2006, 06-08 Permit Appp: 06002094 Residence Project Number: 06002094 Inv: 1 Application Date: 6/8/2006 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project In formation:
Permit Use: SFR,GAS HEAT,ON SEWER Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C-S-Z: SPOKANE,WA 99206
Setbacks:Front Left: Right: Rear: Phone: (509)892-0454
Group Name:
Site Information:
Project Name:
Plat Key: Name: VALLEY MEADOWS SUB District: Sout
Parcel Number: 45214.3404 Block: Lot:
SiteAddress: 11913 E 13TH AVE Owner:Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
Location::CSV SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 10,011 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review
Building Plan Review Released By:
Originally Released: 6/8/2006 By: TMELBOU
Driveway/Approach Released By:
Originally Released: 6/8/2006 By: amblake
Landuse/Zoning/HE Conditions Released By:
Originally Released: 6/2/2006 By: cjjanssen
Sewer Review Released By:
Originally Released: 6/2/2006 By: amblake
Permits:
Operator: AMB Printed By: AMB Print Date: 6/8/2006
Project Number: 06002094 Inv: 1 Application Date: 6/8/2006 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509)892-0454
SPOKANE,WA 99206
Item Description Units Unit Desc Fee Amount
APPROACH-CONST IN ROW 1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509)892-0454
SPOKANE,WA 99206
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 429 $37,052.73 429 $37,052.73
2ND FLOOR R-3 VB 1,407 $105,074.76 1,407 $105,074.76
BASEMENT F R-3 VB 450 $9,000.00 450 $9,000.00
BASEMENT U R-3 VB 560 $8,400.00 560 $8,400.00
DECK OPEN R-3 VB 332 $4,980.00 332 $4,980.00
GAR WOOD U-1 VB 451 $8,569.00 451 $8,569.00
Totals: 3,629 $173,076.49 3,629 $173,076.49
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,408.15
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $563.26
Permit Total Fees: $1,975.91
Mechanical Permit
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509)892-0454
SPOKANE,WA 99206
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 4 NUMBER OF $40.00
Permit Total Fees: $74.00
Operator: AMB Printed By: AMB Print Date: 6/8/2006
Project Number: 06002094 Inv: 1 Application Date: 6/8/2006 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509)892-0454
SPOKANE,WA 99206
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
SHOWERS 1 NUMBER OF $6.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
CROSS CONNECTION DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $102.00
Notes �. .... : w .. .... "� , a . __. . _. :w .,
Payment Summaryy. :, .a.A ..
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,975.91 $1,975.91 $0.00 $1,975.91
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$2,201.91 $2,201.91 $0.00 $2,201.91
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: AMB Printed By: AMB Print Date: 6/8/2006
Project Number: 06002094 Inv: 1 Application Date: 6/1/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR,GAS HEAT,ON SEWER Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C-S-Z: SPOKANE,WA 99206
Setbacks:Front Left: Right: Rear: Phone: (509)892-0454
Group Name:
Site Information: Project Name:
Plat Key: Name: VALLEY MEADOWS SUB District: Sout
Parcel Number: 45214.3404 Block: Lot:
SiteAddress: 11913 E 13TH AVE Owner:Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RI)
Location::CSV SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 10,011 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: AT - e -. =nomw,_a: vansgs-lw,Mlzaka .:a af._. ..
Review
Building Plan Review Released By:
Driveway/Approach Released By:
Landuse/Zoning/HE Conditions Released By. _ , _ / . 2
Sewer Review Released By:
Permits: '-. :_ -an=.__ - - _ µ X
Operator: AMB Printed By: AMB Print Date: 6/1/2006
Permit Center
S li kerne 11707E Sprague Ave, Suite 106 � �`�r�� $,i,�t 3 '1.,__�.._ ,2 .r' '
'( , Spokane Valley,WA 99206 ;s
•`��ey (509)688-0036 FAX:(509)688-0037 ' � ril.= t� � `'
Community Development www.spokanevallev.or�.corn dpeiti-
,
Residential Constr +e n w Construction o Accessory
�� Y 3 1 2 Bldg
Permit Application " MA o iimiT: ition/Remodel ❑ Deck
C_ vc) �i er: •.
SITE ADDRESS V. \\°\ \ \
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: \...,--.A 't Q\\,_ ' \l,\.\ .� c ;-rte,
� _ 1t � c.. i t � � .� r i'i'' 'tom4,:-.1;:,..0.`,—; 'v'3' t
,r_V�3eM���y`�*$=�� .y;--� ,,t �' =� �x`� � I�i�� �i` -n Y�tt.s •} .t`\ ''',,,‘,.:11:::.
F
.__ l.t+-.. � k.....,,, . a-7^ .. s .✓:...rttu..�__.<, a?.a ad aya.. ..:.s�.. _..�...,...K.__1 _
Name: ` _ _ _ . Name:
Address: G Address:
IREII _� _ c Ci . • Zi.:
Phone:�� _ • - • Fax: "" - Phone: Fax:
Lic No: ..Date:
igoitvaT t� cff, Ta... Ci Business Lic No:
Name: L., , a` OL _i - - ...c.-.
Phone: . - -
Describe the scope of work in detail: Cost of Project: $ \\c1 ,O��o •
F Q--
•
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
MAIN F OO T 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: 13L r AREA.
FINISHED BASEMENT GARAGE SQ. FT DECK/ V. PATIO SQ. FTG: 30%SLOPES ON
4
SQ. FTG: .-• �� N.514-4 ‘I 3 PROPERTY: \,..)\t\=:‘
#OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC?
Ps, `4,..._c
DISCLAIMER
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 Q') \^ Date \-��,..
�
Method of Payment (Faxed permit applications will only be accepted with major bankcard)
0 Cash 0 Check 0 Mastercard 0 VISA 0 Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED e25r2005
Permit Center
S""®"kane 11707 E Sprague Ave,Suite 106
'Valley Spokane Valley,WA 99206 PERMIT NUMBER:
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
• Community Development www.spokanevalley.ore.com
Mechanical Permit Application ❑ Commercial 1 Residential
SITE ADDRESS: \\I\ \ \' '<\‘-‘
Building owner -Sk rnw•-+ a..w. \ CrJc.,\ .
Name: Phone: Fax:
Address: City: State: Zip:
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business License No:
Contact
Name: Phone:
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(WSEC min.AFUE rating) Equal to or less than 400,000 X $50.00 =
6 USED APPLIANCE(WSEC min.AFUE rating) 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) X $1.00 =
18 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS 4' 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 =
23 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: SUBTOTAL
❑CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00
' CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: REVISED 8n6/05
Yernut Center
Spokane 11707 E Sprague Ave,Suite 106
Walley Spokane Valley,WA 99206 PERMIT NUMBER:
(509)688-0036 FAX:(509)688-0037
Community Development www.srokanevallev.ora.corrl PERMIT FEE:
Plumbing Permit Application ❑ Commercial (f] Residential
SITE ADDRESS: \,\c\\ , \ C\k'N
Building owner \—\1/4,, c,� C c 'i ,
Name: Phone:
Fax:
Address: City. State: Zip:
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business License No:
Contact .' .
Name: Phone:
DESCRIPTION OF WORK i OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS 3 X $6.00 =
2 URINALS X $6.00 =
3 TUBS
X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 =
• LAVSBASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT
6 DISHWASHER X $6.00
7 CLOTHES WASHER X $6.00 =
8 GARBAGE DISPOSAL 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 =
ROOF DRAINS/OVERFLOW
12 DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 =
15 SEWAGE EJECTOR GRINDER.SUMP PUMP X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIB,
18 WATER USING DEVICE STEAMER X $8.00 =
PROOFER,CARBONATOR,SWAMP COOLER
VACUUM BREAKER,CHECK VALVE,
17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR VATS,TANKS,BOILERS X $6.00 =
GREASE TRAP,SAND TRAP,
18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 =
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 =
MISCELLANEOUS PLUMBING
20 FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 =
INDUSTRIAL WASTE
22 INTERCEPTOR X $15.00 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
0 CASH 0 CHECK 0 VISA 0 MASTERCARD $35.00
Card# EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED sr26ro5
-. -.
. ,.
Call 24 hours before inspection required
4,,.L..
Phone 509.688-0036 Fax 509.688-0037
. .
Spokane
,. Valley
DEPARTMENT OF PUBLIC WORKS ',- . - . 7i;.... -ii.-..-.
• Anticipated start date L,-\.-. -L- L>. Permit# PW ", .• :,:..le-,,a,-'..:
, ., , ,
ROW CONSTRUCTION PERMIT . - -.' .'.;.-...`:;-:. ,•:.:T,.,.%;
.,„ ., •,,._.,,,,,,,,!4„. - ,•,,
Location of property \\C:;\\.'. . . \'-* ' 't\r.
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(Address/Parcel#, if available) ...• - * ,-...:,,ri-es,40-,.'..'' ' ." -;;,,,,Vi,":,,'
Applicant Name \--\\ _-,c--c-sq,..,, ....,.;:,..;1/4 C..„c.c...., . ' • --,x, ., 1,1254:,-...-.4-,r .-s,-,;.----..t.
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Address \ \-)- c S),-- - Phone -(, ,:'\__... *_•.\(14t -7s '1 s:7',;:t7i-.f...-.:<:,*!:.'i''i.":
,.,;': s•• •••••N.—1,-t, %..-.t -s.
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Contractor's Name .
• •..'... . '7' : ,....... -::: ,,..:w......ft:
Address Phone
',... • t--..ittf.p.';,-,1!). ,-r. ,,..,• - `,..-
Contractor's Reg#\-\k -*...-Y,---SsZ \c"\ c-, Expires
, .. •.,'ff,, ..N' g.;_.1,g!:d, 1-;,..
. • , ''.'7,:, ' ...,;4:..:',. A... ., r..-'
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity) . ;,. " - ..i.:.,-.. ....z:v.I. ,-. • y,-:
. A,.. 't'..;', V-4 • % • ':`-•
Sewer Connection i Driveway ....,4,17;,14...,-e. 1.,,,,., '- • -4 :
Curb &Gutter Gas Installation • , '
" . , :k,!:„--:)-2/--.:::-', L'.....,f.• 1,?,.‘?
Cable/Conduit Sidewalk Repair/Construction ' '7 '-
-., ....,
1.--,- ,-. .;•- '&,..'
— ,
Other ...:„..A7.54c4:4
„ . ..'''':,; -,•'7'.!,,m '1r- ''
Pavement Cut? Dimensions ' . 14;',-.:iilf
,,,,,,,- - ...,-,-,,,,,-..4-,•,;: .,
Bond/insurance certification must be on file with the City. Bond# '. •
' ''.. `1.,;-.' : :,
' '%1:;;i, :i•I,;,
SPECIAL CONDITIONS: .. , . . ...,-7-1., ....‘,......71, ,..7., ,
.. . . . , .`•-,r'''•4,'"4::.111: s:`:e1.1:::,:41•`?,4q.'t ,,,t''74'
- - . ,.; ' • ...v..:-.4.1.1:7-,:fW2'''',.: *,:i„,,,',.;',..
Permittee Signature . Approved ' .
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. -, ..,,:-.. ' '" -,:',,t3
• , . Y.,c.z#. .,-;:,,, •,-",-,4%.'..•'-'4.'''
Card# Expiration Date 'i';:ii. .' ••••''. ''
4',s•••,--,,,•• ,,,' - , ,.....,4,,,...1,,,:•41
Name of Holder Signature . .. „.
..,.
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• ' .11:411."...ti: .
Fees Paid$ Date [nit ''.. 4,-!...:.'
., • ,..,..-. -.v.-„,
(Application) (Inspection) ..„, . 3,s-..,, ,,,,`.:Yr..4..e".
In addition to the permit application fee of$16.00 or$25.00,Inspection on each permit WU be. --, ; 'rz.s::t ' ;:,: -`:
billed to the permittee at a rate of$50.00 per hour with a$25.00(1/2 hour)minimum Permittee '.',I ')- -''..."-Iii;;:4 . ':''.715,4;1:7t.;,74): :f.'•,!..`.--
signature on permit constitutes an agreement to these terms and provisions. . - '-.: ('-'1:14;0'..--;
...f
Work completed satisfactorily(Signed) Date • :.A
::'
Permit not valid until One-Call Notification Ticket#entered here • kt-'',:.:*•,'',.(rki.',.:; -
PERMIT MUST BE KEPT ON SITE
•
PLANNING DEPT. APPROVED
BY: akuk_-_\-L.,
DATE: LP12)
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