2005, 07-06 Permit App: 05002279 Residence Project Number: 05002279 Inv: 1 Application Date: 07/06/2005 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- Contact: GREMY INC
NATURAL GAS Address: 3922 S EAGLE LN
C-S-Z: SPOKANE WA 99206
Setbacks: Front 25 Left: 15 Right: 7+ Rear: 40+ Phone: (509)924-9406
Group Name:
Site Information: Project Name: ROW
Plat Key: Name: SHP-02-04 District: Sout
Parcel Number: 45281.2702 Block: Lot: 2
SiteAddress: 11612 E 19TH AVE Owner:Name: MINETTI,RONALD L&JOANNE
Address: PO BOX 141588
Location::CSV SPOKANE VALLEY,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 10,251 Sq Ft Width: 90 Depth: 114 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By: i
Plan Review Released By:
Approach/DrainageLath PP g Released By: Q l�
Sewer Review Released By: G rr .
LI— Co 1-3 cM. PCr
Permits:
Operator: K_C Printed By: K_C Print Date: 07/06/2005
1 1
Project Number: 05002279 Inv: 1 Application Date: 07/06/2005 Page 2 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: GREMY INC Firm: GREMY INC
Address: 3922 X EAGLE LANE Phone: (509)924-9406
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: GREMY INC Firm: GREMY INC
Address: 3922 X EAGLE LANE Phone: (509)924-9406
SPOKANE,WA 99206
Building Characteristics
Group: R-3 Type: VB
Total Area 2720
Building Height 26
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VB 1,360 $20,400.00 1,360 $20,400.00
CARPORT U-1 VB 323 $4,845.00 323 $4,845.00
GARAGE U-1 VB 812 $15,428.00 812 $15,428.00
RESIDENCE R-3 VB 1,360 $101,564.80 1,360 $101,564.80
Totals: 3,855 $142,237.80 3,855 $142,237.80
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,234.55
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $493.82
Permit Total Fees: $1,732.87
Operator: K_C Printed By: K_C Print Date: 07/06/2005
t '
Project Number: 05002279 Inv: 1 Application Date: 07/06/2005 Page 3 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Mechanical Permit
Contractor: BLUE FLAME HEATING&A/C Firm: BLUE FLAME HEATING&A/C
Address: 6011 E 9TH Phone: (509)536-0186
SPOKANE,WA 99212
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 2 NUMBER OF $24.00
GAS PIPING 4 #OF UNITS $4.00
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 5 NUMBER OF $50.00
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: $130.00
Plumbing Permit
Contractor: PIPER PLUMBING Firm: PIPER PLUMBING
Address: PO BOX 3992 Phone: (509)534-6986
SPOKANE,WA 99220
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
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 5 NUMBER OF $30.00
Permit Total Fees: $120.00
Operator: K_C Printed By: K_C Print Date: 07/06/2005
Project Number: 05002279 Inv: I Application Date: 07/06/2005 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,732.87 $1,732.87 $0.00 $1,732.87
Mechanical Permit $130.00 $130.00 $0.00 $130.00
Plumbing Permit $120.00 $120.00 $0.00 $120.00
$2,032.87 $2,032.87 $0.00 $2,032.87
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: 07/06/2005
BUILDING PERMIT APPLICATION WORKSHEET
CITI'OFCity of Spokane Valley Community Development Department
ne Building Division
11707 E. Sprague Avenue, Suite 106
do•PValle E H Spokane Valley, WA 99206
;; •ne: (509) 688-0036; Fax: (509) 688-0037
3.. rtens7vNoinATIoN,a,Vji
Street Address: 11612 E 19th Ave
Assessor's Tax Parcel Number(s): 45281.2702
Legal Description: Lot 2, Block 1, Mountain View Third Addition
PERMIT DESCRIPTION: Single fam residence
® Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation El Tenant Improvement El Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
® Owner: R. Lew Minetti ❑ Applicant:
Phone: 509-926-2741 Fax: Phone: Fax:
Address: PO Box 141588 Address:
City: City Of Spokane Valley State: WA Zip: 99214 City: State:
Zip:
® Contractor: gremy, inc. ❑ Architect:
Phone: 509-924-9406 Fax: 509-924-1104 Phone: Fax:
Address: 3922 S. Eagle Lane Address:
City: City of Spokane Valley State: WA Zip: 99206 City: State:
Zip:
WA State Contractor License#: GREMYI*241 QN Contact: frank cobb
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: 26 ft DIMENSIONS: 67x47 #OF STORIES: 1
MAIN FLOOR TO SQ. FTG: 1360 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: 1360
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: 812 DECK/COV. PATIO SQ. FTG: 323
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: gas
#OF BEDROOMS: 2 TOTAL HABITABLE SPACE: 2720 IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 168400 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
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 El CONCRETE ❑ REINFORCEMENT In WELDING
Firm Name: Phone: Fax:
Inspector(s):
DISCLAIMER
The perm itee 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 ❑ Mastercard ❑ VISA ❑ Other
Bankcard#: Expires: VIN#:
Authorized Signature:
PLUMBING PERMIT APPLICATION Community Development Department
1.1. nille\NI . Building Division
Phone: (509)688-0036; FAX: (509)688-0037 11707 E. Sprague Avenue, Suite 106
ValleY For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206
Project Address: 11612 E. 19th Ave Permit Use:
Owner: Minetti Phone (Daytime Contact):
Mailing Address:
City State Zip Code
Contractor: Piper Plumbing License#: Phone#:
Mailing Address:
City State Zip Code
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS 3 X $6.00 =
2 URINALS X $6.00 ,=
3 TUBS 2 X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 1 X $6.00 =
LAYS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, 5 X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT
6 DISHWASHER 1 X $6.00 =
7 CLOTHES WASHER 1 X $6.00 =
8 GARBAGE DISPOSAL 1 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 1 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,
16 WATER USING DEVICE STEAMER 5 X $6.00 =
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
❑ CASH 0 CHECK 0 VISA 0 MASTERCARD $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
MECHANICAL PERMIT APPLICATION Community Development Department
A Building Division
Phone: (509)688-0036; FAX: (509)688-0037 11707 E. Sprague Avenue, Suite 106
For Inspections,Call(509)688-0054 Spokane Valley,WA 99206
Project Address: 11612 E. 19th Ave Permit Use:
Owner: Lew Minetti Phone(Daytime Contact):
Mailing Address: i5/cf e .KIniv 7/E47-7-CC//�q
City State Zip Code
Contractor: Gremy, Inc. License#: GREMYI*241QN Phone#: 509-924-9406
Mailing Address: 3922 S. Eagle Lane WA 99206
City Of Spokane Valley
City State Zip Code
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 2 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 , _
8 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 1 X $10.00 =
13 RANGE X $10.00 =
14 DRYER X $10.00 =
15 FUEL BURNING WATER HEATER 1 X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) 4 X $1.00 =
18 DUCT SYSTEMS 1 X $10.00 =
19 VENTILATING FANS 5 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 1 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 8 ADDITIONS X ;15.00 =
34 VENTILATION SYSTEMS X ;12.00 = ,
35 VENTILATION MECHANICAL EXHAUST 1 X $12.00 =
36 INCINERATOR-RESIDENCE X ;19.00 =
37 INCINERATOR-COMMERCIAL X ;22.00 =
METHOD OF PAYMENT: SUBTOTAL
❑CASH 0CHECK 0 VISA 0 MC DATE: PROCESSING FEE -
$35.00
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obtaining afn building sits pion ng submitted for the purpose o}
representation ,} permit and b a true and correct Gf TLj 4 v F.
repredlmen the proposal. All known property
curb lines.structures and easements
have been id d. Also Indicated are wetlands,
odic of .4 st • slopes • o • critical areas. L0'7` -2 ,�/o G1 /
Date: �I.Z; 6 . , "20 cr A)/4/4) Uig G�� KL� / .0
Gremy, Inc. r- _
3922 S. Eagle Lane Co //,A ad 71---
N Spokane, WA 99206