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2004, 06-26 Permit App: BLD-04-04723 ResidenceSpokane �,jMi11ey 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: 1302 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 INC 312 S FARR RD SPOKANE, WA 99206-3666 HOMESTEAD CONSTRUCTION INC 312 S FARR RD SPOKANE WA 99206-3666 Application #: BLD -04-04723 Applied: Issued: Expires: Lot: Blk: Parcel No: 45214.3324 Phone: (509) 892-0454 Phone: Lic No: (509) 892-0454 HOMESCI0990C Zoning: 06/26/2004 12/23/2004 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 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE H HOOD sfr 123073 18 67 X 26 1 3 30 60+ 7 12 r-3 5-n 1 86X117 no no 3 2 1 5 1 1 1 3 1 1 1 1 3 5 1 Fees: PLAN CHECK FEE TYPE 11 HOOD 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: 451.26 10.00 1,128.15 4.50 18.00 12.00 6.00 30.00 6.00 6.00 6.00 18.00 15.00 10.00 10.00 10.00 3.00 50.00 1,793.91 0.00 CITY OF SPOKANE VAL•Y VALLEY valley APPROVED FOR SUBM NE SPOKANOuE,IL Initials /Date C� Building / Planning [Lk& Public Works 4 Cd-& -d THIS IS NOT A RECEIPT 1,793.91 5-0 co VISION City of SPOKANE VALLEY Caw- 003(0 1111 I, U� �� x ��S-UoS7 PERMIT # BUILDING PERMIT APPLICATION Box 1 OWNER �� CJOB LOCATION .j . n OWNER'S ADDRESS CITY PHONE DESCRIBE JOB SF C1 THIS PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORP. BOX2 CONTRACTOR'S NAME \��,L.,,coo� CONTRACTOR'S ADDRESS PHONE S 44- CONTRACTOR'S r CITY SV �Ucti y� CONTRACTOR'S REG.# \4�Cc�C 5`-SJoc,EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VEf IFIED) BOX 3 CONTACT PERSON OF PROJECT __ s PHONE ADDRESS CITY ZIP BOX 4 SEWER AVAILABILITY �� WATER AVAILABILITY .'k\ BOX 5 ESTIMATED PROJECT COST $Q r\1/4 O�» EXISTING BLDG. VALUATION $ • BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) f • CENSUS NUMBER LOT NUMBER BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 3RD FLOOR BASEMENT UNFINISHED / \\1'\ DECK CARPORT OTHER / TOTAL / 30X 8 (J ) SINGLE FAMILY ( ) MULTIFAMILY (NO. OF UNITS ( ) COMMERCIAL / INDUSTRIAL ( ) TENANT IMPROVEMENT 1ST FLOOR / \>&a\ 2ND FLOOR / BASEMENT FINISHED / / \ GARAGE / HEIGHT TO PEAK OF BUILDING Ai FT. ( f) NEW CONSTRUCTION ( ) EXISTING STRUCTURE TOTAL AREA OF PROPERTY IMPERVIOUS SURFACE 1, -"SOD 3OX 9 PLUMBING FIXTURES (Including rough -ins) SQ. FT. SQ. FT. 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. l l 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 TRUE 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. JVNER/AGENT DATE (OVER) 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 SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE REMARKS SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMEN1 4kIDPROVAL REMARKS DISAPPROVAL DATE PUBLIC WORKS DEPARTMENT 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 NO. PLAN CHECK FEE REC'D RECEIPT NUMBER PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE TOTAL FEES ` WSBCC SURCHARGE OTHER CHARGES ENERGY SURCHARGE BUILDING DEPARTMffNT APPROVAL . BY AMOUNT DUE DATE ASSIGNED ADDRESS Spkane � _ Valley Mechanical Permit Application 11707 East'Spr'ague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 PROJECT ADDRESS: \(:\cy1 S PERMIT USE: OWNER X PHONE (Daytime Contact): MAILING ADDRESS: AMOLDIT (street) (city/state) (ZIP) CONTRACTOR: \ LICENSE I: MAILING ADDRESS. • PHONE #: 2 (street) (city/state) (ZIP) MET 1DOFPA ]C -i ❑C DATE: EXPIRES: BANKCARD NUMBER: a. l ) `n� _. rr n q '.: � ,-, i ., -- DESCRIPTTON OF WORK 0OFUNITS X COST EQLIALS AMOLDIT 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 (ADDMONALFEE) >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 5100 • 7 BOILER/REFRIGERATION 1-100MBTU X 815 • 8 BOILER/REFRIGERATION 101-500MBTU X 525 • 9 BOILER/REFRIGERATION 501-1,000MBTU X 539 • 10 BOILER/REFRIGERATION 1001-1,750M BTU X 857 • 11 BOILER/REFRIGERATION +1750M BTU X 895 • 12 GAS LOC, GAS INSERT, GAS FIREPLACE - \ X 510 • 13 RANGE - X 510 • 14 DRYER - X 810 • 15 FUEL BURNING WATER HEATER - \ X 810 - 16 MISC. FUEL BURNING APPL. - X 510 • 17 GAS PIPING (ea. Outlet) - X 51 • 18 DUCT SYSTEMS - X 510 • 19 VENTILATING FANS - S X 510 • 20 AIR HANDLER (DOES NOT include ducting) • OR < 10,000CFM X 512 • 21 AIR HANDLER (DOES NOT Indudeducting) >10,000CFM X 519 - 22 EVAPORATIVE COOLERS - X 510 • 23 TYPE I HOOD - X 850 • 24 TYPE II HOOD - X 510 • 25 HEAT PUMP/AIR CONDITIONER 0.3 TON X 512 • 26 AIR CONDITIONER 3-15 TON X 820 - 27 AIRCONDITIONER 15-30 TON X 825 - 28 AIR CONDITIONER 30-50 TON X 535 • 29 AIR CONDITIONER +50 TON X 560 - 30 LPG STORAGE TANK - X 810 • 31 WOOD OR PELLET STOVE/INSERT - X 510 • 32 WOOD STOVE • FREE STANDING - X 525 • 1EN T ImamI • ,_,,,-.,-,7. VISA' ,r;1;: r SUBTOTAL PLUS PROCESSING FEE: $35.00 TOTAL PERMIT PEE DUE; DATE: EXPIRES: BANKCARD NUMBER: a. l ) `n� _. rr n q '.: � ,-, i ., -- TiHOD OI CASH rE.: Snk,anY .0001;Valley 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: \- Th 10 �Co.cc�,-moi OWNER: MAILING ADDRESS: PERMIT USE: PHONE (Daytime Contact): (street) CONTRACTOR: (city/state) (ZIP) MAILING ADDRESS: LICENSE #: PHONE t: (street) (city/state) PLUMBING FIXTURES 1KCARD T" ' 4BEIZ 7HOFiZE1 :GNATURE: DESCRIPTION DETAILS t OF UNITS X COST EQUALS AMOUNT 1 TOILE 15 WATER CLOSET, BIDETS ` X $6 • 2 URINALS X - 3 TUBS 2 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 5 X 46 6 DISHWASHER \ X - 7 CLOTHES WASHER \ X $6 - 8 GARBAGE DISPOSAL X 56 - 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 - 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 - 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6 17 SPRINKLER SYSTEM X $25 - 118 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 9 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 0 MISC. PLUMBING FIXTURE X S6 -, kYMEN"T J CHECK illinall YrSA RC tf `_ :<. _ , SUBTOTAL: PLUS PROCESSING FEE: $35.00 • ■ PYMPFR- TOTAL PERMIT FEE DUE: 1KCARD T" ' 4BEIZ 7HOFiZE1 :GNATURE: Site Information SPOKA1A COUNTY 1VIENT OF 'BUILDING' & PLANNIN 000 A!, • • BROADWAY AVENIJE '!! SPOKANE, -WA 99260-065 • .94,444.43,1 Project Information Site Address: 1302 S PERRINE RD SPOKANE, WA 00000 Parcel Number: 45214.3324 Subdivision: Block: 1 Lot: 24 Zoning: UNK Unknown Owner: HOMESTEAD CONSTRUCTION INC Address: 312 S FARR RD ,SPOICANE, WA 99206-3664,v, . Building InspeCtor: 'BOBBY STONE Water Dist: ewer Connection Permit Project Number: 04004213 Inv: 1 Issue Date: 6/16/2004 Permit Use: SEWER CONNECTION - VALLEY PINES Applicant: HOMESTEAD CONSTRUCTION INC 312 S FARR RD SPOKANE, WA 99206-3666 Phone: <509) 89'41044 Contact: HOMESTEAD CONSTRUCTION INC , 312 S FARR RD SPOKANE, WA 99206-3666 Setbacks - Front: Left: Right: huottont.- Permits Phone: (509)892-0454 ' TOW „near. ts,!-41;ritS. ,.1111 Group Name: Project Name: Contractor; "lioLSOM EXCAVATING RC License #: FOLSOEI994DO SEWERCONNECTION 1 $85.00 PROCESSING FEE 1 $15.00 Total Permit Fee: FOR SEWER INSPECTIONS CALL (509)477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY sflw i Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED. ix applicant is to field locate and confum the elevation andvoition of sewer stub prior to any other excavation. 4tr, • IV are to be checked priortdearine—ction to ensurethat they hue 'acceptable grade and are clear and unobstructed tolhemain Sc lines should be constructed to allow for gravity flow fronithe lowest level of the structure. tluapumitmust be presented to the jobTifelin.spector for verification. TO locate buried cables, gas piping, water lines, etc. CALL /WORE YOU DIG, (509)456-8000. STATE LAW RCW 19.122 REQUIRES TITAT PRIOR. 'TO:ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE NOTIFIED. CALL BEFORE YOURp A Te WORKING DAYS IN ADVANCE, (509)456-8000. Spokane C,otmty Code requires the installer comp*th all requirements of ashington State Dept of Labor and Industries, including those related to trench safety. s100.00 1.141441%41i)iaymentSurnpary'1", i AmountPaid AmountOwing Tran Date Receipt # Payment Amt $100.00 6/16/2004 3235 $100.00 • 4•.'..0•+,i0,,,;:0•)",,,,,,Itt4.'rtik,)-9•:„tf! • • Processed By SHATTO, JULIE Printed By WENDEL, GLORIA ,,s,„:14att,r Page 1 of 1 PERMIT • a is berg and �itted ° the rue end .ewe'. AMcurb ewe. *maw" ... of Wadded. s PN Oa aN1-M mom.- 208+ SW BOTT EL. mi 2059 BOTT AREA es 462 11 =.10 • DRAINAGE EASEMENT • 8 a SWALE A-1 orl 18.5' SWALE SECTION A-1 NTS 30 60 1 inch = 30 ft. Qc.,cc`,c, VALLEY PINES SUBDIVISION LOT 24 — BLOCK 1 Id HAHN ENGINEERING N. 8623 SUITE B DIVISION SPOKANE, WA. 99208 DWG NO. 97H465L0TS