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2005, 06-16 Permit App: 05002050 ResidenceProject Number: 05002050 Inv: -1 Application Date: 06/16/2005 Page.] of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW RESIDENCE W/ATTACHEDGARAGE - NATURAL GAS . Setbacks: Front 38 Left: 9 Right: 5 Rear: 75 Site Information: Plat Key: Contact: JULIANO & STRAHL, LLC Address: 14314 E STOUGHTON RD C - S - Z: VALLEYFORD, WA 99036 - Phone: (509) 291-3148 Group Name: Project Name: ROW Name: BRADLEY HEIGHTS District: Nort Parcel Number: 45073.2705 SiteAddress: 1615 N CENTER RD Location:: CSV Zoning: UR -7 Water District: Block: 1 Urban Residential -7 Area: 10,232 Sq Ft Width: 66 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: ... Lot: 5 Owner: Name: JULIANO & STRAHL, LLC Address: 14314 E STOUGHTON RD VALLEYFORD, WA 99036 - Hold: E • Depth: 155 Right Of Way (ft): 60 Review Site Plan Review Released By: u Plan Review Released By: ----- 1U`V Approach / Drainage.. Sewer Review Permits: Released By: Operator: K_C Printed By: K_C Print Date: 06/16/2005 r • Project Number: 05002050 Inv: l' Application Date: 06/16/2005 Page 2 of 4 THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Contractor Address: JULIANO & STRAHL LLC 14314 E STOUGHTON RD VALLEYFORD, WA 99036 Item Description APPROACH INSPECTION CONST IN ROW - APPROACH Contractor: JULIANO & STRAHL LLC Address: 14314 E STOUGHTON RD VALLEYFORD, WA 99036 Building Characteristics Group: R-3 Total Area Building Height Stories Dwelling Units Description CARPORT GARAGE RESIDENCE Type: VB 1269 18 1 Grn U-1 U-1 R-3 Approach Firm: JULIANO & STRAHL LLC Phone: (509)291-3148 Units Unit Desc 1 NUMBER OF I NUMBER OF Permit Total Fees: Building Permit Fee Amount $25.00 $25.00 $50.00 Finn: JULIANO & STRAHL LLC Phone: (509)291-3148 Tvpe Notes VB VB VB Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 96 51,440.00 96 51,440.00 440 $8.360.00 440 58,360.00 1,269 594,768.92 1,269 $94,768.92 Totals: 1,805 5104,568.92 1,805 5104,568.92 Units Unit Desc I SELECT I SELECT 1 SELECT Operator: K_C Printed By: K_C Permit Total Fees: Fee Amount 51,021.75 $4.50 $408.70 $1,434.95 Print Date: 06/16/2005 Project Number: 05002050 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 06/16/2005 Page 3 of 4 Contractor Address: JULIANO & STRAHL LLC 14314 E STOUGHTON RD VALLEYFORD, WA 99036 Item Description GAS WA'T'ER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER RANGE HOOD -TYPE 11 Contractor Address: JULIANO & STRAHL LLC 14314 E STOUGHTON RD VALLEYFORD, WA 99036 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISK WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER USING DEVICES Mechanical Permit Units 1 3 3 1 1 Firm: JULIANO & STRAHL LLC Phone: (509) 291-3148 Unit Desc NUMBER OF NUMBER OF H OF UNITS NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Plumbing Permit Fee Amount $10.00 $12.00 $3.00 $30.00 $10.00 $10.00 $10.00 $85.00 Firm: JULIANO & STRAHL LLC Phone: (509) 291-3148 Units Unit Desc 2 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Operator: K_C Printed By: K_C Permit Total Fees: Fee Amount $12.00 $18.00 $6.00 $6.00 $6.00 $6.00 $6.00 $6.00 $66.00 • Print Date: • 06/16/2005 - Project Number: 05002050 Inv: 1 Notes: Application Date: 06/16/2005 Page 4 of 4 THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Payment SuntmarE: , Pennit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount . $50.00 $1,434.95 . $85.00 $66.00 Invoice Amount $50.00 $1,434.95 $85.00 $66.00 $1.635.95 $1,635.95 Amount Paid $0.00 $0.00 $0.00 . $0.00 Amount Owing $50.00 $1434.95 $85.00 $66.00 $0.00 $1,635.95 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: K_C Printed By: K_C Print Date: 06/16/2005 *lane #001Valley BUILDING PERMIT APPLICATION WORKSHEET C&I, of Spok Valley Community Development Department E (Q V E Building Division 11707 E. Sprague Avenue, Suite 106 J1JN 14 2005 Spokane Valley, WA 99206 one: (509) 688-0036; Fax: (509) 688-0037 oI>v REQUIRED SITE INFORMATION Street Address: / 10 1E1 N C&, f e r Pc) Assessor's Tax Parcel Number(s): 4/ 5O 7 8, a 7055 - Legal Description: RUPA4 SP( w / 1 1r . (tr, PERMIT DESCRIPTION: ® Building Permit ❑ Change in Use 0 Grading ❑ Manufactured Home 0 Relocation 0 Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION Owner. o -f- Slra I, 17 L/C 0 Applicant S,i rn e Phone: ,v q 15) q ? Fax: Phone: Fax: Address: E 4/3/ y 5 fnc Address: lin Ileyforcl u1/t 990,x(0 City 1 State Zip Code City State Zip Code 0 Contractor: Phone: Fax: Address: city WA State Contractor License #: ,1,.) t a S Lq(� LCA Spokane Valley Bus. Liscense #: State Zip Code ❑ Architect: Phone: Fax: Address: city Contact: .5)-,e, I 95L x'77(, Contact: State Zip Code . PERMIT/BUILDING INFORMATION HEIGHT TO PEAK:DIMENSIONS: ) g � a X # OF STORIES: i MAIN FLOOR TO SQ. FTG: 190 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: 4q DECK/COV. PATIOQ. FTG: 10 OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: GPr5 Fnrcecl a i r # OF BEDROOMS: 3 TOTAL HABITABLE SPACE: lam9 IMPERVIOUS SURFACE AREA: COST OF PROJEC: /Oil 000. 00 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? 5 ew e r MANUFACTURED HOME Width: Manufacturer. Length: Year. Pit Set: RELOCATION Previous Address: Proposed Use: 1 FIRE SAFETY Fire Sprinkler. Tent: # of Heads: Fire Alarm: Paint Booth: Fireworks Display: Blasting: Date/Time: Valuation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner. Address: Phone: Fax: City State Inspector. Phone: Fax: Address: Zip City State Zip SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE Firm Name: ❑ REINFORCEMENT Phone: Inspector(s): Fax: ❑ WELDING DISCLAIMER 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. Ownership of resulting development rights granted by any issued permit inure to the property owner. Print Name Sive: le, Ju Lent) Signature o.Q�fic �kLlc �a /bm c� Method of Payment: (Faxed permit applications will only be accepted with major bankcard) 0 Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: PLUMBING PERMIT AP,PLICI TION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, CaII (509) 688-0054 Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Project Address: /6/5 Al Ce n +E r Pc/ Permit Use: Owner. J u /I a n n 4- S fra l% L L C Phone (Daytime Contact): Mailing Address: E /1/ 3 / J 571-6 u /I irih /in /)P1 re) r� City % Contractor. License #: 9 5/ F7'7/o to» 9903 rn State : Zip Code Phone #: Mailing Address: City State Zip Code BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK 3 OF UNITSq X COST . = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS �` X 36.00 = 2 URINALS _ X 36.00 = 3 TUBS i X 36.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT / X $6.00 = 5 SINKS IAVSBASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT - J X 36.00 = 8 DISHWASHER / X 36.00 = 7 CLOTHES WASHER / X $8.00 = 8 GARBAGE DISPOSAL / X 36.00 = 9 WATER SOFTENER X 36.00 = 10 ELECTRIC HOT WATER TANK NOTE IF GAS, SEE MECHANICAL X 38.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X 36.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X 38.00 = 13 FOUNTAINS, DRINKING X 36.00 = 14- WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X 36.00 = 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X 36.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER 1 X 36.00 = 17 CROSS CONNECTION DEVICE • VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR VATS, TANKS, BOILERS X 36.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 38.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $8.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS • X 320.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X 315.00 = -METHOD OF PAYMENT: 0 CASH 0 CHECK DATE 0 VISA 0 MASTERCARD SUBTOTAL PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Call (509) 688-0054 Project Address: /!a15 A/ Cent-er Rd Owner. J/.4.116 o 4 S/raA L LLL Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 • Permit Use: Phone (Daytime Contact): IIvycorci G10,5i990nate /0 relit Mail ngAddress: E /431Y5 /-ou�h Y Con rector: License Ju/,n5L 4G LL C, Phone#: 9 6-/ if>ala Mail ng Address. M Z o Code /oh R Ci Stale Zip Code AUTHORIZED SIGNATURE: DESCRIPTION OF WORK - - A OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE - Equal to or less than 100,000 / X 512.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 = 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X 550.00 = 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X 5100.00 = 5 USED APPLLANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE MSEC min. AFUE rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X 512.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X 520.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X 525.00 = 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 1 X $10.00 = 14 DRYER / X $10.00 = 15 FUEL BURNING WATER HEATER / X 510.00 = 18 MISC. FUEL BURNING APPLIANCE X 510.00 = 17 GAS PIPING (each outlet) .. X 51.00 = 18 DUCT SYSTEMS X 510.00 = 19 VENTILATING FANS 3 X $10.00 = 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 515.00 , = 22 EVAPORATIVE COOLERS - X 510.00 = 23 TYPE I HOOD X 550.00 - 24 TYPE II HOOD 1 X 510.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512.00 = 26 AIR CONDITIONER 3-15 TON X 520.00 = 27 AIR CONDITIONER 15-30 TON X 525.00 = 28 AIR CONDITIONER 30-50 TON' X 535.00 = 29 AIR CONDITIONER More than 50 TON X 560.00 = 30 LPG STORAGE TANK - - X $10.00 = 31 WOOD OR PELLET STOVE/INSERT - X 510.00 = 32 WOOD STOVE - FREE STANDING - - X 525.0D = 33 REPAIR & ADDITIONS - X 515.00 = 34 VENTILATION SYSTEMS' X 512.00 a 35 VENTILATION MECHANICAL EXHAUST X 512.00 = 36 INCINERATOR - RESIDENCE - X 519.00 = 37 INCINERATOR -COMMERCIAL X 522.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK CIVISA 0 MC CARD r DATE: SUBTOTAL PROCESSING FEE 535.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: r 30' i This site plan is being submitted for the purpose of obtaining a building permit and is a true and correct representation of the proposal. All known property lines/dimensions, curb lines, structures and easements have been identified. Also indicated are wetlands, bodies of water, steep slopes or other critical areas. Signed' Date: 7y—n6 / 11016 N C rater Rc/