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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: . 8 o . • 3' 2' 15' .r- 2'.i . . , A I. \ ' �'�y� , ' l ?t ''r , ' � r a , low 50 'ROW- =" I SWALE .` CT'IO 057.•' Cx)1INE��r.� .. i.. .. • A r,.` t3T5 + , w ' + FYPE'B DRYyYE1L pENIEWED Wf.:TYPE.4.trlEiAl FRAME AND:.GRATE RIlA,EL 2�55.7fi' -4I 13TH AVENUE &A 13+833°11/T 31' (13th) --�.TQ — — .- , WI(2) CURB DROPS\Ly\fy2 g N i (1) CURB DROPS a N 2-9 OPENINGSnc W/ 4' OPENINGS d g,d4 N ( ,a. S ALE C-3 Aiii • j "v •' 105.50'• ' 1 / 2) CURB DROPS /.,) w 4 OPE ROP N ) - r' I '� L 1 STA 2+95.005.0' J S G-2 1 r,..l I /� '� a. 2056..000'BOLT E - 20580 roV•^`xs .-..- I i aA 2 96.22' BOTT AREA - 225 S.F. • • /q' , "4' ...._,..0- — -31.0` — 4.0' • P - -..,i '208' (TYP) r I.i, BOTT EL - 2055 . N fl‘- •, . BOTT AREA - 84>4 . o Co :1LSm1.- \ - F--,-,._ . D o\, '....P c j 1 -N 4 W � V 0 1 O 9' m w o S 89'07'03" EI I mm , z ` 125.51' R. o0 U M r . wr And to the wage a RM WM*and is a Irue and oonaeet �n tn:. prOP0sat. AW 18WW8 /tIo�11t1y lines/db.uen . . have beens�,,idenstified..urbla Atspss, Mme/ SII! WON' of • stein Nopst M siker owed dna& 5' '` ....... 3' cts 2' 31' 2' 2'• �T� 0.75' two. �j�,L. �'r i5?) 0.50' �, \\. �� 1. /.12_11 �" `�. ti41- ii� SWALE SECTION C-3 ~o NTS �' J p� to limillimmoi15 30• 60 . \\-\�-.. \�''t' 0 i;, : G� Into VALLEY PINES SUBDIVISION joxnLif g' I 1 inch = 30 ft. LOT 17 — BLOCK 1 EXPIRES 12/15/0 z HAHN ENGINEERING N. 8623 SUITE B DIVISION SPOKANE, WA. 99208 0