2007, 10-08 Permit App: 07003912 ResidenceProject Number: 07003912 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/8/2007 Page 1 of 2
Project Information: -
Permit Use: SFR W/ATT GAR
Setbacks: Front 26 Left: 7 Right: 6 Rear: 20
Site Information:
Plat Key:
Contact: BLACKHAWK CORPORATION, INC
Address: 23900 E JOSEPH AVE
C - S - Z: OTIS ORCHARDS, WA 99027
Phone: (509) 869-0785
Group Name:
Project Name:
Name: Range District: Nort
Parcel Number: 45184.1230 Block:
SiteAddress: 8515 E MAIN AVE
Location:: CSV
Lot:
Owner: Name: BLACKHAWK CORPORATION, IN
Address: 23900 E JOSEPH AVE
OTIS ORCHARDS, WA 99027
Zoning: U14-7* Urban Residential -7*
Water District: 005 HUTCHINSON Hold: 0
Area: 6,771 Sq Ft
Nbr of Bldgs: 0
Width: 0
Nbr of Dwellings: 0
Depth: 0 Right Of Way (ft): 0
Review Information: -
Review
Building Plan Review
Released By:' i .�( 1 -o%
Project Number: 07003912 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/8/2007 Page 2 of 2
Building Permit
Contractor: BLACKHAWK CORP Firm: BLACKHAWK CORP
Address: 23900 E JOSEPH Phone: (509) 226-2186
OTIS ORCHARDS, WA 99027
Building Characteristics
Building Height 26
This Application: Total Project:
Description Grp Type Notes Sci Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1ST FLOOR 1,120 $102,323.20 1,120 $102,323.20
CARPORT OP R-3. VB 120 $1,800.00 120 $1,800.00
DECK OPEN R-3 VB 96 $1,440.00 96 $1,440.00
GARAGE U-1 VB 1,120 $21,280.00 1,120 $21,280.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 2,456 $126,843.20 2,456 $126,843.20
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Notes • ,
Fee Amount
$1,144.95
$4.50
$457.98
Permit Total Fees: $1,607.43
APPROVED FOR SINGLE FAMILY RESIDENTIAL USE ONLY
Payment Summary: ,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,607.43 $1,607.43 $0.00 $1,607.43
. $1,607.43 $1,607.43
$0.00 $1,607.43
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: 10/8/2007
Spokane
cossoValley*
Permit Center
11703 E Sprague Ave, Suite B-3 RECEIVED BY
Spokane Valley, WA 99206 CITY OF SPOKANE VALL
(509)688-0036 FAX: (509)688-0037 OCT 2 2 2007
www. spoka neval l ev. org,
Community Development
Residential Construction
Permit Application
IT CENTER
`PERMIT NUMBER:
PERMIT FEE:
Accessory Bldg
A.i dition/Remodel Deck
Other:
SITE ADDRESS:
e9"51f z- A747tti
ASSESSORS PARCEL NO: '? S76 y, 12 T 0 LEGAL DESCRIPTION:
.;.�,R :,:'4.: P r_�w.,.+'-- '. ;.• �.>`;'..'E - .o-
Building Owner
- : •- i�„_ 4n -. •S.-;`.; .
.� _e
1+«%cE'=:�
Namee,`}.-7° .4' 44-1
Name: 9// rA/444(,.. g /-
Address:
z 3 T � C itU f+Lo�j�/.
Address:
City:01c e •trARD f Stateiyij- Zip:99,2 9
City: State: Zip:
Phone: ZZC, Z / c‘ Fax:216 -2 5'- S"'-
O
Phone: Fax:
GARAGE SQ. FTG:
(120.
Contractor Lic No: Exp Date:
LCOntaet PeT50R bl s; : F`-:`'r;� i'y . p... `,
's�”' ; • - - �
# OF BEDROOMS:
2
City Business Lic. No:
HEAT SOU9CE:
G itS' 24 4-ICet),(c.
EWE OR SEPTIC?
Name: Cr 04s'e r .. c,v24?(Jk ¢ 4,
Phone: ?69 - 0 02 es- /47as,
Describe the scope of work in detail:
Cost of Project: $/6o,
r_O4'Sr - A, ' — 'golf 6 -
Proposed Use: &/C' i,./. /449a CC
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
'2_ 2- et
DIMENSIONS:
922c3(
# OF STORIES:
/
TOTAL HABITABLE SPACE:
//2a 1Q,C,
MAIN FLOOR TO SQ.
FTG:
. /hO _CO (cr..
2' ' FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
,
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
(120.
DECK/COV. PATIO SQ. FTG:
8'0
30% SLOPES ON
P fr�y
# OF BEDROOMS:
2
CONSTRUCTION TYPE:
r=iri¢,1-i�d
HEAT SOU9CE:
G itS' 24 4-ICet),(c.
EWE OR SEPTIC?
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:`/ x
Method of Payment: AGA,
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
DATE: /6
Check 0 Mastercard ❑ VISA
Expires: VIN#:
/o?
Spokane
1Valley®
11703 E Sprague Ave Suite 8-3 ♦ Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 • cityhall@spokanevalley.org
Residential Plan Submittal Minimums
O Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
O Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
O 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.
O Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from abasement and in every room for sleeping.
Srrioke detector locations
22" X 30" attic access location
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
Furnace and hot water heater location.
All header locations: type, size, and connections
Foundation plan
Insulation information , -
Permit Center
•cm or 11703E Sprague ria BY
Spokane Spokane Valley, -' •tee
Valley • NE VALLEY.
(509)688-003PI�YA t' 8-0037
www.snokanevallev.ceCT o 1 2001
Community Development
Residential Construction
Permit Application
RMIT C
PERMIT NUMBER: ,3C'Z
" PERMIT FEE:
onstruction
❑ Addition/Remodel
❑ Other:
Accessory Bldg
Deck
SITE ADDRESS: 85/5 /1-7474/
ASSESSORS PARCEL NO: / 7, / 221EGAL DESCRIPTION: 40 % Z
:Building' Owneei "'" %F ''
._ _ > _ ..,. ...:
-_C,onfractor::,�/�/ '
. -:;_,..... .ems :a?' S?%¢Z,IUiiT ,thy /° ;Z3?
Name:
%�
Name: , 0 gG er .--Pcs
Address: `C
��
Address:�C
2 7 90,v, �. „7-,0fc gs!
City: State: Zip:
City: 077, f awor.4P42E - State: Lv9 Zip :,,-6,2 i
Phone: Fax:
Phone: Z26 , j_( Fax: Z a c 2 S/ S.
GARAGE SQ. FTG:O
/7 20 OtL
ContrpCricp act A S' Exp Date: 374,06
iContaktPersory4 -, a'
# OF BEDROOMS:
-2-
City Business Lic No
HEAT SOURCE:
6•4-f Ex Pcr�(C
SEWER OR SEPTIC?
d' -P% .
(nO / .Sl �''a9u
Name: YnCGO T .6G /G�rn,A,5'.
Phone: 69677— p -2 es
Describe the scope of work in detail:
Cost of Project: $
fir? ('d/yr y.
Proposed Use: S/A/GZ
�6kj A -r? -O
,anec#77z
**************The followinE MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO AK:
'
DIMENSIONS:
3eX3z
# OF STORIES:
-z
TOTAL HABITABLE SPACE:
//zo 1'Q (4=7—
lMAIN
MAINFLOOR TO SQ.
FTG:AREA:
// 20 Ott—
2"0 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
jY O
Pes A r Z,o
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:O
/7 20 OtL
OV. PATIO SQ. FTG:
'g
30% SLOPES ON
PROPERTY: 0
# OF BEDROOMS:
-2-
CONSTRUCTION TYPE:
/C/C4-64 e._% -e3 .
HEAT SOURCE:
6•4-f Ex Pcr�(C
SEWER OR SEPTIC?
d' -P% .
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. n e
SIGNATURE: 4 - DATE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
ik/Check
❑ Mastercard
Expires:
lQ
❑ VISA
VIN#:
/i)
Spokane
Walleye
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ cityhall®spokanevalley.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
O 22" X 30" attic access location
❑ 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
O Furnace and hot water heater location.
❑ All header locations: type, size, and connections
O Foundation plan
O Insulation information -
Permit Center
11703 E Sprague Ave. Suite 6-3
Spokan
Spokane Valley, WA 99206
4.0110.t j ier (509)688-0036 FAX:(509)688-0037
VQl wwws0akancvallcv.or�
Community Development
Plumbing Permit Application
SITE ADDRESS:
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ,Residential
Building Owner -
I
Name _ %_L'404(441 -44f Ca f,
-Address
Phone to -9_0 2 P5 Fax: z 2_ G '- 2- S/ S ,
.Z 2 9�. fto,,e7f/
City O i/.J 4,9e. -aa' State: in, '9
Zip: 9'9,8.2
Contractor _ �f
-
_
Name S AeA�€` .
Phone: Fax•
Address:
City: State:
Zip:
License No: 844 r rC /D 62 .6 Gr
City Business Lie.
Contact
Pe
-
Phone: 2 Z G '- 2 ,d C,
-
Name' /�/7�y-2_6-._
.r/ -i7/j .�C/�lL '
DESCRIPTION OF WORK
N OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6 00
o -O
2
URINALS
X
$6.00
3
TUBS
X
$6 00
4
SHOWERS (PER TRAP)
BATH, STALL. ON-SITE BUILT..:
X
$600
-G 0--0
5
SINKS ,
LAVS/BASINS, BAR, FLOOR, KITCHEN:
LAUNDRY, UTILITY, JANITOR, PHOTO.,
X-RAY, FOOD, PREP/CULINARY MEAT
3
X
. $6 00.
c
6
DISHWASHER
t
X
$6.00
7
CLOTHES WASHER .t•
X
$6 00
8
GARBAGE DISPOSALI
X
$6.00 -
ee
9
WATER SOFTENER
X
$6 00
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL 'i
X
$600 -
o:• P:
11
FLOOR DRAINS
AREA. CASE. COIL, TRENCH.
CONDENSATE
X
$6 00
K. e✓D
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
7j GRINDER, SUMP PUMP
X
$6 00
16
17
WATER USING DEVICE
CROSS CONNECTION DEVICE
ICE N/OR COFFEE MAKER. HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
VACUUM BREAKER, CHECK VALVE,
AND R P.B P D FOR VATS, TANKS,
BOILERS
X
X
$6 00
$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:
❑CASH CHECK ❑ VISA 0 MC
Cardtt
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Spokane
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
wwwspokanevallev ore
PERMIT NUMBER:
PERMIT FEE:
n Commercial ❑ Residential
SITE ADDRESS:
Building Owner
-
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact - - -
-
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100.000
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$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
$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
BOIL ER/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
/D• mac'
14
DRYER
15
FUEL BURNING WATER HEATER
/
X
$10 00
X
$10 00
/Ct17
16
MISC FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
18
DUCT SYSTEMS
7
x
$1.00
X
$10 00
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10.000 CFM
3
X
$10 00
}D - c -O .
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
$50 00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
4-15 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 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:
['CASH Jd.CHECK 0 VISA 0 MC
CARD # ,% �
AUTHORIZED SIGNATURE: � 5?
REVISED BR6/05
SUBTOTAL
PROCESSING FEE
?OTAL PERMIT FEE DUE:
$35.00
20,0 0
2G.o 0
L
DRrUFwA�/
/0 L/. 00
0
" 0
32.Q0 I c !
6.00 -\
107-14
P y -J P4I j2Zq
Q$75. A
1 38 ,o
0
0
L
J
20,00
PLANNING DEPT. APP
BY •
DATE: /O%u/per
VED
0