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2003, 09-17 Permit App: BLD-03-02494 ResidenceCIT1 OF 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 ROBIE CT SPOKANE WA 99212 Description: RESIDENCE W/ATTACHED GARAGE - GAS Subdivision: Owner: Applicant: Address: Contractor: Address: CAMERON, LEE L & MARY L HOMESTEAD CONSTRUCTION INC 312 S FARR RD SPOKANE, WA 99206-3666 HOMESTEAD CONSTRUCTION INC 312 S FARR RD SPOKANE WA 99206-3666 Application #: BLD -03-02494 Applied: Issued: Expires: Lot: Blk: Parcel No: 45214.3316 Phone: (509) 926-0755 Phone: Lic No: (509) 892-0454 HOMESCI099OC Zoning: 09/17/2003 03/15/2004 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 CURRENT PROPERTY USE 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 TYPE II HOOD HEAT PUMP/AIR COND 0 - 3 TON IMPERVIOUS SURFACE AREA sfr 160484 19 60 X 46 1 3 30 49 12 8 r-3 5-n 1 80 X 125 RESIDENCE no no 2 2 1 5 1 1 3 1 1 1 1 4 3 1 1 2832 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SHOWERS SINKS DISHWASHER CLOTHES WASHER WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS HEAT PUMP/AIR COND 0 - 3 TON Total Calculated: Deposits/Receipts: Total Due: 534.14 1,335.35 4.50 12.00 12.00 6.00 30.00 6.00 6.00 18.00 15.00 10.00 10.00 10.00 4.00 30.00 12.00 2,054.99 0.00 CITY OF SPOKANE , * LLEY APPROVED FOR SUBMITTAL n1i •i� �i� / Date Building dF Planning f / /4 Public works / 3 2,054.99 25.00 01267tCH Sau-uz-- (7:_/.9 117 )ol. City of SPOKANE VALLEY PERMIT # BUILDING PERMIT APPLICATION (2 ?- 003 Cp x Lei(- oo37 Box 1 OWNER �� cr�c.,oc� �� JOB LOCATION OWNER'S ADDRESS CITY PHONE DESCRIBE JOB SFS THIS PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORP. J BOX 2 CONTRACTOR'S NAME Soc.e.a_. PHONE ac S CONTRACTOR'S ADDRESS S. S V c"Q. CITY CONTRACTOR'S REG.# �vC��SC�S>`�"�CS EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VE f IFIED) BOX 3 CONTACT PERSON OF PROJECT PHONE ADDRESS CITY ZIP 30X 4 SEWER AVAILABILITY WATER AVAILABILITY 30X 5 ESTIMATED PROJECT COST $ \w pW EXISTING BLDG. VALUATION $ 30X 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION \\__v \\ \ n ,k› (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) • CENSUS NUMBER LOT NUMBER IOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR k k / \1\& 2ND FLOOR 3RD FLOOR / OTHER / BASEMENT UNFINISHED / DECK — CARPORT / TOTAL / BASEMENT FINISHED — / GARAGE / s\Lt HEIGHT TO PEAK OF BUILDING \''k' FT. OX 8 ( J) SINGLE FAMILY ( ) MULTIFAMILY (NO. OF UNITS ( ) COMMERCIAL / INDUSTRIAL ( ) TENANT IMPROVEMENT ( 4) NEW CONSTRUCTION ( ) EXISTING STRUCTURE TOTAL AREA OF PROPERTY itSQ. FT. IMPERVIOUS SURFACE SQ. FT. DX 9 PLUMBING FIXTURES (Including rough -ins) 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 SPR NKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL: )X 10 Miter Service meter size (if known) Also see BOX 4 )X 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) )X 12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public W;)r'•s Department. ERIFY UNDEI THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND )RRECT TO TI -i;= BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ,OVE PREMIS-', TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE. VNER / AGENT DATE (OVER) I her,•7,--,, authorize the City of Spokane Valley to charge the fee for this permit tom c i Visa 1`,Iastercard Y relit card: — -- _ Expiration Date Print_he name of the Holder Signature ======================================================= ____------ OFFICE USE ONLY - PLEASED _________________________________________ _ OFF_______________ O NOT WRITE BELOW THIS LINE -----_-_ ---- ------------------ ZON _ SETBACKS: FRONT ____________________________________________ SIDE REAR HEIGHT LIMIT PLANkING DEPARTMENT APPROVAL DATE DISAPPROVAL REM/V:KS SEPA: LE; TEMPT - _____ _ =========- NOT EXEMPT ---------------- FIRE D rPARTMEN7IAPPROVAL DISAPPROVAL RENA DATE ----------------------- PUP LIC VTJRKS DEPARTMENT APPROVAL DISAPPROVAL DATE TYPE: C J JB: NEW RESIDENCE RES. ADD/ALT-----------=====T NEW INDUSTRIAL IND. ADD/ALT NEW C";;11/1ERCIAL _ COMM. ALT/ADD ------ NEW MULTIFAMILY NO. UNITS MULL -If ;-,;,iiLYADD/ALT--- TENANT IMP. ROOF OTHER OCCUPh ;C.Y BUILDH(; EMIT NO. TYPE OF CONSTRUCTION BUILDING SQ. FT. @_ BUILDING SQ. FT. BUILDING SQ. FT. @ — BUILDING SQ. FT. TOTAL SQ. FT. PLAN CHECK FEE REC'D PERMIT F:_ .PLAN CHECK FEE TOTAL VALUATION PLUMBING FEE TOTAL FL WSBCC SURCHARGE OTHER; C, .i ;ES BUILDING L-ARTMMNT APPROVAL • STORIES RECEIPT NUMBER ENERGY SURCHARGE 'BY ASSIGNED ADDRESS MECH. FEE AMOUNT DUE DATE .ETHOD 0 ] CASH *Wane _SValley 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: \`c'•r, • C4..O�-• •4‘., PERMIT USE: # OF UNITS OWNER: COST PHONE (Daytime Contact): AMOUNT MAILING ADDRESS: TOILETS WATER CLOSET, BIDETS Z (street) (city/state) (ZIP) CONTRACTOR: URINALS LICENSE #: X MAILING ADDRESS: - PHONE #: 3 TUBS '.. X (street) (city/state) (ZIP) ' PLUMBING FIXTURES ATE: EXPIRES: ANKCARD NUMBER: UTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS Z X $6 - 2 URINALS X $6 - 3 TUBS '.. X $6 - 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT k X $6 - 5 SINKS LAVSBASINS, BAR, FLOOR, KITCHEN,• LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT S X .$6 - 6 DISHWASHER 1 X $6 - 7 CLOTHES WASHER '1 X $6 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - 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 $6 - 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 1 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 r.M X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - ' PAYMENT VISA !k'zst i,+, SUBTOTAL: PLUS PROCESSING FEE: $35.00 ■ CHECK ■ =MOD ■ 4_.-..._ __`' TOTAL PERMIT FEE DUE: ATE: EXPIRES: ANKCARD NUMBER: UTHORIZED SIGNATURE: Sp6kane 1.�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,Oct J ��.3\ A— PERMIT USE: OWNER X PHONE (Daytime Contact): MAILING ADDRESS: AMOUNT 1 (street) (city/state) (ZIP) CONTRACTOR: 515 LICENSE #: MAILING ADDRESS: FUEL BURNING APPLIANCE PHONE #: X 519 (street) (city/state) (ZIP) METHOD OF PA ❑ CASH ❑ C DATE: EXPIRES: BANKCARD NUMBER: AUTHnnT77- -) cl(N AT in- DESCRIPTION OF WORK it 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 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 BOILER/REFRIGERATION 101- 500M BTU X 528 - 9 BOILER/REFRIGERATION 501-1,000M BTU X S39 - 10 BOILER/REFRIGERATION 1001-1,750M BTU X 857 - 11 BOILER/REFRIGERATION +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) - 14C X 51 - 18 DUCT SYS I EMS - X 510 - 19 VENTILATING FANS - X $10 - 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 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 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: $35.00 TOTAL PERMIT FEE DUE: rieastirC DATE: EXPIRES: BANKCARD NUMBER: AUTHnnT77- -) cl(N AT in- 09/22/2003 07:42 SPOKANE CO BUILDING & CODE ENFOR 99283978 NO.588 Dei01 1 Site Address: 1308 S ROBIE CT SPOKANE, WA • 00000 P arcel Number: 45214.3316 Subdivision.: Block: Lot: Zoning: UNK Ur:kw:rem Owner: HOMESTEAD CONSTRUCTION .Address: 312 S FARR RD SPOKANE WA 99206 Building Inspector: BOY s'roNE Water Dist: Project Number: 03006566 Inv: 1 Issue Datc 9/12/2003 remit Use SEWER CONNECTION - VALLEY PINES Applicant: HOMESTEAD CONSTRUCTION 312 S FARE RD SPOKANE WA 99206 name (509) 892-0454 Contact HOMESTEAD CONSTRUCTION 312 S FARR RD . SPOKANE WA 99206 Phone: (509) 892-0454 Selbsele -Frost Left lifght Raw: Group Name: Pick:et Nessun Permits Sewer Connection Permit Conizactor: FOLSOM EIECAVATING INC Limes ft FOLSOF.1994D0 SEWER CONNECIBM $25.00 PROCESSING FRE • • • ! • 1::.:•;;•••••• . • • FOR SEWER INSPECTIONS CALL (509)477-3604 UTILITIES 500PEt30;M MONDAY THRU }RIDAY • : Call for inspection prior to cover. ONE WORKINGDAY NOTIPE.BEQUIOD. Contactor or applicant is to field locate and cone= the eievaticii leiC1positipo OtleWei itab prior to ao,y other excavation. Sewer stubs are to be checked prior to connection to ensure that lieihirvOareeptabls grade and are clear and unobstructed to the main 'ewer. Sewer lines should be constructed to allow for gravity flow fluntlie lowest level Oft° structure. This permit must be presented to the job site inspector Thr veicon;' To Trieste buried cables, gas pipiog, water linos, etc. CALL I3EFORE YOU DIG, (509)456-8000. • STATE LAW RCW 19.122 REQUIRES THAT PRIOR36ANYtfdia.iithcil4 if* `CALL BI3FORE YOU DIG" CENTER BE NO 1.11..thD. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYSINApvAsq, (509)456-8000. Spokane County Code requires the instance eompl);.4.14i4trequin*iesits of* **beton Slits Dept ofLabor and Industties, including those related to trench safety. Told Permit Fee: 315.00 tIonoo Payment SOelintry 1 Total Fees AmountPaid AmountOwing 3100.00 8100.00 80.00 man Date 1 Egsblit Payment . 9/1212003 5807 3100.00 Processed By: SHATTO, JULIE Printed By: 'WENDEL, GLORIA Pap 1 of 1 PERMIT tz� • I • i i • Y ,--1--t--t Z: r is ' . Y APPROVED BY Spokane`" .0.0Valley Call 24 hours before inspection required Phone 509.688-0036 Fax 509.688-0037 DEPARTMENT OF PUBLIC WORKS Anticipated start date \c.- Permit # PW c ) - ez- ' APPROACH PERMIT APPLICATION Location of property \l`=1/4 • ��.. - C�• \ \ (Address/Parcel #, if available) Applicant Name Address S. �\z cccc Phone 5'C Contractor's Name Address Phone Contractor's Reg# Expires PROJECT DESCRIPTION (Provide site sketch) 111 Residential Driveway .�1 Existing Curb & Gutter Culvert Installation Other conditions Commercial/Industrial Driveway Rural Road Section Sidewalk Repair/Construction See construction requirements and details on reverse. Bond/insurance certification must be on file with the City. SPECIAL CONDITIONS: PERMIT FEE $ 1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Inspection Fee$ • Card # Name of Holder Fees Paid$ Signature Date Expiration Date !nit Spokane . t ley 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 1308 S ROBIE CT SPOKANE WA 99212 RESIDENCE W/ATTACHED GARAGE - GAS CAMERON, LEE L & MARY L HOMESTEAD CONSTRUCTION INC 312 S FARR RD SPOKANE, WA 99206-3666 HOMESTEAD CONSTRUCTION INC 312 S FARR RD SPOKANE WA 99206-3666 Application #: BLD -03-02494 Applied: Issued: Expires: Lot: Blk: Parcel No: 45214.3316 Phone: (509) 926-0755 Phone: Lic No: (509) 892-0454 HOMESCI099OC Zoning: 09/17/2003 03/15/2004 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 CURRENT PROPERTY USE 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 TYPE II HOOD HEAT PUMP/AIR COND 0 - 3 TON IMPERVIOUS SURFACE AREA sfr 160484 19 60 X 46 1 3 30 49 12 8 r-3 5-n 1 80 X 125 RESIDENCE no no 2 2 1 5 1 1 3 1 1 1 1 4 3 1 1 2832 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SHOWERS SINKS DISHWASHER CLOTHES WASHER WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS HEAT PUMP/AIR COND 0 - 3 TON Total Calculated: Deposits/Receipts: Total Due: 534.14 1,335.35 4.50 12.00 12.00 6.00 30.00 6.00 6.00 18.00 15.00 10.00 10.00 10.00 4.00 30.00 12.00 2,054.99 0.00 2,054.99 ofetarte,L - 00