2006, 10-16 Permit App: 06004077 ResidenceProject Number: 06004077 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/16/2006 Page 1 of 3
Project Information:
Permit Use: SFR, RADIANT HEAT ON SEWER Contact: GRAY, JEREMY
Address: 18621 E 4TH
C - S - Z: SPOKANE VALLEY, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 868-4905
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District:
Parcel Number: 45171.1802
Block: Lot:
SiteAddress: 10114 E MISSION AVE
Location:: SPO
Zoning: UNKN Unknown
Water District
Area: 16,681 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Owner: Name: GRAY, JEREMY
Address: 18621 E 4TH
SPOKANE VALLEY, WA 99016
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Flood Plain
Released By:
Building Plan Review
Originally Released: 10/16/2006 By: amblake
Released By:
Driveway/Approach
Originally Released: 10/16/2006 By: TMELBOU
Released By:
Originally Released: 10/16/2006 By: amblake
Landuse/Zoning/HE Conditions
Released By:
Originally Released: 10/11/2006 By: MBASINGE
Operator: AMB Printed By: AMB
Print Date: 10/16/2006
Project Number: 06004077 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/16/2006 Page 2 of 3
Sewer Review
Released By: - -
Originally Released: 10/11/2006 By: amblake
Permits.
Approach
Contractor: GRAY HOMES LLC Firm: GRAY HOMES LLC
Address: 18621 E 4TH Phone: (000) 000-0000
SPOKANE VALLEY, WA 99016
Item Description Units Unit Desc Fee Amount
APPROACH -CONST IN ROW 1 NUMBER OF $50.00
Permit Total Fees:
Building Permit
$50.00
Contractor: CRAY HOMES LLC Firm: GRAY HOMES LLC
Address: 18621 E 4TH Phone: (000) 000-0000
SPOKANE VALLEY, WA 99016
This Application: Total Project:
DescriptionGrp Type Notes Su Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,418 $122,472.66 1,418 $122,472.66
DECK OPEN R-3 VB 508 $7,620.00 508 $7,620.00
GAR WOOD U-1 VB 542 $10,298.00 542 $10,298.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 2,468 $140,390.66 2,468 $140,390.66
Units Unit Desc Fee Amount
1 SELECT $1,223.35
1 SELECT $4.50
1 SELECT $489.34
Permit Total Fees:
Mechanical Permit
$1,717.19
Contractor: GRAY HOMES LLC Firm: GRAY HOMES LLC
Address: 18621 E 4T11 Phone: (000) 000-0000
SPOKANE VALLEY, WA 99016
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 2 NUMBER OF $20.00
GAS PIPING 3 # OF UNITS $3.00
VENTILATING FANS 4 NUMBER OF $40.00
RANGE 1 NUMBER OF $10.00
Operator: AMB Printed By: AMB
Permit Total Fees: $73.00
Print Date: 10/16/2006
Project Number: 06004077 Inv: .1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/16/2006
Plumbing Permit
Page 3 of 3
Contractor: GRAY HOMES LLC Firm: GRAY HOMES LLC
Address: 18621 E 4TH Phone: (000) 000-0000
SPOKANE VALLEY, WA 99016
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER PIPING - DWV
Units
2
5
2
1
l
2
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Fee Amount
$12.00
$30.00
$12.00
$6.00
$6.00
$6.00
$12.00
Permit Total Fees: $84.00
Notes •
All driveway approaches to be constructed per Spokane County Standards as adopted by the City of
Spokane Valley.
Minimum of 7.5' from each property line, 5' from crosswalks or intersection curb and minimum of 15'
of separation between any two approaches.
Flat portion of a residential approach to be minimum of 16' wide, maximum of 30' wide and combined
approach width not to exceed 50% of total frontage.
Payment Summary:
Permit Type Fee Amount
Approach $50.00
Building Permit $1,717.19
Mechanical Permit $73.00
Plumbing Permit $84.00
Invoice Amount
$50.00
$1,717.19
$73.00
$84.00
$1,924.19 $1,924.19
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,717.19
$73.00
$84.00
$0.00 $1,924.19
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: AMB Printed By: AMB Print Date: 10/16/2006
Project Number: 06004077 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/11/2006 Page 1 of 2
Project Information:-._.___ -. - _ ....... -
Permit Use: SFR, RADIANT HEAT ON SEWER Contact: GRAY, JEREMY
Address: 18621 E 4TH
C - S - Z: SPOKANE VALLEY, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 868-4905
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District:
Parcel Number: 45171.1802
Block: Lot:
SiteAddress: 10114 E MISSION AVE
Location:: SPO
Owner: Name: GRAY, JEREMY
Address: 18621 E 4TH
SPOKANE VALLEY, WA 99016
Zoning: UNKN Unknown
Water District: Hold: ❑
Area: 16,681 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: - r
Review
Flood Plain
Released By:
Building Plan Review
Released By: /v. 14. 0.6
Driveway/Approach
Released By:-
Landuse/Zoning/HE Conditions
Released By: IflkLdtD/L;..,q� -7alit c4. t1
Sewer Review
Released By:. ,
Originally Released: 10/11/2006 By: amblake
Operator: AMB Printed By: AMB
Print Date: 10/11/2006
SfioD 12
\!alley
Corrunity Development
Permit Center �
11707E Sprague Ave, SE 1 S II M I.S
Spokane Valley, WA 91F2.65.py7
(509)688-0036 FAX: (5699:133-C 1 U
,,oken•:,=lle,
o7, cora Ul
Residential Construction
Permit Application
to
PER fl
PERMIT FEE:
WA"
Constru tion
o Addition/Remodel
o Other:
o Accessory Bldg
o Deck
SITE ADDRESS /Wit( c /T�Cro".)
ASSESSORS PARCEL NO: for 2 S r .-1(2 -Dr LEOOAL DESCRIPTION:
Building owner
Name. ( eigit n LAC
Address: g,4-.cr
Name. ,10tk1 em,
Phone: Fax:
Lic No: mon n eyp Exp. Date:
Address: TbC Z / 6 `he/
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: Nfr
City: sTfi9t4-✓l' lui7
Zip:
9/0/61;67
Phone: 8—t2Rt)S (Fax:
CONSTRUCTION TYPE:
HEAT SOURCE:
t'C.outacf Person •
Name' c 4k r
Phone:
Contractor...
Name. ( eigit n LAC
Address: g,4-.cr
City: Zip:
Phone: Fax:
Lic No: mon n eyp Exp. Date:
City Business Lic No:
Describe the scope of work in detail: Cost of Project:
/few Co•osiv_Uc-rr.J of k 3' ?o Z ;3nl Sc43 a✓ C>t-A0r
A-rroirdan0 Z e4'- Jar
**************The following DUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
17 ft -.a
DIMENSIONS:
-e 9
# OF STORIES:TOTAL
I
HABITABLE SPACE:
-- /5c/ 4 -
MAIN FLOOR TO SQ.2"'FLOOR
FTG: W-907 Cl is
SQ. FTG:
%v)l--
UNFIN BASEMENT SQ. FTG:
AM
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: Nfr
GARAGE SQ. FTG:
5412— .ems
DECK/COV. PATIO SQ. FTG:.
50 aper
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
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 properly 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
Method of Pa
❑ Cash
Bankcard #:
Date
menta ('.xed permit applications will only be accepted with major bankcard)
0 Check ❑ Mastercard ❑ VISA
Expires: VIN#:
Authorized Signature:
REVISED e252DD5
/0—/0-06
0 Other
6pa9\%.,
*Marie
6
*carie
Valley
11707 E Sprague Ave Suite 106 1 Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1006 1 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
❑ 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
Siitue ® 11707 E Sprague Ave, Suite 106
selgValley
Spokane Valley, WA 99206
(509)688-0036 FAX. (509)688-0037
Community Development www.snokanevallev ore
Mechanical Permit Application n Commercial
PERMIT NUMBER:
Residential
PERMIT FEE:
SITE ADDRESS:
10114 r Mz5s,co-J vwR
Building Owner
-
-
--
-
Name: g4,--, r F1- Com_
yq„`- '
Phone.
Fax
Address:
City
State:
Zip.
Contractor _-
-
Name 61.10-7/O4l� u,L.0
Phone: S�8-y4 DS -Fax:
Address / 6v 6 (mg
- .
City' Wo /44"r (/�p.G[r--) I
State
(,u�'
Zip
9q0 L�
License No 6a..7
jolt Iv (o6P
City Business Lie:
'
Contact :; :. _ -
-
- _';_�i,r1., ::n^„
-•
.-
Name -041 7 �, a1
Phone: gG f5_ LE9 or
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
5100 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
$1200
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20 00
9
BOILER/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
560 00
12
GAS LOG, GAS INSERT, GAS FIREPLACE -
X
$10 00
13
RANGE
x
510 00
O. 0-0
14
DRYER
X
$10 00
15
FUEL BURNING WATER HEATER
a
X
510 000.
16
MISC FUEL BURNING APPLIANCE
X
51000
17
GAS PIPING (each outlet)
3
x
$1.00
18
DUCT SYSTEMS
X
51000
19
VENTILATING FANS
x
$10 00
H0-oo
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
$1000
23
TYPE! HOOD
X
550 00
24
TYPE II HOOD
X
510.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512 00
26
AIR CONDITIONER
3-15 TON
X
520 00
27
AIR CONDITIONER
15-30 TON
X
$25 00
28
AIR CONDITIONER
30-50 TON
X
535 00
29
AIR CONDITIONER
More than 50 TON
X
$60 00
30
LPG STORAGE TANK
X
510 00
31
WOOD OR PELLET STOVE/INSERT
X
$1000
32
WOOD STOVE - FREE STANDING
X
$25 00 •
33
REPAIR & 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:
D CASH
CARD #.
AUTHORIZED SIGNATURE:
REVISED 8/26/05
❑ CHECK D VISA DMC
EXPIRES
VIN.
SUBTOTAL
•uQ
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
jUtt.00
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
�Ualley
Spokane Valley, WA 99206
(509)688-0036 FAX. (509)688-0037
Community Development www.spokanevallev.ore
Plumbing Permit Application ❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
❑ Residential
SITE ADDRESS: > 6/ /' [ /4.7.8 S
Building Owner
Name: Sit ii -5 (aN'M„fL To„L
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor _
Name: (4 .4.4 14 c,
Phone:
Fax:
Address: I6/ 2 / e V-ro/
City: S(t(6AN - uyruci
° V _"' �
State: ,
Zip: .9f0I6
License No: 64m? WWLL c yci Rip
�,,(
City Business Lic:
Contact,
Name: lliF (t a7 /' n ..
Phone: Cj% g _ VG a
DESCRIPTION OF(WORK
# OF UNITS
X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
2-
X
$6.00
LZ.••o
2
URINALS
X
56.00
3
TUBS
2-
X
56 00
!2.
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
56 00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN.
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
3�6,0
6
DISHWASHER
1
X
$6.00
Goa
7
CLOTHES WASHER
X
$6 00
6
8
GARBAGE DISPOSAL
1
X
56.00
9
WATER SOFTENER
X
56 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
56 00
13
FOUNTAINS, DRINKING
X
$6.00
14
WATER PIPING/DRAIN-IN WASTE.
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
56.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6 00
0- JJ
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
20
MISCELLANEOUS PLUMBING FIXTURE
X
56.00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
515 00
METHOD OF PAYMENT:
DCASH
Card#
D CHECK D VISA DMC
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE: