2004, 06-26 Permit App: BLD-04-04725 ResidenceSpokane
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
Application #:
1226 S PERRINE RD
SPOKANE WA 99212
NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Lot: Blk: Parcel No:
HOMESTEAD CONSTRUCTION INC
HOMESTEAD CONSTRUCTION INC Phone: (509) 892-0454
312 S FARR RD
SPOKANE, WA 99206-3666
HOMESTEAD CONSTRUCTION INC
312 S FARR RD
SPOKANE WA 99206-3666
Phone:
Lic No:
(509) 892-0454
HOMESCI099OC
Applied:
Issued:
Expires:
BLD -04-04725
06/26/2004
12/23/2004
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
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
sfr
107023
22
62 X 31
1
2
30
58
15
9
r-3
5-n
1
86X117
no
no
3
2
1
3
1
1
1
3
1
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:
Mal Due:
CITY OF SPOKANE VALLEY .
APPROVED FOR SUBII liTiA mane �r� 5
LIANCE
WE FOR COD
• VALLEY EUI CODE
iSJON
C�l�i__ DIVISION
415.42
10.00
1,038.55
4.50
18.00
12.00
6.00
18.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
2.00
40.00
1,635.47
0.00
1,635.47
50 40
Building
Planning
_64-0/t)'
public -Woks 1 Q1t C� v/ • 1-/S1I
THIS IS NOT A RECEIPT
City of
SPOKANE VALLEY
13
L
JUN 17 2004
T
2LICATION
r(0W- 003 (p
x 1,9 - 0o37
Box 1 OWNER f——.
JOB LOCATION \:\,-).x„ S ��, � ,
OWNER'S ADDRESS CITY PHONE
DESCRIBE JOB \_\•C
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS
PHONE
CITY
CONTRACTOR'S REG.# Q •CAN,�--1\� EXPIRATION DATE
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX 3 CONTACT PERSON OF PROJECT
��' • =� ��-���t. PHONE
ADDRESS
CITY ZIP
BOX 4 SEWER AVAILABILITY
WATER AVAILABILITY ••' s.,
BOX 5 ESTIMATED PROJECT COST $ XISTING BLDG. VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
• CENSUS NUMBER r
LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed)
3RD FLOOR / OTHER
BASEMENT UNFINISHED
CARPORT
30X 8 (J) SINGLE FAMILY
/- 1 DECK
TOTAL /
1ST FLOOR / \O\\ 2ND FLOOR
/ BASEMENT FINISHED /
( ) MULTIFAMILY (NO. OF UNITS )
( ) COMMERCIAL / INDUSTRIAL
( ) TENANT IMPROVEMENT
3OX 9 PLUMBING FIXTURES (Including rough -ins)
/ \Q GARAGE /�:
HEIGHT TO PEAK OF BUILDING A' FT.
(1) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY \� \ �� SQ. FT.
IMPERVIOUS SURFACE _ 1 a I SQ Fr
MECHANICAL APPLIANCES •
PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION 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)
DX 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;1E 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 1S MADE.
NNER/AGENT
DATE ,-Lti ttk-
fr i no\
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard
--- ---- ---- ---- Expiration Date
Print the name of the Holder
Signature
OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT
PLANNING DEPARTMENT APPROVAL
REMARKS
SIDE
SEPA: EXEMPT • NOT EXEMPT
_REAR HEIGHT LIMIT
DISAPPROVAL DATE
FIRE DEPARTMENT APPROVAL
REMARKS
DISAPPROVAL DATE
PUBLIC WORKS DEPIARTMENT APPROVAL
DISAPPROVAL DATE
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT
NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF
OTHER
OCCUPANCY
TYPE OF CONSTRUCTION STORIES
BUILDING SQ. FT.
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING PERMIT N; . PLAN. CHECK FEE REC'D RECEIPT NUMBER
1
PERMIT FEE •PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE
OTHER CHARGES ; I
BUILDING DEPARTIvIffNT APPROVAL.
. BY
AMOUNT DUE
DATE
ASSIGNED ADDRESS
rHOD o1
::;SI;
SokanY
40//;Valley
Plumbing 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.-\..),L,_
� !-CC .e -a.
PERMIT
USE:
t OF LLMTS
X
OWNER:
EQUALS
PHONE (Daytime Contact):
1
MAILING ADDRESS:
WATER CLOSET, BIDETS
X
(street)
(city/state)
(ZIP)
2
CONTRACTOR:
LICENSE #:
X
MAILING ADDRESS:
PHONE N:
TUBS
1
X
S6
(street)
(city/state)
(ZIP)
•
PLUMBING FIXTURES
KCARD NUMBER:
HORIZED SIGNATURE:
DESCRIPTION
DETAILS
t OF LLMTS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6
-
2
URINALS
X
-
3
TUBS
1
X
S6
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
\
X
$6
-
5
SINKS
LAVSBASINS, BAR, FLOOR KITCHEN,
LAUNDRY, UTILITY, JANITOR PHOTO, X.
RAY, FOOD, PREP/CULINARY/MEAT
X
46
-
6
DISHWASHER
\
X
$6
-
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
$6
-
12
FOUNTAINS, DRINKING
X
SS
-
13
WATER PIPING/DRAIN-IN
WASTE, VENT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR
REVERSALS
X
$6
-
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
-
6
CROSS CONNECTION DEVICE
VACUUM BREAKER CHECK VALVE, AND
R.P.B.P.D. FOR VATS, TANKS, BOILERS
x
7
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
66
-
20
MISC. PLUMBING FIXTURE
X
S6
-
:'.HYMEN
CHECK
f
irglif
.._ "_-
SUBTOTAL:
annil
VISA
PLUS PROL`ESSING FEE:
$35.00
• =Ma •
RYPTP FC•
TOTAL PERMIT FEE DUE:
KCARD NUMBER:
HORIZED SIGNATURE:
*lane
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:USE:
\1-�` r
a CQ ,,c.>�
PERMIT
OWNER
X
PHONE (Daytime Contact):
MAILING ADDRESS
AMOUNT
(street)
(city/state) (ZIP)
CONTRACTOR:
\
LICENSE 1:
MAILING ADDRESS
•
PHONE 1/:
2
(street)
(city/state) (ZIP)
:4ET ID OF PA
❑ C..SN ❑ C
DATE: EXPIRES:
BANI1;:ARD NUMBER:
DESCRIPTION OF WORK
tOFUNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
-OR<100,000
\
X
SIS
•
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<400,000
X
S50
•
6
USED APPLIANCE (WSEC min. AFUE rating)
>400,000
X
5100
•
7
BOILER'REFRIGERATION
1-100MBTU
X
515
•
3
BOILER:REFFRIGERATION
101-500MBTU
X
528
-
9
BOILER/REFRIGERATION
501-1,000MBTU
X
S39
-
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
X
557
•
lI
BOILER:'RESRIGERATION
+1750M BTU
X
595
•
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
510
•
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
-
:8
DUCT SYSTEMS
-
X
510
-
I9
VENTILATING FANS
-
et
X
510
•
20
AIR HANDLER (DOES NOT include ducting)
• OR < 10,000CFM
X
512
-
21
AIR HA NDLER (DOES NOT Include ducting)
>10,000CFM
X
519
-
22
EVAPORATIVE COOLERS
-
X
510
-
23
TYPE I }FOOD
-
X
550
•
24
TYPE II 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
AIRCONDITIONER+50
TON
X
S60
•
30
LPG STORAGE TANK
-
X
510
•
31
WOOD OR PELLET STOVE/INSERT
-
X
510
•
32
WOOD STOVE - FREE STANDING
-
X
$23
•
vi ENT
.
SUBTOTAL
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT PEE DUE
-,
VISA' ;' 1;I;MrG'iL'
DATE: EXPIRES:
BANI1;:ARD NUMBER:
SPOKAINT. Cow Y
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 1226 S PERRINE RD
SPOKANE, WA 00000
Parcel Number: 45214.3325
Subdivision:
Block: 1 Lot: 25
Zoning: LINK Unknown
Owner: HOMESTEAD CONSTRUCTION INC
Address: 312 S FARR RD
SPOKANE, WA 99206-3666
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 04004029 Inv: 1 Issue Date: 6/10/2004
Permit Use: SEWER CONNECTION - VALLEY PINES
Applicant: HOMESTEAD CONSTRUCTION INC
312 S FARR RD
SPOKANE, WA 99206-3666 Phone: (509) 892-0454
Contact: HOMESTEAD CONSTRUCTION INC
312 S FARR RD
SPOKANE, WA 99206-3666 Phone: (509) 892-0454
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit Contractor: FOLSOM EXCAVATING INC License #: FOLSOEI994D0
SEWER CONNECTION I 585.00 PROCESSING FEE 1 S15 00
Total Permit Fee: 5100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILIfits 8:30-5:00 PM MONDAY THRU FRIDAY
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 fa IED. 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
6/10/2004
Processed By: SFIATTO, JULIE
Printed By: WENDEL, GLORIA Page 1 of 1
Receipt #
3099
Payment Amt
$100.00
PERMIT
ADDRESS
ZONE
ROAD WID"
FRONT
cOMMENTS
REVIEWED
5 FUN °'
I!a
This
obtainsite plan is being submitted for the purpose of
g a building permit and Is a true and correct
representation of the proposal. All known property
lines/dimensions. curb lines. structures and easements
have been
wMtified Also ndare of ' slopes of- g DROPS
, .
&WN4` i
W, 4. OPENINGS
2O8"SWALE
BOTt EL =-; 2056.50
BOTT AREA = 294. S.F.
S 89'58'00 W 4
n
Ippp
L r�
low _
co
117.48' f. "
nn �
•J
s
25
. •r
•••3 a
4.
6
W
6
S 89'58
0
117.79'
o 15 30 60
1 inch = 30 ft.
SWALE SECTION A-2
NTS
..cc- ,
VALLEY PINES SUBDIVISION
LOT 25 - BLOCK 1
STA 4+40.50
f1 = 2057.42
STA 4+32.50
a =.2057.50
1:• +
Q = 2057.
SWALE A-2
0
l.t..
IBJ
rz
HAHN ENGINEERING
N. 8623 SUITE B DIVISION
SPOKANE, WA. 99208
DWG NO. 97H465LOTS