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2004, 12-10 Permit App: 04009373 Residence Project Number: 04009373 Inv: 1 Application Date: 12/10/2004 Page 1 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE-GAS Contact: LINDSEY CONSTRUCTION Address: PO BOX 30792 C-S-Z: SPOKANE,WA 99223 Setbacks: Front 25 Left: 10 Right: 12 Rear: 48 Phone: (509)568-1013 Group Name: Site Information: Project Name: Plat Key: Name: WOODLAND TERRACE ADD District: Sout Parcel Number: 35233.2311 Block: 23 Lot: 8 SiteAddress: 4407 E 16TH AVE Owner: Name: LINDSEY CONSTRUCTION Address: PO BOX 30792 Location::CSV SPOKANE,WA 99223 Zoning: UR-3.5 Urban Residential 3.5 Water District: 107 SPOKANE,CITY OF Hold: ❑ Area: .00 Acres Width: 50 Depth: 130 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: Originally Released: 12/10/2004 By: ddompier Plan Review Released By. T MELBOURN Originally Released: 12/01/2004 By: ddompier Approach/Drainage Released By. OK PER ATTACHED PROVISIONS Originally Released: 12/10/2004 By: ddompier Operator: DMD Printed By: DMD Print Date: 12/10/2004 Project Number: 04009373 Inv: 1 Application Date: 12/10/2004 Page 2 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Sewer Review Released By: CITY SEWER PERMIT#P0409058 Originally Released: 12/10/2004 By: ddompier Permits: Approach Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC Address: PO BOX 30792 Phone: (509)879-3420 SPOKANE,WA 99223 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: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC Address: PO BOX 30792 Phone: (509)879-3420 SPOKANE,WA 99223 Building Characteristics Group: R-3 Type: VB Total Area 2236 Building Height 20 Stories 1 Impervious Surf 1800 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VB 840 $12,600.00 840 $12,600.00 DECK R-3 VB 100 $1,500.00 100 $1,500.00 GARAGE U-1 VB 504 $9,576.00 504 $9,576.00 RESIDENCE R-3 VB 892 $66,614.56 892 $66,614.56 Totals: 2,336 $90,290.56 2,336 $90,290.56 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $930.75 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $372.30 Permit Total Fees: $1,307.55 Operator: DMD Printed By: DMD Print Date: 12/10/2004 Project Number: 09009373 Inv: I Application Date: 12/10/2004 Page 3 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Mechanical Permit Contractor: ROCK CREEK HTG AIR& Firm: ROCK CREEK HTG AIR&REFRI Address: PO BOX 1032 Phone: (509)230-7389 RATHDRUM ID 83858 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 2 #OF UNITS $2.00 VENTILATING FANS 2 NUMBER OF $20.00 CLOTHES DRYER 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $64.00 Plumbing Permit Contractor: END PLUMBING INC Firm: END PLUMBING INC Address: 12503 E 4TH Phone: (509)981-4407 SPOKANE WA 99216 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 3 NUMBER OF $18.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $78.00 Operator: DMD Printed By: DMD Print Date: 12/10/2004 Project Number: 04009373 Inv: I Application Date: 12/10/2004 Page 4 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Noes Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation engineering done by Strata(see plat file) requires: (1)footings=min. 24 inches wide(2)foundations no closer than 12 ft from north edge of fill Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation engineering done by Strata(see plat file)requires: (1)footings=min. 24 inches wide(2)foundations no closer than 12 ft from north edge of fill CONTROL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS Payment Summary .. <:: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00 $0.00 $50.00 Building Permit $1,307.55 $1,307.55 $0.00 $1,307.55 Mechanical Permit $64.00 $64.00 $0.00 $64.00 Plumbing Permit $78.00 $78.00 $0.00 $78.00 $1,499.55 $1,499.55 $0.00 $1,499.55 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: DMD Printed By: DMD Print Date: 12/10/2004 TO'3Jdd £TOT Zbb 60S TO:17T POO OTD LINDSEY CONSTRUCTION , INC . 1307 SOUTH CUSTER P . O . BOX 30792 SPOKANE , WASHINGTON 99223 FAX NUMBER : 509 - 443 - 1013 PACSIMII.H: TRANSMI'1"1'Al. SHEET OFFICE 'l'M:I.KPHONk; NO. (S09) SGS-1013) TO: MIKE TURBAK GREG STIRN 0:()MPANY 1)A'1? CITY OF SPOKANE VALLEY FRIDAY, DECEMBER 10, 2004 VAX NUMHP:It. TOTAI.NO.OF PAC)T,S)NCT.UT)TNG COVER: 40 ye-oon i'tR)N)sNUMBER. . RE: SEWERNVATER PERMITS O 11R(:IvN'1' ❑t'OR It1:VILW ❑ PLN.ASIS COMMENT PT.IASE RRPT.Y 0 ',LEAST,.1t LV:YCL.1". NOTES/COMMENTS: c G' `2(a*4 G 671-ya7 �� t .d ETOT -E**-60S u.a;zS 2a.a9 dES : TO *0 OT 0,30 BUILDING PERMIT APPLICATION WORKSHEET. 0 OLC C-1,- --y73 '�Spo� � City of Spokane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 4000Val 11 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 -- - - - . REQUIRED SITE509) 688-cr in ��!1 7 ` if Street Address: 1f"(rd` ri--1 Assessor's Tax Parcel Number(s): 150 -'23 D� Legal Description: Li— ( < V PERMIT DESCRIPTION: [Building Permit ❑ Change in Use ❑ Grading 0 Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION Owner: ❑ Applicant:ii /, Phone: S�,S—h0 Fax: t y —jd i. Phone: k Fax: Address: Ar- 'gyp Y v) Address: City State Zip Code City State Zip Code ❑ Contractor: ,2A4/42._- ❑ Architect: Phone: Fax: Phone: Fax: Address: Address: City State Zip Code City State Zip Code WA State Contractor License #: Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: �i r zg MAIN FLOOR TO SQ. FTG: t' 2m' FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: S'cai FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: y DECK/COV. PATIO SQ. FTG: Me/ DCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: �,` 1/14 OF BEDROOMS: TOTAL HABITABLE SPACE: i 73;( IMPERVIOUS SURFACE : ` LOST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? -Vi/"e'er 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 ❑ 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 D Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: SPUle . MECHAN{CAL PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision Vu !1 �� 11707 E. Sprague Avenue, Suite 106 40, Spokane Valley, WA 99206 Phone: (509)688-0036;Fax: (509) 688-0037 I FOR INSPECTIONS, CALL(509)688-0054 Project Addre s: I/ `(? Z /1;) Permit Use: Owner: e,!lu,c Phone(Daytime Contact): Mailing Address: lI City State Zip Code Contractor: _,(,01/..,,_ ' 'l2_ License#: Phone#: Mailing Address: City State Zip Code #OF TOTAL DESCRIPTION OF WORK UNITS X COST - AMOUNT 1 FUEL BURNING APPLIANCE Equal to or Tess than 100,000 / X $15.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $19.00 ,= 3 UNLISTED APPLIANCE(Additional Fee) Equal b or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 = USED APPLIANCE(WSEC min.AFUE 5 rating) Equal to or less than 400,000 X $50.00 = USED APPUANCE(WSEC min.AFUE 8 rating) More than 400,000 , X $100.00 = 7 BOILER/REFRIGERATION 1-100M BTU X $15.00 = 8 BOILER/REFRIGERATION 101-500M BTU X $28.00 = 9 BOILERIREFRIGERATION 501-1,000M BTU X $39.00 = 10 BOILER/REFRIGERATION 1,001-1,750M BTU X $57.00 L = 11 BOILER/REFRIGERATION More than 1,750M BTU X $95.00 = 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 = 18 MISC.FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING(each outlet) 2. X $1.00 = 18 DUCT SYSTEMS / X $10.00 = 19 VENTILATING FANS 3 X $10.00 = 20 AIR HANDLER(DOES NOT include dulling) Equal to or less than 10,000 CFM , X $12.00 , = 21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X $19.00 = 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 = 28 AIR CONDONER 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 $80.00 = 30 LPG STORAGE TANK X $10.00 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE-FREE STANDING X $25.00 = METHOD OF PAYMENT: SUBTOTAL 0 CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: • • PLUMBING PERMIT APPLICATION 1 an e City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Bey Spokane Valley, WA 99206 Phone: (509)688-0036;Fax: (509) 688-0037 FOR INSPECTIONS, CALL(509) 688-0054 72 Project Address: 7 1/7 £ /� Permit Use: Owner: ,644z.(7. � Phone (Daytime Contact): Mailing Address: City State Zip Code Contractor. i License#: Phone#: Mailing Address: City State Zip Code *OF TOTAL DESCRIPTION OF WORK UNITS X COST = AMOUNT 1 TOILETS WATER CLOSET,BIDETS , X 58.00 = 2 URINALS X $8.00 3 TUBS 2 X 58.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $8.00 = 5 SINKS LAVS/BASINS,BAR,FLOOR, KITCHEN,LAUNDRY,UTILITY, X $6.00 = JANITOR,PHOTO,X-RAY,FOOD, .13 PREP/CULINARY/MEAT -- - - 6 DISHWASHER f X WOO = 7 CLOTHES WASHER / X $6.00 = 8 GARBAGE DISPOSAL r X $8.00 = r i 9 WATER SOFTENER X 58.00 = _ 10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $8.00 = 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH, X $8.00 = CONDENSATE 12 ROOF DRAINS/OVERFLOW DRAINS X $8.00 = 13 FOUNTAINS,DRINKING X $8.00 =' 14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION, •X $8.00 = — VENT, PLUMBING,REVERSAL REPAIR,REVERSALS 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $8.00 = _ 18 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB,STEAMER,PROOFER, X $8.00 = CARBONATOR,SWAMP COOLER 3 _ 17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND R.P.B.P.D.FOR: X $6,00 VATS,TANKS,BOILERS 18 INTERCEPTORS GREASE TRAP,SAND TRAP, X 58.00 = CHEMICAL HOLDING TANK 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6,00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $800 = _ METHOD OF PAYMENT: SUBTOTAL 0 CASH 0 CHECK ❑ VISA ❑ MASTERCARD PROCESSING FEE $35.00 DATE: EXPIRES: , TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: Proposed Plot Plan 444East 16th Avenue City of Spokane Valley County of Spokane,State of Washington LOT 8, BLOCK 23,WOODLAND TERRACE SCALE 1:20 I SEWER&WATER PROVIDED BY CITY OF SPOKANE , L ADDRESS: -I 7 v 7 C (1:(-7 5.0� U / ZONE:UR 3.5 wI ROAD WIDTH:60 1 Iv FRONT:'L`> FL NG COMMENTS• REVIEWED Y: Z � I tjI 11)I a, zI wl wl 13 I 130 > 37 7-4/1.4446K \9a I � sr z I � � The site plan is being submitted for the purpose of N./ — Obtaining a building permit and is a true and correct Representation of the proposal. All known property I Lines/dimensions,curb lines,structures and easements /./ have been identified. Also indicted are wetlands, bodies of water,steep slopes or other critical areas. Lindsey Construction,Inc. V✓ I I • 50 Vrq Washington State Energy Code: Component Performance Worksheet Zone 2, Other Fuels The"Tamarack ; Lindsey Construction, Inc. 892 finished square feet with PO Box 30792 840 unfinished basement ::;Spokane.WA 99223 etni u `tis l`'`''3tec . un t fl e 1 :L'' i:1:1:i::.,:.; iii.. . � � .grid! Held� .. .:.... : L" i(;1i( :::::.:. : ::::::::::: . 1732 ( : i i::i ` `.i :i `. W{p tk 51 iii d R:14 �! 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(see copyright restrictions) 12/8/03 6 of 6 City of Spokane Valley 11707 E Sprague Suite 106 Jr"Nli a OP. 4101111111111.1.1\10111114k splokane Residential Spokane Valley,WA 99206 Phone:509.688.0035 Fax:509.688.003 Occupancy 4000 ValleY Approval Print Date Wednesday,May 04,2005 Project#: 04009373 Our records confirm that inspections were made as listed below. An approved final inspection indicates that occupancy was approved at the following location for the use indicated: . Address: 4407 E 16TH AVE Owners Name: LINDSEY CONSTRUCT Parcel# 35233.2311 NEW RESIDENCE W/ATTACHED GARAGE - GAS Inspection Summary Inspection Date Description By Status 5/4/2005 FINAL HILLABRANDT,MARK APPROVED 5/2/2005 FINAL HILLABRANDT, MARK CORRECTIONS REQUIRED 5/2/2005 HVAC HILLABRANDT, MARK APPROVED 3/29/2005 INSULATION MELBOURN,TOM APPROVED 3/23/2005 GAS PIPING MELBOURN,TOM APPROVED 3/23/2005 DUCTWORK MELBOURN,TOM APPROVED 3/23/2005 DRAIN/WASTE/VENT MELBOURN,TOM APPROVED 3/23/2005 FRAMING MELBOURN,TOM APPROVED 2/9/2005 UNDERGROUND MYRE,KEVIN APPROVED 2/9/2005 SUB-SLAB/RADON MYRE,KEVIN APPROVED 2/2/2005 FRAMING MYRE,KEVIN PARTIAL APPROVAL 12/22/2004 REINFORCEMENT MYRE,KEVIN APPROVED 12/16/2004 FOOTINGS MYRE,KEVIN APPROVED 12/16/2004 SETBACKS MYRE,KEVIN PARTIAL APPROVAL Page 1 of 2