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2003, 12-24 Permit App: BLD-03-03333 ResidenceSpokane Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 1 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit NEW SINGLE FAMILY RESIDENTIAL Application #: BLD -03-03333 Job Address: 1315 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 Applied: Issued: Expires: Lot: Blk: Parcel No: 45214.3312 Phone: (509) 892-0454 Phone: Lic No: (509) 892-0454 HOMESCI099OC Zoning: 12/24/2003 06/21/2004 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 DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD sfr 105917 24.5 20 X 45 1 3 25 32 12 42 r-3 5-w 1 10055 no no 3 3 1 5 1 1 1 3 1 1 1 2 4 1 Fees: PLAN CHECK FEE GAS PIPING VENTILATING FANS 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 Total Calculated: Deposits/Receipts: Total Due: CITY OF SPOKANE VALLEY APPROVED FOR SUBMITTAL Initials / Date Building Planning 410.94 2.00 40.00 1,027.35 4.50 18.00 18.00 6.00 30.00 6.00 6.00 6.00 18.00 15.00 10.00 10.00 1,627.79 0.00 Sane REVIEWED FOR ODE COMPLIANCE /NE VALLEY BUILDING ISION 1,627.79 27 (Q'j '7 :l __r - THIS IS NOT A RECEIPT .,-et o,tiaciuzoi City ()F SP i." ANE VALLEY COW - 003 (P Fool - oo37 PERMIT # BUILDING PERMIT APPLICATION Box -1 OWNER \--\� �� C „n,'� JOB LOCATION \3\ S. OWNER'S ADDRESS CITY PHONE DESCRIBE JOB S� i -HIS PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORP. BOX 2 CONTRACTOR'S NAME \�� r �\ C CONTRACTOR'S ADDRESS . - 7\–c_c c PHONE (;,`"\...-14t1••`11 CITY S co) . ONTRACTOR'S REG.# \--\\� .yj�� EXPIRATION DATE t (CARD MUST BE PRESENTED AND COPIED OR VEIFIED) BOX 3 CONTACT PERSON OF PROJECT . 5 � ADDRESS PHONE CITY ZIP BOX 4 SEWER AVAILABILITY ----�-�- WATER AVAILABILITY BOX 5 ESTIMATED PROJECT COST $ ��_--'--�---- EXISTING BLDG. VALUATION $ BOX 6 r 'ROPERTY TAX ACCOUNT NUMBER EGAL DESCRIPTION (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) • CENSUS NUMBER I LOT NUMBER BOX 7 ; UILDING SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR 'k- / \Z`„\ 2ND FLOOR / . 3RD FLOOR / OTHER ' / BASEMENT FINISHED f BASEMENT UNFINISHED /L DECK / GARAGE / stC. CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING _W FT. 30X 8 (j) SINGLE FAMILY , J� )MULTIFAMILY (NO. OF UNITS (`� 1 NEW CONSTRUCTION ( ) EXISTING STRUCTURE )COMMERCIAL / INDUSTRIAL ( ) TENANT IMPROVEMENT TOTAL AREA OF PROPERTY \qpS SQ. FT. IMPERVIOUS SURFACE _ �� ! SQ FT. 3OX 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, I ;WN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL. OX 10 Water Service meter size (if known) ii OX �'----- 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 TRyE AND • ORREC TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE 30 VE FiEMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE. N ER / AG ENT C DATE (OVER) I !:: reby authorize the City of Spokane Valley to charge the fee for this permit to my credit card: Visa Mastercard Print the name of the Holder Expiration Date Signature OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE ZC E SETBACKS: FRONT PLANNING DEPARTMENT APPROVAL REMARKS SIDE SE=' A: EXEMPT NOT EXEMPT REAR HEIGHT LIMIT DISAPPROVAL DATE FIRE DEPARTMENPINPPROVAL DISAPPROVAL REMARKS DATE • PULLIC WORKS DEPARTMENTAPPROVAL DISAPPROVAL DATE TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL • COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS MUL rIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OC(' JPANCY TYPE OF CONSTRUCTION STORIES , ( BUILDING SQ. FT. BUILDING SQ. FT. p� 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 TOTA . FEES WSBCC SURCHARGE • ENERGY SURCHARGE OTHI- 't CHARGES BUILD NG DEPARTM4NT APPROVAL . BY AMOUNT DUE DATE ASSIGNED ADDRESS Spokane 4.00Valley Mechanical Permit Application 11707 East Sprague `venue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 PROJECTQ� ADDRESS: \� \� `� `_ ` ` '� `� ` "— Q -'USE: PERMIT OWNER \ C EQUALS PHONE (Daytime Contact): MAILING ADDRESS FUEL BURNING APPLIANCE •OR<100,000 (street) X (city/state) (ZIP) CONTRACTOR: 2 LICENSE #: MAILING ADDRESS. X PHONE t: • (street) 3 (city/state) (ZIP) METHOD OF PA ❑ C,,,SH 0 CHECK ❑ ❑ L '1 )Ar, EXPIRES: AN: \RD NUMBER: DESCRIPTION OF WORK t OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE •OR<100,000 r 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) >400,003 X 5100 • 7 BOILER/REFRIGERATION - I-100MBTU X 515 • 8 BOILER'REFRIGERATION 101-500M BTU X 828 • 9 BOILER/REFRIGERATION 501-1,000MBTU X 539 - 10 BOILER/REFRIGERATION 1001 - 1,750M BTU X 557 • 11 BOILER/REFRIGERATION +1750M BTU X 595 • 12 GAS LOC, CAS 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 -'�- X 510 • 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! HOOD - X 550 • 24 TYPE II HOOD - X 510 • 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512 - 26 AIRCONDITIONER 3-15 TON X 820 .. 27 AIR CONDITIONER 15.30 TON X 525 • 28 AIR CONDITIONER 30.50 TON X 835 • 29 AIR CONDITIONER +50 TON X 860 • 30 LPG STORAGE TANK - X 510 • 31 WOOD OR PELLETSTOVE/INSERT - X 510 • 32 WOOD STOVE - FREE STANDING - X 525 • ViE I ; SUBTOTAL PLUS PROCESSING FEE: 535.00 TOTAL PERMIT FIB DU& ye iSot ;�� r.I'ii {f` ❑ C,,,SH 0 CHECK ❑ ❑ L '1 )Ar, EXPIRES: AN: \RD NUMBER: Sokane�` Y Valley Plumbing Permit Application 11707 East Sprague venue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 PROJECT ADDRESS: \� � ,r `44...'"406. -USE: PERMIT OWNER: 56 PHONE (Daytime Contact): MAILING ADDRESS: R.P.B.P.D. FOR VATS, TANKS, BOILERS (street) (dty/state) (ZIP) CONTRACTOR: SPRINKLER SYSTEM LICENSE #: X MAILING ADDRESS: - PHONE 0: (street) (city/state) (ZIP) • PLUMBING FIXTURES DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT TOILETS WATER CLOSET, BIDETS 3 X $6 2 URINALS X 56 3 TUBS X $6 4 SHOWERS (PER TRAP) BATI-L STALL, ON-SITE BUILT X 56 SINKS LAVSBASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT x .6. DISHWASHER X 56 7 8 9 CLOTHES WASHER X 56 GARBAGE DISPOSAL X 56 WATER SOF 1 EWER X 56 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X 56 11 FLOOR DRAINS AREA, CASE, COIL„ TRENCH, CONDENSATE X 56 12 FOUNTAINS, DRINKING X 56 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X 56 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X 56 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, ?ROOFER, CARBONATOR SWAMP COOLER X 56 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND x 56 R.P.B.P.D. FOR VATS, TANKS, BOILERS 17 SPRINKLER SYSTEM X 525 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 56 MEDICAL GAS per outlet NITROUS, OXYGEN X 56 0 MISC. PLUMBING FLYIURE X 56 ETHOD 01 YMENT Vrs4 CASH ❑ CHECK ❑ \TE: EXPIRES: NNKCARD ? "FIBER: JTFOR:ZEI' 'GNATURE: SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: SPOKANE COUNTDI'VISION OF BUILDING AND CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Site Address: 1315 S ROBIE CT SPOKANE, WA 00000 Parcel Number: 45214.3312 Subdivision: Block: Lot: Zoning: UNK Unknown Owner: HOMESTEAD CONST Address: S. 312 FARR RD SPOKANE, WA 99206 Building Inspector: BOBBY STONE Water Dist: Project Information Project Number: 03008882 Inv: 1 Issue Date: 12/22/2003 Permit Use: SEWER CONNECTION- VALLEY PINES Applicant: HOMESTEAD CONSTRUCTION 312SFARRRD SPOKANE WA 99206 Contact: HOMESTEAD CONSTRUCTION 312SFARRRD SPOKANE WA 99206 Setbacks - Front: Left: Group Name: Project Name: Phone: (509) 892-0454 Phone: (509) 892-0454 Right: Rear: Permits 1 Sewer Connection Permit Contractor: HOMESTEAD CONSTRUCTION License #: HOMESCI099OC SEWER CONNECTION 1 $85.00 PROCESSING FEE Total Permit Fee: FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 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, ete. 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 NOT1HED. 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. $15.00 $100.00 1 Payment Summary 1 Total Fees AmountPaid AmountOwing $100.00 $100.00 $0.00 Tran Date 12/22/2003 By: BURRIS, ROBIN By: WENDEL, GLORIA Page 1 of 1 Receipt # 7861 Payment Amt $100.00 PERMIT PLANNING DEPT. APPROVED BY. LWI DATE: 63 \' D\5S \mob_, cA PLANNING DEPT. APPROVED BY. DATE: \‘ \ 5 Win 11*°°.le14'%"""` f. 11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206 509.921.1000 ♦ Fax: 509.921.1008 • cityhalt®spokanevalley.org Notice This acknowledges receipt of notice to the Spokane Valley Building Permit # applicant that the applicant is aware of state of Washington contractor registration laws and the potential risk and monetary liability to the homeowner for using an unregistered contractor. Applicant Signature Date