2003, 09-19 Permit App: BLD-03-02516 ResidenceSir Irk
Sptokane
�,,,•�MiHey
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: 1308 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 -03-02516
Applied: 09/19/2003
Issued:
Expires: 03/17/2004
Lot: Blk: Parcel No: 45214.3323
Phone: (509) 892-0454
Phone:
Lic No:
(509) 892-0454
HOMESCI0990C
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
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
110786
14
62 X 40
1
2
30
38
12
12
r-3
5-w
1
no
no
3
2
1
4
1
1
1
3
1
1
1
3
4
1
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
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
Vdv i ILATiNG FANS
CITY OF SPOKANE VA
APPROVED FOR SUBMJ
Initials / Date
Building /
Planning -1(( /.
Public Works <71 1
alculated:
eceipts:
Total Due:
422.14
1,055.35
4.50
18.00
12.00
6.00
24.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
3.00
40.00
1,655.99
0.00
1,655.99
a : Xv0
/00
atfaKckrA (,30,441-*
THIS IS NOT A RECEIPT
city of
SPOKANE VALLEY
PERMIT #
BUILDING PERMIT APPLICATION
---------
6W- oo3 Coo
iFav 0037
Box1 OWNER
�� '. JOB LOCATION \`��
OWNER'S ADDRESS CITYPHONE
DESCRIBE JOB
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME
PHONE
CUNT RA.CTOR'S ADDRESS S . 3 \ c -„ c- CITY ,� "'\o\ ).
CONTU\CTOR'S REG.# \� \\� �`
EXPIRATION DATE
(CARD MUST BE PRESENTED AND COPIED OR VEtFIED)
BOX 3 CONTACT PERSON OF PROJECT ,
S `��>� PHONE
ADDRESS
------- CITY ZIP
30X 4 SEWER AVAILABILITY
WATER AVAILABILITY
----------------------------------------
-------------
30X
30X 5 ESTIMA i ED PROJECT COST $
_ -\�1 EXISTING BLDG. VALUATION $
30X 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL D=SCRIPTION
(li ';EC :_;SARY, PLEASE SUBMITA SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
�•1'„t;1aER i'
• CE:, ;Us
LOT NUMBER
OX 7 BU Mit:, SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR / •\\�,� 2ND FLOOR /
BASEMENT FINISHED
DECK - / GARAGE /
/ — HEIGHT TO PEAK OF BUILDING \°r Fr.
( NrNEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY it SQ FT
IMPERVIOUS SURFACE _ SQ. FT.
3R:D FLOOR / OTHER , /
B/•,SEM1ENT UNFINISHED /
CARPORT / TOTAL
)X 8 (f) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS
( ) CO:.;MERCIAL / INDUSTRIAL
----(- ) TEt IANT IMPROVEMENT
)X 9 PLUMBING FIXTURES (Including rough -ins)
PLE,,SE USE THE ATTACHED
SY:'T M.;: -{EATING AND AIR
---LAWN S 'RINKLER SYSTEMS,
MECHANICAL APPLIANCES
PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
BACK FLOW PREVENTERS ET AL:
X 10 V. :ter Service meter size (if known)
Also see BOX 4
K 11 :;,,)tic Tank - Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
(12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
\^.'.-rks Department.
RIFY
tRECT
NE PREMIS:'-:
VER
THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND •
BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE.
DATE -\1 ��
(OVFRI
I he ,y authorize the City of Spokane Valley to chSrge the fee for this permit to my credit card:
i
Vis:. iv;Mastercard
-- ---- ---- ---- Expiration Date
Prix, : _!u' name of the Holder
ZON
Signature
---------------------------------------------------
-------------------------------------------
OFFICE USE ONLY - PLEASE D --------___
----=======================================================
-------- O NOT WRITE BELOW ------------
-------------------------------------------- THIS
--------- LINE
SETBACKS: FRONT- SIDE ___________________________________
REAR HEIGHT LIMIT
PLAT I;NG DEPARTMENT APPROVAL
REM, KS•
DISAPPROVAL
DATE
SERA ;TEMPT
NOT EXEMPT
-----------------
FIRE ! - I ARTMENP.APPROAL--------------
' DISAPPROVAL
REMA. ,1 DATE
. ,' lARTMENT APPROVAL========================================______________________
PUE3L1, :JRKS DEPARTMENT
DISAPPROVAL
DATE
� -)3: NEW RESIDENCE RES. ADD/ALT====================================================
TYPE C
NEW INDUSTRIAL IND. ADD/ALT
NEW C -ERCIAL COMM. ALT/ADD
----_._.NEW MULTIFAMILY NO. UNITS
MULTIF
ILY ADD/ALT
OCCuP1,;
BUILDI[;: . ,-;MIT NO.
TENANT IMP. ROOF OTHER
TYPE OF CONSTRUCTION
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
TOTAL SQ. FT.
TOTAL VALUATION
•
STORIES
PLAN CHECK FEE REC'D
RECEIPT NUMBER
PLUMBING FEE MECH. FEE
ENERGY SURCHARGE
AMOUNT DUE
PERMI I PLAN CHECK FEE
TOTAL I-WSBCC SURCHARGE
OTHER c; ES I
BU!LDI^1, _::; RTM NT APPROVAL
ASSIGNED ADDRESS
• BY
DATE
*Wane
.000Valley
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: \Thc`
Qac %c -,no....,
PERMIT
USE:
OWNER
X
PHONE (Daytime Contact):
MAILING ADDRESS:
AMOUNT
1
(street)
(city/state)
(ZIP)
CONTRACTOR:
$15
LICENSE #:
MAILING ADDRESS:
FUEL BURNING APPLIANCE
PHONE #:
X
519
(street)
(city/state)
(ZIP)
METHOD OF PA
0 CASH 0 CHECK 0 ❑ t
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHfRTTL-n !r
DESCRIPTION OF WORK
# 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 <400,000
X
550
-
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
5100
-
7
BOILER/REFRIGERATION
1 -100M BTU
X
515
-
8
BOII.ER/REFRIGERATION
101-500MBTU
X
528
-
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
539
-
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
X
557
-
11
BOILER/REFRIGERATION
+1750M BTU
X
595
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
510
-
13
RANGE
-
X
510
-
14
DRYER
-
k
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
-
Cr
X
510
-
20
AIR HANDLER (DOES NOT indude ducting)
- OR < 10,000CFM
X
512
-
21
AIR HANDLER (DOES NOT indude ducting)
> 10,000 CFM
X
519
-
22
EVAPORATIVE COOLERS
-
X
510
-
23
TYPE I HOOD
-
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
S20
-
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
-
4IENr
-. V{'
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
0 CASH 0 CHECK 0 ❑ t
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHfRTTL-n !r
['HOD 0
:ASH
E:
*lane'
.. 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
PLUMBING F
PROJECT
ADDRESS:\....4s., �. Q ._c. c
-•„4...,
PERMIT
USE:
OWNER: \_.\\__ \
(^
PHONE (Daytime Contact):
MAILING ADDRESS:
1
TOILETS
(street)
(city/state)
(ZIP)
CONTRACTOR:
-
LICENSE #:
2
MAILING ADDRESS:
PHONE #:
X
-
(street)
(city/state)
(LIP)
y-
X
PLUMBING F
KCARD NUMBER:
HORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
-
2
URINALS
X
-
3
TUBS
y-
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
1,6
6
DISHWASHER
,
X
-
7
CLOTHES WASHER
1
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
-
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'
17
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
'
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
86
-
20
MISC. PLUMBING FIXTURE
X
$6
-
PAYMENT
] CHECK
Y/S4
inslNras?;
!_: 1
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
II■
FYPIR FC.
TOTAL PERMIT FEE DUE:
KCARD NUMBER:
HORIZED SIGNATURE:
w
*.+, :..:
'2 ' SW .E .. k
BOTT El ..2054.00 18.5'
BOTL AREA — 462 9:F.
•
S 89'58'00" W
•[V
O
co
118.10' i' (K)
-
Q
2
3
•
DRNNft E
EPS]1EYT
1
m
Alvd6\4
4,'144
UTILITY EABEMENT
S 89'58'00" W ,o
O
8
a
2
118.42'
0
18.5'
0 15 30 60
1 inch = 30 ft.
—0.75'
.13) C08,610PS
W/-4' OPENINGS
STA 7+68.50
EL ='2059.921
STA Z+60.50
EL : = 2060.o4
STA2+52.50
EL = 2060.16
SWALE A-1
Q
0
w
N_z
I.NL
Lu
0
SWALE SECTION A-1
NTS
\OC1/4 S • Q
VALLEY PINES SUBDIVISION
LOT 23 - BLOCK 1
EXPIRES 12/1 /d0
HAHN ENGINEERING
N. 8623 SUITE B DIVISION SPOKANE, WA. 99208
DWG NO. 97H465LOTS
SPolcw C ursu
SPOKANE COUNTY DIVISION OF BUILDING
AND CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 1308 S PERRINE RD
SPOKANE, WA 00000
Par, c1 Number: 45214.3323
ibdivision:
Block: 1 Lot: 23
Zoning: UNK Unknown
Owner: HOMESTEAD CONSTRUCTION
Address: S. 312 FARR RD
SPOKANE, WA 99206
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 03006680 Inv: 1 Issue Date: 9/16/2003
Permit Use: SEWER CONNECTION - VALLEY PINES
Applicant: HOMESTEAD CONSTRUCTION
312 S FARR 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
Sewer Connection Permit
Contractor: HOMESTEAD CONSTRUCTION License #: HOMESCI099OC
SEWER CONNECTION 1 $85.00 PROCESSING FEE
Total Permit Fee:
OR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
$15.00
$100.00
ill for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
ontractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
.;wer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main sewer.
Laver 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.
;nokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including
!:ose related to trench safety.
Payment Summary
Total Fees AmountPaid AmountOwing
Tran Date Receipt # Payment Amt
$100.00 $100.00 $0.00 9/16/2003 5893 $100.00
Processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT
W
SWALE
8011 EL sem'°:2059:010
BOTT, AREA = 462 SF.
S 89'58'00" W
118.10'
rl
Q
0 2
.[V
3
DRAINASE
EAS HENT
1
'
re\
Z ,
--
zoi t
m,
1I
Lo!
Y.
S 89'58'00" W aY -
UTILITY EA6EMENT
a
2
3' , 2'
118.42'
chi
5'
16.5' f 2' 2'
0 15 30 60
1 inch = 30 ft.
0.75'
SWALE SECTION A-1
NTS
• Qc.cc,c�c�
VALLEY PINES SUBDIVISION
LOT 23 — BLOCK 1
-10.010ROPS
W/ •4'_,OPENINC,S
STA 2+66.50
EL ='`2M9.92
STA ?+60:50
d:= 2060.04,
STA' 2+52.50
0. a 2060.16
SWALE A-1
0
LTJ
Z
W
0
EXPIRES 1211 /d0
DWG NO. 97H465LOTS
•
For security purposes only,
hereby assigns to SPOKANE hereby COUNTY 111
DIVISION
ton, the following:
This assignment is
of the drainagemade by �,
ecce s"'ale/ditch system � �
pted Swale Lot Plansspecifications
� sod and performance � • ---�
of and st e , sod and as sob and other wo
rk asb is incidental and County
D theretof Eng forcompletion
,OT BLOCK / miffed to and accepted by the S) the
--+—., (Project Name Spokane County Division of Engineering
for
taccordance with the
Any interest benefits }(Plat) Plat # {File Number} gmeerin
lid Savingsaccruing ��� /c g and Roads.
Certificate to be released o said savings �l►7LS
ly with the written consent from of S Ings certificate shall remain u•;.� C • the property of
Spokane County Division of Engineering•`r g C_ ��`
Upon written request from (applicant).
)licant. the undersigned d meSpokhVe County�' Roads,
Divisign °fEngineering and Roads (applicant)
ne
` " _ -- and a copy of the Agreement signed by the
ASSIGNMENT
F ENGINEfructo
ERING AND R IADS, a political subdivision of the
State of
(applicant)
Savings Certificate Number
in the face amount of SI 000.00
and held in and by
Bank of