2009, 08-10 Permit App: 09002443 ResidenceProject Number: 09002443 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/10/2009 Page 1 of 3
Project Information:, ,x .,.,u. - .»: --..w. H� _..... _-:.:ff.,
Permit Use: SFR W/ATT GAR Contact: NORTH LAKE HOMES
Address: 217 W CANFIELD #122
C - S - Z: COEUR D ALENE, ID 83815
Setbacks: Front Left: Right: Rear: Phone: (208) 755-7223
Group Name:
Project Name:
Site Information:
Plat Key: Name: Range
District: East
Parcel Number: 45144.3112 Block: Lot:
SiteAddress: 209 N ST CHARLES LN Owner: Name: FOUR POINTS INVESTMENT GRO
Address: 124 W SIDLEE ST
THOSAND OAKS, CA 91360
Location:: CSV
Zoning: R-4
Water District:
Area: 5,128 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information
SF Res Urban District
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released:
Landuse/Zoning/HE Conditions
8/7/2009 By: tmelbourn
ReleasedBy:
See Conditions
Sewer Review
Permits:
Originally Released: 8/10/2009 By: mbasinger
Released By:
Originally Released: 8/10/2009 By: jdavis
Operator: JD Printed By: jmm
Print Date: 8/10/2009
Project Number: 09002443 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/10/2009 Page 2 of 3
Contractor: NORTH LAKE HOMES INC
Address: 217 W CANFIELD #122
COEUR D ALENE
Description Grp Type
1 &2 FAMILY R-3 VB
COV DECK R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Notes
Contractor: NORTH LAKE HOMES INC
Address: 217 W CANFIELD #122
COEUR D ALENE
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATION MECH EXHAUST
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
Building Permit
Firm: NORTH LAKE HOMES
Phone: (208) 755-7223
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
990 $95,861.70 990 $95,861.70
26 $390.00 26 $390.00
438 $8,322.00 438 $8,322.00
Totals: 1,454 $104,573.70 1,454 $104,573.70
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Firm: NORTH LAKE HOMES
Phone: (208) 755-7223
Fee Amount
$1,021.75
$4.50
$408.70
$1,434.95
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Firm: NORTH LAKE HOMES
Phone: (208) 755-7223
Units
1
2
1
1
1
1
1
Fee Amount
$11.00
$13.00
$2.00
$13.00
$39.00
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$48.00
Operator: JD Printed By: jam Print Date: 8/10/2009
Project Number: 09002443 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes., , ,:> .. ........: ,W.. .., ,.,,..,..:
All residential driveways and off-street parking areas shall be paved with asphalt, Portland cement,
grasscrete, paver blocks, or other equivalent hard surface material.
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.
Date: 8/10/2009 Page 3 of 3
Payment Summary.
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$1,434.95 $1,434.95 $408.70
$39.00 $39.00 $0.00
$48.00 $48.00 $0.00
$1,026.25
$39.00
$48.00
$1,521.95 $1,521.95 $408.70 $1,113.25
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: JD Printed By: jmm
Print Date: 8/10/2009
*man
Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spokanevalley. o rg
Residential Construction
Permit Application
PERMIT NUMBER: 2443
PERMIT FEE:
few Construction
n Addition/Remodel
Other:
Accessory Bldg
❑ Deck
SITE ADDRESS l 0 "ter (e)
ASSESSORS PARCEL NO: "1:57q-4 3 i (2—
LEGAL DESCRIPTION:PP/% SU( - o Z�4s�-T (Z alk
Building Owner:
,(
Name:cou ( TOL rt _IniesiCv Vl,(
Address: 1,1 5-g 1 7,nSl1 i,¢ c..„ „cc,
_ G„1� State: Zip g5-c‘
fiLtv-
Phone: tog ?S's 7 zz3 Fax:?4&tftec(f7(7
Contact Person
Name: K&, zT 0 a#,
Phone: iwc 7 cc 77.-1-3
Describe the scope of work in detail:
Contractor:
Name: rfor.fin (a�4,,.a5
Address: igsfc( --(7,,,,,..;„<, C V'c,G
City: ,,..((zI ,�, State: p Zip. 5 5
Phone:
7s_s_ 727 3 Fax:5GG �e.f ct '(7/ 7
Coltpzog
o r-rotL1 VINO f Exp Date:mArch so 11
City Business Lic. No: w D Z 6 5Sc 66/
Cost of Project: $ 65 aaa
9 ver` 7i(Nyt (7 NNJ Cot5-6142-tevx following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES: 1
TOTAL I1A IITABLE SPACE:
MAIN FLOOR TO SQ.
FTG: c � C7 0 rL-
ll
2Nu FLOOR SQ. FTG:
O
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA: ' p O
l
FINISHED BAS ENT
SQ. FTG:
GARAGE SQ. FTG:
Lk 3 0 �
DEC COV. PATIO 3 Q. FTG:
/C1Z ZG -'
30% SLOPES ON
PROPERTY: h- 6
# OF BEDROOMS:,.)
CONSTRUCTION TYPE:
N0 D .rfMevei
HEA S E:
N va ?a 5 -Zc.rAa-t-
SEWER OR SEPTIC?
¢-,c,c r
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 cnnstruction is to be done
w at the City of
n of federal, state or
uently approved before
in full compliance with the City of Spokane Valley Development Code. Referenced cnrlod----
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not
local laws, codes or ordinances. 6) Plans or additional information may be re
this application can beprocessed.
Signature
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8/25/2005
❑ Check
❑ Mastercard
Expires:
0 0 ik•AA'Y
f#Leit &b/
/84/v" .0o
6 OF
�'�Valley
Permit Center
somcane
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 9
206
(509)688-0036 FAX: (509)688-0037
Community Development «Vww.s okaneValleV.org.
Mechanical Permit Application
SITE ADDRESS:
1/0, , Gt„C,r(c
Building Owner
0 Commercial
[residential
Phone:
State:
Address: o
Contractor
Address: (4.
Phone: 24) 7q-
7 ZZ
Fax: _ .6 4-
City Business Lic: �Z 6
License No: v
Contact
Phone:
# OF UNITS
= TOTAL AMOUNT
2
3
4
5
6
7
8
9
10
11
12
13
14
15 FUEL BURNING WATER HEATER
16 MISC. FUEL BURNING APPLIANCE
17 GAS PIPING each outlet
18
19
20
21
22 EVAPORATIVE COOLERS
23 TYPEIHOOD
24 TYPE II HOOD
25
26
27
28
29
30
31
32
33
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Additional Fee
UNLISTED APPLIANCE
UNLISTED APPLIANCE Additional Fee
USED APPLIANCE SEC min. AFUE ratin•
USED APPLIANCE SEC min. AFUE ratin.
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
DRYER
E•ual to or less than 100,000
More than 100,000
E•ual to or less than 400,000
More than 400,000
E.ual to or less than 400,000
More than 400,000
1 - 100M BTU
$12.00
$15.00
$50.00
$100.00
$50.00
$100.00
101 - 500M BTU
501 - 1,000M BTU
1,001 - 1,750M BTU
More than 1,750M BTU
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER DOES NOT include ductin
AIR HANDLER DOES NOT include ductin
E.ual to or less than 10,000 CFM
Greater than 10,000 CFM
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
LPG STORAGE TANK
WOOD OR PELLET STOVE/INSERT
WOOD STOVE - FREE STANDING
REPAIR & ADDITIONS
34 VENTILATION SYSTEMS
35 VENTILATION MECHANICAL EXHAUST
36 INCINERATOR - RESIDENCE
37 INCINERATOR - COMMERCIAL
METHOD OF PAYMENT:
❑CASH 0 CHECK 0 VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
0-3 TON
3-15 TON
15-30 TON
30-50 TON
More than 50 TON
EXPIRES:
VIN:
$12.00
$20.00
$25.00
$35.00
$60.00
$10.00
X $10.00
X $10.00
X $10.00
X $10.00
X $1.00
X $10.00
X $10.00
$12.00
X $15.00
X $10.00
X $50.00
X $10.00
X $12.00
X $20.00
X $25.00
X $35.00
X $60.00
X $10.00
X $10.00
X $25.00
X $15.00
X $12.00
X $12.00
X $19.00
X $22.00
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
I
permit Center
c,�pokane
ii S i1ley
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development w...v tip ikancva"e� "Tg
0 Commercial
Plumbing Permit Application
SITE ADDRESS:
Building Owner
04 S
Residential
Phone:
State:
Address: / d
Contractor
Phone: 2,c2o
City Business Lic: (O • Z
License No:
Contact
Phone: VeileiS7 5-6-
WATER
-s
# OF UNITS
TOTAL AMOUNT
DESCRIPTION OF WORK
1 TOILETS
2 URINALS
3 TUBS
4 SHOWERS PER TRAP
SINKS
WATER CLOSET, BIDETS
BATH, STALL, ON-SITE BUILT
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
7
8
9
10
11
12
13
14
15
16
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTENER
ELECTRIC HOT WATER TANK
FLOOR DRAINS
ROOF DRAINS/OVERFLOW DRAINS
FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
SEWAGE EJECTOR
WATER USING DEVICE
NOTE: IF GAS, SEE MECHANICAL
AREA, CASE, COIL, TRENCH,
CONDENSATE
17 CROSS CONNECTION DEVICE
18 INTERCEPTORS
19 MEDICAL GAS .er outlet
20 MISCELLANEOUS PLUMBING FIXTURE
21 PRIVATE SEWAGE DISPOSAL/SYS
22 INDUSTRIAL WASTE INTERCEPTOR
METHOD OF PAYMENT:
['CASH 0 CHECK 0 VISA 0 MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
GRINDER, SUMP PUMP
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
NITROUS, OXYGEN
$20.00
$15.00
SUBTOTAL
PROCESSING FEE
EXPIRES:
VIN:
$35.00
TOTAL PERMIT FEE DUE:
�SeoxAr� Cam
Site Information
Site Information
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Project Information
Site Address: 209 N ST CHARLES LN
Parcel Number: 45144.3112
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: VERA
Project Number: 09003880 Inv: 1 Issue Date:
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:
8/10/2009
Phone: (208) 755-7223
Phone: (208) 755-7223
Rear:
1
Permits
Sewer Connection Permit
Contractor: NORTH LAKE HOMES INC License #: NORTHLH939B9
SEWER CONNECTION
1 $85.00 PROCESSING FEE
1 $15.00
Total Permit Fee: $100.00
**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.
**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.
**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.
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date
8/10/2009
Processed By: DOMPIER, DAWN
Printed By: HINTZ, FAITH Page 1 of 1
Receipt #
3302
Payment Amt
$100.00
PERMIT
Spokane
j ley
For City Use Only
PLUS Project Number !, \f
Proj.ct Address
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.
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 Project 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
'PLANNING DEPT. APPROVED
BY. find/Ad
DATE. qviciloq
15'
— 7.06'
75.00
i(
4,53
Ifc
AUG 0'1 2009
20.00'
A
A
•
7.88'
15.00
18.26'
MDG
SCALE: I = IO
12.00'
ChARLES LANE
cr)