2004, 11-18 Permit App: 04009099 Residence Project Number: 04009099 Inv: 1 Application Date: 11/18/2004 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE- Contact: HOMESTEAD CONSTRUCTION INC
NATURAL GAS Address: 312 S FARR RD
C-S-Z: SPOKANE,WA 99206-3666
Setbacks: Front 30 Left: 60 Right: 20 Rear: 24 Phone: (509)892-0454
Group Name:
Project Name:
Site Information:
:::::::::::::::::.......................................................... .
Plat Key: Name: VALLEY PINES District: F
Parcel Number: 45214.3317 Block: 1 Lot: 17
SiteAddress: 11920 E 13TH AVE Owner: Name: HOMESTEAD CONSTRUCTION I
Address: 312 S FARR RD
Location::SPO SPOKANE,WA 99206-3666
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 10,000 Sq Ft Width: 79 Depth: 125 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: __
Review
Site Plan Review Released By:
Plan Review Released By /! I9 a.cf:<
Approach/Drainage Released By.
Sewer Review Released By:
Operator: K_C Printed By: K_C Print Date: 11/18/2004
Project Number: 04009099 Inv: 1 Application Date: 11/18/2004 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 INSPECTION 1 NUMBER OF $25.00
CONST IN ROW-APPROACH 1 NUMBER OF $25.00
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 Su Ft Valuation
BASEMENT U R-3 VB 536 $8,040.00 536 $8,040.00
CARPORT U-1 VB 80 $1,200.00 80 $1,200.00
GARAGE U-1 VB 642 $12,198.00 642 $12,198.00
RESIDENCE R-3 VB 1,241 $92,677.88 1,241 $92,677.88
Totals: 2,499 $114,115.88 2,499 $114,115.88
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,077.75
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $431.10
Permit Total Fees: $1,513.35
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
GAS PIPING 3 #OF UNITS $3.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $95.00
Operator: K_C Printed By: K_C Print Date: 11/18/2004
Project Number: 04009099 Inv: l Application Date: 11/18/2004 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 4 NUMBER OF $24.00
SHOWERS 2 NUMBER OF $12.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $96.00
Payment Summary
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,513.35 $1,513.35 $0.00 $1,513.35
Mechanical Permit $95.00 $95.00 $0.00 $95.00
Plumbing Permit $96.00 $96.00 $0.00 $96.00
$1,754.35 $1,754.35 $0.00 $1,754.35
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: K_C Printed By: K_C Print Date: 11/18/2004
PI - Vg7
BUILDING PERMIT APPLICATION WORKSHEET
City City of Spokane Valley Community Development Department
ne Building Division
1707 E. Sprague Avenue
40,00Valley
1 , Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036;Fax: (509) 688-0037
REQUIRED SITE INFORMATION -
Street Address: \ \°\'\.c . \` ‘s
Assessor's Tax Parcel Number(s):
Legal Description: 'fir,\ \� ' '\\/- ",_ \ N 4' 4
PERMIT DESCRIPTION: � C -
11 Building Permit El Change in Use El Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement (1 Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
ill Owner: c,,,,..lvQ,,,& C ,,,._,-, ❑ Applicant:
Phone:v\Z,_oc� c+c. Fax: .zz.\Z., .���% Phone: Fax:
Address: rz,\,) F,, S Address:
City State Zip Code City State Zip Code
❑ Contractor: ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City - State Zip Code
WA State Contractor License#: - -,c--p\gc-L Contact: �� . S„.,;:.,4%,c,p,
PERMIT/BUILDING INFORMATION
HEIGHT TO\P AK: DIMENSIONS: #OF STORIES:
NNS ` -<_,.
MAIN FLOOR TO SQ. FTG: 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
\Z4 S3�..
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:
#OF BEDROOMS: TOTAL HABITABLE.SPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT: � 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
\tom 3C:D1/4 SYSTEM?
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint.Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
Q BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING
Firm Name: Phone: Fax:
Inspector(s):
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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check 0 Mastercard ❑ VISA ❑ Other
Bankcard#: Expires: VIN#:
Authorized Signature:
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HAHN ENGINEERING N. 8623 SUITE B DIVISION SPOKANE, WA. 99208 0