2003, 09-19 Permit App: BLD-03-02517 Residencer,7, 4.0 fir.
Spokane
.•,,,,*Valley
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: 1314 S ROBIE CT
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 -03-02517
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45214.3315
Phone: (509) 892-0454
Phone:
Lic No:
(509) 892-0454
HOMESCI099OC
Zoning:
09/19/2003
03/17/2004
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
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
108440
25.5
42 X 42
2
3
25
37
15
21
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
VENTILATING FANS
Total Calculated:
DopocitaIReceipts:
417.66
1,044.15
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
1,640.31
0.00
CITY OF SPOKANE VALLEYTStai Due:
APPROVED FOR SUBMITTAL
Initials / Date
i`- `,;%%s'Building %
Planning `itt / 4/?
Public Works RC (15- (-1
1,640.31
2-5.00
065-.01
Gut4 Atikka PAP
THIS IS NOT A RECEIPT
Slily of
;POKANE 'VALLEY
(9?' -003(p
Fc() (n-oo37
PERMIT #
BUILDING PERMIT APPLICATION
3ox 1 OWNER ��L � L�� JOB LOCATION \ \
OWNER'S ADDRESS CITY PHONE
DESCRIBE JOB
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORP.
3OX 2 CONTRACTORS NAME PHONE
CONTRACTOR'S ADDRESS S 3\Z��«.
c4_c\
CITY Sj\tic,c,,�
CONTRACTOR'S REG.# \-\QEXPIRATION DATE
(CARD MUST BE PRESENTED AND COPIED OR VE
IFIED)
SOX 3 CONTACT PERSON OF PROJECT
PHONE
ADDRESS CITY ZIP
IOX 4 SEWER AVAILABILITY
1OX 5 ESTIMATED PROJECT COST $
WATER AVAILABILITY
EXISTING BLDG. VALUATION $
OX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
• CENSUS NUMBER LOT NUMBER
r
OX 7 BUiLDINSQUARE FOOTAGE (Existing / proposed) 1ST FLOOR / \NS\ 2ND FLOOR
3RD FLOOR / OTHER
/
BASEMENT UNFINISHED /,7... DECK "' / GARAGE / 45\
CARPORT' / TOTAL / HEIGHT TO PEAK OF BUILDING \\ F
BASEMENT FINISHED
OX 8 (I) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS
( ) CO::MERCIAL / INDUSTRIAL
( ) TENANT IMPROVEMENT
( V) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY \��1,:iNsi SQ. FT.
IMPERVIOUS SURFACE i 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 SP
DX 10
)X 11 S(
Yc
)X12 S
'ERIFY UDEN
)RRECT TD
30VE PREMISI
NNER/AnEN[
INKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL:
ter Service meter size (if known) Also see BOX 4
;otic Tank — Not generally allowed in the City of Spokane Valley. For special circumstances contact
r sewer purveyor and the Health District (See BOX 4)
(;et use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
rks Department.
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 AP.PLICATION IS MADE.
DATE
(OVFR)
authorize the City o
.Iastercard
1i,: name of the Holder
f Spokane Valley to charge the'fee for this permit to my credit card:
Expiration Date
Signature
========================================================
_____________ OFFICE USE ONLY - PLEASE DO NOT =______ _ _______—__—____________-
- _
____ _______________________ WRITE BELOW THIS LINE -
---------------------
ZON!;SETBACKS: FRONT _______________________ _______________
SIDE
PLAr:lr;r,G DEPARTMENT APPROVAL
REM,. S
REAR HEIGHT LIMIT
DISAPPROVAL
•
DATE
SE A: :_;TEMPT
----_
NOT EXEMPT
..._----____--
FIRE r 'nfzTMENtkPPROVAL_______________________________
DISAPPROVAL
REt.!A.
DATE
F====_____ _____________________________
PUE!_I\'ORKS DERARTMENT APPROVAL —
C \
DISAPPROVAL DATE
TYPL D3: NEW RESIDENCE
RES. ADD/ALT
NEW C . , I: `: ERCIAL COMM. ALT/ADD
MULTIFAI:L Y ADD/ALT
TENANT IMP.
OCCLI
BUILDLv(
PERMIT !
TOTAL F;
OTHER
'!_RMIT NO.
C ES
NEW INDUSTRIAL IND. ADD/ALT
NEW MULTIFAMILY NO. UNITS
ROOF OTHER
TYPE OF CONSTRUCTION
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
TOTAL SQ. FT.
PLAN CHECK FEE RECD
PLAN CHECK FEE
WSBCC SURCHARGE
BUILDING I ):=. ARTMENT APPROVAL
TOTAL VALUATION
STORIES
RECEIPT NUMBER
PLUMBING FEE
ENERGY SURCHARGE
AMOUNT DUE
ASSIGNED ADDRESS
. BY
MECH. FEE
DATE
Spokane
.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: \'''' \C\- J•
` ,`". C -T .
USEMIT
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
0 CASH 0 CHECK ❑ 0 !_
DATE:
BANKCARD NUMBER:
EXPIRES:
DESCRIPTION OF WORK
8 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
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
—
‘
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
—
C'r
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
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
-
TIENT
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
VISA ;irsp
0 CASH 0 CHECK ❑ 0 !_
DATE:
BANKCARD NUMBER:
EXPIRES:
:THOD 0
CASH
TE:
(Tft (k' 0►
Spokane
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
DESCRIPTION
PROJECT
ADDRESS: \,' \ Li S . 'C...,:,\
. ,� c..._,\
PERMIT
USE:
COST
OWNER: �� c-v-..si.,_yc..-'\ c1
CCX
PHONE (Daytime Contact):
TOILETS
MAILING ADDRESS:
3
X
$6
(street)
(city/state)
(ZIP)
URINALS
CONTRACTOR:
LICENSE #:
-
MAILING ADDRESS:
3
PHONE #:
1
X
$6
-
(street)
(city/state)
(ZIP)
'
\
X
$6
PLUMBING F
gKCARD NUMBER:
tHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
3
X
$6
-
2
URINALS
X
-
3
TUBS
1
X
$6
-
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
\
X
$6
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
X
••
•$
-
6
DISHWASHER
`
X
-
7
CLOTHES WASHER
\
X
$6
8
GARBAGE DISPOSAL
X
S6
-
9
WATER SOFTENER
X
-
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
M
-
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
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$b
-
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER, HOSE BIB,
STEAMER, PROOFER, CARBONATOR,
SWAMP COOLER
X
S6
-
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
M
•
20
MISC. PLUMBING FIXTURE
X
-
PAYMENT
D CHECK
ast
_._._-- --. -•
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
• =WM ■
FYPI R PC.
TOTAL PERMIT FEE DUE:
gKCARD NUMBER:
tHORIZED SIGNATURE:
Sicc Address: 1314 S ROBIE CT
SPOKANE, WA 00000
Parcel Number: 45214.3315 •
Subdivision:
Block: 1 Lot: 15
Zoning: UNK Unknown
Owner: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Building Inspector: BOBBY STONE
Water Dist:
Sewer Connection Permit
Project Number: 03006679 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
Permits
Group Name:
Project Name:
Contractor: HOMESTEAD CONSTRUCTION
License 1!: HOMESCI0990C
SEWER CONNECTION 1 $85.00 PROCESSING FEE
,
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
S13.00
Total Permit Fee: 5100.00
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.
`,: wer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main eewe
. wer lines should be constructed to allow for gravity flow from the lowest level of the structure.
its permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
\LL BEFORE YOU DIG, (509)456-8000.
;'ATE LAW RCW 19.122 REQUIRES THAT PRIOR TO NY EXCAVATION THE 'CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. 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.
Total Fees AmountPaid AmountOwing,;
$100.00 $100.00 50.00
Tran Date. Receipt # Payment Amt
9/16/2003 5893 S100.00
Pi ssed By: BURRIS, ROBIN
i'rinted By: WENDEL, GLORIA Page 1 of 1
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