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2004, 09-09 Permit App: BLD-04-07601 Residencecrrti nr /�� Spokane .10000 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: 1205 S PERRINE RD SPOKANE VALLEY WA 99206 Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Subdivision: Owner: Applicant: Address: Contractor: Address: 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 Application #: Applied: Issued: Expires: Lot: Blk: Parcel No: 45214.3401 Phone: (509) 892-0454 Phone: Lic No: (509) 892-0454 HOMESCI099OC BLD -04-07601 09/09/2004 03/08/2005 Zoning: General Information: TYPE OF RESIDENTIAL PERMIT VALUATION BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK FLANKING SETBACK 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 DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE 11 HOOD sfr 117447 18 42 X 26 2 3 30 28 44 10 44 r-3 5-n 1 10011 no no 3 2 1 5 1 1 1 3 1 1 2 4 1 Fees: PLAN CHECK FEE TYPE II HOOD BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SHOWERS SINKS DISHWASHER CLOTHES WASHER FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS Total Calculated: Deposits/Receipts: CITY OF SPOKANE VALLEY APPROVED FOR SUBM Building SPO Initials / Date 437.82 10.00 1,094.55 4.50 18.00 12.00 6.00 30.00 6.00 6.00 6.00 18.00 15.00 10.00 10.00 2.00 40.00 1,725.87 0.00 al Du%fir' EDFOR k ALLEY B l//e7 (3 0 Planning (_ I) t _ Public Works )'x, - r �_ � �-�'-k THIS IS NOT A RECEIPT AUG00"46.4 Spounlane iley E rtgpSfVp% 3 1 2OO't UDL OO l G PERMIT APPLICATION WORKSHEET alley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 ne: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION •:i Street Address: S �._ Assessor's Tax Parcel Number(s): / Legal Description: gft, PERMIT DESCRIPTION: IA Building Permit ❑ Change in Use ❑ Grading [1 Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION Owner: Phone: �� =,� Fax: `\-).� -�b,- Address: ❑ Applicant: Phone: Address: Fax: City State Zip Code City ❑ Contractor: ❑ Architect: Phone: Fax: Phone: Fax: State Zip Code Address: City State Zip Code Address: City WA State Contractor License #:��a��q�„ Contact: • A State Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: \`k‘ DIMENSIONS: X14- 7..v. # OF STORIES: MAIN FLOOR TO SQ. FTG: \\ �� 2`''g FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: \..>\Z FINISHED BASEMENT SQ. FTG: GARAGE SSQ.JTG: DECK/COV. ATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEI SOURCE: # OF BEDROOS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: QS , 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? MANUFACTURED HOME Width: Manufacturer: Length: Year: Pit Set: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth: Tent: Fireworks Display: Blasting: Date/Time: Valuation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Address: Phone: Fax: City State Inspector: Phone: Fax: Address: Zip City State Zip SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE Firm Name: El REINFORCEMENT Phone: Inspector(s): Fax: ❑ WELDING 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 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. Ownership of resulting development rights granted by any issued permit inure to the property owner. Print Name Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) 0 Cash ❑ Check 0 Mastercard ❑ VISA 0 Other Bankcard #: Expires: VIN#: Authorized Signature: Spokane .00* Valley 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: \' ( c Q PERMIT USE: OWNER X PHONE (Daytime Contact): MAILING ADDRESS: AMOUNT 1 (street) (city/state) (ZIP) CONTRACTOR: $15 LICENSE 1: MAILING ADDRESS: FUEL BURNING APPLIANCE PHONE 1: X 519 (street) (city/state) (ZIP) METHOD OF PA ❑ CASH ❑ C DATE: EXPIRES: BANKCARD NUMBER: .�UT}1nr. �-'r r C1C,,!. -n inr DESCRIPTION OF WORK 1 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE • OR < 100,000 \ X $15 - 2 FUEL BURNING APPLIANCE > 100,000 X 519 • 3 UNLISTED APPLIANCE (ADDITIONAL FEE) • OR <400,000 X 550 - 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X 5100 • 5 USED APPLIANCE (WSEC min. AFUE rating) - or <403,000 X 550 • 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X 5100 • 7 BOILER/REFRIGERATION 1 - 100M BTU X 515 - 8 BOILER/REFRIGERATION 101- 500M BTU X 528 - 9 BOILER/REFRIGERATION 501 - 1,000M BTU X S39 • 10 BOILER/REFRIGERATION 1001 •1,750M BTU X 557 • 11 BOILER/REFRIGERATION +1750M BTU X 595 • 12 CAS LOC, GAS INSERT, GAS FIREPLACE - 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 - 4 X 510 - 20 AIR HANDLER (DOES NOT include ducting) • OR <10,000CFM X 512 - 21 AIR HANDLER (DOES NOT Include ducting) > 10,000 CFM X 519 • 22 EVAPORATIVE COOLERS - X 510 • 23 TYPE I HOOD - X 550 - 24 TYPE 1I HOOD - X 510 - 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512 - 26 AIR CONDITIONER 3-15 TON X 520 - 27 AIR CONDITIONER 15-30 TON X 525 • 28 AIR CONDITIONER 30-50 TON X 535 • 29 AIR CONDITIONER +50 TON X 560 - 30 LPG STORAGE TANK - X 510 - 31 WOOD OR PELLET STOVE/INSERT - X 510 - 32 WOOD STOVE • FREE STANDING - X 525 - vIENT SUBTOTAL PLUS PROCESSING FEE: 535.00 TOTAL PERMIT FEE DUE: VISA rie"Statilil DATE: EXPIRES: BANKCARD NUMBER: .�UT}1nr. �-'r r C1C,,!. -n inr :THOD OF CASH TE: (77! c�' iiaane 4.00Va11ey 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: OWNER: MAILING ADDRESS: PERMIT USE: PHONE (Daytime Contact): (street) CONTRACTOR: (city/state) (ZIP) MAILING ADDRESS: LICENSE It: PHONE 8: (street) (city/state) PLUMBING F '1KCARD NUMBER: CHORIZED SIGNATURE: DESCRIPTION DETAILS It OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS 3 X _ 2 URINALS X $6 - 3 TUBS 1 X $6 - 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT \ X $6 - 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X - 6 DISHWASHER \ X - 7 CLOTHES WASHER ` X - 8 GARBAGE DISPOSAL X 9 WATER SOFTENER X 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 _ 11 FLOOR DRAINS AREA, CASE, COIL„ TRENCH, CONDENSATE \ X 12 FOUNTAINS, DRINKING X - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X - 14 SEWAGE EJECTOR GRINDER SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER 3 X $6 - 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR VATS, TANKS, BOILERS X - 17 SPRINKLER SYSTEM X $ZS - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X - PAYMENT ❑ CHECK d4'ast _-�:r�z.J SUBTOTAL: VISA PLUS PROL`ESSING FEE: $35,00 • ■ EXPIRES: TOTAL PERMIT FEE DUE: '1KCARD NUMBER: CHORIZED SIGNATURE: SPOlc- 1 COUIyTv SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 L� Site Address: 11910 E 12TH AVE Site Information Project Information Parcel Number: 45214.2010 Subdivision: OPPORTUNITY TR # 01-354 Block: Lot: Zoning: UR -3 Urban Residential 3.5 Owner: HOMESTEAD CONSTRUCTION Address: S.312FARRkD SPOKANE,•WA 99206 Building inspector: BOBBY STONE Water Dist: 1 Project Number: 04006095 Inv: 1 Issue Date: 8/19/2004 Permit Use: SEWER CONNECTION - VALLEY PINES Applicant: HOMESTEAD CONSTRUCTION 312SFARR RD SPOKANE WA 99206 Phone: (509) 892-0454 Contact: HOMESTEAD CONSTRUCTION 312 S FARR RD SPOKANE WA 99206 Phone: (509) 892-0454 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Seir,rr Connection Permit Contractor: HOMESTEAD CONSTRUCTION License #: HOMESCI099OC SEWER CONNECTION 1 585.00 PROCESSING FEE Total Permit Fee: FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY 1 $15.00 5100.00 Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED. Con:ractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation. Sower stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main:- sewer. ain,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. 1 Total Fees AmountPaid AmountOwinz 5100.00 $100.00 $0.00 Tran Date 8/19/2004 Processed 13y: BURRIS, ROBIN Printed By: WENDEL, GLORIA Page 1 of 1 Receipt # Payment Amt 4751 $100.00 PERMIT Inspections performed 10 days after scheduled completion to schedule call (509)688-0195 or Fax (509)688-0037. Any re- inspection will incur an additional $25.00 charge. 11707 E Sprague Ave, Suite 106 400011011111; Valley Spokane Valley, WA 99206 ROW Construction Permit Permit # ROW 04-723 Issue Date 9/9/2004 Account # Completion Date Issued by Kcummings Construction Utility Location of Property Project Description 1205 S PERRINE RD driveway Comments NEW DRIVEWAY APPROACH Trench Dimensions AC Cut Required Applicant/Contractor Name Licence # Individual Name Homestead Construction Inc. Address Contractor Phone # 312 S Farr 509-926-0755 Spokane WA 99206 - Permit Fee $25.00 Inspection Fee $25.00 Account # Total Fees Collected $50.00 Permittee Signature Approved Date I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Credit Card # Expiration Date Name of Holder Signature In addition to the permit application fee of $16.00 (utility) or $25.00 (construction), inspection on each permit will be billed to the permittee at a rate of $50.00 per hour with a $25.00 (1/2 hour) minimum. Permittee signature constitutes an agreement to these terms and provisions. Work completed satisfactorily (signed) Date PERMIT MUST BE KEPT ON SITE .1111•Mimilh Sfiokane 40,00Valley Call 24 hours before inspection required Phone 509.688-0036 Fax 509.688-0037 DEPARTMENT OF PUBLIC WORKS Anticipated start date Permit # PW ROW CONSTRUCTION PERMIT Location of property \")...5 (Address/Parcel #, if available) • Applicant Name \A Address 4"*. c Phone Contractor's Name Name Address Phone Contractor's Reg# Expires PROJECT DESCRIPTION (Provide site sketch or plan as necessary for darity) LI Sewer Connection Curb & Gutter Cable/Conduit Other Pavement Cut? J n Driveway Gas Installation Sidewalk Repair/Construction Dinlerisions • ' t • • ':71•44 Bond/insurance certification must be on file with the City. Bond # SPECIAL CONDITIONS: Permittee Sig nature,--...._ Approved I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Card # Expiration Date Name of Holder Signature Fees Paid$ (Application) (Inspection) Date Init In addition to the permit application fee of $16.00 or $25.00, inspection on each permit will be billed to the permittee at a rate of $50.00 per hour with a $25.00 (1/2 hour) minimum. Permittee signature on permit constitutes an agreement to these terms and provisions. Work completed satisfactorily (Signed) Date Permit not valid until One -Call Notification Ticket # entered here PERMIT MUST BE KEPT ON SITE TYPE B ORYWEll W/ TYPE 4 METAL FRAME AND GRATE R5.1 EL 2055.50 STA 11+90, RT 32' ADDRESS ZONE ROAD WIDTH 4) FRONT FLANKING x COMMENTS --�.---r" REVIEWED BY t►1f .L t��_ 4.„ >4Aflf tilt OM:6 *04'a irM1led for • the purpose at 4IM110. l ibi IlInqpermit, and, is .a. true and ltselerll . of the 'proposal. Ad known p uaus Curb lines: structures and 1._ -1nts been idenMlied. " Mondicated ane tt�ltds. bodes pt t sleep slopes .or othN oIINNMNraas. 12TH AVENUE '206` SWALE , , - 2055.00 BC TT AREA = 490 S.F. (2) CURB DROPS w/ 2'-3' OPENINGS • tX 64.14' W z w 0 E 0 o N 0 O 0 \,) 84,14' 0 O N G 15 30 60 1 inch = 30 ft. SWALE SECTION B-1 NTs VALLEY PINES SUBDIVISION LOT 1 — BLOCK 2 EXPIRES 12 15 HAHN ENGINEERING N. 8623 SUITE 6 DIVISION SPOKANE, WA. 99208 O cfl 2 N rn 0 z 0 0