2003, 11-21 Permit App: BLD-03-03136 ResidenceSpokane
�Ma11ey
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
Application #: BLD -03-03136
Job Address: 1204 S PERRINE RD
SPOKANE VALLEY WA 99206
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
VALLEY PINES
HOMESTEAD CONSTRUCTION INC
HOMESTEAD CONSTRUCTION INC
312 S FARR RD
SPOKANE, WA 99206-3666
HOMESTEAD CONSTRUCTION INC
312 S FARR RD
SPOKANE WA 99206-3666
Lot: 27 Bik: 1 Parcel No:
Phone: (509) 892-0454
Phone:
Lic No:
(509) 892-0454
HOMESCI099OC
Applied:
Issued:
Expires:
Zoning:
11/21/2003
05/19/2004
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
sfr
105057
19.5
48.5 X 46
1
2
r-3
5-w
1
86X117
no
no
2
1
1
3
1
1
1
3
1
1
1
1
3
3
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
410.94
1,027.35
4.50
12.00
6.00
6.00
18.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
10.00
3.00
30.00
1,598.79
0.00
1,598.79
CITY OF SPOKANE VALLEY I 4`1
APPROVED FOR SUBMITTAL SP
Buiidirng
Planning
Initials / Date
,A,.s�alley
REVIEWED FOR CODE COMPLIANCE
SPOKANVALLEY BUILQ JG DIVISION
J
Public Works i T
�_c < <;fLU,L
THIS IS NOT A RECEIPT
Z)
City of
SPOKANE VALLEY
CoW - 003 40
g (fig- 0o37
PERMIT # .. 1
BUILDING PERMIT APPLICATION
Box. 1 OWNER
OWNER'S ADDRESS CITY PHONE
.l
JOB LOCATION \`�,o
DESCRIBE JOB
•
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED
'ARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS,
PHONE "\`)...,-,041.
CONTRACTOR'S REG.# \\z ����c,�� EXPIRATION DATE •
(CARD MUST BE PRESENTED AND COPIED OR VE
BOX 3 , ,ONTACT PERSON OF PROJECT
DDRESS
PHONE
IFIED)
CITY ZIP
BOX 4 SEWER AVAILABILITY J ,� .,-...1-,\ WATER AVAILABILITY ��;:r
�
BOX 5 ESTIMATED PROJECT COST $' - c. o. EXISTING BLDG. VALUATION $ �.
i
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
li= NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
LOT NUMBER
• CENSUS NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed)
.'RD FLOOR / OTHER ' / BASEMENT FINISHED ' /
ASEMENT UNFINISHED / DECK .. / GARAGE / 4�\
CARPORT / TOTAL A...\_\_1 j HEIGHT TO PEAK OF BUILDING \')„' FT.
30X 8 (/) SINGLE FAMILY �'------
( )MULTIFAMILY (NO. OF UNITS (J) NEW CONSTRUCTION
( ). COMMERCIAL / INDUSTRIAL ) ( ) EXISTING STRUCTURE
( ) TENANT IMPROVEMENT TOTAL AREA OF PROPERTY \L o3f. SQ. FT.
IMPERVIOUS SURFACE 1 S pj 1 SQ. FT.
_=_•
===M
1ST FLOOR / 2ND FLQOR
30X 9 F',-UMBING FIXTURES (Includingrough-ins)
gh-ins) MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSIIN BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL
OX 10 Water Service meter size (if known)
Also see BOX 4
OX 11 Septic Tank — Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
OX 12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
/ERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRI•ilE AND
DRRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
30VE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE.
•A/NER \GENT
DATE \ \ -T-- \' \ (OVER)
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
V., a Mastercard
P it the name of the Holder
---- Expiration Date
Signature
OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE
REAR HEIGHT LIMIT
Pt ,,NNING DEPARTMENT APPROVAL •
DISAPPROVAL DATE
RE ;,1ARKS
SERA: EXEMPT 1 NOT EXEMPT
FIE _ DEPARTMENTiIPPROVAL
RE ARKS
DISAPPROVAL
DATE
PUBLIC WORKS DEPARTMENT APPROVAL
DISAPPROVAL DATE
TYI .OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NE's COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF
OTHER
OCCUPANCY
TYPE OF CONSTRUCTION STORIES .
I BUILDING SQ. FT.
BUILDING SQ. FT, p�
BUILDING SQ. FT.
BUILDING SQ. FT.
TOTAL SQ. FT.
TOTAL VALUATION .
BUIL ING PERMIT NO. PLAN. CHECK FEE RECD
I RECEIPT NUMBER
iT FEE
PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES ' WSBCC SURCHARGE • ENERGY SURCHARGE
AMOUNT DUE
_ OTHER CHARGES
BUIL"-'NG DEPARTM4NT APPROVAL
. BY
DATE
ASSIGNED ADDRESS
*Wane
Val ley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
PROJECT
ADDRESS: r\C
S @\ 2cc`.�sL
PERMIT
USE:
OWNER
X
PHONE (Daytime Contact):
MAILING ADDRESS
AMOUNT
1
(street)
(city/state)
(ZIP)
CONTRACTOR:
515
LICENSE t:
MAILING ADDRESS:
FUEL BURNING APPLIANCE
PHONE 1:
X
519
(street)
(city/state)
(ZIP)
METHOD OF PA
❑ CASH ❑ CHECK ❑ ❑ L1
DAT EXPIRES:
`AN1 . -1.RD NUMBER:
DESCRIPTION OF WORK
1 OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
•OR<100,000
\
X
515
-
2
FUEL BURNING APPLIANCE
>100,000
X
519
-
3
UNLISTED APPLIANCE (ADDITIONALFEE)
•OR<400,000
X
SSO
-
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
»00,000
X
5100
•
5
USED APPLIANCE (WSEC min AFUE rating)
•or<400,000
X
$50
•
6
USED APPLIANCE (WSEC min. AFUE rating)
>400,000
X
5100
•
7
BOILER/REFRIGERATION
1-100MBTU
X
515
•
8
BOILER/REFRIGERATION
101-500M BTU
X
528
-
9
BOILERTEFRICERATION
501 - 1,000M BTU
X
539
•
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
X
557
-
11
BOILER/REFRIGERATION
+1750M BTU
X
595
•
12
GAS LOC. GAS INSERT, GAS FIREPLACE
-
k
X
S10
-
13
RANGE
-
X
510
•
14
DRYER
-
X
510
-
15
FUEL BURNING WATER HEATER
-
\
X
510
•
16
MISC. FUEL BURNING APPL.
-
X
510
•
17
GAS PIPING (ea. Outlet)
-
X
51
•
18
DUCT SYSTEMS
-
X
510
-
19
VENTILATING FANS
-
-
X
510
•
20
AIR HANDLER (DOES NOT include ducting)
•OR<10,000CFM
X
512
•
21
AIR HANDLER (DOES NOT indudeducting)
> 10,000 UM
X
519
-
22
EVAPORATIVE COOLERS
-
X
510
•
23
TYPE I HOOD
-
X
550
•
24
TYPE 11 HOOD
-
X
510
•
25
HEAT PUMP/AIR CONDITIONER
0.3 TON
X
512
•
26
AIRCONDITIONER
3.15 TON
X
520
•
27
AIR CONDITIONER
15-30 TON
X
525
•
28
AIR CONDITIONER
30.50 TON
X
835
•
29
AIR CONDITIONER
+50 TON
X
860
•
30
LPG STORAGE TANK
-
X
810
•
31
WOOD OR PELLET STOVE/INSERT
-
X
810
•
32
WOOD STOVE - FREE STANDING
-
X
825
•
MENT
VISA "est _, ice:
SUBTOTAL
PLUS PROCESSING FEE:
535.00
TOTAL PERMIT FEE DUE:
❑ CASH ❑ CHECK ❑ ❑ L1
DAT EXPIRES:
`AN1 . -1.RD NUMBER:
1
kanet'
1 .. Va11ey
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
Plumbing Permit Application
PROJECT
ADDRESS: `�� 4
OWNER:
MAILING ADDRESS:
(street)
CONTRACTOR:
PERMIT
USE:
PHONE
(Daytime Contact):
(city/state)
(ZIP)
MAILING ADDRESS:
(street)
LICENSE I:
PHONE 1:
(city/state)
2
4
6
7
8
9
10
I 11
12
13
14
15
11 16
9
DESCRIPTION
TOILETS
URINALS
TUBS
PLUMBING FIXTURES
DETAILS
WATER CLOSET, BIDETS
0OF[MITTS
X
SHOWERS (PER TRAP)
SINKS
DISHWASHER
BATH, STALL„ ON-SITE BUILT
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
X
X
X
X
X
COST
56
36
36
36
EQUALS
AMOUNT
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTENER
ELECT. HOT WATER TANK
FLOOR DRAINS
FOUNTAINS, DRINKING
NOTE: IF GAS, SEE MECHANICAL
AREA, CASE, COIL„ TRENCH, CONDENSATE
k
X
X
X
X
X
X
WATER PIPING/DRAIN-IN
WASTE, VENT, PLUMBING
REVERSAL
SEWAGE EJECTOR
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
X
$6
36
$6
$6
$6
$6
56
36
WATER USING DEVICE
CROSS CONNECTION DEVICE
SPRINKLER SYSTEM
INTERCEPTORS
GRINDER, SUMP PUMP
ICE AND/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
X
$6
$6
$6
MEDICAL GAS per outlet
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
0 MISC. PLUMBING FIXTURE
NITROUS, OXYGEN
'HOD OF PAYMENT
ASH ❑ ECK 0 VISA'
CH
EXPIRES:
1CA1D I: 4BER:
,ORIZEI _ GNATURE:
X
X
X
X
$25
36
$6
$6
SUBTOTAL:
PLUS PROCESSING FEE:
TOTAL PERMIT FEE DUE:
$35.00
SPOKANE COUNTY DIVISION OF BUILDING
AND CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Site Address: 1204 S PERRINE RD
SPOKANE, WA 00000
Parcel Number: 45214.3327
Subdivision:
Block: 1 Lot: 27
Zoning: UNK Unknown
Owner: HOMESTEAD CONSTRUCTION
Address: 312 S FARR
SPOKANE WA 99206
Building Inspector: BOBBY STONE
Water Dist:
Project Information
Project Number: 03008380 Inv: 1 Issue Date: 11/20/2003
Permit Use: SEWER CONNECTION - VALLEY PINES
Applicant: HOMESTEAD CONSTRUCTION
312 S FARR
SPOKANE WA 99206 Phone: (509) 892-0454
Contact: HOMESTEAD CONSTRUCTION
312 S FARR
SPOKANE WA 99206 Phone: (509) 892-0454
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit Contractor: FOLSOM EXCAVATING INC License #: FOLSOEI994DO
SEWER CONNECTION 1 $85.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTIL1IIbS 8:30-5:00 PM MONDAY THRU FRIDAY
$15.00
$100.00
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
NO n1F1hD. 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.
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
11/20/2003 7422 $100.00
Processed By: SHATTO, JULIE
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT
6.5'
0.50'
—0.80'
2`
SWALE SECTION,. -A-4
'SWALE A-3
(3) CURB DROPS
—3' OPENINGS
TYPE B DRYWELL
W/ TYPE 4 METAL
FRAME AND GRATE
RIM EL — 2054.00
STA 10+17, RT 30'
E B '' ELL
W/ TYPE 4 METAL
FRAME AND GRATE
RIM EL = 2055.50
STA 10+93, RT 32'
`ILI•
1 S 0' TTP:
'208' SWALE
BOTT EL = 2053.50
BOTT AREA = 217 S.F.
.0
0 15 30 60
!!71
1 inch = 30 ft.
`-DRAINAGE
EASEMENT
.9f
'208' SWALE
BOTT EL = 2055.00
BOTT AREA = 643
J
DRAINAGE
EASEMEN-
2"7'
kg9��90
tP l�
STA 5+84.50
EL = 2055.95
STA 5+76.50
EL = 2056.01
D
w
z
27'
‘,/
2'
27'
2'
BY.
DATE: 11/7 -tits
o,. i1MIN►
SWALE SECTION A-3
NTS
Qocc •c•c�
\10 A
VALLEY PINES SUBDIVISION
LOT 27 - BLOCK 1
EXPIRES 12/1 /00
HAHN ENGINEERING
N. 8623 SUITE B DIVISION SPOKANE, WA. 99208
0