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2005, 05-03 Permit App: 05001421 ResidenceProject Number: 05001421 _ Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without -a permit Date: 05/03/2005 Page 1 of 4 Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Setbacks: Front 37 Left: 5 Right: 25 Rear: 66 Site Information: Plat Key: Contact: JULIANO & STRAHL, LLC Address: 14314 E STOUGHTON RD C - S - Z: VALLEYFORD, WA 99036 Phone: (509) 951-1903 Group Name: Project Name: ROW Name: BRADLEY HEIGHTS District: Nort Parcel Number: 45073.2704 Block: 1 SiteAddress: 1621 N CENTER RD Location:: CSV Zoning: UR -7 Water District: Urban Residential -7 Lot: 4 Owner: Name: JULIANO & STRAHL, LLC Address: 14314 E STOUGHTON RD VALLEYFORD, WA 99036 Hold: ❑ Area: 10,232 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: Plan Review Released By: Limn�,av Approach / Drainage Released By: _ Sewer Review Released By: Permits: Operator: K_C Printed By: K_C Print Date: 05/03/2005 Project Number: 05001421 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 05/03/2005 Page 2 of 4 Approach Contractor: JULIANO & STRAHL LLC Firm: JULIANO & STRAHL LLC Address: 14314 E STOUGHTON RD Phone: (509) 291-3148 VALLEYFORD, WA 99036 Item Description APPROACH INSPECTION CONST IN ROW - APPROACH Units Unit Desc 1 NUMBER OF 1 NUMBER OF Fee Amount $25.00 $25.00 Permit Total Fees: $50.00 Building Permit Contractor: JULIANO & STRAHL LLC Firm: JULIANO & STRAHL LLC Address: • 14314 E STOUGHTON RD Phone: (509) 291-3148 VALLEYFORD, WA 99036 Building Characteristics Group: R-3 Type: VB Total Area 1917 Building Height 18 Stories 1 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sci Ft Valuation BASEMENT U R-3 VB 913 $13,695.00 913 $13,695.00 GARAGE U-1 VB 410 $7,790.00 410 $7,790.00 RESIDENCE R-3 VB 1,004 $74,978.72 1,004 $74,978.72 Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Totals: 2,327 $96,463.72 2,327 $96,463.72 Units Unit Desc Fee Amount 1 SELECT $972.75 1 SELECT $4.50 1 SELECT $389.10 Operator: K_C Printed By: K_C Permit Total Fees: $1,366.35 Print Date: 05/03/2005 Project Number: 05001421 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 05/03/2005 Page 3 of 4 Contractor: JULIANO & STRAHL LLC Address: 14314 E STOUGHTON RD VALLEYFORD, WA 99036 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER HOOD -TYPE II Contractor: JULIANO & STRAHL LLC Address: 14314 E STOUGHTON RD VALLEYFORD, WA 99036 Item Description TOILETS/BIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER USING DEVICES Operator: K_C Mechanical Permit Units 2 3 1 Finn: JULIANO & STRAHL LLC Phone: (509) 291-3148 Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Plumbing Permit Fee Amount $10.00 $12.00 $2.00 $30.00 $10.00 $10.00 $74.00 Finn: JULIANO & STRAHL LLC Phone: (509) 291-3148 Units Unit Desc 2 NUMBER OF 3 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Printed By: K_C Permit Total Fees: Fee Amount $12.00 $18.00 $12.00 $6.00 $6.00 $6.00 $18.00 $78.00 Print Date: 05/03/2005 Project Number: 05001421 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 05/03/2005 Payment Summary: ,- Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Page 4 of 4 Fee Amount $50.00 $1,366.35 $74.00 $78.00 Invoice Amount $50.00 $1,366.35 $74.00 $78.00 $1,568.35 $1,568.35 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,366.35 $74.00 $78.00 $0.00 $1,568.35 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: 05/03/2005 *lane D BUILDING PERMIT APPLICATION WORKSHEET (5it tftrr-)falley Community Development Department 1--)) Building Division 11707 E. Sprague Avenue, Suite 106 APR 2 7 2` Spokane Valley, WA 99206 ne: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION 1 Street Address- 1 to 2 I A. (Ei\i'it ILL Assessors Tax Parcel Number(s): N5 C1-3. 2 41)'I - Legal Description: PERMIT DESCRIPTION: Si tJ(,(,! FAP -i1 0, Building Permit ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other LOi�L�T - ❑ Change in Use ❑ Grading ❑ Manufactured Home OWNER/APPLICANT INFORMATION Owner. vLIAr\IO `+ 3112-441,, LLC Phone: qr l -tai D Fax: X29,- -4,11(4 Address: :1A -13L ,, E. °rou6,4-rai.1.___ wiar (19 City State Zip Code Applicant: 4!,1 t Phone: Address: Fax: city State Zip Code I] Contractor. 5IIa a �„� /-s E.q tA C , LL ❑ Architect: Phone: q51-1a�3 Fax: 325- 4919 Phone: Fax: Address: 14_31(--\g !Lo -T1)9_66___ Address: A� e- IAA 01.903 t. City Stab Lip Code City State Zip Code WA State Contractor License #: 3uL AS Iii LAID LCA Contact: 3Asonl - C'5 I -19 0 3 Spokane Valley Bus. Liscense #: Contact r PERMIT/BUILDING INFORMATION HEIGHT TO PEAK DIMENSIONS: # OF STORIES: MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SO. FTG: ► 0 DECK/COV. PATIO SQ. FTG: 0�. OCCUPANCY GROUP: Si t44 I; ' \-1 . CONSTRUCTION TYPE: WooJ FRAME HEAT SOURCE: CAS CE.'L iNi R. # OF BEDROOMS: ,Z TOTAL HABITABLE SPACE: 1911- IMPERVIOUS SURFACE AREA: 5� COST OF PROJECT: 131, 010 30% SLOPES ON PROPERTY: -e%" (EWER R ON-SITE SEPTIC SYSTEM? MANUFACTURED HOME r .Width: "' Manufacturer Length: '' Year4 ' Pit Set::.. • 1 ; :I Previous Address: Proposed Use: FIRE SAFETY - Fire Sprinkler, # of Heads: Fire Alarm: Paint Booth: Tent: ._" . __ _ _ .._.Fireworks Display: - - - -- _. Blasting:- -. .. DateTme: Valuation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner. Address: Phone: Fax: Inspector: Address: -" city Phone: State Fax: City State Zip SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE.., Firm Name: • 0 REINFORCEMENT Phone: , Fax: • Inspector(s): DISCLAIMER The permitee verges, 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 propertyowner or has permission to represent the_property,owner in this .. transaction.. 4):AII constructionis 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 Wiley Permit Center. 5). This City of Spokane Valley Permit is not a permit or approval *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 \Tz rAT t-1"?J,KSTP.—/�{iL Signature f).��' iA ( cc ./ ;WELDING , 'r Method of Payment: (Faxed; permit applications will only tie accepted with major bankcarcl) . . Check; - ❑ ' Mastercard `, •❑Cash -- Bankcard #:. . Expires: VISA at thoriied Signature: - ; ; VIN#: er' PLUMBING PERMIT APPLICATION`• Gomrnlirifty Development Department a. , Building: Division Phone' (509)688-0036; FAX: (509);688-0037; ,, 1j170 E.•Sprague Avenue, Suite 106 • For Inspections, Call (509) 688=00544Spokane Valley, WA 99206 Project Address: l ( 21. / ! . �Enl T 2 121 - -. I .Pennft Use_ sW -c AL CT. , 1=A -M eES . Owner.�yL)Ar.lo _} 572 N( -1.1 ( _.Phone (Daytirr� Contact):_ X151 ab.3 -Mailing Address:. --' - AddrSess' :i_11�L�k3lL�1w, __• -z: _-'-S- -T-OW•_._b�•ni -VMV. p1^ -P b .3.y_...� O_ vla,--- - - ' acde �.� t CorfractorLA—-16h-se ie.: 0L1AS14(aL_P-one1:9 Iri o Mailing Address: 14310 - Q . ST1) t.)& kin M11 A LtP- o ti (,.)A , :. . -: Y. State Le Code. ,. DEsc1JmON OF MCMIC.. ' r: ,. 0OF Ward 1 -X : COST.. __ : TOTAL AMOLAIT t 1 TOILETS . i WATER CLOSET, BIDETS 2 ' .-x- ' --woo :-' = - ... . . 3 TUBS . o.. _ I f ,.... ..:..'-. :.% t X $8.00 . _, .. _ 4 SHOWERS (PER TRAP) - • I BATH, STALL, ONSITE BUILT • . f :! i X 28.00 ' _ .. . _ _. ..'-.__.,LAUNDRY.tmisY,JANIToR, LAVSIBASINS, BAR FLOOR KITCHEN, PHOT -. O'_ LD ' X-RAY, FOOD, PR'IGUIJNARY MEAT _.. _- _. X.. _. 3400 If,-,- f - -• . -. _ 8 DISHWASHER 1 1 :X 2400... -a? 7 CLOTHES WASHER - - • I 1 X 26.00 =_ 8 GARBAGE DISPOSAL : 1 X. 28.00 _ 9 WATER SOFTENER -... X $8.00 - - ` _ 10 ELECTRIC HOT WATER TANK • • NOTE IF GAS. SEE MECHANICAL X 18.00 -. - • - - _ 11 FLOOR DRAINS AREA, CASE, COIL. TRENCH, CONDENSATE X 38.00 = - . - 12 DRAINS - ' . _.. - - - X 3400 _ _ 13 FOUNTAINS. DRINKING - .: :: I. X 26A0.. _ . , : r -:' • i'! ' c 14 N- WATER PIPING/DRAIN-IN N WASTE, VENT, PLUMBING. REVERSAL _ NSTALLATIO N. ALTERATION. REPAIR, __ _ - _ _ _ REVERSALS— __!_ _. ... .,,. X . '. 38.00 _ _ - — _ 15 SEWAGE EJECTOR .'- _GRINDER SULK PUMP-. . ..t.- _ - .. _:.. -X' .' -38.00 7 _ `'. . .-_..- - 18 -. WATER USINGDEVICE 1-'= ` _ . - . ICE AWOR COFFEE MAKER HOSE BB, .—._I__ __. _._ ___ -. .PROOFER, CARBOWL70R SVYAINP COOLER - -X_ __ 58.E __._ _• • '__ --_1.- 2 —__ _ _ ' 17 ' ^ .. CROSS CONNECTION DEVICE' — VACUUM BREAIER. CHECK VALVE, -• AND RP.BP.D. FOR:' VATS, TANKS BOILERS - . — _ _ - X. - 00 - _ .. -18 - INTERCEPTORS'-'. — -_ _ .-__ GREASE TRAP, SAND TRAP._ __� _ CHEMICAL HOLDING TANK . _ — _ _ -• . X 28.00 = _ _ _. .. 10 MEDICAL GAS (pet outlet) _ . -•_ - _'NRROUS:OXYGEN X 38.00 = 20 MISCELUWEOUSPLUhBING. _..-:.__ FIXTURE __._�.;_ _— _._ = _. __ __— —..: _ X _ __ _ —_ $8.00 _ _ = - . .._-_-_. .. 21 - PRIVATE SEWAGE DISPOSAUSYS __.._____.___ -. - __. X —. ._ __ ...._ 320.00 _ . = .. _. � _. - - - -...— 22 _INDUSTRIAL WASTE ___• INTERCEPTOR • - .... ... X 515.00 _, r _ - $ --- - METHOD OF PAYMENT: rT _• . _ -_ _❑ CASH ;-_Q CHECK. _ .___ GATE •_ _.._ i'_`__--'-- .._ .SUBTOTAL , i._.2: .' _ "_. -.❑ vLSl1__ __D.. MIASTERCAIND- PROCESSING FEE ^ ------- --- _._-__._ ' .. `-•.,r•pp:: --- - ----. ._.._TOTAL PERM Tr FEE DUE: -'--" •--:�-:_��� - ' i ~ .BANKCARD.NUMBER:- • AUTHORIZED SIGNATURE:- - - ._.:14:�w;.. MECHANICAL PERMIT APPLICATION . Phone: (509) 688-0036; FAX: (509).688-0037 For Inspections, CaII (509).688-0054 Project Address: 11p 11 IJ . Owner. OL1Anln 1- Ries+ ) 1 L(` Mailing Address: 0431)4 E. Ss-oif y rtj l Contractor. -C V Lt t' t o `t- STtPrt-12, - (.t C License it: Mailing Address: \4 L 9.• - gcroJi t-5mt,1-• - Community Development Department Building Division - . 11707 E. Sprague Avenue, Suite 106 ` Spokane Valley,; WA 99206 • Permit Use: NPI 05) 0.1 T SI Al. FAM• of Phone (Daytime Contact): 6151-11 6R. (CP St AI) \JA -u -E lhvf-b WR 990-(, city Zip Coda UUAS\ SlpU LG -Phone#: a51 -19-n3 \)A -W 4F -o4-1\ I,JA 99(57,4 -' COY - - Sia - ZD cods _DESCRIPTION OF WORK . - _. _. __... __.__. ._ - .._ _S OF UNITS -X. .. . COST _.. __• TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal tow less tan 100,000 1 X $72.00 = - 2 _ .. FUEL BURNING APPLIANCE _ .-._ ___More than 100,000 - . ._._ X - ---$15.00 - 3 UNLISTED APPLIANCE (Additional Fee) Equal tow less than 400,000 X $50.00 = .. 4 UNLISTED APPLIANCE (Additional Feel ' . More than 400,000 X $100.00 = 5 USED APPLUNCE MSEC min.'AFUE ratng) :`sv..1 Equal to or less than 400,000 X $50.03' '''. = - - ' 6 USED APPLIANCE MSEC min. AFUE ratnq) More than 400.000 ' - - . .. X 5100.00 = - 7 BOILER/REFRIGERATION ' _ . ) 1 - 100M BTU X $12.00 = • -. .. 8 BOILER/REFRIGERATION , ... J 101 - 500M BTU X $20.00 = 9 BOILER/REFRIGERATION : . 501 -1,00014 BTU : [ X $25.00 • ' _ 10 BOILER/REFRIGERATION . - U _ 1,001-1,750M BT • . . - : X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU ' X 18000 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X 110.00 = 13 RANGE • X 110.00 ._ •' - 14 DRYER r . • . 1 X *10.00 - _ • - 15 FUEL BURNING WATER HEATER 1 X *10.00 ' = 16 MISC. FUEL BURNING APPLIANCE _ . - . - X $10.00 _ = 17 GAS PIPING (each outlet) _ 2,,. •L X_ 51.00. ___.._ _ 18 DUCT SYSTEMS : X 110.00 • - - ' 19 VENTILATING FANS 3 X 60.00 _ 20 AIR HANDLER (DOES NOT include ducting) Equal tow less than 10,000 CFM X 112.00 21 AIR HANDLER (DOES NOT Include ducting) Greater Man 10,000 CFM. X 115.00 22 EVAPORATIVE COOLERS - . - ., r. X $10.00 23 TYPE I HOOD 1 I 1 _ . .. ... -... .. _ . X 550.00 = 24 TYPE II HOOD • '. _ '.. <•: 1 .. X 110.00. _. 25 HEAT PUMP/AIR CONDITIONER - . - - - 0-3 TON .' . '` '� X $12.00 _ 26 - AIR CONDITIONER. '. • _ .. __ _ - - - - .-. 3-15 TON X .. 120.00 = 27 -AIR CONDIONERL ....'- - ' - ".. .- - 15-30 TON - - - '.• X . $25.00.:- = 28 AIR CONDITIONER . . --. _ _ _. . _ ... _ _ 3450 TON.. - _. - . X - - 135.00 = 29 AIR CONDITIONER -__ '___�,. _ - _More than TON . - _.____ •X- 18 e.00 = . .. - 30 LPG STORAGE TANK' ' ::'I . _ -_ X-_ _ .60.00- _. , 31 WOOD OR PFI I FT STOVE/INSERT X 110.00 _- _ • • - • 32 WOOD STOVE - FREE STANDING - -. X 125.00 r : = ) 33 .... . _. .__.....-___ ... .. 'REPAIR b ADDMONS ._-_._._.. ...1 .. X $1500 34 VENTILATION SYSTEMS. -'- '_ :�:. _.:_ _._ ... _ . ... X 112.00 - = _. 35 VENTILATION MECHANICAL EXHAUST X 112.00 -... IS 38 -'"- ' --- _- - '- - _ - -- - X 119.00 = INCINERATOR- RESIDENCE 37 INCINERATOR - COMMERCIAL X $22.00. ., METHOD OF PAYMENT:..._ - _. ._...-......__ 0 CASH 0 CHECK 0 NSA 0 MC CARD A: _- _... ___, DATE SUBTOTAL PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: -3` This sib plan is being submitted for the purpose of abIILJ.. a building permit and is a true and correct italltweMaiion of the proposal. All known property 1111Se dimensions, curb fins, structures and easements hsss boon identified. Also indicated are wetlands. bean of *air, steep scopes or other critical areas. Signed: O&L(k c.)ThAfx.1 Date: /4 - 2 -05 1,l02( � CaniTE12 e. niTE2 R-olkD 3`-