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2006, 04-13 Permit App 06001128 ResidencePro i ect Number: 06001128 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: single family residence,g as heat, on sewer Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Date: 04/13/2006 Page 1 of 3 Contact: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD C - S - Z: SPOKANE, WA 99206-3666 Phone: (509) 892-0454 Group Name: Project Name: Name: FLORA SPRINGS District: East Parcel Number: 55073.2226 Block: SiteAddress: 1604 N CORBIN LN Location:: CSV Zoning: UR-3.5 Water District: Urban Residential 3.5 Area: .00 Acres Width: 0 Nbr of Bldgs- 0 Nbr of Dwellings: 0 Review Information: Lot: Owner: Name: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD SPOKANE, WA 99206-3666 Hold: ❑ Depth: 0 Right Of Way (ft): 0 XV. t Review Building Plan Review Released By: Driveway/Approach Originally Released: 04/05/2006 By: TMELBOU Released By: Originally Released: 04/04/2006 By: amblake Landuse/Zoning/HE Conditions Released By: Sewer Review Permits: Originally Released: 04/03/2006 By: KKENDAL Released By: Operator: AMB Originally Released: 04/13/2006 By: amblake Printed By: AB Print Date: 04/13/2006 Pro i ect Number: 06001128 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Date: 04/13/2006 Page 2 of 3 Contractor: HOMESTEAD CONSTRUCTION Film: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD Phone: (509) 892-0454 SPOKANE, WA 99206 Item Description Units Unit Desc Fee Amount APPROACH-CONST IN ROW 1 NUMBER OF $50.00 Permit Total Fees: Building Permit $50.00 Contractor: HOMESTEAD CONSTRUCTION Finn: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD Phone: (509) 892-0454 SPOKANE, WA 99206 This Application: Total Project: Description Gar Type Notes So Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB 1,277 $110,294.49 1,277 $110,294.49 BASEMENTU R-3 VB 1,260 $18,900.00 1,260 $18,900.00 GARAGE U-1 VB 440 $8,360.00 440 $8,360.00 Totals: 2,977 $137,554.49 2,977 $137,554.49 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,206.55 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW < 7999 SQ FT 1 SELECT $482.62 Permit Total Fees: Mechanical Permit $1,693.67 Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD Phone: (509) 892-0454 SPOKANE, WA 99206 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU VENTILATING FANS Units Unit Desc 1 NUMBER OF 1 NUMBER OF 4 NUMBER OF Fee Amount $10.00 $12.00 $40.00 Permit Total Fees: $62.00 Operator: AMB Printed By: AB Print Date: 04/13/2006 Project Number: 06001128 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD Phone: (509) 892-0454 SPOKANE, WA 99206 Plumbing Permit Date: 04/13/2006 Page 3 of 3 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS CLOTHES WASHER FLOOR DRAINS WATER PIPING - DWV Notes • Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Firm: HOMESTEAD CONSTRUCTION Units Unit Desc 3 NUMBER OF 4 NUMBER OF 1 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Permit Total Fees: Fee Amount $18.00 $24.00 $6.00 $12.00 $6.00 $6.00 $6.00 $18.00 $96.00 Fee Amount $50.00 $1,693.67 $62.00 $96.00 Invoice Amount $50.00 $1,693.67 $62.00 $96.00 $1,901.67 $1,901.67 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,693.67 $62.00 $96.00 $0.00 $1,901.67 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds 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: AMB Printed By: AB Print Date: 04/13/2006 Project Number: 06001128 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: single family residence,g as heat, on sewer Contact: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD C - S - Z: SPOKANE, WA 99206-3666 Setbacks: Front Left: Right: Rear: Phone: (509) 892-0454 Group Name: Site Information: Project Name: Plat Key: Name: FLORA SPRINGS Parcel Number: 55073.2226 Block: SiteAddress: 1604 N CORBIN LN Location:: CSV Zoning: UR-3.5 Water District: District: East Urban Residential 3.5 Lot: 9'bJ Owner: Name: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD SPOKANE, WA 99206-3666 Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Date: 4/3/2006 Page 1 of 2 Review Building Plan Review Released By: rtk'/l S /Q (,, Driveway/Approach Landuse/Zoning/HE Conditions Released By: Sewer Review Permits: Released By: Operator: AMB Printed By: AMB Print Date: 4/3/2006 Project Number: 06001128 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Date: 4/3/2006 Page 2 of 2 Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD Phone: (509) 892-0454 SPOKANE, WA 99206 Building Permit Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD SPOKANE, WA 99206 Phone: (509) 892-0454 Mechanical Permit Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD Phone: (509) 892-0454 SPOKANE, WA 99206 Plumbing Permit Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD SPOKANE, WA 99206 Notes:. Phone: (509) 892-0454 Payment Summary: u� Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fads 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: AMB Printed By: AMB Print Date: 4/3/2006 Permit Center S okar�e 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 44.00.0 ley (509)688-0036 FAX: (509)688-0037 Community Development www.sookanevalley.org. w.spokanevalley.org.com Residential Construction Permit Application cd New Construction o Addition/Remodel o Other: o Accessory Bldg ❑ Deck SITE ADDRESS ASSESSORS PARCEL NO: 55c,--7 3.,.D LEGAL DESCRIPTION: \ \ Name: \•� am. -,\ .._o.c• c... ,'.c. Address: '. \-\_ cc ...•-• City: • 'c- \h•c r .... \.5 Zip: `',\.c>•-•,_ Phone:cr\-N-� ' - Fax: ..* � .-1-'11`., a'Q Name: Phone: �� y _ Describe the scope of work in detail: Name: Address: City: • Zip: Phone: Fax Lic No: • Exp. Date: City Business Lic No: \, c, 'fin ��5 `.1 --\\ Oc..__. Cost of Project: **************The following MUST be complete• • • . "••• A.v is J. "A". "FFIA .aU1G ) HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. FTG: \ -7 -0,?f, 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: Z`co IMPERVIOUS SURFACE AREA FINISHED BASEMENT GARAGE SQ. FTG• - SQ. FTG: - � LfQ4-":a DECK/COV. P�A�TIO Q. FTG: / 6 0 305 SLOPES ON PROPERTY: # OF BEDROOMS,:, CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SE^TIC? 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 islwill 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: 6) Plans or additional information may be required to be submitted, and subsequently -approved before this application can be pruceuCd. Signature Date Method of Payment: (Faxed permit applications will only be accepted with major bankcard) 0 Cash ❑ Check ' ❑ Mastercard ❑ VISA Bankcard #: Expires: VIN#: Authorized Signature: REVISED easrzoos ❑ Other Spokane Walley Community Development Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www. sookan evallev. ore.com Mechanical Permit Application n Commercial PERMIT NUMBER: (4 Residential PERMIT FEE: SITE ADDRESS: 4 N . C ��c \�c� \__C Building owner \-\1 am. 4..,,,-, �.,..„, .%,c \ ' Name: \ `� \� _ r`c e c < Q � Phone: �\.Th - ��'c --7.-: °c Fax: ''\ 1 <:(, - �-J\1`k., Address: City: � P� ., �.._ State: \.._ � Zi13:4\.\-\., Contractor Name: Phone: Fax: Address: City: State: Zip: License No: \\<"1 "k-tN` . \ C�S1\'\`10C-.. City Business License No: Contact Name: Phone: DESCRIPTION OF WORK # OF UNITS COST = TOTAL AMOUNT 1 2 FUEL BURNING APPLIANCE FUEL BURNING APPLIANCE Equal to or less than 100.000 More than 100,000 $12.06 $15.00 3 4 5 6 7 UNLISTED APPLIANCE (Additional Fee) UNLISTED APPLIANCE (Additional Fee) USED APPLIANCE (WSEC min. AFUE rating) USED APPLIANCE (WSEC min. AFUE rating) BOILER/REFRIGERATION Equal to or less than 400.000 More than 400,000 Equal to or Tess than 400,000 More than 400,000 1 - 100M BTU $50.00 $100.00 $50.00 $100.00 $12.00 8 BOILER/REFRIGERATION 101 - 500M BTU $20.00 9 BOILER/REFRIGERATION 501- 1,000M BTU $25.00 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU $35.00 11 BOILER/REFRIGERATION More than 1,750M BTU $60.00 12 13 GAS LOG, GAS INSERT, GAS FIREPLACE RANGE $10.00 $10.00 14 DRYER $10.00 15 FUEL BURNING WATER HEATER $10.00 16 MISC. FUEL BURNING APPLIANCE $10.00 17 18 GAS PIPING (each outlet) DUCT SYSTEMS $1.00 $10.00 19 VENTILATING FANS $10.00 20 21 22 AIR HANDLER (DOES NOT include ducting) AIR HANDLER (DOES NOT include ducting) EVAPORATIVE COOLERS Equal to or less than 10,000 CFM Greater than 10,000 CFM $12.00 $15.00 $10.00 23 TYPE I HOOD $50.00 24 TYPE II HOOD $10.00 25 HEAT PUMP/AIR CONDITIONER 0-3 TON $12.00 26 AIR CONDITIONER 3-15 TON $20.00 27 AIR CONDITIONER 15-30 TON $25.00 28 AIR CONDITIONER 30-50 TON $35.00 29 AIR CONDITIONER More than 50 TON $60.00 30 LPG STORAGE TANK $10.00 31 WOOD OR PELLET STOVE/INSERT $10.00 32 WOOD STOVE - FREE STANDING $25.00 33 34 REPAIR & ADDITIONS VENTILATION SYSTEMS $15.00 $12.00 35 VENTILATION MECHANICAL EXHAUST $12.00 36 INCINERATOR - RESIDENCE $19.00 37 INCINERATOR - COMMERCIAL $22.00 METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: AUTHORIZED SIGNATURE: DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: REVISED 8/26/05 Call 24 hours before inspection required Phone 509.688-0036 Fax'509.688-0037 DEPARTMENT OF PUBLIC WORKS Anticipated start date Permit # PW ROW CONSTRUCTION PERMIT Location of property 4 C Applicant Name (Address/Parcel #, if available) Address 3\��c�c ��, Phone Contractor's Name Address Phone Contractor's Reg#�JL���-��� Expires PROJECT DESCRIPTION (Provide site sketch or plan as necessaryforclarity) Sewer Connection Curb & Gutter Cable/Conduit Other Pavement Cut? Driveway 1111 Gas Installation Sidewalk Repair/Construction Dimensions Bond/insurance certification must be on file with the City. Bond # SPECIAL CONDITIONS: Permlttee Signature Approved I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Card # Expiration Date Name of Holder Signature Fees Paid$ (Application) (inspection) Date !nit • .uLY r.'..•lo.. v.'•_'. In addition to the permit application fee of $16.00 or $25.00, inspection on each permit will billed to the permittee at a rate of $50.00 per hour with a $25.00 (1/2 hour) minimum. Permittee signature on permit constitutes an agreement to these terms and provisions. Work completed satisfactorily (Signed) Date Permit not valid until One -Call Notification Ticket # entered here PERMIT MUST BE KEPT ON SITE Spokane �'�alley Community Development Plumbing Permit P=mit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.sookanevallev.ora.com Application SITE ADDRESS: \, , 4 t.1 . PERMIT NUMBER: PERMIT FEE: ❑ Commercial [,Residential Buildiu owner Name: Phone: Fax: Address: City. State: Zip: r Contractor Name: Phone: Fax: Address: City : State: Zip: License No: Business License No: l.City Contact ; .. , :; - a.•, Name: Phone: D DESCRIPTION OF WORK 0 OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET. BIDETS X $6.00 = 2 URINALS X $6.00 = 3 TUBS :-., X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT \ X $6.00 = 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN. LAUNDRY, UTILITY, JANITOR, PHOTO. X-RAY, FOOD. PREP/CULINARY MEAT X $6,00 = 6 DISHWASHER \ X S6.00 = 7 CLOTHES WASHER X $6.00 = 8 GARBAGE DISPOSAL 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 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS. DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING. REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER. SUMP PUMP X $6.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB,' STEAMER PROOFER, CARBONATOR, SWAMP COOLER X $6.00 = 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR VATS, TANKS. BOILERS X $6.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS (per outlet) NITROUS. OXYGEN X $6.00 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: SUBTOTAL CICASH ❑CHECKPROCESSING ❑ VISA 0 MASTERCARD FEE $35.00 Card# EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8a6/05