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2006, 05-10 Permit App: 06002083 ResidenceSpo` an ��Valley Community Development Permit Venter 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688 -0036 FAX: (509)688-0037 www.spokanevallev.org Residential Coi struct >�` E Permit A licati ri PP MAY 1 0 ���6 SITE ADDRESS l 73 °�( 4�y ASSESSORS PARCEL NO: 55/3303Vi PERMIT NUMBER: . (obt5a -1:45 PERMIT FEE: New Construction Accessory icig Addition/Remodel n Deck Other: Lot If 52o42 e Wu /Ay A,,„ / sy,rf LEGAL DESCRIPTION: Pktf SW P- 07- 05 �4 F4Y 52 33 /g7 • Name: Terry dm; L-pl/ i'se icon" Address: y�/5 5 r am; Re City: r" 'ee4a 7'es State: WA Zip:99mm6 Phone: 92r_6/p/ Fax: �►n #acerson:...: Name: 7d a TD /SDI Phone: y99 -O. 3 3' Describe the scope of work in detail: Confr: for ;t ", Name: T E., M: CO/1$'tivem/O4 Address: 509 Som a er Ipe/ City: cbo e lle.v State: W41 Zip: 037 Phone: Lfg9_,22 3y / Fax: /-i ,(19/ Contractor Lic No: Exp Date: 26 /O$ r 41cot -' %7/1.76 � / City Business Lic. No: Cost of Project: $ Z 2 2a7 * * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * ** HEIGHT TO PEAK: D DIMENSIONS :�,/( �y # # OF STORIES: / T TOTAL HAQLTA L SAE: MAIN FLOOR TO SQ. 2 2"" FLOOR SQ. FTG: U UNFIN BASEMENT SQ. FTG: I FINISHED BASF�MNT G GARAGE SQ. FTG: D DECK/COV. PAT SQ. C 3 �►n #acerson:...: Name: 7d a TD /SDI Phone: y99 -O. 3 3' Describe the scope of work in detail: Confr: for ;t ", Name: T E., M: CO/1$'tivem/O4 Address: 509 Som a er Ipe/ City: cbo e lle.v State: W41 Zip: 037 Phone: Lfg9_,22 3y / Fax: /-i ,(19/ Contractor Lic No: Exp Date: 26 /O$ r 41cot -' %7/1.76 � / City Business Lic. No: Cost of Project: $ Z 2 2a7 * * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * ** HEIGHT TO PEAK: D DIMENSIONS :�,/( �y # # OF STORIES: / T TOTAL HAQLTA L SAE: MAIN FLOOR TO SQ. 2 2"" FLOOR SQ. FTG: U UNFIN BASEMENT SQ. FTG: I FINISHED BASF�MNT G GARAGE SQ. FTG: D DECK/COV. PAT SQ. C 3 30% SLOPES ON Ai # OF BEDROOMS: C CONSTRUCTION TYPE: H HEAT S URCE: S SEWER OR SEPTIC? Cost of Project: $ Z 2 2a7 * * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * ** HEIGHT TO PEAK: D DIMENSIONS :�,/( �y # # OF STORIES: / T TOTAL HAQLTA L SAE: MAIN FLOOR TO SQ. 2 2"" FLOOR SQ. FTG: U UNFIN BASEMENT SQ. FTG: I FINISHED BASF�MNT G GARAGE SQ. FTG: D DECK/COV. PAT SQ. C 3 30% SLOPES ON Ai # OF BEDROOMS: C CONSTRUCTION TYPE: H HEAT S URCE: S 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 application can be processed. Signature Method of Payment: ❑ Cash Bankcard #: Authorized Signature: REVISED 625/2005 ❑ Check Date ❑ Mastercard ❑ VISA Expires: VIN #: Slietkar VaI1ey 11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206 509.921.1000 • Fax 509.921.1003 t eityhat[ @spokanevatley.org Residential Plan Submittal Minimums ❑ Completed Building & 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 _Valley Spokane Valley,WA 99206 PERMIT NUMBER. (509)688-0036 FAX:(509)688-0037 Community Development www.snokaneval1ev.ora _ PERMIT FEE: Mechanical Permit Application _ Commercial ❑ Residential SITE ADDRESS: 1 7322 and 17 32y E 4/6 6 '*ve , Building Owner Tetra-4 c e e v,Sys f73-©,n / ro 0 4r .� �, Rrq 6y Name: p Phone: „x"126'._. t�Sd Fax: Address: _ �f9/5 c. Cv.� lih R/ city: Ere e4ac.r s- State: Wit Zip: 99©4, Contractor `:. : T �...Q p Name: %it '/ 0lS®A7) �J 1 E,A cal5.!!°VC,,isk Phone: l7! ai/3 Fax: O.2 3 -/9/ _ Address: 5 ,, 50✓ ne„, Rd City: 5,gira4e kze/ State: k/ Zip: 971237 License No: TEM Coc 5 992 3-6 City Business Lic: - Contact Name: [f i59/!1 Phone: 4/7 7 06yer' DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 2 X $12.00 = 2.4/ 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 = 3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 = 5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1-100M BTU X $12.00 = 8 BOILER/REFRIGERATION 101 -50DM BTU X $20.00 = 9 BOILER/REFRIGERATION 501-1,000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1,001 -1,75DM BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = 12 GAS LOG,GAS INSERT,GAS FIREPLACE 2 X $10.00 = 20 13 RANGE 0 X $10.00 OP 14 DRYER 46, X $10.00 = 15 FUEL BURNING WATER HEATER .Z X $10.00 =_ Z 16 MISC.FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING(each outlet) 9 i X $1.00 = e 18 DUCT SYSTEMS 2 X $10.00 = 1 19 VENTILATING FANS O X $10.00 = , ‘t,,) 20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 = 21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X $15.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE II HOOD X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON 2. X $12.00 = :111 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 = 2.l 35 VENTILATION MECHANICAL EXHAUST 1- X $12.00 = z 36 INCINERATOR-RESIDENCE X $19.00 = 37 INCINERATOR-COMMERCIAL X $22.00 = METHOD OF PAYMENT: SUBTOTAL 2-22 ❑CASH ❑CHECK ❑VISA ❑MC EXPIRES: PROCESSING FEE $35.00 CARD#: VIN: TOTAL PERMIT FEE DUE: .2 5 7 AUTHORIZED SIGNATURE: REVISED 6/26/05 _ Permit Center Sgo"kane 1 1707 E Sprague Ave,Suite 106 .0000 Valley Spokane Valley,WA 99206 PERMIT NUMBER: (509)688-0036 FAX:(509)688-0037 -: Community Development www.spokanevalley.oro PERMIT FEE: .. .,. . Plumbing Permit Application /-7 n Commercial n Residential SITE ADDRESS: / 7% ;2 4/Ii/ ! / 319 t'. //ii% /Ike, Building Owner rerr ee ,,,,,,( /'OV/1'e 5/5a„en Name: ^• Phone:y2r_6/y/ Fax: Address: l�ivn/S 7, 6;241-4, kW City: 6ree letre5, State: uv Zip: 7,/6' Contractor Name: T F,4,/ 4,4 i P/G 1.7,41/1 Phone: 9f g6 jr. Fax: 92 6r9/ Address: 509 5 1 0M.41 w. Ri Clty:S Y State: Zip: �oione ..z//ey wie g9J32 License No: 7E4/c o e s 9 -x. City Business Lic: Name: ... . - _ .: .-: .•::. Phone: Tara' 5lsor7 `f? _a0 3 DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS 9 X $6.00 = .2; 2 URINALS X $6.00 = 3 TUBS 1 X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 1 X $6.00 = 2 7 LAVS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, 10 X $6.00 = ‘a X-RAY,FOOD,PREP/CULINARY MEAT VV 6 DISHWASHER 2 X $6.00 = / Z 7 CLOTHES WASHER X $6.00 = /2 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 = AREA,CASE,COIL,TRENCH, 7 /2 11 FLOOR DRAINS CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 = WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 7 14 VENT,PLUMBING,REVERSAL REVERSALS r X $6.00 = °� 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = ICE AN/OR COFFEE MAKER,HOSE BIB, 16 WATER USING DEVICE STEAMER 2. X $6.00 = JZ PROOFER,CARBONATOR,SWAMP COOLER VACUUM BREAKER,CHECK VALVE, AND R.P.B.P.D.FOR: VATS,TANKS, 17 CROSS CONNECTION DEVICE BOILERS X $6.00 = GREASE TRAP,SAND TRAP, 18 INTERCEPTORS 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 = SUBTOTAL Q' METHOD OF PAYMENT: `U O . �� PROCESSING FEE DCASH El CHECK ❑VISA ❑MC EXPIRES: $35.00 Card# VIN: TOTAL PERMIT FEE DUE: 21 5,,2� AUTHORIZED SIGNATURE: REVISED 5/26/05 PLANNING DEPT. APPROVED /- BY: DATE: iz o /7,7? , 2 ,y „ ,, fa .4. , - „---T 220 , 52 :Si?"•,', ! erapcla Praj4 -ri e lal OK go: .... 8'0 -1, ED) E C \\ MAY 1 0. 2006 .— E) r5 u HI Anita Blake Page 1 of 1 From: Heather Stinson Sent: Thursday, May 25, 2006 7:27 AM To: Anita Blake; Jodi Main; Mike Turbak; Christina Janssen Cc: Jay Grissom Subject: Building permits for 17400 E Alki I've received everything I need for the release of these building permits so please consider them okay to go from our end. Heather Stinson Planning `technician City of Spokane Ta1Thy 11707 E. Sprague, Suite 106 Spokane Lai e y, 1h''.A 99206 Phone #: (509) 688 -0046 FAX: (509) 688 -0037 htinson @poka:n-eval,'ley.org 5/25/2006 Project Number: 06002083 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/31/2006 Pro'ect In ormation: Permit e: FR, AS HEAT, ON SEPTIC Contact: J.E.M. CONSTRUCTION Setbacks: Front u L'1 Left: Right: Site Information: Plat Key: Name: Range Rear: Parcel Number: 55183.0347 Block: SiteAddress: 17322 E ALKI AVE Location:: CSV Zoning: UR -3.5 Water District: Area: 22,052 Sq Ft Urban Residential 3.5 Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Address: 509 N SOMMER RD C - S - Z: SPOKANE VALLEY, WA 99037 Phone: (509) 499 -0638 Group Name: Project Name: :.xt _ ACRICOPSPAm District: East Lot: Owner: Name: FOLSOM, TERRY Address: 4015 S CONKLIN RD SPOKANE VALLEY, WA 99016 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Released By: -Tim Driveway /Approach Page 1 of 2 Released By: Septic Sys Review Wblr boocerk �I-►1 b, - t `;.., nfr Released By: Landuse /Zoning/HE Conditions Permits: Released By: Operator: AMB Printed By: AMB Print Date: 5/31/2006 Project Number: 06002083 Inv: 1 Application Date: 5/31/2006 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Contractor: JEM CONSTRUCTION Firm: TODD FOLSOM Address: 509 N SOMMER RD Phone: VERADALE, WA 99037 Contractor: JEM CONSTRUCTION Address: 509 N SOMMER RD VERADALE, WA 99037 Contractor: JEM CONSTRUCTION Address: 509 N SOMMER RD VERADALE, WA 99037 Contractor: JEM CONSTRUCTION Address: 509 N SOMMER RD VERADALE, WA 99037 Payment Summary: 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. Building Permit Firm: TODD FOLSOM Phone: Mechanical Permit Firm: TODD FOLSOM Phone: Plumbing Permit Firm: TODD FOLSOM Phone: Signature: Operator: AMB Printed By: AMB Print Date: 5/31/2006 JIJI\ 72 2006 15:19 FR Proje.t Iember: 06002083 Inv: 1 TO 3241567 P.01 /04 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project A n formation: Permit Jae: SFR, GAS HEAT, ON SEPTIC Contact: J.E.M. CONSTRUCTION Address: 509 N SOMMER RD C - S - Z: SPOKANE VALLEY, WA 99037 Seth& :I s: Front Left: Right: Rear: Phone: (509) 499 -0638 Group Name: Project Name: Date: 5/31/2006 Page 1 of 2 Site l ni b rmation: P1F t Key: Name: Range P a] cel Number: 55183.0347 Block: Lot: SiteAddress: 17322 E ALKI AVE District: East Location:: CSV Zoning: t7R -3.5 Water District: Area: 22,052 Sq Ft Urban Residential 3.5 Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review . fi t ormaion: } tt view I t ilding Plan Review Owner: Name: FOLSOM, TERRY Address: 4015 S CONKLIN RD SPOKANE VALLEY, WA 99016 Hold: 0 Depth: 0 Right Of Way (ft): 0 [I' i elea I �t iveway /Approach ;Rtleased���;a e tic Sys Review Rel — —_ 'ICY NOT N10 te 6 r 0111111104*. lift IRMO appliest I a aduse/Zoning/HE Conditions Ferran 'S: (Jf° ator: AMB Printed By: AMB Print Date: 5/31/2006 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Topic Index I Contact Info Search Home Safety Claims fi Insurance Workplace Rights Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Printer Friendly Version Trades £t Licensing General /Specialty Contractor A business registered as a construction contractor with L£tI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. License Information License JEMCOCS942J6 Licensee Name JEM CONST OF SPOKANE INC Licensee Type CONSTRUCTION CONTRACTOR UBI 602479290 Verify Workers Comp Premium. Status Ind. Ins. Account Id Business Type LIMITED LIABILITY COMPANY Address 1 509 N SOMMER RD Address 2 City VERADALE County SPOKANE State WA Zip 99037 Phone 5092800638 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 4/26/2006 Expiration Date 4/26/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License https: // fortress. wa. gov /lni/bbip /Detail.aspx ?License= JEMCOCS942J6 5/31/2006 Look Up a Contractor, Electrician or Plumber License Detail Page 2 of 2 Business Owner Information Name Role Effective Date Expiration Date FOLSOM, ELEANOR PARTNER /MEMBER 04/26/2006 Bond Amount FOLSOM, TODD PARTNER /MEMBER 04/26/2006 FC2640 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #1 CBIC FC2640 04/26/2006 Until Cancelled $12,000.00 04/26/2006 Savings Information No Matching Information Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date #1 FIRST SPECIALTY INS CORP AB0504987A 04/26/2006 04/26/2007 $1,000,000.00 04/26/2006 Summons / Complaints Information No Matching Information Start a New Search Printer Friendly Version About LEt11 Find a job at L &I j Informacic n en espariol 1 Site Feedback 1 1 -800- 547 -8367 (D Washington State Dept. of Labor and Industries. Use of this site is subject to the taws of the state of Washington. Access Agreement I Privacy and security statement I Intended use /external content policy Staff only link Visi ccess.wa.gov https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= JEMCOCS942J6 5/31/2006 Project Number: 06002083 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/7/2006 Page 1 of 3 Project Information: Permit Use: DUPLEX, GAS HEAT, ON SEPTIC Setbacks: Front Left: Right: Rear: Site Information: Plat Key: Name: Range Contact: J.E.M. CONSTRUCTION Address: 509 N SOMMER RD C - S - Z: SPOKANE VALLEY, WA 99037 Phone: (509) 499 -0638 Group Name: Project Name: District: East Parcel Number: 55183.0347 Block: SiteAddress: 17322 E ALKI AVE Location:: CSV Zoning: UR -3.5 Water District: Area: 22,052 Sq Ft Urban Residential 3.5 Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information:.:, Lot: Owner: Name: FOLSOM, TERRY Address: 4015 S CONKLIN RD SPOKANE VALLEY, WA 99016 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Released By: Driveway /Approach Originally Released: 6/6/2006 By: TMELBOU Released By: Septic Sys Review Originally Released: 6/7/2006 By: amblake Released By: Landuse /Zoning/HE Conditions Released By: Originally Released: 6/2/2006 By: CJJANSSE Permits : -- „.t.A:. . . °; Operator: AMB Printed By: AMB Print Date: 6/7/2006 Project Number: 06002083 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Contractor: JEM CONSTRUCTION Firm: TODD FOLSOM Address: 509 N SOMMER RD Phone: VERADALE, WA 99037 Date: 6/7/2006 Page 2 of 3 Item Description APPROACH -CONST IN ROW Contractor: JEM CONSTRUCTION Address: 509 N SOMMER RD VERADALE, WA 99037 Description Grp Type Notes 1 &2 FAMILY R -3 VB DECK OPEN R -3 VB GAR WOOD U -1 VB Item Description RESIDENTIAL PERMIT FEE WSBC SURCHARGE SF PLNS RVW < 7999 SQ FT Contractor: JEM CONSTRUCTION Address: 509 N SOMMER RD VERADALE, WA 99037 Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE <= 100,000BTU GAS PIPING HEAT PUMP OR A/C 0 -3 TONS VENTILATING FANS GAS LOG OR GAS INSERT VENTILATION SYSTEM VENTILATION MECH EXHAUST Units Unit Desc 2 NUMBER OF Permit Total Fees: Building Permit Fee Amount $100.00 $100.00 Firm: TODD FOLSOM Phone: This Application: Total Project: So Ft Valuation So Ft Valuation 3,399 $293,571.63 3,399 $293,571.63 162 $2,430.00 162 $2,430.00 1,248 $23,712.00 1,248 $23,712.00 Totals: 4,809 $319,713.63 4,809 $319,713.63 Units 1 1 1 Unit Desc SELECT SELECT SELECT Permit Total Fees: Mechanical Permit Fee Amount $2,225.75 $4.50 $890.30 $3,120.55 Firm: TODD FOLSOM Phone: Units Unit Desc 2 NUMBER OF 2 NUMBER OF 2 NUMBER OF 6 # OF UNITS 2 NUMBER OF 6 NUMBER OF 2 NUMBER OF 2 NUMBER OF 2 NUMBER OF Operator: AMB Printed By: AMB Permit Total Fees: Print Date: Fee Amount $20.00 $20.00 $24.00 $6.00 $24.00 $60.00 $20.00 $24.00 $24.00 $222.00 6/7/2006 Project Number: 06002083 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/7/2006 Page 3 of 3 Contractor: JEM CONSTRUCTION Address: 509 N SOMMER RD VERADALE, WA 99037 Item Description TOILETSBIDETS SINKS SHOWERS DISH WASHERS CLOTHES WASHER ROOF DRAINS CROSS CONNECTION DEVICES WATER PIPING - DWV Notes: Payment Summary: :.,, Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Firm: TODD FOLSOM Phone: Units 4 10 4 2 2 2 2 4 Fee Amount $100.00 $3,120.55 $222.00 $180.00 Unit Desc Fee Amount NUMBER OF $24.00 NUMBER OF $60.00 NUMBER OF $24.00 NUMBER OF $12.00 NUMBER OF $12.00 NUMBER OF $12.00 NUMBER OF $12.00 NUMBER OF $24.00 Permit Total Fees: Invoice Amount $100.00 $3,120.55 $222.00 $180.00 Amount Paid $0.00 $0.00 $0.00 $0.00 $180.00 $3,622.55 $3,622.55 $0.00 Amount Owing $100.00 $3,120.55 $222.00 $180.00 $3,622.55 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: 6/7/2006 Project Number: 06002083 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 06/08/2006 Page 1 of 3 Project Information: Permit Use: DUPLEX, GAS HEAT, ON SEPTIC Setbacks: Front 53.3 Left: 22 Right: 22 Rear: 60 Site Information: Plat Key: Contact: J.E.M. CONSTRUCTION Address: 509 N SOMMER RD C - S - Z: SPOKANE VALLEY, WA 99037 Phone: (509) 499-0638 Group Name: Project Name: ---.14WOMW,;-,13W2MOV,==4,101041.=7.-:X&Wer,,,,,e410iVr,,,cataadeinwe:, Ve,7,-,ZZOK414*. Name: Range District: East Parcel Number: 55183.0347 Block: SiteAddress: 17322 E ALKI AVE Location:: CSV Lot: Owner: Name: FOLSOM, TERRY Address: 4015 S CONKLIN RD SPOKANE VALLEY, WA 99016 Zoning: UR-3.5 Urban Residential 3.5 Water District: 134 CONSOLIDATED ID #19 Area: 22,052 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Hold: El Depth: 0 Right Of Way (ft): 0 Review Building Plan Review -AIENSMI I Released By: Driveway/Approach Originally Released: 06/06/2006 By: TMELBOU Released By: Septic Sys Review Originally Released: 06/07/2006 By: amblake Released By Originally Released: 06/08/2006 By: amblake Landuse/Zoning/HE Conditions Permits: Operator: AMB Released By: Originally Released: 06/02/2006 By: CJJANSSE Printed By: MT Print Date: 06/08/2006 Project Number: 06002083 Inv: 1 Application Date: 06/08/2006 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: JEM CONSTRUCTION Address: 509 N SOMMER RD VERADALE, WA 99037 Item Description APPROACH -CONST IN ROW Contractor: JEM CONSTRUCTION Address: 509 N SOMMER RD VERADALE, WA 99037 Description Grp Type Notes 1&2 FAMILY R -3 VB DECK OPEN R -3 VB GAR WOOD U -1 VB Item Description RESIDENTIAL PERMIT FEE INVESTIGATION FEE WSBC SURCHARGE SF PLNS RVW < 7999 SQ FT Contractor: JEM CONSTRUCTION Address: 509 N SOMMER RD VERADALE, WA 99037 Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE <= 100,000BTU GAS PIPING HEAT PUMP OR A/C 0 -3 TONS VENTILATING FANS GAS LOG OR GAS INSERT VENTILATION SYSTEM VENTILATION MECH EXHAUST Approach Firm: TODD FOLSOM Phone: Units Unit Desc 2 NUMBER OF Fee Amount $100.00 Permit Total Fees: $100.00 Building Permit Firm: TODD FOLSOM Phone: This Application: Total Project: Su Ft Valuation Su Ft Valuation 3,399 $293,571.63 3,399 $293,571.63 162 $2,430.00 162 $2,430.00 1,248 $23,712.00 1,248 $23,712.00 Totals: 4,809 $319,713.63 4,809 $319,713.63 Units Unit Desc 1 SELECT 1 AMOUNT 1 SELECT 1 SELECT Permit Total Fees: Mechanical Permit Units 2 2 2 6 2 6 2 2 2 Operator: AMB Printed By: MT Fee Amount $2,225.75 $936.17 $4.50 $890.30 $4,056.72 Firm: TODD FOLSOM Phone: Unit Desc NUMBER OF NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $20.00 $20.00 $24.00 $6.00 $24.00 $60.00 $20.00 $24.00 $24.00 $222.00 Print Date: 06/08/2006 Project Number: 06002083 Inv: 1 Application Date: 06/08/2006 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: JEM CONSTRUCTION Address: 509 N SOMMER RD VERADALE, WA 99037 Item Description TOILETSBIDETS SINKS SHOWERS DISH WASHERS CLOTHES WASHER ROOF DRAINS CROSS CONNECTION DEVICES WATER PIPING - DWV Plumbing Permit Units 4 10 4 2 2 2 2 4 Firm: TODD FOLSOM Phone: Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $24.00 $60.00 $24.00 $12.00 $12.00 $12.00 $12.00 $24.00 $180.00 Notes: MAXIMUM OF 4 BEDROOMS, PER HEALTH DISTRICT Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $100.00 $4,056.72 $222.00 $180.00 Invoice Amount $100.00 $4,056.72 $222.00 $180.00 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $100.00 $4,056.72 $222.00 $180.00 $4,558.72 $4,558.72 $0.00 $4,558.72 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: AMR Printed By: MT Print Date: 06/08/2006