n Accessory Bldg
U Addition/Remodel U Deck
LJ Other:
SITE ADDRESS: s , L a.
ASSESSORS PARCEL NO: LI . 3 o LEGAL DESCRIPTION: j3 C v t % )15 / Si -
Building
_
Building Owner:
DIMENSIONS:
.3o 1 X ;S CG '
Name: i
a
Sl' nc
Val ley,
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development \r‘u.spokanesalley org
Plumbing Permit Application ❑ Commercial
PERMIT NUMBER:
[Residential
PERMIT FEE:
SITE ADDRESS: 1062 &- /7/�f l a 1'A D ✓ • Sip D k n c V is Jk y / e 1 "
Building Owner
Name: /
Phone: 9Fax:
Address:// y,� D . 131 CtiY1 S .cr,'e/42/A,,
e( 5ii6. a -G Valk, State:W /7— Zip: 9' y_zn gi
Contractor ‘1,0 ,[,/c.t/i�Y ed, Tu c,
Name:
�eoY � eh r
Phone: e • Fax'
S'or- ��Gi-�s<Y9 � sv9- z3.3-d'"d? p
Address: /JW ,q, yy (
City: 40„ 2,44-e State: IV4. Zip: 9f/9a. )
License No: c ,' ,vwe 94/.3-,e aj
City Business Lie:
Contact
Name: f�C Dege- //c ie,/
Phone: 5,-07_ iv _ sem%
2
DESCRIPTION OF WORK
T • ILETS
URINALS
# OF UNITS X
COST
TOTAL AMOUNT
WATER CLOSET BIDETS
X
8,00
■
X
$8.00
3
TUBS
2
X
58.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
'3
X
$8.00
0
SINKS
6
DISHWASHER
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$0.00
■
X
$6.00
7
CLOTHES WASHER
/
St 00
■
e
GARBAGE DISPOSAL
t
X
38.00
9
WATER SOFTENER
x
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
58.00
■
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
56.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
36,00
13
FOUNTAINS, DRINKING
X
$6.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
2
x
36.00
15
, SEWAGE EJECTOR
16
WATER USING DEVICE
GRINDER, SUMP PUMP
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
50,00
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R,P.B,P,D, FOR: VATS, TANKS,
BOILERS
X
58.00
■
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
86.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
86.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20,00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH 0 CHECK 0 VISA 0 MC
Card#
? (1
AUTHORIZED SIGNATURE: L
REVISED tl/16/05
EXPIRES:
VIN:
SUBTOTAL
PROCE$$INO FEE
$3e.00
TOTAL PERMIT FEE DUE:
Permit Center
11707 E Sprague Ave, Suite 106
Spokane valley, WA 99206
` (509)688-0036 FAX: (509)688-0037
Community Development ���a'u-.spokanevalley.or�
Mechanical Permit Application ❑ Commercial Residential
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: /1 ( 2. s_ (iig4Oa ii Il Y. .5-p Oka 'ie. V a . l(e
Building Owner k;
CY7 d i- al O: N u C f (l, V C U it
Name: >r ,A
Phone: 9 ,_- ? c 7 ? Fax:
Address:// (:1O L A0. >7 ,S-c�� e tei /710
56. sfoka hP V_ ie state: it f �
Zip: Op
! 7
O (�
Contractor a, 0 ,,..1, f P_ h Y �i
(
/
Name: .�IdFNS i ab/'/� K r T�
Phone: Fs p Fax: S 6?_
s D y - /' g SO l�
33 X33 i
Address: -1 ) 6jlX
License No: %%_,. r ie
City: G J ♦ , _ , State:
City Business Lia:
Zip:
Contact G',o �7 •E s"5 '
Name:
Phone: 1-0 5 _ rl .6'/- d 5 d2,9
DESCRIPTION OP WORK
NOP UNITS
X
COST
• TOTAL AMOUNT
1 FUEL BURNING APPLIANCE
Equal to or len than 100,000
X 512.00
2 FUEL BURNING APPLIANCE
More than 100,000
X 515.00
3 UNLISTED APPLIANCE (Additional Fee)
4 I= E APPLAN AddIN•n, Fa.__
5 USED APPLIANCE (WSEC min. AFUE retina)
5 USED APPLIANCE (WSEC min, AFUE rating)
] BOILER/REFRIGERATION
Equal to or Iasi than 400,000
M• than 40 .00
Equal to or leu than 400,000
Mon then 400,000
1 - 100M BTU
X
550.00
X loom ■
X $50.00 ■
X 8100.00 ■
X 512.00
8 BOILER/REFRIGERATION
101 - 500M BTU
X 120.00
w
9 BOILER/REFRIGERATION
501 - 1,000M BTU
X 525.00
10 BOILER/REFRIGERATION
1,001 -1,750M BTU
X 536,00
•
11 BOILER/REFRIGERATION
Moro than 1,750M BTU
X 560.00
12 GAS LOG, GAS INSERT, GAS FIREPLACE
13 RANGE
14 'RYER
16 FUEL BURNING WATER HEATER
X $10.00
X
s10.00
10,00
X $10A0
•
16 MISC. FUEL BURNING APPLIANCE
X
510.00
17 GAS PIPING (each outlet)
18 DUCT SYSTEMS
s-
$1.00
X 110.00
19 VENTILATING FANS
3 X $10,00
20 AIR HANDLER (DOES NOT include ducting) Equal to or Ina than 10,000 CFM
X $12.00
w
21 AIR HANDLER (DOES NOT include ducting)
22 EVAPORATIVE COOLERS
Greater than 10,000 CFM
X 515.00
X 510.00
23 TYPE IHOOD
550.00
•
24 TYPE II HOOD X $10,00 ■
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 u
28 AIR CONDITIONER
4.15 TON
1+
X 520.00
27, AIR CONDITIONER 15-30 TS)N
26 AIR CONDITIONER
30.50 TON
X
525,00
X 5,00 ■
2ti_. �IRQN®fTQIVER-_-_ __--
30 LPG STORAGE TANK
Mon,tivin 60 TON X 180 00
X 510.00
31 WOOD OR PELLET STOVE/INSERT
X 510.00
•
32 WOOD STOVE - FREE STANDING
X $25.00
33 REPAIR_ AGDI1IQN5
X $16,40
14 YSNTI{ ATION SYSTEMS
41390
•
35 VENTILATION MECHANICAL EXHAUST
X 119.00
•
36 INCINERATOR - RESIDENCE
X 519.00
37 INCINERATOR - COMMERCIAL
X 122.00
METHOD OP PAYMENTi
MASH 0 CHECK 0 VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
a9V nt9D b/2r,IOL
EXPIRES:
VIN:
-._.._IurQTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
Project Number: 07000751 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/9/2007 Page 1 of 2
Project Information:
Permit Use: SFR W/ATT GAR PrirliMigefeaeliPPYMOG
Setbacks: Front 37 Left: 10 Right: 68 Rear: 13
Site Information:
Plat Key:
Name: BEVERLY HILLS 01ST ADD
Contact: G D HENRY COMPANY INC
Address: PO BOX 44
C - S - Z: LOON LAKE, WA 99148
Phone: (509) 981-2589
Group Name:
Project Name:
District: West
Parcel Number: 45193.0305
SiteAddress: 1112 S HIGHLAND DR
Block:
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 020 EAST SPOKANE
Area: 15,400 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: SCOTT, RICHARD & LUCILLE
Address: 11920 E MANSFIELD AVE #36
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Landuse/Zoning/HE Conditions
Released By: 7X(
Released By:
Sewer Review
Permits:
Released By:
Operator: JD Printed By: JD Print Date: 3/9/2007
Project Number: 07000751 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/9/2007 Page 2 of 2
Building Permit
Contractor: G D HENRY COMPANY INC Firm: G D HENRY COMPANY INC
Address: PO BOX 44 Phone: (509) 981-2589
LOON LAKE, WA 99148
This Application: Total Project:
Description Grp Lyng Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB i 7 S' 41-564 $142,887.04 1,564 $142,887.04
BASEMENT F R-3 VB 383 $7,660.00 383 $7,660.00
BASEMENT U R-3 VB i I C. ,r 11411 $17,715.00 1,181 $17,715.00
GARAGE U-1 VB (07 2— 624 $11,856.00 624 $11,856.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: .31.752- $180,118.04 3,752 $180,118.04
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount
$1,447.35
$4.50
$578.94
$2,030.79
Notes: zmoorammfflow..;nu,
LOTS 12 & 16 BLOCK 6 HAVE SPECIAL DRAINAGE REQUIREMENTS PLEASE REFER TO
ENGINEERS
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary: ,,,,,,,,,moomamamon
Permit Type
Building Permit
Fee Amount Invoice Amount
$2,030.79
$2,030.79
$2,030.79
$2,030.79
Amount Paid Amount Owing
$0.00 $2,030.79
$0.00 $2,030.79
3eff oP x.
304 ,i °
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: 3/9/2007