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2006, 02-27 Permit App 06000588 ResidenceProject Number: 06000588 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 W/ GAS HEAT Setbacks: Front 25 Left: 6 Right: 5 Rear: 37 Site Information: u. a Plat Key: Name: FLORA SPRINGS Date: 2/27/2006 Page 1 of 2 Contact: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD C - S - Z: SPOKANE VALLEY, WA 99206-3666 Phone: (509) 892-0454 Group Name - Project Name: District: East Parcel Number: 55073.2220 Block: SiteAddress: 1706 N CORBIN LN Location:: CSV Zoning: UR-3.5 Water District: Area: .00 Acres Urban Residential 3.5 Width: 0 Nbr of Bldgs- 0 Nbr of Dwellings: 0 Review Information: ,u . Lot: Owner: Name: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD SPOKANE VALLEY, WA 99206-36 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Released By: Driveway/Approach Originally Released: 2/27/2006 By: TMELBOU Released By: Landuse/Zoning/HE Conditions Released By: Sewer Review Permits: Released By: Originally Released: 2/24/2006 By: A_Blake Operator: AMB Printed By: AMB Print Date: 2/27/2006 Project Number: 06000588 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Date: 2/27/2006 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 Phone: (509) 892-0454 SPOKANE, WA 99206 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 Phone: (509) 892-0454 SPOKANE, WA 99206 Notes: Payment Summary:..R. 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: AMB Printed By: AMB Print Date: 2/27/2006 Permit Center Sgorkane 11707 11707 E Sprague Ave, Suite 106 '~ Spokane Valley, WA 99206 d (509)688-0036 FAX: (509)688-0dr Community Development www.spokanevallev.orz..com Valley Residential Construction Permit Application EtEoi FEB 2 3 2006 evy cons S'p Accessory Bldg L_, ❑ Addition/Remodel o Deck o Other: SITE ADDRESS ASSESSORS PARCEL NO: ,5b7 3•22LEGAL DESCRIPTION: ♦ ihy • l". }�� ' gri ,,,,, � y+� � I•�,.•':jl•'7 /y��p��e!1:'IyN��{,',CJt�SWE Jf� Y'!4 'CVl/:LLiJIeYfE'�J '5'; •1• y.7:.41:kart"' Name: \-Q� 9 ..\ a,a �\ C �� r oA • . Address: �, \Th- --oe c • Q- , City: -_ .,_, Zip: `\'\ Z u Phone: c-‘,---\' -o °c5°< Fax: \Th - Z7\ Name: Phone: � Describe the scope of work in detail: .607,� 'a 0 '.t'-:rr. � a°rr�r'.4:t.c .�,�. jr,_ r,;�,s.hr.x>J� -:; �;, �c::'{",�,,.. Name: Address: City. • Zip: Phone: Fax: Lic No: Exp. Date: City Business Lic No: \-\,� ���.sc_,--c L,"la oc. Cost of Project: **************The follow • HEIGHT TO PEAK: \`b DIMENSIONS: ci; i- `-5 # OF STORIES: TOTAL HABITABLE SPACE: \ / 5 7 . MAIN FLOOR TO SQ. FTG: AS`\t2 S % 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: \ C q-. IMPERVIOUS SURFACE AREA: `°\CO FINISHED BASEMENT SQ. FTG: - GARAGE SQ. FTG:,(, ..� DECK/COV. PATIO SQ. FTG: �,'� or- 30% SLOPES ON PROPERTY: - # OF BEDROOMS: J DISCLAIMER CONSTRUCTION TYPE: HEAT OURCE: P� . SEWER OR SEPTIC? e., ..�:.c 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 ill 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 e pror �F� Signature Date �..- `.. \ - \ L Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check 0 Mastercard 0 VISA 0 Other Bankcard #: Expires: VIN#: Authorized Signature: nonsED arzsoos Permit Center Spokane 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development ew.wspokanevallev.nre.com Mechanical Permit Application n Commercial ..Valley 7 PERMIT NUMBER: PERMIT FEE: Residential SITE ADDRESS: Building owner 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 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 826/05 Permit Center Q"kane 11707 E Sprague Ave, Suite 106 esesValley Spokane Valley, WA 99206 Commtmi Development (509)688-0036 FAX: (509)688-0037 tY p meet w'ww.sDokanevallev.onncorr2 Plumbing Permit Application ❑ Commercial SITE ADDRESS: PERMIT NUMBER: PERMIT FEE: Residential Buldiog owner \--\O Mo....-\ o.. oc�. C ,,. ss ,.. .. Name: Phone: Fax: Address: City. State: Zip: Co actor .. - .. . Name: Phone: Fax; Address: City : State: Zip: License No: City Business License No: Contact Y',. ': �I ' : i_ .: .. ,. Name: Phone: .: D DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS \? X $6.0D = 2 URINALS X 56.00 = 3 TUBS i X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT \ X $6.D0 = 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 = B 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 36.00 - 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING. REVERSAL NSTALLATION. ALTERATION, REPAIR, REVERSALS X 56.00 = 15 SEWAGE EJECTOR GRINDER SUMP PUMP X 66.00 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMERCa 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 = 16 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 56.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS . X $2000 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: 0 CASH ❑CHECK Card# SUBTOTAL. 0 VISA 0 MASTERCARD PROCESSING FEE S35.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 826,05 Smy pokane Valley Call 24 hours before inspection required Phone 509.688-0036 Fax509.688-0037 DEPARTMENT OF PUBLIC WORKS Anticipated start date ` - - Permit # PW Location of property Applicant Name ROW CONSTRUCTION PERMIT (Address/Parcel #, if available) Address C. r VL�c<c Phone Contractor's Name Address Phone Contractor's Reg# \- "fit-- e-s,,o`"\\ c . Expires PROJECT DESCRIPTION (Provide site sketch or plan as necessary for darity) Sewer Connection tv i Driveway Curb & Gutter v Gas Installation Cable/Conduit Other Pavement Cut? Dimensions Sidewalk RepalrlConstruction Bondlnsurance certification must be on file with the City. Bond # SPECIAL CONDITIONS: Permittee Signature Approved I hereby authorize the City of Spokane Valley to charge the fee for thls permit to my credit card. Card # Expiration Date Name of Haider Signature Fees Paid$ (Application) (Inspection) In addition to the permit application fee of $16.00 or $25.00, Inspection on each permit will be billed to the permittee at a rate of $50.00 per hour with a $25.00 (1/2 hour) minimum. Pennittee'" signature on permit constitutes an agreement to these terms and provisions. Work completed satisfactorily (Signed) Date Date Permit not valid until One -Call Notification Ticket # entered here PERMIT MUST BE KEPT ON SIITE !nit ....