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2006, 04-11 Permit App: 06001010 DuplexProject Number: 06001010 Inv: 1 • Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/11/2006 Page 1 of 3 Project Information: Permit Use: duplex, gas heat on sewer Contact: SEVERSON, AL Address: PO BOX 141735 C - S - Z: CITY OF SPOKANE VALLEY, WA 99 Setbacks: Front Left: Right: Rear: Phone: (509) 999-6080 Group Name: Site Information: Project Name: Plat Key: Name: Range District: Nort Parcel Number: 45171.1533 SiteAddress: 810 N FELTS RD Location:: CSV Block: Lot: Zoning: UR -3.5 Urban Residential 3.5 Water District. Area: 14,162 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Owner: Name: SEVERSON, AL Address: PO BOX 141735 CITY OF SPOKANE VALLEY, WA Hold: D Depth: 0 Right Of Way (ft): 0 Review Information: Review Building Plan Review Released By:. t- Driveway/Approach Originally Released: 4/10/2006 By: TMELBOU .Released By: Originally Released: 3/24/2006 By: AMBlake Landuse/Zoning/HE Conditions Released By: "' Sewer Review Permits- Permits: Originally Released: 3/24/2006 By: HMStinson Released-By:- By: Operator: Operator: AMB Printed By: AMB Print Date: 4/11/2006 Project Number: 06001010 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/24/2006 Page 1 of 2 Project Information: Permit Use: duplex, gas heat on sewer .. Contact: SEVERSON, AL Address: PO BOX 141735 C - S - Z: CITY OF SPOKANE VALLEY, WA 99 Setbacks: Front Left: Right: Rear: Phone: (509) 999-6080 Group Name: Site Information: Project Name: Plat Key: Name: Range District: Nort Parcel Number: 45171.1533 SiteAddress: 810 N FELTS RD Location:: CSV Zoning: UR -3.5 Water District. Block: Lot: Urban Residential 3.5 Area: 14,162 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Owner: Name: SEVERSON, AL Address: PO BOX 141735 CITY OF SPOKANE VALLEY, WA Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Information: Review Building Plan Review Released By: _- Driveway/Approach Released By: Landuse/Zoning/HE Conditions Sewer Review Released By: - - - - _ -. - _ Permits • Approach Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Operator: AMB Printed By: AMB Print Date; 3/24/2006 A Project Number: 06001010 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/11/2006 Page 2 of 3 Approach Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Item Description Units Unit Desc Fee Amount APPROACH -CONST IN ROW 1 NUMBER OF $50.00 Permit Total Fees: Building Permit $50.00 Contractor: OWNER 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 1,136 $98,116.32 1,136 $98,116.32 2ND FLOOR R-3 VB 1,502 $112,169.36 1,502 $112,169.36 DECK OPEN R-3 VB 170 $2,550.00 170 $2,550.00 GARAGE U-1 VB 456 $8,664.00 456 $8,664.00 Totals: 3,264 $221,499.68 3,264 $221,499.68 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,676.95 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW < 7999 SQ FT 1 SELECT $670.78 Permit Total Fees: Mechanical Permit $2,352.23 Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING AIR CONDITIONER:4-15 TONS VENTILATING FANS HOOD -TYPE II Units Unit Desc 2 NUMBER OF 2 NUMBER OF 2 NUMBER OF 4 # OF UNITS 2 NUMBER OF 8 NUMBER OF 2 NUMBER OF Operator: AMB Printed By: AMB Fee Amount $20.00 $20.00 $24.00 $4.00 $40.00 $80.00 $20.00 Permit Total Fees: $208.00 Print Date: 4/11/2006 Project Number: 06001010 Inv: 1 i Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/11/2006 Contractor: OWNER Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER Units 6 8 2 2 2 2 2 Plumbing Permit Page 3 of 3 Firm: OWNER Phone: (000) Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: 000-0000 Fee Amount $36.00 $48.00 $12.00 $12.00 $12.00 $12.00 $12.00 $144.00 Nates • Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $50.00 $2,352 23 $208.00 $144.00 Invoice Amount $50.00 $2,352.23 $208.00 $144.00 $2,754.23 $2,754.23 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $2,352.23 $208.00 $144.00 $0.00 $2,754.23 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: 4/11/2006 Project Number: 06001010 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/24/2006 Building Permit Page 2 of 2 Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Mechanical Permit Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Plumbing Permit Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Notes: 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. Signature: Operator: AMB Printed By: AMB Print Date: 3/24/2006 �_ oma. ® r ciao i L.cuLcr � IE C [E f 1'/ .s .„1�•�` jje 11707 E Sprague Ave, Suite L� 4010090- Salle Spokane Valley, WA 99206 Y (509)688-0036 FbX: (509)688- 37 MAR 2 3 2006 CommnaityDevelopment ww'.v.spokaaevajley.ora.corn D V Residential Construction ` wCo0�nstruct on Permit Application o Addition/Remodel o Other: PERMIT NU ERD/Q(D —2PERMTT FEE: o Accessory Bldg ❑ Deck SITE ADDRESS 71 9 / Y/ !€ f p S ASSESSORS PARCEL NO: ' s f%IJS'3 LEGAL DESCRIPTION: Ld d S�— J2 Z Z ` Badding owner:.: Name' /7 ! F(TS(�), Address: Q e0 ,(.) /272 7f C City:S' k2 h ea /9iP: 217/ Phone: 977 (Off) Fax: tpntactPei•son Name: Stt Phone: .Contractor:, Name. Address: City: Phone: Fax: Lic No: Exp. Date: City Business Lic No: Describe the scope of work in detail: Cost of Project: (br 4-vt A 6 j OL Q y **************Tbe following MUST be complete: (write N/A if not applicable)********************** DIMEJ6ISIONS: 2nu FLOOR SQ. FTG: HEIGHT TO PEA ey / MAIN FLOOR TO SQ. FTG: / `96 FINISH D/BASE T� SQ. FTG: % t # OF BEDR O S� 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 perrnission 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. 5).P or additional information may be required to be submitted, and subsequently approved before this application ca cesse # OF STORIES: 7 TOTAL HABITABLE SPACE: CONSTRUCT ON TYPE: Wmdl- e UNFIN BASEMENT SQ. FTG: DECK/COF�T,ip SQ. FTG: HEAT SOURCE: IMPERVIO SURFACE AREA: 30% SLOP=S ON^ yA PROPERTY: /V SEWER OR SEPTIC? 5- EA-Liner— Signature Date2 ? rz% Method of Payment (Faxed permit applications will only be accepted with majorbankcard) ❑ Cash Check ❑ Mastercard 0 VISA Bankcard #: / // Expires: _ VIN#: Authorized Signature: REVISED S2520D5 0 Other Spo"kane� ..000,00 Valley Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevalley.ore Plumbing Permit Application n Commercial PERMIT NUMBER: PERMIT FEE: esidential SITE ADDRESS: 3/6 M &cis Building Owner//) )'j.t I"3,ki • - Name: !�/ ` / ��_po� � ---32 h If J / Phone: 999 / o ©6 Fax. `'7 t� (f Address: Ci State: 4.2.9cy Zi p: wry Contractor Name: Phone: Fax: Address: City: State: Zip: License No: a- v --,c__ City Business Lic: Contact ., _ - - _ =i:°n _.:'_ _ - - - - _ - _ Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT TOILETS WATER CLOSET, BIDETS 2 3 URINALS TUBS 6 X $6.00 X X $6.00 $6.00 4 SHOWERS (PER TRW) BATH, STALL, ON-SITE BUILT X $6.00 5 SINKS LAVSBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT 6 DISHWASHER S X $6.00 ?. X $6.00 7 CLOTHES WASHER X $6.00 8 GARBAGE DISPOSAL X $6 00 9 WATER SOFTENER O X $6 00 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL O X $6 00 11 FLOOR DRAINS AREA, CASE, COIL. TRENCH, CONDENSATE 0 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 0 X $6.00 15 SEWAGE EJECTOR GRINDER, SUMP PUMP a 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 0 X $6.00 18 INTERCEPTORS GREASE TRW, SAND TRW, 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 0 X $20.00 22 INDUSTRIAL WASTE INTERCEPTOR X $15 00 METHOD OF PAYMENT: DCASH I ' CHECK ❑ VISA ❑ MC Card# AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: ' �Ualley Permit Center ,Sjkan 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development wwwsnoicanevanev.or� Mechanical Permit Application n Commercial PERMIT NUMBER: PERMIT FEE: Residential SITE ADDRESS: Building Owner ).'v.✓ e--H9j. - - - - Name: /`t/ Phone: Fax: Address: City: State: Zip - Contractor -' Name: reA,4"P'V\ S /. _ Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact-., - - - " - - Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT FUEL BURNING APPLIANCE • Equal to or less than 100.000 2— 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 X $10.00 13 RANGE X $10.00 14 DRYER X $10 00 15 16 17 18 19 FUEL BURNING WATER HEATER MISC. FUEL BURNING APPLIANCE GAS PIPING (each outlet) DUCT SYSTEMS VENTILATING FANS 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM 5c8 X X X X X $10.00 $1000 $1 00 $10.00 510 00 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 O X 550.00 24 TYPE II HOOD 2 X $10 00 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 00 26 AIR CONDITIONER 3-15 TON X $20.00 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 $10.00 32 WOOD STOVE- FREE STANDING X $25 00 33 REPAIR 8 ADDITIONS X 515.00 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 O���FLLL���PAYMENT: 'OCASH ItCHECK 0 VISA ❑ MC CARD#: AUTHORIZED SIGNATURE: REVISED 8R6/05 EXPIRES: VIN: SUBTOTAL PROCESSING FEE 535.00 TOTAL PERMIT FEE DUE: