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2006, 07-14 Permit App: 06002727 Tear Off, ReroofProject Number: 06002727 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: TEAR -OFF CEDAR SHAKE & RE -ROOF WITH Contact: WOOTEN, DAVID C & AMGELA S COMPOSITION SHINGLES Address: 1918 S CONKLIN ST C - S - Z: SPOKANE VALLEY, WA 99037 Setbacks: Front Left: Right: Rear: Phone: (509) 434-8618 Group Name: Site Information: Project Name: Date: 07/14/2006 Page 1 of 2 Plat Key: 002220 Name: RIDGEMONT EST NO 2 District: East Parcel Number: 45251.0208 Block: Lot: SiteAddress: 1918 S CONKLIN RD Location:: CSV Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: .00 Acres Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Permits: Contractor: OWNER Owner: Name: WOOTEN, DAVID C & AMGELA S Address: 1918 S CONKLIN ST SPOKANE VALLEY, WA 99037 Hold: Li Depth: 0 Right Of Way (ft): 0 Building Permit Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Su Ft Valuation 1&2 FAMILY R-3 VB TEAR -OFF 0 $3,500.00 0 $3,500.00 / RE -ROOF Item Description RESIDENTIAL PERMIT FEE WSBC SURCHARGE Contractor: OWNER Item Description TOILETS/BIDETS SINKS DISH WASHERS Totals: 0 $3,500.00 0 $3,500.00 Units Unit Desc 1 SELECT 1 SELECT Permit Total Fees: Plumbing Permit Firm: OWNER Phone: (000) 000-0000 Fee Amount $97.25 $4.50 $101.75 Units Unit Desc 2 NUMBER OF 2 NUMBER OF 1 NUMBER OF Fee Amount $12.00 $12.00 $6.00 Permit Total Fees: $30.00 Operator: MT Printed By: MT Print Date: 07/14/2006 . Project Number: 06002727 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 07/14/2006 Page 2 of 2 Payment Summary: Permit Type Building Permit Plumbing Permit Fee Amount Invoice Amount Amount Paid Amount Owing $101.75 $101.75 $0.00 $101.75 $30.00 $30.00 $0.00 $30.00 $131.75 $131.75 $0.00 $131.75 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: MT Printed By: MT Print Date: 07/14/2006 • SliolianeValley Permit Center 11707 E Sprague Ave, Suite 106 Spokane ValleyWA 99206 (509)688'0036 FAX: (509)688-0037 Community Development ^ww.spokaomNey.orc.mm Reroof Construction �_����v��D�"��n Permit Application =�� �� l� � ��]� ��o-xu �u� SlTE'AIDDESS /7 /8 C h°37 Clo ° []Commercial 4 Residential \ )'~7� ��~ ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Name: A‘,127. 4N1a4 S Address: /9 erso _~ Phone: Describe the scope of work in detail: 7,10car off Cost of�� project ~ ~ DISCLAIMER The permitmeverifies, acknowledges and agrees bytheir signaturethot 1) If this permit is for constructon of or on a dwelling, the dwelling isfwiII be served by potable water. 2) Ownership of this City of Spokane Vafley Permt inure to the propertyowner. 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 VaIIey Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City ofSpokane VaUay Permit isnot opermdorapproval for any vio(aUonoffederal, state orlocal |avvm.codes orordinances. G) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. Ownership of resulting development rights granted by any issued permit inure to the property owner. Signature Date Method of Payment: (Faxed permit applications will only be accepted with major bankcard) Fl Cash FI Check Bankcard #: Authorized Signature: REVISED 8/232005 [11 Mastercard Expires: VISA El Other Name: Address: City: Zip: Phone: Fax: Lic No: Exp. Date: City Business Lic No: 7,10car off Cost of�� project ~ ~ DISCLAIMER The permitmeverifies, acknowledges and agrees bytheir signaturethot 1) If this permit is for constructon of or on a dwelling, the dwelling isfwiII be served by potable water. 2) Ownership of this City of Spokane Vafley Permt inure to the propertyowner. 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 VaIIey Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City ofSpokane VaUay Permit isnot opermdorapproval for any vio(aUonoffederal, state orlocal |avvm.codes orordinances. G) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. Ownership of resulting development rights granted by any issued permit inure to the property owner. Signature Date Method of Payment: (Faxed permit applications will only be accepted with major bankcard) Fl Cash FI Check Bankcard #: Authorized Signature: REVISED 8/232005 [11 Mastercard Expires: VISA El Other W1s1 alley Community Development Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www. spokanevalle v.ore Plumbing Permit Application fl Commercial PERMIT NUMBER: PERMIT FEE: ❑ Residential SITE ADDRESS: Building Owner Name: ! / Phone: Fax: Address: #7` /Q /0 C 62,4//G1_ /A./ c7--CiTy:5'w//%NE //4�Ci6'y State: `� Zip: ODI Contractor Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact 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 4 TUBS X $6.00 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 z X $6.00 6 DISHWASHER X $6.00 7 8 CLOTHES WASHER X $6.00 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 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 ❑ VISA ❑ MC Card# AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: