2010, 04-13 Permit App: 10000952 ResidenceProject Number: 10000952 Inv: 1 Application Date: 4/13/2010 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Parcel Number: 45144.3114 Block:
SiteAddress: 205 N ST CHARLES LN
Location:: CSV
Zoning: R-4 SF Res Urban District
Water District: 010 VERA
Area: 5,128 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Lot:
Owner: Name: FOUR POINTS INVESTMENT GRO
Address: 217 W CANFIELD # 122
COEUR D'ALENE, ID 83815
Hold: 11
Depth: 0 Right Of Way (ft): 0
Review Information:.,.. .�. w.. . �., Pr-
w�.,, ..
Review
Building Plan Review Released By:
Originally Released: 4/9/2010 By: tmelbourn
Landuse/Zoning/HE Conditions Released By:
Originally Released: 4/13/2010 By: cjjanssen
Sewer Review Released By:
Permits:
Operator: jmm Printed By: jmm Print Date: 4/13/2010
Project Number: 10000952 Inv: I Application Date: 4/13/2010 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: NORTH LAKE HOMES INC
Address: 217 W CANFIELD #122
COEUR D ALENE
Description
Grp
Tyne Notes
1&2 FAMILY
R-3
VB
BASEMENT U
R-3
VB
DECK OPEN
R-3
VB
GAR WOOD
U-1
VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: NORTH LAKE HOMES INC
Address: 217 W CANFIELD #122
COEUR D ALENE
Item Description
GAS WATER HEATER
GAS APPLIANCE<=I00,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS 1 DUCT
Building Permit
Firm: NORTH LAKE HOMES
Phone: (208)755-7223
Total Project:
This Application:
Valuation
Sq Ft
Valuation
1,050
1,050
$103,897.50
$1,380.00
1,050
$15,750.00
$2.00
92
$1,380.00
$13.00
380
$7,220.00
Totals:
2,572
$128,247.50
Units
Unit Desc
1
SELECT
1
SELECT
1
SELECT
Total Project:
Sa Ft
Valuation
1,050
$103,897.50
1,050
$15,750.00
92
$1,380.00
380
$7,220.00
2,572 $128,247.50
Fee Amount
$1,156.15
$4.50
$462.46
Permit Total Fees: $1,623.11
Mechanical Permit
Firm: NORTH LAKE HOMES
Phone: (208)755-7223
Units
Unit Desc
Fee Amount
1
NUMBER OF
$11.00
1
NUMBER OF
$13.00
2
# OF UNITS
$2.00
1
NUMBER OF
$13.00
3
NUMBER OF
$33.00
Permit Total Fees:
$72.00
Operator: jmm Printed By: jmm Print Date: 4/13/2010
Project Number: 10000952 Inv: 1 Application Date: 4/13/2010 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: NORTH LAKE HOMES INC
Address: 217 W CANFIELD #122
COEUR D ALENE
Item Description
TOILETSBIDETS
SINKS
SHOWERS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
MISCELLANEOUS FIXTURES
Plumbing Permit
Firm: NORTH LAKE HOMES
Phone: (208) 755-7223
Units
Unit Desc
Fee Amount
2
NUMBER OF
$12.00
3
NUMBER OF
$18.00
3
NUMBER OF
$18.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
Permit Total Fees:
$72.00
NW corner of Progress and Sprague (parent Parcel No. 45144.2145) IS NOT ALLOWED ANY
individual freestanding or monument signs for Tract A-E of BSP -03-04. See project No. 05-001343 for
multi -business complex sign. (4-26-05) KK
Progress Elementary parcels 45144.0317 and 45144.1031 have restrictive environmental covenant
placed upon them. See building address file for copy of Environmental Covenant.
PaymentSummary:
Permit Tvae
Fee Amount
Invoice Amount
Amount Paid
Amount Owing
Building Permit
$1,623.11
$1,623.11
$453.50
$1,169.61
Mechanical Permit
$72.00
$72.00
$0.00
$72.00
Plumbing Permit
$72.00
$72.00
$0.00
$72.00
$1,767.11
$1,767.11
$453.50
$1,313.61
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: jmm Printed By: jmm Print Date: 4/13/2010
Spokane
jW1ey-
Community Development`
Permit Center C
11707 E S Pr PERMIT NUMBER: /
Suyt6
Spokan (6 PERMIT FEE:
^^A� 0� 88 0037
Residential Const
Permit Application
ky ey
ctiaNew Construction ❑ Accessory Bldg
�t`'`� = ❑ Addition/Remodel ❑ Deck
❑ Other:
SITE ADDRESS L CW&
ASSESSORS PARCEL NO:� i , LEGAL DESCRIPTION:
Building Owner:
Name: F LUV, t�c,h
Address:' y � I 'P'
City: State: 't:
Phone: S , Z1 Fax: �U 4 Li11.-7
Contact Person
Name: J
Phone:
Describe the scope of work in detail:
Contractor:
DIMENSIONS:
Name: Nc���
TOTAL HABITABLE SPACE:
Address: i y 5 M
C l.,2 i✓
City: leu L1141
State: �i Zip:
svf
Phone: ,S Z Z�
Fax: �1t(S `( 7
Contr#,Cto Lic No:
Exp Date:
City Business Lic. No:
i� A
Cost of Project: $ 9**D, " 1)
*****A*******The Following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
# OF STOR S:
TOTAL HABITABLE SPACE:
16 ' Ss
4N x 3
400
MAIN FLOOR TO Sd-.--Yu SQ-.--Y
FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
FTG /Os--o
i� A
� 0'5 C)
AREA: I U 4 0
FINISHED BASEMENT
GARAGE S .FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
SQ. FTG: L
Of 2. O Of,
PROPERTY: n L-)
# OF BEDROOMS:
CONSTTUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
2-
SI c
(.- a s -& r - <' t;-
SCS t .--
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature
REVISED 8/25/2005
XCheck
❑ Mastercard
Expires:
Date
❑ VISA
VIN#:
q I -el- A)
SCITY 01711
OKane
P Valley
49; 00
For City Use Only
PLUS Project Number ! :--
Project Address '.t;
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
r
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Proiect Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re -submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre -Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re -
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE -APPLICANT PINK- BUILDING FILE REV 9/07
Permit Center
',/A `•� 11707 E Sprague Ave, Suite 106 PERMIT NUMBER:
��77
1gne Spokane Valley, WA 99206
jWky° (509)688-0036 FAX: (509)688-0037 PERMIT FEE:
www.spokanevallcy.ore
Community Development
Plumbing Permit Application ❑ Commercial Residential
SITE ADDRESS: � r
Building Owner
DESCRIPTION OF WORK
# OF UNITS
X
Name: '—
i
/W
Phone: 061
Fax:
'1 1.
Address: /
r.i S
X
City: a ^
State: .1, Zip: 3_1?r
Contractor
2
URINALS
I
Name:
tM
t� ; �" f
Phone: z, v 7 E5- 722 lj Fax: b CF t{ 4 7 17
Address:`
�r_
(
City: 744 t
State: .� `� Zip:
License No: tic
'
3 per'
City Business Lic:
TUBS
Contact
X
$6.00
Name: e 4
i `
SHOWERS PER TRAP
Phone: Z c�
7 ZZ
6
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
1
X
$6.00
=
2
URINALS
I
X
$6.00
=
9
WATER SOFTENER
X
$6.00
=
3
TUBS
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
4
SHOWERS PER TRAP
BATH, STALL, ON-SITE BUILT
X
$6.00
=
12
ROOF DRAINS/OVERFLOW DRAINS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
X
$6.00
=
5
SINKS
LAUNDRY, UTILITY, JANITOR, PHOTO,
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
X-RAY. FOOD. PREP/CULINARY MEAT
X
$6.00
6
DISHWASHER
�``
X
1 $6.00
=
7
CLOTHES WASHER
1
X
$6.00
=
8
GARBAGE DISPOSAL
I
X
$6.00
=
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
=
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS(per outlet
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE INTERCEPTOR
I
X
$15.00
=
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES:
Card# VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
"Grvor7__- a
IJPC
�*0W1ey
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.s okanevallepokanevalleyore
PERMIT NUMBER:
PERMIT FEE:
ommunity eve opmen
Mechanical Permit Application ❑ Commercial F"esidential
SITE ADDRESS: 7i�J 7' L�li Ae 5
Building Owner
DESCRIPTION OF WORK
# OF UNITS X
COST - TOTAL AMOUNT
1
Name: _ Vit. Ir
1
+r1 k d.
Phone:
$12.00 =
Fax:
lF ,:5 Z -7 ('
Address:' It ; l
1 Ir t (r lI't Q- l'r i.
City: 1
J'v- Wt4y
State:
�% Zip'
Contractor
$50.00 =
4
UNLISTED APPLIANCE Additional Fee
More than 400,000
X
Name:G r-k�
�
Phone:,
�� 7
Fax:
$50.00 =
Address.' r; (�
S�� l
City:
'� iv
State:
Zip: 7, ' -a/
License No: N�
. Ij C C
City Business Lic:
$12.00 =
8
Contact
101 - 500M BTU
X
$20.00 =
9
BOILER/REFRIGERATION
Name:ih 1A'4
CA
Phone:
j 7
3
1,001 - 1,750M BTU
DESCRIPTION OF WORK
# OF UNITS X
COST - TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00 =
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00 =
3
UNLISTED APPLIANCE Additional Fee
Equal to or less than 400,000
X
$50.00 =
4
UNLISTED APPLIANCE Additional Fee
More than 400,000
X
$100.00 =
5
USED APPLIANCE SEC min. AFUE ratio
Equal to or less than 400,000
X
$50.00 =
6
USED APPLIANCE SEC min. AFUE ratio
More than 400,000
X
$100.00 =
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00 =
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00 =
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00 =
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00 =
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00 =
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00 -
13
RANGE
X
$10.00 =
14
DRYER
X
$10.00 =
15
FUEL BURNING WATER HEATER
X
$10.00 -
16
MISC. FUEL BURNING APPLIANCE
X
$10.00 =
17
GAS PIPING each outlet
-2 X
$1.00 =
18
DUCT SYSTEMS
X
$10.00 =
19
VENTILATING FANS
V X
$10.00 =
20
AIR HANDLER DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00 =
21
AIR HANDLER DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00 =
22
EVAPORATIVE COOLERS
X
$10.00 =
2.3
TYPE I HOOD
X
$50.00 -
24
TYPE II HOOD
X
$10.00 -
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00 =
26
AIR CONDITIONER
3-15 TON
X
$20.00 =
27
AIR CONDITIONER
15-30 TON
X
$25.00 =
28
AIR CONDITIONER
30-50 TON
X
$35.00 =
29
AIR CONDITIONER
More than 50 TON
X
$60.00 =
30
LPG STORAGE TANK
X
$10.00 =
31
WOOD OR PELLET STOVE/INSERT
X
$10.00 =
32
WOOD STOVE - FREE STANDING
X
$25.00 =
33
REPAIR & ADDITIONS
X
$15.00 =
34
VENTILATION SYSTEMS
X
$12.00 =
35
VENTILATION MECHANICAL EXHAUST
X
$12.00 -
36
INCINERATOR - RESIDENCE
X
$19.00 =
37
INCINERATOR - COMMERCIAL
X
$22.00 =
METHOD OF PAYMENT:
[]CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE:
75.00'
F- - - - - - - - - - - - - - - - - - - - - - --
F7- soap
MING WCHEN
10.00,
GARAGE
2a0 x 190
A N.
•
'At
UVING
II--------------------------
3 � �
Q cwseT
N
------ ------------------
E C f%-:- I V Et- D
Pr---HM!T GUNTErl
0 i 19"g
BEDROOM L ---J
Irn, la-z'ENM
Ar
M0.9TER BATH
MA5TE5 KM
),V_a�i ID 2-
sxa
PLAIN'NING DEPT. APPROVED
BY(
MWIMM
DATE:
6 ST. CHARLES LANE
35.15'
SPOKANE COUNTY
` DEPARTMENT OF BUILDING & PLANNING
_ 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
SPOKE COUP
Site Information
Site Address: 205 N ST CHARLES LN
Parcel Number: 45144.3114
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning:
Owner: FOUR POINTS INVESTMENT GROUP L
Address: 217 W CANFIELD # 122
COEUR D'ALENE, ID 83815
Building Inspector:
Water Dist:
Project Information
Project Number: 10001619 Inv: 1 Issue Date: 4/14/2010
Permit Use: SEWER CONNECTION
Applicant: NORTH LAKE HOMES
14581 PRISTINE CIRCLE
RATHDRUM, ID 83858
Contact: NORTH LAKE HOMES
14581 PRISTINE CIRCLE
RATHDRUM, ID 83858
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Phone: (208) 755-7223
Phone: (208) 755-7223
Rear:
IPermits
Sewer Connection Permit Contractor: NORTH LAKE HOMES INC License #: NORTHLH939139
PROCESSING FEE 1 $15.00 S1 SEWER CONNECTION 1 $125.00
Total Permit Fee: $140.00
**FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
**CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
**INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER 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 LINES SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
**THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
Payment Summary
Total Fees AmountPaid AmountOwin2
$140.00 $140.00 $0.00
Tran Date Receipt # Payment Amt
4/14/2010 1323 $140.00
Processed By: DOMPIER, DAWN PERMIT
Printed By: Force, Faith Page 1 of I