2005, 11-08 Permit App 05004202 ResidenceProject Number: 05004202 Inv: 1 Application Date: 11/08/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE - GAS Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front 25 Left: 6 Right: 5 Rear: 37 Phone: (509) 892-0454
Group Name:
Project Name:
Site Information:
Plat Key:
Name: FLORA SPRINGS
District: East
Parcel Number: 55073.1548
SiteAddress: 1608 N CORBIN LN
Location:: CSV
Zoning: UR-3.5
Water District:
Area: 5,500 Sq Ft
Nbr of Bldgs: 1
Review Information:
Block: 1
Urban Residential 3.5
Lot: 25
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE VALLEY, WA 99206
Hold:
Width: 55 Depth: 100 Right Of Way (ft): 28
Nbr of Dwellings: 1
Review
Site Nan Review
ReleasedrBy:
Plan Review
Originally Released: 11/08/2005 By: CJJANSSE
Released By:
Sewer Review
Permits:
Originally Released: 11/08/2005 By: TMELBOU
Released By:
Operator: CJJ Printed By: CJJ Print Date: 11/08/2005
Project Number: 05004202 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 11/08/2005 Page 2 of 3
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892-0454
SPOKANE, WA 99206
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
BASEMENTU R-3 VB 673 $10,095.00 673 $10,095.00
DECK R-3 VB 80 $1,200.00 80 $1,200.00
GARAGE U-1 VB 713 $27,721.44 713 $27,721.44
RESIDENCE R-3 VB 1,241 $92,677.88 1,241 $92,677.88
Totals: 2,707 $131,694.32 2,707 $131,694.32
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,172.95
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $469.18
Permit Total Fees:
Mechanical Permit
$1,646.63
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
GAS PIPING
GAS LOG OR GAS INSERT
HOOD -TYPE II
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
1 NUMBER OF
1 NUMBER OF
Fee Amount
$10.00
$12.00
$4.00
$10.00
$10.00
Permit Total Fees: $46.00
Operator: CJJ Printed By: CJJ Print Date: 11/08/2005
Project Number: 05004202 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: HOMESTEAD CONSTRUCTION
Plumbing Permit
Date: 11/08/2005 Page 3 of 3
Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509) 892-0454
SPOKANE, WA 99206
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
WATER PIPING - DWV
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units Unit Desc
3 NUMBER OF
5 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 Invoice Amount
$1,646.63
$46.00
$102.00
$1,646.63
$46.00
$102.00
Fee Amount
$18.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$102.00
Amount Owing
$1,646.63
$46.00
$102.00
$1,794.63 $1,794.63 $0.00 $1,794.63
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: CJJ Printed By: CJJ Print Date: 11/08/2005
ate, Permit Center
SPorkane 11707 E Sprague Ave, Suite 10 v1l
Valle Spokane Valley, WA 99206 EGt...0
11 (509)688-0036 FAX: (509)688%Mi
Community Development ;ww.spokanevallev.or,.cora "
PRAT ft
Residential Construction � onstruction
Permit Application 0546❑ Addition/Remodel
o Other:
o Accessory Bldg
❑ Deck
SITE ADDRESS
ASSESSORS PARCEL NO: 3S1 . 15-4- LEGAL DESCRIPTION: \,,,,`-\
L L
Z,
;ice -r
-C_. .
�pt7_
II "� �7 ++-a—
_
�.,� 7'-Er .
Name: R`1e.....\.sa-cc-.
C4:4••,N.
Address: A\`L<cc&
City:. \/. c.r...
f
Zip:
r1._..1L
Phone: .-{;)\1:."ca`\-- Fax:
\-)-.� ..--1-z..\1k,
Name: sc-.
Phone:
Describe the scope of work in detail:
r
s rt
ontrac r ,
Name: .,_.‚-
Address:
City: Zip:
Phone: Fax:
Lic No: az Tk,,--4.��go‘s, Exp. Date:
City Business Lic No:
Cost of Project:
**************The following MUST be complete: (write N/A if not applicable}**********************
HEIGHT T\Q PEAK:
`` ,
DIMENSIONS:
°c a. '1 ►
# OF STORIES:
TOTAL HABITABLE SPACE:
\` \c \
MAIN FLOOR TO SQ.
FTG:
\>..°r\ k
2"" FLOOR SQ. FTG:
��`�
UNFIN BASEMENT SQ. FTG:
L..\�
IMPERVIOUS SURFACE
AREA:.
\Q\.
FINISHED BASEMENT
SQ. FTG: \,;A,
GARAGE SQ. FTG:
i ,
DECK/COV. PATIO SQ. FTG:
�,
30% SLOPES ON
PROPERTY: � \�
# OF BEDROOMS:
r ieri AIRIIC
CONSTRUCTION TYPE:
HEAT,SOURCE:
visa
SEWER OR SEPTIC?
.`i,'^)-`e
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 clone
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 subsequentlyapproved before
—this-application-can-be-processed.
Signature
C
Method of Payment: (Faxed permit e
❑ Cash ❑ Check
Bankcard #:
Authorized Signature:
REVISED B/25/2005
)ate \\-
❑ Other
V#:
Permit Center
S'P ne 11707 E Sprague Ave, Suite 106
06
(50ka9)6 e Valley, WA 9(509)
V y Spokane
88-0036 FAX:92 )688-0037
n w.sookanevallev.ore.com
Community Development
Residential Plan Submittal Minimums
❑ Completed Building, Plumbing & Mechanical application with: Accurate address,
Parcel Number and/or Legal Description, description of work, owner and
contractor information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One -hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
�Ualley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.ora.com
Plumbing Permit Application k1 I Commercial
SITE ADDRESS:
PERMIT NUMBER:
PERMIT FEE:
Residential
Building owner
\-\c-•cr., -Nav->x c--,
N.
Name:
Phone:
Fax:
Address:
City: State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City: State:
Zip:
License No:
City Business License No:
Contact.
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
ZS
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
'1
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
$6.00
=
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
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
V
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 DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA ❑ MASTERCARD
Card# EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
_ Permit Center
Sp `"kale 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development wwwspokanevalley.ors.com
Mechanical Permit Application 1 Commercial n Residential
,,.SUalley
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS:
Building owner \ M'Y-.-\>,o C J--...,
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business License No:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS X
COST
= TOTAL AMOUNT
2
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100,000
More than 100,000
X
X
$12.o0
$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 less than 400,000
More than 400,000
1 - 100M BTU
X
X
x
x
X
$50.00
$100.00
$50.00
Si moo
$12.00
8
BOILER/REFRIGERATION
101 -500M BTU
X
$20 00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$2500
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
X
$10.00
13
RANGE
x
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
18
GAS PIPING (each outlet)
DUCT SYSTEMS
X
X
$1.00
$10.00
19
VENTILATING FANS
X
$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
X
X
X
$12.00
$15.00
$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
26
AIR CONDITIONER
3-15 TON
x
$20.00
27
AIR CONDITIONER
15-30 TON
$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 & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK 0 VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
Spokane
./f Valley
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date \\- \S Permit # PW
ROW CONSTRUCTION PERMIT
Location of property \L,c`,
(Address/Parcel #, If available)
Applicant Name
Address �. \m. crr tea\ Phone C.k."<2- hv
Contractor's Name
Address Phone
Contractor's Reg# `a. c y--A,ot—Expires
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
I J
I
Sewer Connection
Curb & Gutter
Cable/Conduit
Other
Pavement Cut?
J
Dimensions
Driveway
Gas installation
Sidewalk Repair/Construction
Bond/insurance certification must be on file with the City. Bond #
SPECIAL. CONDITIONS:
Permlttee Signature
Approved
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder
Signature
Fees Paid$
(Application) (Inspection)
In addition to the permit application fee of $16.00 or $25.00, Inspection on each penult will be
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
Date bit
PERMIT MUST BE KEPT ON SITE