2005, 11-01 Permit App 05004011 ResidenceProject Number: 05004011 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/27/2005 Page 1 of 3
Project Information: __ _
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE WA 99206
Phone: (509) 892-0454
Group Name:
Site Information: Project Name:
Setbacks: Front 25 Left: 6 Right: 5 Rear: 49
Plat Key: Name: FLORA SPRINGS
District: East
Parcel Number: 55073.1548 Block: 1
SiteAddress: 1612 N CORBIN LN
Location:: CSV
Zoning: UR-3.5
Water District:
Area: 5,500 Sq Ft
Urban Residential 3.5
Lot: 23
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 Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 10/25/2005 By: CJJANSSE
Released By:
Sewer Review
Permits:
Originally Released: 10/27/2005 By: TMELBOU
Released By:
Operator: CJJ Printed By: CJJ Print Date: 10/27/2005
Project Number: 05004011
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Total Area 1777
Building Height 18
Stories 2
Dwelling Units 1
Building Permit
Date: 10/27/2005 Page 2 of 3
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Building Characteristics
Description Grp Type Notes
BASEMENT U R-3 VB
DECK R-3 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Contractor: M & L MECHANICAL
Address: PO BOX 10126
SPOKANE, WA 99205
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
VENTILATING FANS
This Application: Total Project:
Sq Ft Valuation So Ft Valuation
530 $7,950.00 530 $7,950.00
80 $1,200.00 80 $1,200.00
624 $11,856.00 624 $11,856.00
1,241 $92,677.88 1,241 $92,677.88
Totals: 2,475 $113,683.88 2,475 $113,683.88
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,072.15
$4.50
$428.86
$1,505.51
Firm: M & L MECHANICAL
Phone: (509) 326-2677
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: CJJ Printed By: CJJ
Print Date: 10/27/2005
Project Number: 05004011
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Contractor: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE
SPOKANE, WA 99212
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Plumbing Permit
Date: 10/27/2005
Page 3 of 3
Firm: GOLD SEAL MECHANICAL INC
Phone: (509) 535-5944
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
I NUMBER OF
I 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
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,505.51
$62.00
$96.00
Invoice Amount
$1,505.51
$62.00
$96.00
$1,663.51 $1,663.51
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,505.51
$62.00
$96.00
$0.00 $1,663.51
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: 10/27/2005
Spokane
�Ualley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.sookanevallev.org.corn
.ccorn
Residential Constrac!tibn
Permit Applicatioi \-
ew Construction o Accessory Bldg
dition/Remodel o Deck
r�;��1i��\■\��.er:
SITE ADDRESS \3 \1
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
e.
t,._LL
Name:
c r-,
Address:
City:.
Zip:
Phone:
Fax:
Name:
Phone:
Describe the scope of work in detail:
SF
Tv',.ra
ray_,a n c r.. s.5'�'e"ve.,•� i, . �u`r'� j•a
Name: l '\.o e,..c C ,..--..\R.
Address: � \\Z .-___(<- 1.--�
City: `R.�\.. ,ti, Zip: \ . =,\-\
Phone:'•1\°\1..c Qc Fax: �'Z,� - `'3`..\1`1/4
Lic No: Exp. Date:
City Business Lic No: \\� \-‘,..E-,-;-.._- _--f.o� ......
Cost of Project:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
\�4A ��
2N° FLOOR SQ. FTG:
\ \
UNFIN BASEMENT SQ. FTG:
�-v C 4
IMPERVIOUS SURFACE
AREA:
\-moo
FINISHED BASEMENT
SQ. FTG: -T. ��'\
GARAGE SQ. FTG:
-D icZ_ctl-
DECK/COV. PATIO SQ. FTG:
c e�
3C% SLOPES ON
PROPERTY: — \�
# OF BEDROOMS:
nte.ri A tat r
CONSTRUCTION TYPE:
HEAT SOURCE:
C.
SEWER OR SEPTIC?
c4��-�wLs
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 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
Signature
Date
Method of Payment; (Faxed permit applications will only be accepted with majorbankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED srzsrzoos
❑ Other
Permit Center
Spokane 11707E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.snokanevallev.or,.com
Mechanical Permit Application
.00.0Valley
PERMIT NUMBER:
/ PERMIT FEE:
Commercial [Vf Residential
SITE ADDRESS: \L r\Z CcmrU\c-'
-s rC
Building owner F'SUcr>..,1/4,,,...
C-,mac„ \r .
Name:
Phone: ss,�9\1-�osj� Fax: C`'h,si,-tr..;\Sl
Address:
\� �<
«
City: ,cZ�ho.-e., State: gyp,
Zip:VNkjt.s
Contractor
Name:
M,\-
�„ ram.
Phone: `.1.k_i---by' „m' Fax:
Address:
City: State:
Zip:
License No:
City Business License No:
Conta
,,,c-\/.
' \\.
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
2
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100.000
More than 100,000
X
X
$12.00
$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
$100.00
$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
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
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 & 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 ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED s/26/05
_ ''_ Permit Center
SpSkane 11707 E Sprague Ave, Suite 106
�leY Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037 PERMIT FEE:
Community Development www.sookanevallev.orR.com
Plumbing Permit Application ❑ Commercial Residential
PERMIT NUMBER:
SITE ADDRESS:
Building owner
Name:
\--\` �,,, , e
I\ C -,,
„-\ .
Phone:
Fax:
Address:
City: State:
Zip:
Contractor .
\\
(-, \ ck -
-�..,\
_ .,�..
Name:
Phone: �'\5-S '
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
3
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
--i..
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
n
'C
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
X
$6.00
=
17
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6.00
=
CROSS CONNECTION DEVICE
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:
0 CASH 0 CHECK 0 VISA 0 MASTERCARD
Card# EXPIRES:
SUBTOTAL
PROCESSING FEE
$36.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/06
Sp ikan e
:,sval�ey .
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 L - 1. \ . C c c -. \-oc;:
(Address/Parcel #, if available)
Applicant Name \-\oca
Address S, \Th F«r- 44444., Phone Nkv>.:OR
Contractor's Name So y
Address Phone
Contractor's Reg# R\:`,;Ts,c\c'\Expires
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
n
n
Sewer Connection
Curb & Gutter
Cable/Conduit
Other
Pavement Cut?
Driveway
Gas Installation
Sidewalk Repair/Construction
Dimensions
Bond/insurance certification must be on file with the City. Bond #�
SPECIAL CONDITIONS:
Permittee Signature\)� ,. Approved
I hereby authorize the City of Spokane Valley to charge the fee for this pemmt to my credit card.
Card # Expiration Date
Name of Holder Signature
Fees Paid$
(Application) (Inspection)
Date
bit
In addition to the permit application fee of $16.00 or $25.00, Inspection on each permit will be .
billed to the permitee 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 tents and provisions.
Work completed satisfactorily (Signed) Date
Permit not valid until One -Call Notification Ticket # entered here
PERMIT MUST BE KEPT ON SITE