2006, 10-16 Permit App: 06004078 ResidenceProject Ndmber: 06004078 Inv: I
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 FLOOR HEAT, ON SEWER Contact: GRAY, JEREMY
Address: 18621 E 4TH
C - S - Z: SPOKANE VALLEY, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 868-9905
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District:
Parcel Number: 45171.1803
Block: Lot:
SiteAddress: 10118 E MISSION AVE
Location:: CSV
Zoning: UNKN Unknown
Water District:
Owner: Name: GRAY, JEREMY
Address: 18621 E 4TH
SPOKANE VALLEY, WA 99016
Hold: ❑
Area: 10,000 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
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: 06004078 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 13y:
Originally Released: 10/11/2006 By: amblake
Permits:
Approach
Contractor: GRAY HOMES LLC Firm: GRAY HOMES LLC
Address: 18621 E 4T11
SPOKANE VALLEY, WA 99016
Item Description
APPROACH -CONST IN ROW
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$50.00
$50.00
Contractor: GRAY HOMES LLC Firm: GRAY HOMES LLC
Address: 18621 E 4TH Phone: (000) 000-0000
SPOKANE VALLEY, WA 99016
This Application: Total Project:
Description Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,224 $105,716.88 1,224 $105,716.88, ..
DECK OPEN R-3 VB 112 $1,680.00 112 $1,680.00
GAR WOOD U-1 VB 630 $11,970.00 630 $11,970.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 1,966 $119,366.88 1,966 $119,366.88
Units Unit Desc Fee Amount
1 SELECT $1,105.75
1 SELECT $4.50
1 SELECT $442.30
Permit Total Fees: $1,552.55
Mechanical Permit
Contractor: GRAY HOMES LLC Firm: GRAY HOMES LLC
Address: 18621 E 4TH Phone: (000) 000-0000
SPOKANE VALLEY, WA 99016
Item Description
GAS WATER HEATER
GAS PIPING
VENTILATING FANS
GAS LOG OR GAS INSERT
Units Unit Desc
2 NUMBER OF
3 # OF UNITS
4 NUMBER OF
1 NUMBER OF
Operator: AMB Printed By: AMB
Fee Amount
$20.00
$3.00
$40.00
$10.00
Permit Total Fees: $73.00
Print Date: 10/16/2006
Project Number: 06004078
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/16/2006
Contractor: CRAY HOMES LLC
Address: 18621 E 4TH
SPOKANE VALLEY, WA 99016
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER PIPING - DWV
Plumbing Permit
Page 3 of 3
Firm: GRAY HOMES LLC
Phone: (000) 000-0000
Units Unit Desc
2 NUMBER OF
5 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 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 Invoice Amount
Approach $50.00
Building Permit $1,552.55
Mechanical Permit $73.00
Plumbing Permit $84.00
Amount Paid
$50.00 $0.00
$1,552.55 $0.00
$73.00 $0.00
$84.00 $0.00
Amount Owing
$50.00
$1,552.55
$73.00
$84.00
$1,759.55
$1,759.55 $0.00
$1,759.55
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
0
Project Number: 06004078 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 FLOOR HEAT, ON SEWER
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Contact: GRAY, JEREMY
Address: 18621 E 4TH
C - S - Z: SPOKANE VALLEY, WA 99016
Phone: (509) 868-9905
Group Name:
Project Name:
Name: Range
District:
Parcel Number: 45171.1803 Block:
SiteAddress: 10118 E MISSION AVE
Location:: CSV
Zoning: UNKN
Water District:
Unknown
Area: 10,000 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
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
Released By:
Driveway/Approach
Released By: _t
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Released By:
Originally Released: 10/11/2006 By: amblake
Operator: AMB Printed By: AMB
Print Date: 10/11/2006
Sa--fie
• Community Develcpment
Permit Center
11707 3 Sprague Ave, Sl X1,05, l� M
Spokane Valley, v.'A 993.002 LS
(509)538-0036 FAX: (5010-688-0037
w7..i;.;pokzneazllev.orz.co,a
LiOCT 1
Residential Construction Toe I o str ction
Permit Application ❑ Addition/Remodel
o Other:
PERh<_ZT NU XOE?' 141713
.41w
t 4 /
PERI. FEE:
o Accessory Bldg
❑ Deck
SITE ADDRESS
/or( b E
ASSESSORS PARCEL NO: S P- 4 Z -O S LEGAL DESCRIPTION:
Building owner
Name: Gyr^%� awtir
Address: S-A-ALE--
-A-rttCCity:
Name: Zr f ,,' enti
Phone: Fax:
Lie No: GPI? (-I tit_5((6 g (1 Exp. Date:
Address: 1`6(,7/1 E (in/
IMPERVIOUS SURFACE
AREA:
City: ccf01 L
Zip:
ti°1p /t,
I
Phone: bcB-q,05- Fax:
# OF BEDROOMS:
3
CONSTRUCTION TYPE:
Griutact Person' .
Name: Stl�
Phone:
.Contractor, _ „
Name: Gyr^%� awtir
Address: S-A-ALE--
-A-rttCCity:
City:Zip:
Phone: Fax:
Lie No: GPI? (-I tit_5((6 g (1 Exp. Date:
City Business Lic No:
Describe the scope of work in detail: Cost of Project:
tit-tu Cavfrpicr&,-..J oA 3BD 2 gr' ibiltw SI4JJ or-) cK2A-,Dor
2 eAc )44,4-,E
**************The following MUST be complete: (write N/A if not applicable)**********************
int / 4 -sr -kg -creep
HEIGHT TO PfAK:
0-YBlcSo.L
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
/221
MAIN FLOOR TTOO SQ.
FTG: !X) o / 2 2-�
21°D FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: —
GARAGE SQ.
1p3O
DECK/COV. PATIO SQ. FTG:
qtr 07
30% SLOPES ON
PROPERTY: ----
# OF BEDROOMS:
3
CONSTRUCTION TYPE:
HEkT SOURCE:
war.,— f -
SEWER OR SEPTIC?
St'wt _
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
allri
eir
Method of Pa en 'axe:. •rmit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard#: Expires: VIN#:
Date
Authorized Signature:
REVISED 8/252005
❑ Other
Sfl ne
Valley
11707 E Sprague Ave Suite 106 1 Spokane Valley WA 99206
509.921.100D ♦ Fax: 509.921.1008 1 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.
❑ 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:
o One-hour separation detail: between house and garage
o 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
Spokane 11707 E Sprague Ave, Suite 106
Permit Center
Valley Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037
Community Development www soolcaneN 012
Plumbing Permit Application n Commercial n Residential
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: /0/IB C /T✓-cSSDJ
Building Owner .:_ - `
-
,. __, ,_
:[ .-...-ip _.-
- ,1.
Name: G1 S1 /„t'-7
Crit
Phone: E U.Cl Ofro c''
Fax:
Address- / bia 1 gl%LI
City: fp0/�M(l uyrvwr'7
State:
q. q.
(M!q- Zip. [ Ge_C�
Contractor
(.
Name: GAN7 �h �--s LLQ
�""�'
Phone:
Fax:
Address: IIAPIC
City:
State:
Zip:
License No /'msµ POLL 1 {isgP
City Business Lic:
'Contact .;;,. ,
t -
... -.
Name- S 6-
Phone:
DESCRIPTION OF WORK
#OF UNITS X
COST = TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
x
$6.00
2
URINALS
X
$6.00
3
TUBS
-2L
X
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
5
SINKS
LAVS/BASINS. BAR, FLOOR, KITCHEN.
LAUNDRY. UTILITY, JANITOR, PHOTO.
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
3o.0D
6
DISHWASHER
x
$6 00
6 •��
7
CLOTHES WASHER
X
$6 00
G.•
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
$6 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
$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
GRINDER, SUMP PUMP
X
$6 00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
2-
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE.
AND R.P B.P.D. FOR VATS, TANKS,
BOILERS
X
$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 9 CHECK 9 VISA ❑ MC EXPIRES
Card# VIN
AUTHORIZED SIGNATURE:
REVISED BR6/05
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
111. a°
Permit Center
Sijokan" e 11707 E Sprague Ave, Suite 106
cjUalley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev ore
Mechanical Permit Application n Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS:
%OHS E- s
Building Owner
- - - --
Name: ,—rf 7 6./.74-,7
Phone eeb - tf gos
Fax:
Address. /BGzI F
City. cloio-..ir-r("""``(
State:
(„i„/--
Zip: 9 s <6
Contractor --
Name: `
��"' b4 -i
Phone:
Fax:
'
Address: C^ly
City:
State:
Zip:
License No: /' 240,1 ���g sf`RP
l3'-""' (-
City Business Lic:
Contact - -
.. ... - , . ..
- '-.
Name::
�
Phone:
DESCRIPTION OF WORK
#OF UNITS X
COST
= TOTAL AMOUNT
1
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 (W SEC min. AFUE rating)
More than 400,000
X
$100.00
7
BOILER/RE FRIGERATION
1 - 100M BTU
X
$12 00
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
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
$10 00
/o -LrO
14
DRYER
X
$1000
15
FUEL BURNING WATER HEATER
Z
X
$10 00
16
MISC FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
3
X
$1.00
4-w
18
DUCT SYSTEMS
X
$10 00
19
VENTILATING FANS
X
$10 00
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 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
3-15 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
612.00
35
VENTILATION MECHANICAL EXHAUST
X
612.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
x
$22.00
METHOD OF PAYMENT:
DCASH 0 CHECK 0 VISA 0 MC
CARD #
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES -
VIN
SUBTOTAL
PROCESSING FEE
635.00
TOTAL PERMIT FEE DUE:
1'ot.0