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2008, 06-30 Permit App: 08002371 ResidenceProject Number: 08002371 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/30/2008 Page 1 of 3 Project Information: Permit Use: NEW SFR -SEWER Contact: BLACKHAWK CORPORATION Address: 23900 E JOSEPH C - S - Z: OTIS ORCHARDS, WA 99027 Setbacks: Front Left: Right: Rear: Phone: (509) 226-2186 Group Name: Site Information: Project Name: ar,APP141.,M14.),P1,50`....:;ty.',,N,",.., • ', ,,,A4 WOO 4111,4‘10,,treLNUTIEdleag/glifraA,4,TtiViZigit:g4t4.84:, V4,,,IMS5311%Z "4,A7: 3,0 Plat Key: Name: Shelley Lake 5th Addition District: East Parcel Number: 45244.3516 SiteAddress: 1015 S CONKLIN LN Location:: CSV Block: Lot: Zoning: R-4 SF Res Urban District Water District: 010 VERA Owner: Name: SHELLEY LK RES DEV/SHELLE Address: 8225 N DIVISION SPOKANE, WA 99208 Hold: El Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: N.,,mavgp.ta-Apiletzme,,,,ven...0.74-twftwomitit. Review Building Plan Review Released By: Originally Released: 6/30/2008 By: tmelbourn Landuse/Zoning/HE Conditions Released By: Originally Released: 6/24/2008 By: kkendall Sewer Review Released By: VIT',7,,PCB4 . Operator: jmm Printed By: jmm Print Date: 6/30/2008 Project Number: 08002371 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/30/2008 Page 2 of 3 Building Permit Contractor: BLACKHAWK CORP Firm: BLACKHAWK CORP Address: 23900 E JOSEPH Phone: (509) 226-2186 OTIS ORCHARDS, WA 99027 This Application: Total Project: Description Type Notes Sq Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB 1,636 $155,403.64 1,636 $155,403.64 DECK OPEN R-3 VB 36 $540.00 36 $540.00 GARAGE U-1 VB 706 $13,414.00 706 $13,414.00 Totals: 2,378 $169,357.64 2,378 $169,357.64 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,385.75 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW < 7999 SQ FT 1 SELECT $554.30 Permit Total Fees: $1,944.55 Mechanical Permit Contractor: BLACKHAWK CORP Firm: BLACKHAWK CORP Address: 23900 E JOSEPH Phone: (509) 226-2186 OTIS ORCHARDS, WA 99027 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 2 NUMBER OF $20.00 GAS PIPING 3 # OF UNITS $3.00 VENTILATING FANS 3 NUMBER OF $30.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 HOOD -TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $73.00 Plumbing Permit Contractor: BLACKHAWK CORP Firm: BLACKHAWK CORP Address: 23900 E JOSEPH Phone: (509) 226-2186 OTIS ORCHARDS, WA 99027 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SHOWERS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00 Permit Total Fees: $60.00 Operator: jmm Printed By: jmm Print Date: 6/30/2008 Project Number: 08002371 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/30/2008 Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount $1,944.55 $73.00 $60.00 Page 3 of 3 a' " 119,Y: Permit Center SOkane Spokane Valley, WA 99206 11703 E Sprague Ave, Suite B-3 I FY ,o0(509)688-0036 FAX: (509)688-0037 www.spokanevalley.org 2 2006 Community Development Residential Construction Permit Application PERMIT NUMBER: PERMIT PERMIT FEE: Vekir'binstruction Addition/Remodel Other: Accessory Bldg Deck SITE ADDRESS: /S- C. ASSESSORS PARCEL NO: liff 4/41- 35/ C LEGAL DESCRIPTION: 16 r /6'ilt-• Building Owner: DNB' IONS: Name: TOTAL HABITABLE SPACE: ° 'IL ie ie Name: 2Nu FLOOR SQ. FTG: Ci State: •tY.CV-Pr e/eCise it' 5 - • Zip:43 90 2 9 Address: 5 /1 e - 30% SLOPES ON PROPERTY: .' City Business Lic. No: # OF BEDROOMS: 3 City: HEAT E: c/41 c( f4t4(7- /4:-.46ve A475! State: Zip: Phone: Fax: Contact Person Name: Je0 7— Vcik/e--/74 Phone: g-6. 0-9 es - Describe the scope of work in detail: _Cr7c-z C-- L. 4/r'. CA Contractor: DNB' IONS: Name: TOTAL HABITABLE SPACE: ° 'IL ie ie Address: 2Nu FLOOR SQ. FTG: Ci State: •tY.CV-Pr e/eCise it' 5 - • Zip:43 90 2 9 Phone:Fax: *Cc/ — 0 7 I ..S" 22.c.- 2..r/c GARAGE SQ. FTG: /29 -7 0 6 Contractor Licp Date: , / i 1\1°,1: /4 Or c fee Exl/ i 2 P 9 5 24" '0 30% SLOPES ON PROPERTY: .' City Business Lic. No: # OF BEDROOMS: 3 Cost of Project: $ 6' -V --e) Proposed Use: **************The following MUST be complete: (write N/A if not a licable ********************** HEIGHT TO PEAK: DNB' IONS: # OF STORIES: i TOTAL HABITABLE SPACE: ° 'IL ie ie MAIN FLo9pro.so. FTG:AREA: 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE 2 FINISHED BASEME)JT SQ. FTG: GARAGE SQ. FTG: /29 -7 0 6 DECK/WV. PATI SQ. FTG: 30% SLOPES ON PROPERTY: .' ecr- # OF BEDROOMS: 3 CONSTRUCTION TYPE: rr/i1.4e,--7 4-'6 , HEAT E: c/41 c( f4t4(7- /4:-.46ve A475! SEWER OR SEPTIC? -(A) 6,- e,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 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: 0 Cash 0 Check 0 Mastercard Bankcard #: Expires: Authorized Signature: REVISED 2/15/07 DATE: C/0 0 VISA VIN#: For City Use Only PLUS Project Number P37/ CITY OF Speke Project Address /n//0/5—S t`O/�id( �r r. lle ° 4 000 �, � 11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206 509.688.0036 • Fax: 509.688.0037 • permitcenter@spokanevalley.org As part of our on-going commitment to customer service during the review process of your project application, we are providing you with a TARGET DATE for the initial technical application review. If for any reason we cannot meet this date, we will contact you with a revised target date. Your application review TARGET DATE is a 1 \ OF) The TARGET DATE is the date we estimate your project application will have had its initial technical review. It is not the date for approval or permit issuance. Tips for a Smoother Project Application Review ➢ Submit complete, accurate plans and documents. Extra time may be required for re-submittals as project application reviewers work on multiple applications and it may be several days before they can look at your new or revised information. ➢ Designate a specific contact person to communicate with the City. While the person designated as the applicant's contact person with the City can be changed, one individual with the expertise for dealing with reviewer comments would be the best choice for the entire review process. ➢ Call staff regarding the status of your project only after the target date shown at the top of the page. Although you should be contacted on or by the target date,please feel free to contact us if you haven't heard from us by your target date. Staff may contact you before the target date if the initial review is complete. By following this procedure,you will save time and allow the reviewers to complete the work more expeditiously. Steps in the Permit Process 1. Counter Complete. Your application has been accepted as counter complete. This means all of the required documents,as indicated on your Pre-Application Checklist have been submitted or have been approved for deferred submittal.This does not prevent technical staff from requesting additional information as a result of their technical review. 2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free from substantive flaws that would prevent technical staff from completing the technical review once it is started. When this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it comes up for review. 3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by phone,fax,email,or mail by your TARGET DATE once the initial technical compliance review is complete. 4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re- submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections of the application are received, a Permit Specialist will process the application and contact the person specified on your application for permit pick-up. Information regarding fees and pre-construction meetings (if required) will be provided by the Permit Specialist at that time. WHITE-APPLICANT PINK-BUILDING FILE REV 9/07 Community Development Plumbing Permit Application n Commercial ❑ Residential Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevalley.org PERMIT NUMBER: PERMIT FEE: SITE ADDRESS: /©/ .S C (/ Building Owner Name: Phone: Fax: Address: City: State: Zip: Contractor Name: Z L/g-QxICsL.ed/� ��. Phone: icy -a �� s. Fax: Z C ,— Z ,S / i Address: 2 3`7 0_6 <c'. ,—o l t,/..T)h5 Cityy7"il Qf r/t. d State: Zip: �� 50-: ? License No: /604.it Gh, /de' z p `f City Business Lic: (•►Q, / r( p^ U Contact Ro. C`- .CC l<iIG���?iY Name: Phone: �E/� _Q -,e r . DESCRIPTION OF WORK # OF UNITS X COST TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS Z x $6.00 / 2,1'0 2 URINALS X $6.00 3 TUBS X $6.00 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6.00 0-0 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 0-4 7 CLOTHES WASHER x $6.00 L. `C 8 GARBAGE DISPOSAL X $6.00 9 WATER SOFTENER X $6.00 10 ELECTRIC WATER HEATER 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 3 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: ❑CASH \ CHECK 1:1 VISA 1:1 MC EXPIRES: Card# VIN: AUTHORIZED SIGNATURE: „X--�" SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: Effective October 28, 2007 P:\Community Development\Forms\Building forms\Plumbing Permit Application.doc Community Development Mechanical Permit Application Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevalley.org PERMIT NUMBER: PERMIT FEE: n Commercial ❑ Residential SITE ADDRESS: Building Owner Name: Phone: Fax: Address: City: State: Zip: Contractor 9 c / Name: Cx, / Al Phone: �f S Fax: e--... .7a7"9,--: Address: `Z J' O?1 c: -Y" City: 6 -Tr f• 61/9C(fail State: 4.." Zip: p90 .,1 License No: 44.,„,,,C �l C lO 2 b Lr City Business Lic: �, O/ s/� L 5' d Contact /J Name: ,<6 -4>)z --Az. r--f'G /cf/Z7t r,.� N Phone: �G 9 - D f DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 1 X $12.00 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 - 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 f 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 GAS PIPING (each outlet) 3 X $1.00 ems 18 DUCT SYSTEMS X $10.00 19 VENTILATING FANS 3 x $10.00 (2g 0 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.o0 23 TYPE I HOOD X $50.00 24 TYPE II HOOD 25 HEAT PUMP/AIR CONDITIONER 0-3 TON r x $10.00 /G_cre X $12.00 26 AIR CONDITIONER 4-15 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:7�`' EXPIRES: VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: Effective 10-28-07 P.\Community Development\Forms\Building formsVvfechanical Permit Application.doc 56o 4-- '1> ,70 ,a0 PLAN ING DEPT. APPROVED BY. Le 160 D P.TE: U/Ahe