2009, 07-28 Permit App: 09002201 Residence Project Number: 09002201 Inv: 1 Application Date: 7/28/2009 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW SFR-SEWER Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C-S-Z: SPOKANE WA 99206
Setbacks:Front Left: Right: Rear: Phone: (509)892-0454
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: East
Parcel Number: 55073.2213 Block: Lot:
SiteAddress: 17505 E NORA LN Owner:Name: FLORA SPRINGS DEVELOPMENT
Address: 721 N PINES RD
Location::CSV SPOKANE,WA 99206-
Zoning: R-3 SF Res District
Water District: 134 CONSOLIDATED ID#19 Hold: ❑
Area: 5,000 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review Released By: 1
Originally Released: 7/27/2009 By: tmelbourn
Landuse/Zoning/HE Conditions Released By:
Originally Released: 7/21/2009 By: tschmidt
Sewer Review Released By
Originally Released: 7/21/2009 By: JLMain
Permits:
Operator: jmm Printed By: JD Print Date: 7/28/2009
Project Number: 09002201 Inv: 1 Application Date: 7/28/2009 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509)892-0454
SPOKANE,WA 99206
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
1&2 FAMILY R-3 VB 945 $91,504.35 945 $91,504.35
2ND FLOOR R-3 VB 850 $63,478.00 850 $63,478.00
COV DECK R-3 VB 93 $1,395.00 93 $1,395.00
DECK OPEN R-3 VB 136 $2,040.00 136 $2,040.00
GARAGE U-1 VB 481 $9,139.00 481 $9,139.00
Totals: 2,505 $167,556.35 2,505 $167,556.35
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,374.55
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $549.82
Permit Total Fees: $1,928.87
Mechanical Permit
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509)892-0454
SPOKANE,WA 99206
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $11.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $13.00
VENTILATING FANS 1 DUCT 4 NUMBER OF $44.00
Permit Total Fees: $68.00
Operator: jmm Printed By: JD Print Date: 7/28/2009
Project Number: 09002201 Inv: 1 Application Date: 7/28/2009 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509)892-0454
SPOKANE,WA 99206
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 2 NUMBER OF $12.00
SINKS 5 NUMBER OF $30.00
SHOWERS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00
Permit Total Fees: $90.00
Notes . .,...... . , . , .; _..... .,.,,. .,.. .,.
FLORA ESTATES-REFER TO ADE-19-06 FOR LOT WIDTH/FRONTAGE-MH
FLORA ESTATES-SEE FILE ADE-19-06 FOR LOT FRINTAGE/WIDTH-MH
Payment Summary ._.e, 4
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,928.87 $1,928.87 $482.62 $1,446.25
Mechanical Permit $68.00 $68.00 $0.00 $68.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$2,086.87 $2,086.87 $482.62 $1,604.25
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: jmm Printed By: JD Print Date: 7/28/2009
•
�� Permit Center ( PERMIT NUMBER: ZZ`' (
Spo
an a 11703 E Sprague Ave, Suite 8- 1
kane �
Spokane Valley,WA 99206 ` '"'-i-EY PERMIT FEE:
.Valley. (509)688-0036 FAX: (509)688-00 2
ww•w•.spokanevalley.org ���
Community Development .n'"''° Ai ii
tit Residential Construction
Construction n Accesso� Bldg
Permit Application \��---- ❑ Addition/Remodel ❑ Deck
❑ Other:
SITE ADDRESS: `--V-13kJ \ .. •�K- A \^c- -
ASSESSORS PARCEL NO:S5 J'\`: • ^�'ti\'N., LEGAL DESCRIPTION: \...�\ \`" 'C`3\v_--N, �\.,Y„,`kc
Building Owner: Contractor °
\ Nom:
Name:
\ \'Z cs a �.,j Ccc..',.
Address: , Address:
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State: Zip: City: ,State: Zip:
City
Phone. Fax: Phone: Fax:
s'1,°\' ..- °cc N ''"\-\ --s-\-- '\,
Contractor Lic No: Exp Date:
Contact Person f s_ ” City Business Lic.No:
Name: C_hc.- `,...P.ti.•.c�
Phone: 'c\Z. \°ck�
Describe the scope of work in detail: Cost of Project: $ �\`� 1
Sq--4– -...,.,.�� c e.-cat2,.)
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)************ *********
HEIGHT TO PEAK: DIM NSIONS: #OF STORIES: TOTAL HABITABLE SPAS:
4 D \. 7j_
MAIN FLOOR TO SQ. 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
- AREA: _
FTG: •�� '� 9L- S0 ZjOc 4
o
FINISHED BASEMENT GARAGE SQ. FTG: I DE OV. PAT a SQ. FTG: 30% SLOPES ON
SQ. FTG: � �►Jc( "CS 'g.l r '� '5" 4 PROPERTY: —
#OF BEDROOMS: CONSTRUCTION TYPE: T SOURCE: SEWER 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.
ki0 04)u)-7/
SIGNATURE: DATE: --\- Z-\• '''-'\ 74-ePPDA'
Method of Payment:
D Cash ❑ Check ❑
Mastercard 0 VISA Peet f
Bankcard#: Expires: VIN#: Q d(I� f
Authorized Signature: A6
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REVISED 2/15/07
•
For City Use pnly
S1jTt!
F PLUSPotNumber c� 21.;�)K.11e Project Address _j ;; ! ?.,/�
4000
alle °
y 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
Your application review TARGET DATE is I
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re-submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date,please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure,you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre-Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone,fax, email,or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re-
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre-construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE-APPLICANT PINK-BUILDING FILE REV 9/07
PLANNING DEPT. APPROVED
DATE: --7/ -'/6
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Permit Center
11707 B t Ave.sofa 106 PERMIT NUMBER
;IRj Spokane Valley.WA 99206
(509)683-0036 FAX:(309)688-0037
ommaoitY Dewben
pment www. okanevallev.ora.�
PERMIT FEE:
'lambing Permit Application El Commercial dResidential •
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— DESCRIPTION OF WORK SOF UNITS X COST ■ TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS 1•
X 110.00 a
2 URINALS '
X 50.00 , ■ '
3 TUBS
X $0.00 ■
4 SHOWERS(PER TRAP) BATH.STALL.ON-SITE BUILT X, $0,00 ■
0 SINKSLAVS1BA INS.BAR FLOOR.KITCHEN. .r
• LAUNDRY.UTILITY.JANITOR.PHOTO. X $0.00 ■
X-RAY.FOOD.PREPICUUNARY MEAT
0 DISHWASHER \ , X 110,00
7 CLOTHES WASHER \ , x 1111.00• , is
• GARBAGE DISPOSAL X 118.00 ■
0 WATER SOFTENER • X , 110,00 ■
10 ELECTRIC HOT WATER TANK ' ' NOTE: IF SAS.SEE 1AECl11W ICAL X $500 is
11 ERPLOVJ IAREA.CASE.COILITRENCH.CONDENSATE i X , $0.00 in
1Z DRAINS r
X 30.00 ■ ,
13 FOLWITNNS.DRINKING 1 X $0.00 / ■
WATER
PLUMING. R NGORAN4N WASTE. NSTALLATION. REPAIR. .
14 VENT.PLUG.REVERSAL X $0.00 ■
111 SEWAGE EJECTOR GRINDER.SUMP PUMP X $8.00 A, ■
IS WATER USING DEVICE ICE AN/OR COFFEE MAKER.HOSE BIB.
sTEAMER. X $8.00 is
PROOFER.1ARBOPIA OF&R.C BW ALV..COOLER
VACUU17 CROSS CONNECTION DEVICE AND R,P,B.P 1�•�F� VATTANKS BOILERS X $8.00 ■ •
111 INTERCEPTORS CHEMICAL HOLDING
TRAP: , _
HOLDING TANK X 110.00 '■
10 IAEDICALGAS tow ou0,t) NITROUS.OXYGEN X 11000 ■
20 FIX5IRE
X A 110.00 ■
IN
DUSTRIALDUSTRIAL SEWAGE
WASTE DISPOSAL/SYSE X 1120,00 ■ .
Z2 INTERCEPTOR
X $15.00 is
11171400 OF PAYMENT: > TAL
0 CASH 0 CHECK • P IOCISSWO FEE VISA 0 MASTERCARD $3800
Card. EXPIRES: • TOTAL HERMIT FEE DUE: .
AUTHORIZED SIGNATURE: asv::aa
I
.'`y'\, Permit Center
,c 11707E Sprague Ave,Suite 106
�` Spokane valley,WA 49206 PERMIT NUMBER:
- `y (509)688-0036 FAX:(3099)68-0037
Conir;i:,xvc;.;•14:11 www•spckancvallcv.ory PERMITTEE:
nlRxr
Mecha... C Li i'ermit Application ❑ Commercial LJ Rdtdential
S1rrZ AD:..J 5:;: \A'. i:.. ;,),,c CN
Balldiag 4'...W-r
Name Phone: Fax:
Addreu: City: State: - Zip:
Contract-
Name:
ontract Name Pbooe: Fax:
Addreu: City: State: Zip:
Ucaase City Business tie
Name: ,..... lei. . ':..1';..611 cit
1 ,1ON OF WORK
•Of UNITS X COST ■ TOTAL AMOUNT
f .NINGAPPLIANCE g�10onWsglen 100.000 i + X $12.00 s
® NINGaAPPLIANCE Mort ten 100.000 X $15.00 ■
3 APPLIANCE(Additional Fee) 1 EQual to or teen than 400.000 X $50.00 s
4 3 APPLIANCE(Additional Fab) 1 Mortg»L1400 000 X $100.00 ■
5 LANCE(WSEC mIn.AFUE ratl Lt ` Eausi to Wee tr 400.000 X $50.00 ■
6 •FIANCE(WSEC min.AFUE rvtlr. 1 I More than 400,000 . X • $100.00 ■
7 FRIGERAT1ON 1.100M OTU X $12.00 ■
8 ' FRIGERAT1ON 141;MA sty X $20.00 =
0 ! FRIGERATION r j~ 501-t,0QQM BTU X $25.00 ■
10 _ FRIGERATION I 1.001.1.740M ETU X $35.00 ■
11 I FRIGERAT1ON Mgrs glen 1.780M OTU X $60.00 =
12 GAS INSERT,GAS FIREPLACE X $10.00 =
13 ) . '
_ _, X $10.00 s
14 ' X $10.00 s
15 4ING WATER HEATER I -. t X $10.00 ■
16 BURNING APP!LANCE ! X $10.00 =
17 3{each outlet) X $1.00 s
18 TENS _ X $10.00 ■
19 ., .G FANS F C X. $10.00 s
•• ER(DOES NOT Inci;ide dux is a:.) r Vigil 10 Vim Vol 10,400 CPM X $12.00 ■
21 ER(OQES NOT Ir.dude ductIN) 1 Onto*VW 19.009 CPM X . $15.00 ■
22 - NE COOLERS • X 110.00 ■
23 X) I
24 00 7 X 00.00 =
' X $10.00 ■
25 1AIRCONDITIONER - 0-3 TON X $12.00 ■
26 TIONER __I 3.15 TON X $20.00 ■
II 227- HONER 1(140 TON X $25.00 ■
I s .TONERtplio TQN 1 X • $35.00 11F;73,___
''-" rI ONER r MQrr glPrt 50 TON X $60.00 _
F; -.GE TANK. - ! X $10.00 s
1 31 e'ELLETSTOVE/;NSERT X $10.00 ■
12 'JE-FREE STAN, NG , X 825.00 s
33 •DDITIONS 1 X $15.00 ■
34 A SYSTEMS 1 - ,
X $12.00 ■
35 ON MECHANICA'._ .:XHAUS TI X $12.00 ■
35 OR-RESIDENCE I X $19.00 ■
17 OR COMMERCIAL '
X $22.00 ■
/PAYMENT: • 112BTOTAL
CHECK p vu.; CI MC EXPIRES: PROC�01 FEE 05.00
TOTAL MIGHT PEE DUE:
,`.1T IGNATURE:
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