2003, 08-15 Permit App: BLD-03-02239 Residence11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
s
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
Job Address: 1320 S ROBIE CT
SPOKANE WA 99212
Description: NEW RESIDENCE W/ATTACHED GARAGE - GAS
Subdivision:
Owner.
Applicant:
Address:
Contractor:
Address:
HOMESTEAD CONSTRUCTION
HOMESTEAD CONSTRUCTION
312 S FARR RD
SPOKANE, WA 99206-3666
HOMESTEAD CONSTRUCTION INC
312 S FARR RD
SPOKANE WA 99206-3666
Application #: BLD -03-02239
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45214.3314 Zoning:
Phone:
Phone:
Lic No:
(509) 926-0755
HOMESCI099OC
08/15/2003
02/11/2004
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
COST OF PROJECT
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY USE
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 II HOOD
IMPERVIOUS SURFACE AREA
sfr
129252
18
100000
1
3
25
32
32
22
r-3
5-w
NA
RESIDENCE
no
no
3
2
1
5
1
1
1
3
1
1
1
1
3
4
1
2100
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
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
464.70
1,161.75
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
40.00
1,820.95
0.00
1,820.95
as'00
l$�h5, �S�
City of
SPOKANE VALLEY
I
CR - oa3
ict)( ?c, 0037
PERMIT #
BUILDING PERMIT APPLICATION
Box. 1 OWNER \--\
OWNER'S ADDRESS CITY
DESCRIBE JOB
JOB LOCATION ,
PHONE
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORP. .)
BOX 2 CONTRACTOR'S NAME
PHONE N'\).-
CONTRACTOR'S ADDRESS S., \Z Qc` CITY
CONTRACTOR'S REG.# \\ O . ��j,���� EXPIRATION DATE
(CARD MUST BE PRESENTED AND COPIED OR VEFFIED)
BOX 3 CONTACT PERSON OF PROJECT C�� S,c� , PHONE
ADDRESS CITY ZIP
30X 4 SEWER AVAILABILITY
WATER AVAILABILITY `ter\ �r
30X 5 ESTIMATED PROJECT COST $ \��ovd EXISTING BLDG. VALUATION $
30X 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
• CENSUS NUMBER
LOT NUMBER
OX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR 2ND FLOOR
BASEMENT FINISHED /
3RD FLOOR / OTHER /
BASEMENT UNFINISHED L,11._°\ / DECK \ / GARAGE -NO% /
CARPORT / TOTAL 1 /
HEIGHT TO PEAK OF BUILDING \V FT.
OX 8 ( SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS
( ) COMMERCIAL / INDUSTRIAL
( ) TENANT IMPROVEMENT
( ,6 NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY `'\"iSc, SQ. FT.
IMPERVIOUS SURFACE 1 \L. SQ. FT.
OX 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, WAT EATERS, CONVERSIbN BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL
)X 10 W:
V
r Service meter size (if known) ‘\'i)��` Also se B 4
)X 11 Septic Tank — Not generally allowed itCity of Spokane Valle ecial circumstances contact
Your sewer purveyor and the Health D'
i��(Sed: BOX 4)
)X 12 StRet use may require a " Street Use Per '4 pirate, sidewalks, curb cuts. Contact
Works Department. the Public
'ERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
)RRECT TO THS BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
LOVE PREMISES 10 PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE.
VNER/AGENT
DATE S‘,- \ • �3
(OVER)
I het chy authorize the City of Spokane Valley to charge the fee for this permit
to my credit card:
Visa Mastercard _
Print_ Ow name of the Expiration Date
Holder
Signature
OFFI
__________________ CE USE ONLY_ ETHIS LINE
S—____--_--____________
PLEASE DO NOT WRITE BELOWHI
__----______^----
ZONE SETBACKS: FROONLY========================== ===========================
NT SIDE
PLAN:4ING DEPARTMENT APPROVAL
REM/.;:KS
REAR HEIGHT LIMIT
DISAPPROVAL
DATE
SEPA: '.:XiEMPT
______— NOT EXEMPT
FIRE C "_P/, Rl"MENh,,PoPPROVAL_______________________________
DISAPPROVAL
REMA, < KS DATE
PUBLIC'A'ORKS DERARTMENT APPROVAL
=--
DISAPPROVAL
DATE
TYPE C J;E3: NEW RESIDENCE—_____-___________________
RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW C;;A; /iERCIAL _COMM. ALT/ADD
-----NEW MULTIFAMILY NO. UNITS
MULTIF? i,11LY ADD/ALT
TENANT IMP.
BUILD:NG NO.
PERMI ;- F PLAN CHECK FEE
ROOF OTHER
TYPE OF CONSTRUCTION
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT. @
BUILDING SQ. FT.
TOTAL SQ. FT.
PLAN CHECK FEE REC'D
TOTAL FERCHARGE
— WSBCC SUENERGY SURCHARGE
OTHER C1- kRGES ;I
AMOUNT DUE
BUILDING :;LD,ARTMgNT APPROVAL •
BY
TOTAL VALUATION
•
STORIES
RECEIPT NUMBER
PLUMBING FEE MECH. FEE
DATE
ASSIGNED ADDRESS
1
Site Information
Site Address: 1320 S IiROBIE CT
SPOKANEiVA 00000
Parcel Number: 452143314
Subdivision:
Block: Lot:
Zoning: UNK Unknown
Owner: HOMESTEAD CONSTRUCTION
Addrin: 312`5 `'A1 RD' ILA ;'< . t;,,n
SPOK•Ait,-/WA99206
Building Inspector: BOBBt STONE
Nater Dist:
Sewer Connection Permit
Project 1nfonnation to :;mow 1
Project Number: 03005812 Ind: 1 r ahp u t eq `r 3
Permit Use: SEWER CONNECTION -- VALLEY PINES +> ^ Yh '
{41011 Atli' UCsi .$
Applicant: HOMESTEAD 'CONSTRUCTION
312 S FARRRD
r;. ., tf., ,. ( ml j 5
sPo�K,ANE wA 99206 01: fl hone:
Contact: 1 QMESTE.AI , CONSTRUCTION Tr. , _ j j Jt ,e 4O3 M
312 SF IRD. • +._;- o ; w • JA4St1
SPOKANE WA 99206-i ;7 Phonic (509) 8929454
Setbacks - Front F '
Left: Ri.ght• ..d Rear' 1L}7srilfilt)`• ',ICI :; -1 ii. `i'••
':,
Group Name:
Project None:
"t- 4„:,4.'71,4.441 + s+i: 44.1•7.44 Nf
. i.4r-(1114 1 ,mr-r , ) t'{'� 40111 .145 ! .
Contractors FOLSOM EXCAVATING INC
::t;.t
...-Al•: 3A -ft) 1,:vil k
i,-L•ri t•': :i;J Y.l rt•titaatl.:rfi
lona - t;fi3W3F .a
tt^;4._ RciS.A IrA1Rt•;o rH,4}sti .0t
8. .�.::44,r L. O : '.K!nth.: 4,i Yrim .n 1.MTii+1111' •: i tY Aia ►t+
or7br< wr1:! r 11. n t•. .. yes. s !"• r$' w -.�'' iv.•.+'S'a-f Y1n
LICane 1: FOLSOEI9994DO
SEWER CON 1 ffEN
;4.u0[-; "+::t,'�:fie' 1 OVV �E4RO �'Y ). .' ..
y`��fW.•. �P1.1S:�i 1J3ir).
FOR SEWER INSPECTIONS CALL (509) 477.3604 :UTILITIES
Call for inspection prior to covet ONE WORKIM DAY NQ
,l rvt 1 a O �^ ng� - t i a, t r ,drnla b1, 111 ;A
Contractor or apphc > 14 ioea,tA a the elfty tiop sewer'st b poor% any'otlter excaYat on�l
v � ,, , r F,1� (.f .tat,u
Sewer stubs are to be chocked prior to connection to ensure that
Sewer lines should be constructed to allow for gravity'flotfromthe
This permit must be presented to the job site inspector.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19 SREQ
NOTIFIED. CALL BEFORE YOU DIG AT LEAS
Spokane County Code requires the '
those related to trench safety.
$15.00
3J9 -3Z IvR3;? Y'ifl,"? 'a 1Yelt " egI OT
!1 MONY THRU FRIDAY •
$100.00
i,.
ble grade and are clear and unobstructed to the mtoplvgip
•
lowest -Level of the sttucture.
.• piping, wider fines; cteo ; r. 11340u11 ---:c+0
O0@& -CCA
BEFORE YOU DIG" CENTER BE
5 _800Qmt.wig.° nj,.i5 ::,nhP 1851'1':..-1111
.. c
Dept of Labor and Industries, incliiding' =
•
!YUJI!-;
11>.1 Tf::. .1 .. , .. fTlral „
Total Fees AmonntPak} AmountOwing
$100.00 8100.00 '''11'04 60.00
.:5.11! ,:: (fl lett.? on
. tis! J+.'�.."'.5
- . Tran Date
8/12!2003
e, I. _.. s.,:+b�cn � yap
Receipt # n 8 ;, Pavment Amt
5122 . ,.._.5100.00
X411'
Processed By: SHATTO,JULIE• •. - io1-. ;;t
Printed By: WENDEL, GLORIA
Page 1 of 1
t `t
, ..t .-1.,.= _✓sit U t r {t
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;49,;;3•14,4,- 1i.:-' vJ h 1241:=41
nitfil>Ua 'rl tree
Spokane
1 . Va11ey
11707 East Spragi'. Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
Mechanical Permit Application
PROJECT
ADDRESS: \,--1..�
S cl,,�_ `
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
0 CASH 0 CHECK 0 0
DATE: EXPIRES:
BANKCARD NUMBER:
n -77:7Th
DESCRIPTION OF WORK
# 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 (ADDMONAL 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
101-500MBTU
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
RANCE
-
X
510
-
14
DRYER
-
X
510
-
15
FUEL BURNING WATER HEATER
-
r
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 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
AIRCONDmONER
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
-
TIENTPLUS
VISA. VOSt{7L
SUBTOTAL:
PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
0 CASH 0 CHECK 0 0
DATE: EXPIRES:
BANKCARD NUMBER:
n -77:7Th
iTHOD 0
CASH
TE:
Siiokane
. Valley
11707 East Sprague Avtnue, Suite 106 509-688-0036 - Phone
Spokane Valley, WDA '99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
Plumbing Permit Application
PROJECT
ADDRESS: �,
OWNER:
MAILING ADDRESS:
PERMIT
USE:
PHONE (Daytime Contact):
(street)
CONTRACTOR:
(city/state) (ZIP)
MAILING ADDRESS:
LICENSE #:
PHONE #:
(street)
(city/state)
PLUMBING F
'iKCARD NUMBER:
[7-IORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6
-
2
URINALS
X
3
TUBS
`-
X
$6
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
\
X
$6
-
5
SINKS
LAVSBASINS, BAR, FLOOR, KITCHEN,•
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
7
X
•$6
-
6
DISHWASHER
\
X
7
CLOTHES WASHER
\
X
-
8
GARBAGE DISPOSAL
X
-
9
WATER SOFTENER
X
$6
-
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
36
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
$6
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER, HOSE BIB,
STEAMER, PROOFER, CARBONATOR,
SWAMI' 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
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC. PLUMBING FIXTURE
X
-
PAYMENT
D CHECK
MINIM
Nash
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
■ =MU •
PYPTPFC•
TOTAL PERMIT FEE DUE:
'iKCARD NUMBER:
[7-IORIZED SIGNATURE:
•
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Spokane
Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
r
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
Job Address: 1320 S ROBIE CT
SPOKANE WA 99212
Description: NEW RESIDENCE W/ATTACHED GARAGE - GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
HOMESTEAD CONSTRUCTION
HOMESTEAD CONSTRUCTION
312 S FARR RD
SPOKANE, WA 99206-3666
HOMESTEAD CONSTRUCTION INC
312 S FARR RD
SPOKANE WA 99206-3666
Application #: BLD -03-02239
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45214.3314 Zoning:
Phone:
Phone:
Lic No:
(509) 926-0755
HOMESCI099OC
08/15/2003
02/11/2004
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
COST OF PROJECT
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY USE
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 II HOOD
IMPERVIOUS SURFACE AREA
sfr
129252
18
100000
1
3
25
32
32
22
r-3
5-w
NA
RESIDENCE
no
no
3
2
1
5
1
1
1
3
1
1
1
1
3
4
1
2100
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
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
464.70
1,161.75
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
40.00
1,820.95
0.00
affikaL
1,820.95
A5'w
O TJ n,S
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City of SPOKANE VALLEY
Buildi
Applicant/Business
Project Name
Site Address
BLD O.P. 23C
Fire and Pu f lic Works Fees Receipt
Permit No.
Please Receipt the Following:
Check Number LO. Receipt Number
Payers Name j4L4) XLI. astA4/A J
Address City
Zip
•
BUILDING DEPARTMENT
001.059.322.10.0
001.059.322.10.
001.059.322.10.0
001.059.322.10.0
001.059.322.10.0
001.059.322.90.0
001.059.345.83.0
001.059.345.83.0
001.059.342.40.0
001.059.237.10.98
001.059.237.10.02
1 Building Permit
02 Plumbing Permit
3 Grading Permit
4 Mechanical Permit
6 Demolition Permit
1 Misc. Permits and Fees
1 Plans Check Fee
3 Energy plans check fee
2 SPECIAL Inspections
Bonds / Deposits
WSBCC Surcharge *
FIRE DEPARTMENT #
001.059.322.10.07
001.059.322.10.08
001.059.322.10.09
001.059.322.10.10
001.059.322.10.11
001.059.322.10.12
001.059.322.10.13
001.059.321.30.00
001.059.342.40.01
001.059.237.10.99
OTHER:
PUBLIC WORKS
001.059.322.40.00
001.059.342.40.03
001.059.237.10.99
Plans check fee
Sprinkler plans check
F. A. Plans check
Misc. plans check
Fire Alarm inspections
Sprinkler inspections
Misc. Inspections
Fireworks Permit
UFC permit fees
Bonds / Deposit * *
Right of Way /o'��P�
Special Inspections
Bonds/Deposits (cash)**
TOTAL AMOUNT DUE
$gS,00
* To be sent to Wash. State Building Code Council quarterly.
# 65% of figure to be sent to the Fire Department Quarterly, except bonds etc.
* * Liability Insurance verification may also be required.
' s-vb1d23c 4-21_03
cc.