2011, 10-03 Permit App: 11003051 Residence Project Number: 11003051 Inv: 1 Application Date: 10/3/2011 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: _A
Permit Use: SFR W/ATT GAR Contact: BIG SKY HOMES&DEVELOPMENT
Address: PO BOX 147
C-S-Z: SPOKANE VALLEY WA 99016
Setbacks:Front Left: Right: Rear: Phone: (509)294-4375
Group Name:
Project Name:
Site Information:
Plat Key: Name: Range District: Sout
Parcel Number: 45342.3314 Block: Lot:
SiteAddress: 12811 E 39TH LN Owner:Name: PAKIBA II,LLC/BIG SKY HOME
Address: 712 S MOEN ST
Location::CSV GREENACRES,WA 99016
Zoning: R-3 SF Res District
Water District: 007 MODEL Hold: ❑
Area: 9,518 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: F-,: -11 I 1,1p, ,w« 4r}, __ Nr1-.,,
Review
Building Plan Review Released By:
Originally Released: 9/30/2011 By: tmelbourn
Landuse/Zoning/HE Conditions Released By:
Originally Released: 9/28/2011 By: tschmidt
Driveway/Approach Released By:
PER TM 9-30-11
Originally Released: 10/3/2011 By: MBonduran
Sewer Review Released By: _
Originally Released: 9/27/2011 By: jdavis
Operator: JD Printed By: MBB Print Date: 10/3/2011
Project Number: 11003051 Inv: 1 Application Date: 10/3/2011 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permits: . . P.x. _ _er_ . 4 Wim., . ;W
Building Permit
Contractor: BIG SKY HOMES& Firm: BIG SKY HOMES&DEVELOPMN
Address: Po Box 147 Phone: (509)294-4375
GREENACRES WA 99016
Building Characteristics
Total Area 2305
Building Height 24
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,574 $158,895.30 1,574 $158,895.30
COV DECK R-3 VB 85 $1,275.00 85 $1,275.00
GAR WOOD U-1 VB 731 $13,889.00 731 $13,889.00
Totals: 2,390 $174,059.30 2,390 $174,059.30
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,413.75
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $565.50
Permit Total Fees: $1,983.75
Mechanical Permit
Contractor: BIG SKY HOMES& Firm: BIG SKY HOMES&DEVELOPMN
Address: Po Box 147 Phone: (509)294-4375
GREENACRES WA 99016
Item Description Units Unit Desc Fee Amount
DUCT WORK SYSTEM 1 NUMBER OF $11.00
GAS WATER HEATER 1 NUMBER OF $11.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $13.00
GAS PIPING 2 #OF UNITS $2.00
VENTILATING FANS 1 DUCT 2 NUMBER OF $22.00
HOOD-TYPE II 1 NUMBER OF $11.00
Permit Total Fees: $70.00
Operator: JD Printed By: MBB Print Date: 10/3/2011
Project Number: 11003051 Inv: 1 Application Date: 10/3/2011 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: BIG SKY HOMES& Firm: BIG SKY HOMES&DEVELOPMN
Address: Po Box 147 Phone: (509)294-4375
GREENACRES WA 99016
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 2 NUMBER OF $12.00
SINKS 4 NUMBER OF $24.00
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
MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00
Permit Total Fees: $90.00
Payment Summary: ,, h y o ....
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,983.75 $1,983.75 $563.26 $1,420.49
Mechanical Permit $70.00 $70.00 $0.00 $70.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$2,143.75 $2,143.75 $563.26 $1,580.49
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: JD Printed By: MBB Print Date: 10/3/2011
%
Community Development Department (Staff Use Only)
Permit Center �ddS
11703 East Sprague Avenue,Suite B-3 PERMIT NUMBER: I I
stm
110"1\IIIIMIIIIkSpokane
(50 )6le- 03 99206
Tel: (509)688-0036 PERMIT FEE:
Fax: (509)688 0037Valky-
4,,
permitcenter@spokanevallev.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION 0 ADDITION/REMODEL 0 ACCESSORY BUILDING
❑ DECK ❑ OTHER
SITE ADDRESS: 12811 e 39th Lane
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: Big Sky Homes and Development
NAME:Travis Paske
ADDRESS:PO Box 147
cm: Spokane Valley STATE: WA zip: 99016
PHONE:294-4375 FAx: 893-2985 CELL:2944375
CONTACT NAME: Big Sky Homes and Development
PHONE:
294-4375 FAX: 893-2985 CELL: 2944375
CONTRACTOR NAME: Big Sky Homes and Development
MAILING ADDRESS: 12811 e 39th Lane
CITY: Spokane Valley STATE: WA zip: 99016
PHONE:
294-4375 FAx: 893-2985 CELL: 2944375
CONTRACTOR LICENSE No.: BIGSKSH898BC EXPIRES: 12/29/12 CITY BUSINESS LICENSE NO.: BIGSKSF
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
Residential,New Construction
Residential,New Construction
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:24, Dimensions:44x38 No.of Stories: 1Space•Habitable 15745f
Main Floor SQ FT:1574 Ot pper Floor SQ FT: 4 Unfinished Basement SQ FT Finished Basement SQ
FT:
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
�3 / Area: Property: n/a
IT: U
No.of Bedrooms:3 Construction Type: ;...!:!-PCD 1Heat Source:gas furnace Sewer or Septic:sewer
r-P"
TOTAL COST OF PROJECT: $
85,000
DISCLAIMER
The permitted verifies,acknowledges and agrees by their signature that: 1) if this permit is for construction 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 _She-City-ef– ""
Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws,codes or or cps. 6),Plgns.or additionat
information may be required to be submitted and subsequently approved before this application can be process ..It.:.- a ., !
I
Effective October 28, 2007 '.Page i �f iE
P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Residential Constrt t —
App 10.28.07.doc i`,•r,_11 -, b� T
Permit Center
n or 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
.0jValky' (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
perm itcenter(�spokanevallev.ore
Community Development
Plumbing Permit Application ❑ Commercial ❑� Residential
SITE ADDRESS: 12811 E 39th Lane
Building Owner Big Sky Homes and Development
Name: Travis Paske Phone: 294-4375 Fax: 893-2985
Address: PO Box 147 City: State: Zip:
Contractor Big Sky Homes and Development
Name: 294_4375 Phone: 294-4375 Fax: 893-2985
Address: Po Box 147 City: Spokane Valley State: WA Zip: 99016
License No: BIGSKSH898BC City Business Lic:
Contact/Project Manager:
Name: Travis Paske Phone: 294-4375
#OF UNITS
PLUMBING FIXTURE ON A TRAP
2
TOILETS
URINALS
TUBS 2
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, /
SINKS Prep/Culinary Meat _(
1
DISHWASHER
CLOTHES WASHER 1
1
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals
WATER USING DEVICE Ice and/or Coffe maker(ose bi,steamer proofer,carbonator,swamp cooler f 3
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER If Gas,See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS Including traps,vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION Water piping,drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
['CASH 0 CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc
Permit Center
C ori „e 11703E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
Walley` (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development permitcenter@spokanevalley.org
Mechanical Permit Application n Commercial [Residential
SITE ADDRESS: ` l 6 3
Building Owner &b S �.e� .>^k
�V I' Phone: �C�� 3 7 S Fax: b-�3.Z9 j
Name: �ts P�Ske-
Address: ,ev City: G c S State: LA Zip: Ono/
k
C��k City: l
Contractor C.16 R6 5 Device..(op�
Name: �`e-OLaS ()AAS Phone: (5n-�3 7 CS Fax: a96 j
Address: po (j c y- k4\—? GZ City: GCS �S State: i
License No: ( 1.( \c_S� % O `SC. City Business Lic:
Contact/Project Manager: y , Z
Name: `\t2A kc PJ�S1 C Phone: 7 _ c
#UNITS
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Up to&including 100,000 BTU
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER 0-3 TON
AIR CONDITIONER Over 3-15 TON
AIR CONDITIONER Over 15-30 TON
AIR CONDITIONER Over 30-50 TON
AIR CONDITIONER Over 50 TON
GAS WATER HEATER
GAS PIPING SYSTEM(each outlet) 2-
GAS
GAS LOG,FIREPLACE,&GAS INSERT
APPLIANCE VENTS INSTALLATION,RELOCATION,REPLACEMENT
REPAIRS OR ADDITIONS
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM 0 to 3 hp-100,000 BTU or less
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 3-15 hp-100,001 to 500,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 15-30 hp -500,001 to 1,000,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 30 hp-1,000,001 to 1,750,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 50 hp-over 1,750,000 BTU
AIR HANDLER(DOES NOT include ducting) Each unit up to 10,000 cfm,including ducts
AIR HANDLER(DOES NOT include ducting) Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST Each fan connected to a singe duct
VENTILATION AND EXHAUST Each ventilation system
VENTILATION AND EXHAUST Each hood served by mechanical exhaust
INCINERATORS Installation or relocation of residential
INCINERATORS Installation or relocation of commercial
APPLIANCES Range,Clothes Washer
UNLISTED APPLIANCES Under 400,000 BTU
UNLISTED APPLIANCES Over 400,000 BTU
HOOD Type I
HOOD Type II 1
L P STORAGE TANK •
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM-FREE STANDING
EXPIRES: VIN:
OCASH ❑CHECK 0 VISA 0 MC
CARD#: SIGNATURE
http://www.spokanevalley.oreuploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc
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