2005, 11-28 Permit App 05004399 ResidenceProject Number: 05004399 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 25 Left: 6 Right: 6 Rear: 30
Site Information:
Plat Key:
Name: FLORA SPRINGS
Date: 11/28/2005 Page 1 of 3
Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 892-0454
Group Name:
Project Name:
District: East
Parcel Number: 55073.1548 Block: 1
SiteAddress: 1712 N CORBIN LN
Location:: CSV
Zoning: UR-3.5
Water District:
Urban Residential 3.5
Lot: 18
Owner: Name: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE VALLEY, WA 99206
Hold: ❑
Area: 6,062 Sq Ft Width: 78 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: 11/21/2005 By: cjjanssen
Released By:
Sewer Review
Permits:
Originally Released: 11/28/2005 By: TMELBOU
Released By:
Operator: CJJ Printed By: CJJ Print Date: 11/28/2005
Project Number: 05004399 Inv: I
Applicati on
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 11/28/2005 Page 2 of 3
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Phone: (509) 892-0454
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation So Ft Valuation
BASEMENT F R-3 VB 462 $9,240.00 462 $9,240.00
BASEMENT U R-3 VB 560 $8,400.00 560 $8,400.00
DECK R-3 VB 260 $3,900.00 260 $3,900.00
GARAGE S-2 VB 451 $17,534.88 451 $17,534.88
RESIDENCE R-3 VB 1,363 $101,788.84 1,363 $101,788.84
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 3,096 $140,863.72 3,096 $140,863.72
Units Unit Desc Fee Amount
1 SELECT $1,223.35
1 SELECT $4.50
1 SELECT $489.34
Permit Total Fees:
Mechanical Permit
$1,717.19
Contractor: HOMESTEAD CONSTRUCTION Finn: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
GAS WATER HEATER
GAS APPLIANCE=100,000BTU
VENTILATING FANS
GAS LOG OR GAS INSERT
Phone: (509) 892-0454
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
Fee Amount
$10.00
$12.00
$40.00
$10.00
Permit Total Fees: $72.00
Operator: CJJ Printed By: CJJ Print Date: 11/28/2005
Project Number: 05004399
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: I
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Notes:
Plumbing Permit
Date: 11/28/2005 Page 3 of 3
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Units Unit Desc Fee Amount
3 NUMBER OF $18.00
5 NUMBER OF $30.00
1 NUMBER OF $6.00
2 NUMBER OF $12.00
NUMBER OF $6.00
NUMBER OF $6.00
NUMBER OF $6.00
NUMBER OF $18.00
1
1
1
3
Permit Total Fees: $102.00
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$1,717.19
$72.00
$102.00
$1,717.19
$72.00
$102.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,717.19
$72.00
$102.00
$1,891.19 $1,891.19 $0.00 $1,891.19
.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: 11/28/2005
Permit Center
Spakane
11707 E Sprague Ave, Suite I06
400000FSpokane Valley, WA 99206
ley (509)688-0036 FAX: 509)6 -6a37
Community Development Www.spokanevallev.oi o
Residential Construction
Permit Application
ttArrt
dot uction o Accessory r3' Bldg
ddition/Remodel ❑ Deck
o Other:
SITE ADDRESS -
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: \� \`S\�,.\ \ J.
Name: , c�.k>..\Q,<--
C >c..;c-
_ `�\
Ad{{��
.
` ft �.
City .,, •
.\{��d,,re�ss: \�/�o— v
Zip:
\C��
\`
Phone: \'''\1 -O-c
C
Fax: c:".`L�. `�\.Th`�.
Name:
WOK
Phone:
Describe the scope of work in detail:
Name: 5 �,-.,,,_
Address:
City:
• Zip:
Phone:
Fax:
Lic No: \\.1. ��:.ai,‘,._., Exp. Date:
City Business Lic No:
Cost of Project:
**************The following MUST be complete: (write NIA if not applicable)**********************
HEIGHT TO PEAK:
`N:
DIMENSIONS:
`
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
\� S " a
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
_
-S 5 (0 Z
IMPERVIOUS SURFACE
AREA: \,\V,
FINISHED BASEMEN)"
SQ. FTG: .,' 4c, L
GARAGE SQ. FTG:
°C�.k J
DECK/COV. PATIO S(. FTG:
-se). '--- '� J
30% SLOPES ON
PROPERTY: —
# OF BEDROOMS:
nice-4 AIERCC
CONSTRUCTION TYPE:
HEAT SOURCE:
��`
SEWER OR SEPTIC?
��`,��
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
—this-app '
Signature
Date
Method of Payment (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
❑ Other
� Permit Center
S"po"kane 11707 E Sprague Ave, Suite 106
4.0,010leY Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037 PERMIT FEE:
Community Development www.spokanevalley.or¢.com
Plumbing Permit Application n Commercial Residential
PERMIT NUMBER:
SITE ADDRESS: \\ \'� \"3- C •c v ^ o c.v
Building owner -,c,„=, \ C.
,X
-..
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City :
State:
Zip:
License No:
City Business License No:
Contsct
-
_ .... -.
Name:
Phone:.
DESCRIPTION OF WORK
# 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
s
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
'lJ
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:
0 CASH 0 CHECK 0 VISA ❑ MASTERCARD
Card# EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26,05
.00.5Ualley
*Octane
n Permit Center
S Octane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.cnokanevallev.or^_.com
Mechanical Permit Application n Commercial [Residential
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: \v . \\ \'� C oc\c
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
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$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
BOILEPJREFRIGERATION
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
16
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
26
AIR CONDITIONER
30-50 TON
X
$35.00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR 8 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
$35.00
TOTAL PERMIT FEE DUE:
REVISED SR6/05
Spokane
Valley
Call 24 hours before inspection required
Phone 509.688-0036 Faa'509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date \\- -c5 Permit # PW
ROW CONSTRUCTION PERMIT
Location of property N. \\ r-L
\ \ (Address/Parcel #, If available)
Applicant Name \c-4.%_.--.\
Address v • « Phone \�;') 4�4
Contractor's Name
Address Phone
Contractor's Reg# ,c_-o\qw Expires
PROJECT DESCRIPTION (Provide site sketch or plan as necessaryforclarity)
Sewer Connection
Curb & Gutter
Cable/Conduit
Other
Pavement Cut?
Dimensions
Driveway
Gas Installation
Sidewalk Repair/Construction
Bond/insurance certification must be on file with the City. Bond #�
SPECIAL CONDITIONS:
Permittee Signature C
Approved
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder Signature
Fees Paid$
(Application) (Inspection)
Date
In addition to the permit application fee of $16.00 or $25.00, Inspection. on each permit will be
billed to the permlttee at a rate of $50.00 per hour with a $25.00 (1/2 hour) minimum. permitted'
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