2004, 06-30 Permit App: BLD-04-04836Siolcane
.00•'� Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
Job Address: 3904 S MERCY CT
SPOKANE VALLEY WA 99206
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
Lot:
DIAMOND ROCK CONSTRUCTION INC
DIAMOND ROCK CONSTRUCTION INC
15321 E MISSION AVE
VERADALE, WA 99037-9552
DIAMOND ROCK CONSTRUCTION INC
15321 E MISSION AVE
VERADALE WA 99037-9552
Blk: Parcel No:
Application #: BLD -04-04836
Applied: 06/30/2004
Issued:
Expires: 12/27/2004
Zoning:
Phone: (509) 924-8964
Phone:
Lic No:
(509) 924-8964
DIAMORC032OQ
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
sfr
170822
1
1
1
2
1
1
1
1
3
4
1
25
55 X 71
2
4
50
53
26
20
r-3
5-n
1
20357
no
no
3
3
5
1
Fees:
PLAN CHECK FEE
TYPE II HOOD
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
Total Calculated:
Deposits/Receipts:
I0
tal Due:
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials / Date
Building 1� I
Planning
C•
Public WorksC.
$ '
THIS IS NOT A RECEIPT
556.54
10.00
10.00
10.00
10.00
3.00
40.00
1,391.35
4.50
18.00
18.00
30.00
6.00
6.00
6.00
6.00
12.00
15.00
2,152.39
0.00
2,152.39
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITYIJEVELOPMENT
BUILD/NG DIVMSMON
77707 East Sprague Ave Ste 106
Spokane Valley, Wq 99206
Phone; (509)888-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS:_ 3 `%G) S: e! -c' y
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION: " 1 T 5
PERMIT DESCRIPTION:
UL LDING PERnar
DRELOCA'iON
• a CBANGE IN USE • CIGRADING
DSIGN DTENA:NTDOTTIER
aI MANUFACTURED HONLE
A ►
OWNER / APPLICANT INFORMATION
OWNER' i_usla[to_�. J
PHONE: 9..y --21.1e/
ADDRESS: 1 41, SS, tl: ,G N L/D-1(€ ADDRESS:
clZIP '
2
4 -
FAX:
FAX: I2( ?Cs `/
® APPLICANT: 50 -/-
PHONE: FAX:
CONTRACTOR' �-
PHONE' FAX
ADDRESS:
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE
STATE, ZIP
7 S Eley 104
coo G olv s10
ARCHITECT:
PHONE: - R DI
E
ADDRESS:
S?O
CITY, STATE, ZIP
CONTACT:
nor
PERMIT/BUILDING INFORMATION
COST OF PROJEC14OC,, e ,
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS: 5 5 X 71
NUMBER OF STORIES: 2
NUMBER of BEDROOMS: _`
30% SLOPES ON PROPERTY: ki>
OCCUPANCY GROUP: .
CONSTRUCTION TYPE:
STRUCTURES ON PROPERTY:
CRITICAL. AREAS: /Jo
MAIN FLOOR SQ FT: Zig
2ND FLOOR SQ FT: 6 8 Y
UNFIN BASEMENT: 5
FINISHED BASEMENT: 0
GARAGE: 7 L
METHOD OF PAYMENT:
a
CASH
a
CHECK
C]
BANKCARD #,
AUTHORIZED SIGNATURE::
SO/20'd
b6089E6 Ol
EXPIRES,`
JUN 3 0 2004
Thin
dd TO:Lti 200E OE daS
** SO.301Jd 1tiIOJ **
SclIpoIcanis°;\'`
.001/dl1ey
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Mechanical Permit Application
PROJECT
ADDRESS:
OWNER
MAR.ING ADDRESS:
(street)
CONTRACTOR:
MAILING ADDRESS: •
(city/state)
509-688-0036 - Phone
509-688-0037 - Fax
PHONE (Daytime Contact):
1 LICENSE IF;
(street)
(city/state)
DESCBIP710N OF WORK
PHONE It;
(Z1F)
•
I OF/ EZWfls A icor: EQLL4IS AMOUNT
I FUEL BURNING APPLIANCE .. OR c 100,000 1 X 515
> 100,000
3 UNLETED AFPL1ANC6 (AD Dl13I 4AL PEE) - OR < 400,000-
2
00,000
2 FUEL BURNING APPLIANCE
X 519
X 550
4 unrusnDAPPIIANCE (ADDMONAL PEE) ) B00,000 X 5100 -
s USED APPLIANCE (WBEC min" APIA ming) - or <400,000 X , $50-
6 USED APPLIANCE (MEC thin ASE ming) > 404000 X 5100 .
7 BOR.ER/REFRIGERATION 1- SOQM BTU - -
s BDILER/REFRICERAT10N
9 801LER,REFRIGBRATIQN
10 BOILERiREFRtCERAnoN
11
BOILER/REFRIGERATION
12 GAS LOG, GAS INSERT, GAS FIREPLACE
101.500M BTU
515 -
525
501-1.000M 5111
1001.1,75OM BTLJ
+175om 8T7,1
X $39
13 RANCE
14 ORYER
•
15 FUEL BURNING WATER HEATER
557
X $95
X 510
X 510
X S10
X 510
16 MSEC FUEL BURNING APPL, - X 510
17 GAS PIPING (ea Oud tt)
i8 DUCT SYSTEMS
19 VENTILATING FANS
20 AIR HANDLER (DOES NOT Indnd< duding) • OR c 10.000K M
21 AIR HANDLER (DOES NOT Include eluding) > 10,000 CFM
n EVAPORATIVE COOLERS
13 ,1YPSIHOoo
24 TYPE II HOOD
X 510
X 510
X
512
519
x $10
X 550
X 510
25 HEAT PUMETAIR CONbrrxONER 0-5 TON X
512
26 AxR CONDMONER 3-15 TON
27 AIR CONDITIONER
28 AIR CONDITIONER
29 AIR CONDOTIQNER
15.30 TON
30 LPG R1'ORACE TANI:
31 WOOLS OR PELLETSTQVFjIN5ERT
32 WOOD STOVE -FREE STANDING
30.50 TON
X
520
525
X
+50 TON
METHOD OP PAYMENT
$10
x sin
DATE:
BANKCARW NUMBER:
AU'Il-iORIZED SIGNATURE.
EXPIRES:
CGIiCA'r-I
t7Fonco.6 nI
SUBTOTAL:
PLUS PROCESSING FEE $35.00
TOTAL PERMIT EEE DUE;
del TO:Lti £010z 0Z d3S
Valley
41111110nme
11707 East Sprague Avenue, Suite 106 509-688-0036 Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
Plumbing PermitApplication
FROTECr
ADDRFAS:
OWNE
MA!UNG AD
MAILING An0R
street)
DESCR.I
TOILETS
ON
URINALS
4 SHO
6 DISHWAS
L-24 5 4-
TERIvirr
USE!
PHONE (Daytime Contact):
wmiritOmm.....10•0
PLUMBING FIXTURES
AILS
WATER
ATH, TAU4 AV
LAUNDRY, unary. JANITOR, PHOTO, X-
RAY, FOOD; PREP/CULINARY/MEAT
AGE D
10 E ECT. wYr WATER TANK
N : IF GAS,
11 FLOOR DRAINS
12 FOUNTAINS, DRINIGNG
F $ X COST
x
•
0
X $6
X ' $6
•
CAL
•
•
AREA, CASE. COIL,. TRENCH, CONDENSATE / X$6
13 WATER PEPING/DRAIN-IN
, PLUMDuc
RUSAZ
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
14 SEWAGE JC7OR
15 WATER USING DEVICE
GRIND
PUMP
ICE ANDfOR COFFEE MAIM, HOSE BIB,
STEAMER, PROOFRR, CARBONATOR
SWAMP COOLER
6
.........mmumm•=••••••••.
OW DEVICE VACUUM BREAKER, CHECK VALVE, AND
P.U. FOR: VATS, TANKS, 110/LEPS
7
18
19
M
1CAL
ROD OFPAYMENT
.374 0 c.i-rEcx
utkt
5
•
•
X $6
•
X S6
•
X $2S
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
NITRO
S
EXTIRES:
_CAW NUMBER
°TIMED SIGNATURE,
r^rA zt,("A • —I
t7RcaRq7c, ni
X S6
X $6
X
SUBTOTAL:
PLUS PR.00ESSING FM: • S35.00
TOTAL PERMIT FEB DUE:
Iftwommoloomr011.00,
M-1 TO:LT MOE OE dBS
1
Contractor: DIAMOND ROCK CONSTRUCTION License #: DIAMORC032OQ
SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main
sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries,
including those related to trench safety.
SpoKANE Cows'
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 3904 S MERCY CT
Parcel Number: 45321.9005
Subdivision:
Block: Lot:
Zoning: UNK Unknown
Owner: DIAMOND ROCK CONSTRUCTION
Address: 15321 E MISSION AVE
VERADALE, WA 99037 -
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 04005068 Inv: 1 Issue Date: 7/22/2004
Permit Use: SEWER CONNECTION - W PONDEROSA
Applicant: DIAMOND ROCK CONSTRUCTION
15321 E MISSION AVE
VERADALE, WA 99037- Phone: (509) 924-8964
Contact: DIAMOND ROCK CONSTRUCTION
15321 E MISSION AVE
VERADALE, WA 99037- Phone: (509) 924-8964
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Rear:
Permits
Sewer Connection Permit
1
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
7/22/2004 4080 $100.00
Processed By: SHATTO, JULIE
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT
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