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HomeMy WebLinkAbout2003, 04-01 Permit App: BD-03-010 ResidenceCity o SPOKANE VAL REECIE IfL71 APR 1 311POLIDOMR PERMIT # 03 --(:)1 0 BUILDING PERMIT APPLICATION Box 1 OWNER ��-,�-s��c� ��,s\- OWNER'S ADDRESS DESCRIBE JOB JOB LOCATION CITY PHONE THIS PROPE CORP. TY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP BOX 2 CONTRACTOR'S NAME `�.�se.t ,�� �oc�� PHONE`�"�� •�'�5 CONTRACTOR'S ADDRESS CITY S ;V.c , CONTRACTOR'S REG.# EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED) BOX 3 CONTACT PERSON OF PROJECT G\-<., 5 �e��, PHONE ADDRESS CITY ZIP BOX 4 SEWER AVAILABILITY WATER AVAILABILITY C BOX 5 ESTIMATED PROJECT COST $ EXISTING BLDG. VALUATION $ .. BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION _ (IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION) CENSUS NUMBER LOT NUMBER BOX 7 BUILDING SQUARE FOOTAGE (Existing / pced) 1ST FLOOR \ / 2ND FLOOR / 3RD FLOOR / BASEMENT \-.`6, / DECK S') / GARAGE (.L / CARPORT / TOTAL / BOX 8 (V) SINGLE FAMILY ( ) MULTIFAMILY (NO. OF UNITS ( ) COMMERCIAL / INDUSTRIAL ( ) TENANT IMPROVEMENT (1) NEW CONSTRUCTION ( ) EXISTING STRUCTURE TOTAL AREA OF PROPERTY \4es; SQ. FT. IMPERVIOUS SURFACE -').6e`\ SQ. FT. BOX 9 PLUMBING FIXTURES (Including rough -ins) NO. 4 O 1, BATHTUBSWATERCL- FAUCETSSETS-URINAL PRIVATE SEWER SYSTEM SHOWERS 3 LAVATORIES SINKS DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET LAWN SPRINKLER SYSTEM DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS 1 FLOOR DRAINS BACKFLOW PREVENTER VACUUM TYPE BREAKER HOT TUBS TOTAL FIXTURES MECHANICAL APPLIANCES GAS PIPING : 3 OUTLETS NO. \ FURNACE, ELECTRIC (BTU RATING `t.),"�� k GAS HOT WATER HEATER CONVERSION BURNER BOILER: SIZE AIR HANDLING UNITS HEAT PUMPS: SIZE UNIT HEATERS AIR COOLING UNITS; SIZE COMMERCIAL HOOD GAS APPLIANCES FIREPLACE INSERTS EXHAUST VENT FANS APPLIANCE VENT REPAIR WOOD STOVE SYSTEM GAS '1 TOTAL UNITS OVER BOX 10 WATER SERVICEMETER SIZE (IF KNOWN) (ALSO SEE BOX 4) BOX11 SEPTIC TANK -NOT GENERALLY ALLOWED IN THE CITY OF SPOKANE VALLEY. FOR SPECIAL CIRCUMSTANCES CONTACT THE SEWER PROVEYOR AND THE HEALTH DISTRICT. (SEE BOX 4) BOX 12 STREET USE MAY REQUIRE A "STREET USE PERMIT" FOR SEWER, WATER, SIDEWALKS, SIDEWALKS, CURB CUTS. CONTACT THE PUBLIC WORKS DEPARTMENT. I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE. OWNER / AGENT C DATE N. •\- u3 OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE ZONE (,P 3 S SETBACKS: FRONT SIDE 47:i ifa yREAR HEIGHT LIMIT LW (? S:-' PLANNING DEPARTMENT APPROVAL X DISAPPROVAL DATE *343 REMARKS SEPA: EXEMPT NOT EXEMPT 1,`),L• FIRE DEPARTMENT APPROVAL DISAPPROVAL DATE PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY TYPE OF CONSTRUCTION STORIES BUILDING SQ. FT. @ = SQ. FT. @ = SQ. FT. @ _ SQ. FT. @ = TOTAL SQ. FT. TOTAL VALUATION BUILDING PERMIT NOT %j CEJ 0 PLAN CHECK FEE RECD 2.25---14,, ECEIPT NUMBER 63 'C..4 PERMIT FEE / I1,6, 1S— PLAN CHECK FEE ,22.56:3 PLUMBING FEE 1 02 e� MECH. FEE S'S CZ TOTAL FEES WSBCC SURCHARGE 51 ENERGY SURCHARGE OTHER CHARGES BUILDING DEPARTMENT APPROVAL RECEIVED ASSIGNED ADDRESS BY AMOUNT DUE 15Li?.. Z� ACCEPTED FOR FILING SpoKA E Cowry SPOKANE COUNTY DIVISION OF BUILDING AND CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 18602 E TURTLE CREEK LN SPOKANE, WA 00000 Parcel Number: 55194.1323 Subdivision: Block: 3 Lot: 23 Zoning: UR -3 Urban Residential 3.5 Owner: HOMESTEAD CONSTRUCTION, INC Address: 312 S FARR RD SPOKANE, WA 99206-3666 Building Inspector: LEONARD FLUNO Water Dist: Project Number: 03002194 Inv: 1 Issue Date: 4/1/2003 Permit Use: SEWER CONNECTION - TURTLE CREEK SOUTH Applicant: HOMESTEAD CONSTRUCTION, INC 312 S FARR RD SPOKANE, WA 99206-3666 Phone: (509) 892-0454 Contact: HOMESTEAD CONSTRUCTION, INC 312SFARR RD SPOKANE, WA 99206-3666 Phone: (509) 892-0454 Setbacks - Front: Group Name: Project Name: Left: Right: Rear: Permits Sewer Connection Permit Contractor: OWNER License #: OWNER SEWER CONNECTION 1 $85.00 PROCESSING FEE Total Permit Fee: FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY $15.00 $100.00 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 NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000. Payment Summary Total Fees AmountPaid AmountOwing 5100.00 5100.00 50.00 Tran Date Receipt # Payment Amt 4/1/2003 2050 $100.00 Processed By: FORRY, JEFF Printed By: HINTZ, FAITH Page 1 of 1 PERMIT / v r f (2,feeI� Fe,.; 0-7-1 57e� / G 000�'l spe (/ fir /'©0.1 c /74y, ACP.? a 01 © ✓ 74 1) f7 c 1,}a 4 5 /,/�'! Gj irej .n / P":72 `/'G sn 17, ®3 -6970 Q ea, y / ? c3 ,(!C/�) Ci>4W 70 Lie r/ 7/ arrca q''P r' 44'7 anacoat,o-/ e9, --c) 3 �— z7—" (57-.2 9- 0 3 s=,2.9-03 yG A EC E fl W APR 0 1 2003 RURBUN APPROVED BY '727,,,i(/'/' APR -01-2003 16:50 FROM: 1U.7GUvu, - ' ,. ,te't•,!..,..1..:.•4-*,71.—rirktelk.-„P.1......11,4:101.ir*:* li,ittr.,';,. Nir •,,,, fk - .^,:e.w% V,r '07,""- '.. ,,,••'e," • ,.,_ - ._ -..... , --- „..— _.__ 771,17,: ,,'.T .qa:••,-,F;:z:4:::•,,!.:.."7:; 'rir. ' "irqi7::,:iir""1,71::'."T:t ". ''':4. "1' "nl,f:'':,':"7..77,` '!.: "4' . . ' • '''' -1, '7... .. .,. ,4[: • 1,'4!... .;fr.• ' •:;•,14 , . • MASTER LICENSE SERVICE ' . . „•••• ..... •, ..„.. • ,. .. ••... , REGISTRATIONS AND LICENSES. WASHINGTON ,z......,.„..,„.. .......: - UNIFIED BUSINESS ID #: BUSINESS ID #: ORGANIZATION TYPE DOMESTIC PROFIT CORPORATION HOMESTEAD CONSTRUCTION, INC. 312 S FARR RD SPOKANE WA 99206 EXPIRES : DOMESTIC PROFIT CORPORATION RENEWED BY AUTHORITY OF SECRETARY OF STATE REGISTERED TRADE NAMES: HOMESTEAD CONSTRUCTION, INC. 4115.700 MAR 29 2003 15:59 L.7671744 " PAGE.02 City of SPOKANE VALLEY PLUMBING /MECHANICAL PERMIT APPLICATION & PERMIT # Contractor Information Job Address Contractor's Names Contractor's address City Zip Code Contractor Phone Number Applicant Information Owner Name Owner's Address City Zip Code Owner phone number Tax Parcel Number (Assessors Number) Contractor's registration card (or copy) must be presented at time of submittal Fixture Count/Schedule of Work Mechanical Number Total Basic fee Furnace (up to 100,000. btu ) Gas Hot Water Heater Cook Top & other appliances Clothes dryer Conversion burner $35. 815. ea $10. ea $10. ea $10. ea $10. Gas logs, gas fireplacinsert 10. ea Wood stove system lr Rz c ..<14,M12$4.1-.-:25. Appliance vent repair - relocation Laundry Washer / sink A/C unit ((up to 3 tons ) Unit Heater (up to 100,000 btu ) Fireplace insert (wood - pellets ) Evaporative coolers Commercial Hood Exhaust vents _ Ducts system Gas Piping ( outlets ) ($ 1. for every outlet after 4) Total Fee Cost ^$ 7.50 ea $ 10. ea $12. $12. ea $10. ea $12. ea 812. ea $ 8. ea $12. $ 5. up to 4 outlets Fee Cost $ _ I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card : Visa Mastercard No. Plumbing Number 3 - ' 4 - Basic fee Toilets Urinals Tub & faucets Shower heads Bathroom sinks irkelemsinks Dishwashers Hot water tank $35. $ 6. ea $ 6. ea $ 6. ea $ 6. ea $ 6. ea $ 6. ea $10. ea Lawn sprinkling system $25. Private sewage system $20. Vacuum type breaker (5) $25. Drinking fountains $ 6. ea Floor Drains $ 6. ea Sump $6. ea Backflow preventor $ 6. ea pipe -drainage repair $ 6. ea - Hose Bib $ 6. ea G(-4,5 �. /?'?C� Ufi/i¢5 S.1 Total $ v� --- ---- ---- ---- Expiration date Print name of holder Signature Signature of applicant Date HOMEOWNER INSTALLER ONLY I hereby certify that I am the owner of the property described in this application. I understand that the work is subject to inspection and approval by the City of Spokane Valley, and that I may not allow any other person, including a licensed contractor, to do any work under this permit Signature of owner Date FOR OFFICE USE ONLY Date received Circle one: Plumbing Mechanical Supplemental to Permit Number: Date Permit Issued Permit Number Fee collected $ Issued By: s-vme-pl Date Both _ c ...e F. /E,7, /4 /c;sr /e x- 6 /'2 -= /67 e,c, x e //-,2g- 6 STT3 Y- -5- -i- /64 /c."),Z-ec,