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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 dui{ r' - ,..,!+_ . ==:R, .,v =1wt I.a,v �1 ;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: • ,,•I , 1-r t + t -r-1--... 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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 �—' /✓—c7J _ _ . . . . ____ .. ,,,, _ . . . ....... .. , . ..... • • . . ., . , . , . - . ,. .... - . 111,, , • - 1' , , , , 4 ,- , '• ' ' .-r *11 l' 41-i4-1 ' 1 * 1 1 1 ' t 1 " t 4 t- " ' •1 . 1- t• -1- • ; I -1 I 1•'11. 1* 1 l i-1- , i „ 1 I t • . . . . . . . . . ...... . . . . . ... ...... , . . . . . . , . . . . -- - - 1.3Ng, , , ' , , : , \.N. , I ' ' 1 • ' v V , 1 * ' 1 • * t- t ; • t 1 I 1 • * 4 1 - 1 --f- - ; . 1 • • I ' -1-1- t--1- ' 1 1 .. ; 1 1- ~ -1 I I 1. 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''r -1-- ,--, -i-"i"-1 : 1---r -4 1-1.- I -t-T -4--t --f-,--! : "-/-,1-1.--1" . -r . 7 : 't -.---,--, 1- ' 1: -- : ' - "'-- - - - -- ---------- ------"--------.4--- - - --t---*-*---t--4---1,--1- -7 -7-- 7 . -'• ' ^ - ''l I' ' ' , ' . 7 7 7 t • • • ' , • , ' -,- • , , - . - - t -rt -I--1 -t- 1 • ' 4-' 1 T. 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.