2004, 05-18 Permit App: BLD-04-04386 ResidenceC7T1' UC
Spokane
�,,.•'�Milley
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: 1321 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 #:
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45214.3313
Phone: (509) 892-0454
Phone:
Lic No:
(509) 892-0454
HOMESCI099OC
BLD -04-04386
05/18/2004
11/14/2004
Zoning:
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
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
sfr
135854
11
44 X 37
1
3
25
20
45
16
r-3
5-n
1
10302
no
no
3
2
1
5
1
1
1
3
1
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
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Building
Planning
Initials / Date
AjLidd,
utu�
478.14
1,195.35
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
1,867.99
0.00
a
1,867.99
'S.Fya,.1�
9r1� )
•• o
REVIEWED
SPO OR CODE C
/ ' N PLIAIN
FOR
BUI DING DI ISIC
/9 0 el
Public Works
C tLLtkUA Ck. i. k (
THIS IS NOT A RECEIPT
City of
SPOKANE VALLEY
(9w- 003(o
irct)( erg- 0037
PERMIT #
BUILDING PERMIT APPLICATION
Box 1 )WNBR-�r�� Loc..,>N" JOB LOCATION
JWNER'S ADDRESS CITY • PHONE
DESCRIBE JOB S C
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORP.
BOX 2 ;ONTRACTOR'S NAME
ONTRACTOR'S ADDRESS S.
C ••c - PHONE V\L-' N
CITY
CONTRACTOR'S REG.# EXPIRATION DATE
(CARD MUST BE PRESENTED AND COPIED OR VEF IFIED)
BOX 3 CONTACT PERSON OF PROJECT c
PHONE
DDRESS CITY ZIP
WATER AVAILABILITY �•c-,...,g-
BOX 5 ESTIMATED PROJECT COST $ c5 EXISTING BLDG. VALUATION $ - T
��
BCX4 EWER AVAILABILITY —.\•••1_
BOX
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
•
NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
• :NSUS NUMBER
LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed)
3RD FLOOR /
\SEMENT UNFINISHED / X11 DECK
OTHER /
\RPORT /
TOTAL /
30X 8 (f) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS
( ) COMMERCIAL / INDUSTRIAL
( ) TENANT IMPROVEMENT
•
1ST FLOOR / \`N5 2ND FLOOR / •
BASEMENT FINISHED
/ \%D GARAGE / -.
HEIGHT TO PEAK OF BUILDING \\ FT.
30X 9 f':_UMBING FIXTURES (Including rough -ins)
( ✓) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY SQ. FT.
IMPERVIOUS SURFACE 1 N. -NS i SQ. FT.
MECHANICAL APPLIANCES
EASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
STEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSIIpN BURNERS,
it
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL
OX 10
Water Service meter size (if known) 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 TR IE AND •
DRRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
30VE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE.
✓VNER ';GENT c.._')Nr_DATE S' \—\ -\ M (OVER)
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
+ Mastercard
Expiration Date
P.•.t the name of the Holder
Signature
OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE
REAR HEIGHT LIMIT
Pl ,NNING DEPARTMENT APPROVAL •
DISAPPROVAL DATE
RE .1ARKS
SEPA: EXEMPT NOT EXEMPT
I
FIP:: DEPARTMENTPPROVAL DISAPPROVAL
•
RE ARKS
DATE
PUBLIC WORKS DEPIARTMENT APPROVAL
DISAPPROVAL DATE
_;
TYf 7 OF JOB: NEW RESIDENCE RES. ADD/ALT
NEW INDUSTRIAL IND. ADD/ALT
NE'. COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS
MUL IIFAMILY ADD/ALT
TENANT IMP. ROOF OTHER
OCCUPANCY
TYPE OF CONSTRUCTION STORIES
j BUILDING SQ. FT.
BUILDING SQ. FT. tT�
BUILDING SQ. FT. p� _
BUILDING SQ. FT. �p =
TOTAL SQ. FT. TOTAL VALUATION
BUIL' 'NG PERMIT NO. PLAN. CHECK FEE REC'D RECEIPT NUMBER
;I
PER. T FEE .PLAN CHECK FEE PLUMBING FEE
MECH. FEE
TOT/.._ FEES WSBCC SURCHARGE • ENERGY SURCHARGE
OTHER CHARGES AMOUNT DUE
BUIL T'NG DEPARTMffNT APPROVAL . BY
DATE
ASSIGNED ADDRESS
HOD OF
:ASH
S�?n"okan
Y
....sir Valley
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: \'\^
1
\� r� I,
PERMIT
USE:
DESCRIPTION
OWNER:
It OF UNITS
PHONE (Daytime Contact):
COST
MAILING ADDRESS:
AMOUNT
1
TOILETS
(street)
(city/state)
(ZIP)
$6
CONTRACTOR:
LICENSE S:
URINALS
MAILING ADDRESS:
X
PHONE t:
-
3
TUBS
(street)
(city/state)
(ZIP)
•
PLUMBING FIXTUR
I;:CT.21) t .IBER
HORIZED SIGNATURE:
DESCRIPTION
DETAILS
It OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
I
X
$6
-
2
URINALS
X
-
3
TUBS
•i..
X
$6
-
4
SHOWERS (PER TRAP)
BATH, STALL, ON -SPIE BUILT
\
X
$6
-
5
SINKS
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
X
16
-
6
DISHWASHER
,
X
-
7
CLOTHES WASHER
X
-
8
GARBAGE DISPOSAL
X
-
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
-
12
FOUNTAINS, DRINKING
X
-
13
WATER PIPING/DRAIN-IN
WAS I t, 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 MAXER, HOSE BIB,
STEAMER, PROOFER, CARBONATOR
SWAMP COOLER
'
J
X
$6
-
6
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.D. FOR VATS, TANKS, BOILERS
J
X
-
7
SPRINKLER SYSTEM
X
$25
-
8
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
%�
-
.9
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
i6
-
20
MISC. PLUMBING FIXTURE
X
-
PAYMENT
CHECK
�fitast ssi
_ .....
SUBTOTAL
vis
PLUS PROCESSING FEE:
$35.00
• IMMEMS ■
PX T)t PFC•
TOTAL PERMIT FEE DUE:
I;:CT.21) t .IBER
HORIZED SIGNATURE:
SO&me
,®� Valley
Mechanical Permit Application
11707 East Sprague Av6ruse, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
PROJECT
ADDRESS:
CUSE:
PERMIT
OWNER
X
PHONE (Daytime Contact):
MAILING ADDRESS
AMOUNT
(street)
(city/state) (ZIP)
CONTRACTOR:
\
LICENSE t:
MAILING ADDRESS.
•
PHONE t:
2
(street)
(dty/state) (ZIP)
MET: ; )D OF PA
] C I DC
DnT. EXPIRES:
BANKCARD NUMBER:
DESCRIPTION OF WORK
t 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 (ADDMONAL 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
1-100MBTU
X
515
•
8
BOILER;REFRIGERATION
101-500MBTU
X
528
•
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. GAS INSERT, GAS FIREPLACE
-
\
X
510
-
13
RANGE
-
X
510
•
14
DRYER
-
X
510
•
15
FUEL BURNING WATER HEATER
-
k
X
510
-
16
M1SC. FUEL BURNING APPL.
-
X
510
-
17
GAS PIPING (ea. Outlet)
-
X
51
•
18
DUCT SYSTEMS
-
" 'l'
X
510
-
19
VENTILATING FANS
-
X
510
-
20
AIR HANDLER (DOES NOT Indudeducting)
•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
AIRCONDITIONER
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
•
V1ENT
vim. 4i, j
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
DnT. EXPIRES:
BANKCARD NUMBER:
Spo 1IE Cou ry
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 1321 S ROBIE CT
SPOKANE, WA 00000
Parcel Number: 45214.3313
Subdivision:
Block: 1 Lot: 13
Zoning: UNK Unknown
Owner: HOMESTEAD CONSTRUCTION INC
Address: 312 S FARR RD
SPOKANE, WA 99206-3666
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 04003201 Inv: 1 Issue Date: 5/14/2004
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:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: HOMESTEAD CONSTRUCTION License #: HOMESCI0990C
SEWER CONNECTION 1 $85.00 PROCESSIN0 FEE 1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILII' S 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, etc.
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
NO 1'll'IED. 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.
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
5/14/2004 2495 $100.00
Processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT
\cu
si�1& Hey
Call 24 hours before inspection required
Phone 509.688-0195 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date 5-21-2004 Permit # 04-327 Account #
ROW CONSTRUCTION PERMIT
Location of property 1321 S Robie Ct.
(Address/Parcel #, if available)
Applicant Name Homestead Construction Fax
Address 312 S. Farr Rd. Spokane Valley, Wa. 99206 Phone 509-892-0454
Contractor's Name
Address
Phone
Contractor's Reg.# HOMESCI099OC Expires
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
Sewer Connection ■ Driveway
Curb & Gutter Gas Installation/Repair
❑ Cable/Conduit/Pole
O Water Installation/Repair
• Pavement Cut
Sidewalk Repair/Construction
❑ Other
Dimensions
Bond/insurance certification must be on file with the City. Bond #
SPECIAL CONDITIONS: Construct driveway approach per Spokane County Standards as
adopted by the City of Spokane Valley.
See attached Provisions
Permittee Signature Approved,
Date j -- c2
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder
Signature
Fees Paid$ 25.00
25.00
Date
Init
(Application) (Inspection)
In addition to the permit application fee of $16.00 (utility) or $25.00 (construction), inspection on
each permit will be billed to the permittee at a rate of $50.00 per hour with a $25.00 (1/2 hour)
minimum. Permittee signature constitutes an agreement to these terms and provisions.
Work completed satisfactorily (Signed)
Date
Permit not valid until One -Call Notification Ticket # entered here
PERMIT MUST BE KEPT ON SITE