2004, 06-17 Permit App: BLD-0404633 ResidenceSiorkane
4,000Milley
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: 1212 S PERRINE RD
SPOKANE WA 99212
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
HOMESTEAD CONSTRUCTION INC
HOMESTEAD CONSTRUCTION
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: 45214.3326
Phone: (509) 892-0454
Phone:
Lic No:
(509) 892-0454
HOMESCI0990C
BLD -04-04633
06/17/2004
12/14/2004
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
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
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
sfr
114821
12
48' 6" X 46
1
2
30
40
24
13
r-3
5-n
1
86X117
no
no
2
1
1
3
1
1
3
1
1
1
1
3
4
Fees:
PLAN CHECK FEE
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
Total Calculated:
Deposits/Receipts:
Total Due:
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMI'TAL
initials / DVElirlEv+
SPOKAN
Building
Planning
Public Works
S r✓Lh 0q- '1030
THIS IS NOT A RECEIPT
431.10
10.00
10.00
10.00
3.00
40.00
1,077.75
4.50
12.00
6.00
6.00
18.00
6.00
6.00
18.00
15.00
1,673.35
0.00
7te
D FOR CC`rE ( Jho
E VALLE fu: U)w,-
1,673.35
1 7 X30'3
42,1
City c
• SPOL ANE VALLEY
PERMIT #
CoW - 003 Cp
ia)( 0037
.•i
BUILDING PERMIT APPLICATION
Box.1 )WNER ,t.;,,, Uc....,.. • JOB LOCATION \1\\.. Qacc,.,
)WNER'S ADDRESS CITY PHONE
)ESCRIBE JOB .-. -
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED
'ARTNERSHIP CORP.
BOX 2 ;ONTRACTOR'S NAME ��oc�� C PHONE" aDs °r
ONTRACTOR'S ADDRESS S "?� ��.. ���� CITY
;ONTRACTOR'S REG.# \ _ �„ \�`' EXPIRATION DATE
(CARD MUST BE PRESENTED AND COPIED OR VE F IFIED)
st„\
BOX 3 ":ONTACT PERSON OF PROJECT
PHONE �"\Z ;�'> 004
DDRESS CITY ZIP
BCX 4 EWER AVAILABILITY �-A WATER AVAILABILITY
BOX 5 STIMATED PROJECT COST $ ww� EXISTING BLDG. VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
��. C\,::). \\A.
,\\
= NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
r
NSUS NUMBER LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR / \'3-L\ 2ND FLQOR /
':'TD FLOOR / OTHER ' / BASEMENT FINISHED — /
SEMENT UNFINISHED / DECK / GARAGE / Nt'\' `:
1RPORT`� ,
�`{ iG �vOTAL / HEIGHT TO PEAK OF BUILDING \12 FT.
30X 8 (1) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS
( ) COMMERCIAL / INDUSTRIAL
( ) TENANT IMPROVEMENT
(.1) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY \LlO'\ SQ. FT.
IMPERVIOUS SURFACE 13t -,c. SQ. FT.
3OX 9 F UMBING FIXTURES (Including rough -ins) MECHANICAL APPLIANCES
I EASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
STEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSl jN BURNERS,
t
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 TRlf1E AND •
ORRECT 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.
NNER ",GENT
DATE L.s•" \\-\J 't (OVER)
I 1, ereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
a Mastercard
P. it the name of the bolder
---- Expiration Date
Signature
OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE
REAR_
PE NNING DEPARTMENT APPROVAL
DISAPPROVAL
RE ; .1ARKS
SEPA: EXEMPT NOT EXEMPT
FIF.r DEPARTMEN71)kPPROVAL DISAPPROVAL
HEIGHT LIMIT
DATE
•
RE ARKS
DATE
PUBLIC WORKS DEPIARTMENT APPROVAL
DISAPPROVAL DATE
TYI = OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL
NE%'1 COMMERCIAL
MULTIFAMILY ADD/ALT
COMM. ALT/ADD
IND. ADD/ALT
NEW MULTIFAMILY NO. UNITS
TENANT IMP. ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION
•
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
TOTAL SQ. FT.
3UIL.' 'TNG PERMIT NO. PLAN. CHECK FEE REC'D
ji
PER✓1IT FEE
PLAN CHECK FEE
STORIES .
TOTAL VALUATION .
RECEIPT NUMBER
PLUMBING FEE MECH. FEE
TOTAL FEES ,' WSBCC SURCHARGE •
OTHFRCHARGES ;1
ENERGY SURCHARGE
BUIL ",'NG DEPART MINT APPROVAL
. BY
AMOUNT DUE
DATE
ASSIGNED ADDRESS
S` itikane
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: \1-\1
c ck,-.....
PERMIT
USE:
OWNER
X
PHONE (Daytime Contact):
MAILING ADDRESS-
AMOUNT
(street)
(city/state) (ZIP)
CONTRACT OR:
\
LICENSE 1:
MAILING ADDRESS
•
PHONE N:
2
(street)
(city/state) (ZIP)
[ET:. )D OF PA
C .:-3 ❑ CHECK ❑ ❑ L 1
DATE: EXPIRES:
BANKCARD NUMBER:
DESCRIPTION OF WORK
t 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 (ADDITIONAL FEE)
• OR <400,000
X
550
•
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
>400,000
X
8100
•
5
USED APPLIANCE (WSEC min. AFUE rating)
• or<400,000
X
550
-
6
USED APPLIANCE (WSEC min. AFUE rating)
>400,000
X
8100
•
7
BOILETI4EFRICERATION
1-200MBTU
X
815
•
8
BOILER/REFRIGERATION
101-500MBTU
X
525
•
9
BOILER.REFRIGERATION
501.1,O00MBTU
X
S39
•
10
BOILER/REFRIGERATION
1001.1,750MBTU
X
857
-
11
BOILERiREFFRIGERATION
+1750M BTU
X
895
•
12
GAS LOC. GAS INSERT, GAS FIREPLACE
-
‘
X
810
•
13
RANGE
-
X
510
•
14
DRYER
-
X
810
-
15
FUEL BURNING WATER HEATER
-
,
X
810
-
16
MISC FUEL BURNING ADPL.
-
X
810
•
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
812
•
21
AIR HANDLER (DOES NOT include ducting)
> 10,003 CFM
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
AIR CONDITIONER
3-15 TON
X
520
-
27
AIR CONDITIONER
15-30 TON
X
$25
•
28
AIR CONDITIONER
30-50 TON
X
535
•
29
AIR CONDITIONER
+50 TON
X
560
•
30
LPG STORAGE TANK
-
X
810
-
31
WOOD OR PELLETSTOVE/INSERT
-
X
810
-
32
WOOD STOVE - FREE STANDING
-
X
525
•
[ENT
y� ; f .L r�r'
SUBTOTAL
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FBS DUE
C .:-3 ❑ CHECK ❑ ❑ L 1
DATE: EXPIRES:
BANKCARD NUMBER:
TROD OI
CASH
IE:
7KCARD N''MEER
Spokane
P
.0. Valley
11707 East Sprague Aveztue, 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: \
j_�1
OWNER:
PERMIT
USE:
MAILING ADDRESS:
PHONE (Daytime Contact):
(street)
CONTRACTOR:
(city/state) (ZIP)
MAILING ADDRESS:
LICENSE Y:
PHONE It:
(street)
(city/state)
PLUMBING FIXTURES
'HOP..`ZET 'GNATURE:
DESCRIPTTON
DETAILS
It OF UNTTS
X
COST
EQUALS
AMOUNT
7
TOILETS
WATER CLOSET, BIDETS
'1,-
X
$6
2
URINALS
X
$6
3
TUBS
' `
X
$6
-
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
`
X
S6
-
5
SINKS
LAVSMASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
X
46
-
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
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
-
12
FOUNTAINS, DRINKING
X
13
WATER PIPING/DRAIN-IN
WAST t, 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
X
$6
.
16
CROSS CONNECTION DEVICE
VACUUM BREAKER CHECK VALVE, AND
R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
-
17
SPRINKLER SYS I LM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
9
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
0
MISC. PLUMBING FIXTURE
X
$6
-
�yi IEivT
vis
CHECK ❑ =WSJ❑
EXPIRES:
liths~,
t__ .. '-T.
SUBTOTAL:
•
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
'HOP..`ZET 'GNATURE:
0
0
IcO
S 89'58'00" Wim`
•
117.17' ''
1.
8
8
•
3' 2'
26
Z
M
0
8
co
QD
'208" SWALE
BOTT EL = 2056.50
BOTT AREA = 294. S.F.
S 89'58'00" W 4 '
117.48'
19'
DRAINAGE
EASEMENT
oJ
0 15 30 60
1 inch = 30 ft.
—1.0'
SWALE SECTION A-2
NTS
VALLEY PINES SUBDIVISION
LOT 26 - BLOCK 1
(3,1 CURB DROPS
W[ 4' OPENINGS
0
0
STA 4+40.50 O
EL = 2057.42
STA 4+32.50 a id
EL = 2057.50
STA 4+24.50
EL = 2057.59 12
Ct
w
0
SWALE A-2
HAHN ENGINEERING
N. 8623 SUITE B DIVISION SPOKANE, WA. 99208
•
97H465L0TS
d
z
co
0