2011, 03-07 Permit App: 11000500 Residence Project Number: 11000500 Inv: 1 Application Date: 3/7/2011 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW SFR-SEWER 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: 45342.3414 Block: Lot:
SiteAddress: 13019 E 39TH LN Owner:Name: PAKIBA II,LLC
Address: PO BOX 1060
Location::CSV OTIS ORCHARDS,WA 99027-1060
Zoning: R-3 SF Res District
Water District: 011 MODERN Hold: ❑
Area: 7,618 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review
Building Plan Review Released By:
Originally Released: 3/4/2011 By: tmelbourn
Landuse/Zoning/HE Conditions Released By:
Originally Released: 3/7/2011 By: mharnois
Sewer Review Released By:
Originally Released: 3/3/2011 By: JLMain
Permits: U ,
Operator: jmm Printed By: jmm Print Date: 3/7/2011
Project Number: 11000500 Inv: 1 Application Date: 3/7/2011 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: BIG SKY HOMES& Firm: BIG SKY HOMES&DEVELOPMN
Address: Po Box 147 Phone: (509)294-4375
GREENACRES WA 99016
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Su Ft Valuation
1&2 FAMILY R-3 VB 826 $83,384.70 826 $83,384.70
2ND FLOOR R-3 VB 1,109 $82,298.89 1,109 $82,298.89
BASEMENT F R-3 VB 829 $16,580.00 829 $16,580.00
GAR WOOD U-1 VB 509 $9,671.00 509 $9,671.00
Totals: 3,273 $191,934.59 3,273 $191,934.59
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,508.95
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $603.58
SFR/DUP SITE PLN REVIEW 1 SELECT $50.00
Permit Total Fees: $2,167.03
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 PIPING 2 #OF UNITS $2.00
VENTILATION SYSTEM 4 NUMBER OF $52.00
Permit Total Fees: $76.00
Operator: jmm Printed By: jmm Print Date: 3/7/2011
Project Number: 11000500 Inv: 1 Application Date: 3/7/2011 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 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
TUBS 3 NUMBER OF $18.00
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
Permit Total Fees: $90.00
Payment Summary: _
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $2,167.03 $2,167.03 $505.02 $1,662.01
Mechanical Permit $76.00 $76.00 $0.00 $76.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$2,333.03 $2,333.03 $505.02 $1,828.01
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: jmm Printed By: jmm Print Date: 3/7/2011
Community Dev-opmentpep Irtro. r ye v ..'' ( •tall Use Only)
Permit Center r <�4 '
CITY OF 11703 East Spra e Ave�►l��SO�Q E `� PERMIT UMBER:
Spokane Valley, A 992 i'
Spokane Tel: (509) 688-00 WO, 1 r,,, f1�t PERMIT F E:
Talley Fax: (509) 688-00:7 _ ef•'�a _ 0�-�.
4.jsermitcenter• sso , 0
Name_----`_
RESIDENTIAL CONSTRU a " •na► '
ERMIT APPLICATION
❑■ NEW CONSTRUCTION ❑ ADDITION/REMODEL ❑ ACCESSORY BUILDING
❑ DECK ❑ OTHER
SITE ADDRESS: (S°6 -5'R
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: Big Sky Homes and Development
NAME:Travis Paske
ADDRESS: PO Box 147
CITY: Spokane Valley STATE: WA ZIP: 99016
PHONE:294-4375 FAx: 8932985 CELL:
CONTACT NAME: Big Sky Homes and Development
PHONE: 294-4375 FAx: 8932985 CELL:
CONTRACTOR NAME: Big Sky Homes and Development
MAILING ADDRESS:
cm: Spokane Valley STATE: WA ZIP: 99016
PHONE: 294-4375 FAX: 8932985 CELL:
CONTRACTOR LICENSE No.: BIGSKSH898BC EXPIRES: 12/29/12 CITY BUSINESS LICENSE NO.: BIGSKSH
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:201 Dimensions:44x26 No.of Stories:2 Total Habitable2_(g3J
Space:
Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
eZ 119e. //d 9 FT: -iiatli.. FT:829
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
5D(� 8 seFT: Area: Property:
/
No. of Bedrooms:4 Construction Type: LI-4.4D_.. eat HSource:Gas Furnace r Septic:
fce(
TOTAL COST OF PROJECT: $ $95,000
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) The City of
Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
infor io ay be required to be submitted and subsequently approved before this application can be processed.
( I5V
Effectiveober 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms- Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
Permit Center
stideneNn.... 11703E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
4000 Valley icy (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development permitcentercispokanevaliev.org
Mechanical Permit Application ❑ Commercial ❑■ Residential
SITE ADDRESS: ' c)149
-`t
Building Owner
NameBig Sky Homes and Development Phone:723-8873 Fax: 8932985
Address:PO Box 147 City:Spokane Valley State:WA zip:99016
Contractor
Namesig Sky Homes and Development Phone: 723-8873 Fax: 8932985
Address:PO Box 147 City: Spokane Valley State:WA Zip: 99016
License No: BIGSKSH898BC City Business Lic:BIGSKSH898BC
Contact/Project Manager:
Name: Jim Matteson Phone: 723-8873
#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) a •
GAS LOG,FIREPLACE,&GAS INSERT 1d
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 4
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
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM-FREE STANDING
EXPIRES: VIN:
OCASH ❑CHECK 0 VISA ❑MC
CARD#: SIGNATURE
P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc
Permit Center
11703 E Sprague Ave,Suite B-3
Spoka`n7e Spokane Valley,WA 99206 PERMIT NUMBER: tl_no
� Va
4lley` (509)688-0036 FAX:(509)688-0037
Community Development
permitcenter@spokanevalley.org PERMIT FEE: D-7
Mechanical Permit Application I I Commercial [Residential
SITE ADDRESS: 1,3O l £ 3 `
Building Owner �((.
Name: jNok. { � Phone: Fax:
Address: p� Q�k. � � City: Sy�� State: Zip: qq' ` (co
Contractor
Contractor `� Stc..0t 1 cL‘Z.-
Name: Phone: Fax:
Address: Pa g�x ��� City: S kigu— State: Zip: Qibt
License No:` &t � 1 1 g G City Business Lic:
Contact/Project Manager: t�
— Name: S (7 Phone:
` #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) 7
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
L P STORAGE TANK
•
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM—FREE STANDING
EXPIRES: VIN:
❑CASH ❑CHECK ❑VISA ❑MC
CARD#: SIGNATURE
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicatPermitApplication040309.doc
Permit Center
Spo"""1""\*" 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
l�LliC Spokane Valley,WA 99206
#Valley. (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
permitcenter@spokanevalley.org
Community Development
Plumbing Permit Application ElCommercial n Residential
SITE ADDRESS: cic`
Building Owner
Name: Big Sky Homes and Development Phone: 723_8873 Fax: 893-2985
Address: PO Box 147 City: State: Zip:
Contractor
Name: 723-8873 Phone: 723-8873 Fax: 893-2985
Address: p0 box 147 City: Spokane Valley State: Wa Zip: 99016
License No: BIGSKSH898BC City Business Lie:
Contact/Project Manager:
Name: Bid Sky Homes and Development Phone: 723-8873
#OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS 3
URINALS
TUBS 3
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, 5
SINKS Prep/Culinary Meat
DISHWASHER 1
CLOTHES WASHER 1
GARBAGE DISPOSAL 1
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate 1
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals
WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer proofer,carbonator,swamp cooler
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
•
a
Community Development Department (Staff Use Only)
Permit Center
CITYlr ri 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
j� Spokane Valley, WA 99206
Valley" Tel: (509) 668888-0036 PERMIT FEE:
4000Fax: (509) 0037
permitcenter@wokanevallev.orq
APPROACH PERMIT APPLICATION
PROJECT ADDRESS: i ll at e...-- Salmi La--t_
START DATE: -36 oft L ANTICIPATED COMPLETION DATE: f.R..It j t2
BUILDING OWNER NAME: Big Sky Homes and Development
MAILING ADDRESS: PO Box 147
CITY: Spokane Valley STATE: WA zip: 99016
CONTACT PERSON NAME: Jim Matteson
PHONE: 723-8873 FAX: 893-2985 CELL:
CONTRACTOR NAME: Big Sky Homes and Development
MAILING ADDRESS: PO Box 147
CITY: Spokane Valley STATE: WA zip: 99016
PHONE: 723-8873 FAX: 893-2985 CELL:
CONTRACTOR LICENSE No.: BIGSKSH898B� EXPIRES: 12/29/12 CITY BUSINESS LICENSE NO.:
PROJECT DESCRIPTION (Please Provide Site Sketch)
• Residential Driveway ❑ Commercial/Industrial Driveway
0 Existing Curb &Gutter ❑ Rural Road Section
❑ Culvert Installation ❑ Sidewalk Repair/Construction
❑ Other Conditions:
Bond/Insurance certification must be on file with the City.
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) The City of
Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
Signature Date:
Method of payment: ❑ Cash El Check ❑ Visa ❑ Mastercard
Bankcard #: EXP: VIN#
Authorized Signature:
Effective October 28, 2007 Page 1 of 1
P:\Community Development\02 Administration\03 Forms- Official Versions\Permit Center\Approach Permit 10.28.07.doc
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RECEIVED
CSV PERMIT CENTER
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3 / P A) . Project# ,3c--:
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Submittal #'
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APPROVED BY _ilii
For City Use Only,
PLUS Project Number 1 - a SC'
SCITY
pokane Project Address
dojo.
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y11703E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or peurtit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re-submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date,please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure,you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre-Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone,fax, email,or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re-
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre-construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE—APPLICANT PINK—BUILDING FILE REV 9/07