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2005, 08-09 Permit App: 05002830 ResidenceProject Number: 05002830 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/09/2005 Page 1 of 4 Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Contact: DIAMOND ROCK CONSTRUCTION Address: 15321 E MISSION AVE C - S - Z: SPOKANE VALLEY, WA 99037 Setbacks: Front Left: Right: Rear: Phone: (509) 924-8964 Group Name: Site Information: Project Name: Plat Key: Name: Corbin Estates Long Plat District: East Parcel Number: 55191.2721 SiteAddress: 105 S LONG RD Location:: CSV Zoning: UR -7* Water District: Area: 7,700 Sq Ft Block: 2 Urban Residential -7* Lot: 21 Owner: Name: DIAMOND ROCK CONSTRUCTIO Address: 15321 E MISSION AVE SPOKANE VALLEY, WA 99037 Hold: ❑ Width: 77 Depth: 100 Right Of Way (ft): 40 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review GIVEN (TO PLANNING 8/9/05 Plan Review CAW _ f aJ,.,cm e1 ' D/1 Released By: L- -- i jA,1 \ S C\k) 1 d n 20 ' t r r i i • lx <'-t? \, Cin c— ) 0 C1. C2 L ' t dts tr r ( 01 ce, Lur 1l . nginally ' eleased: 08/08/200 By: MEL OU Approach / Drainage Released By: Sewer Review Permits: Originally Released: 08/09/2005 By: cjjanssen Releas Operator: CJJ �S=SO73 Printed By: CJJ Print Date: 08/09/2005 Project Number: 05002830 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/09/2005 Page 2 of 4 Approach Contractor: DIAMOND ROCK Finn: DIAMOND ROCK CONSTRUCTIO Address: 15706 E VALLEYWAY AVE Phone: (509) 218-8510 VERADALE, WA 99037 Item Description APPROACH INSPECTION CONST IN ROW - APPROACH Units Unit Desc 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Building Permit Fee Amount $25.00 $25.00 $50.00 Contractor: DIAMOND ROCK Finn: DIAMOND ROCK CONSTRUCTIO Address: 15706 E VALLEYWAY AVE Phone: (509) 218-8510 VERADALE, WA 99037 Building Characteristics Total Area 2739 Building Height 23 Stories 2 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes SQ Ft Valuation SQ Ft Valuation 2ND FLOOR R-3 VB 549 $40,999.32 549 $40,999.32 DECK R-3 VB 100 $1,500.00 100 $1,500.00 GARAGE U-1 VB 458 $8,702.00 458 $8,702.00 RESIDENCE R-3 VB 1,095 $81,774.60 1,095 $81,774.60 Item Description RESIDENTIAL PERMIT FEE ENVIRONMENTAL REVIEW STATE SURCHARGE Totals: 2,202 $132,975.92 2,202 $132,975.92 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Fee Amount $1,178.55 $300.00 $4.50 Permit Total Fees: $1,483.05 Operator: CJJ Printed By: CJJ Print Date: 08/09/2005 Project Number: 05002830 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/09/2005 Page 3 of 4 Contractor: DIAMOND ROCK Address: 15706 E VALLEYWAY AVE VERADALE, WA 99037 Item Description DUCT SYSTEMS GAS WATER HEATER GAS PIPING VENTILATING FANS CLOTHES DRYER HOOD -TYPE II Contractor: DIAMOND ROCK Address: 15706 E VALLEYWAY AVE VERADALE, WA 99037 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS CLOTHES WASHER WATER USING DEVICES Mechanical Permit Firm: DIAMOND ROCK CONSTRUCTIO Phone: (509) 218-8510 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 2 # OF UNITS 4 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Plumbing Permit Fee Amount $10.00 $10.00 $2.00 $40.00 $10.00 $10.00 $82.00 Firm: DIAMOND ROCK CONSTRUCTIO Phone: (509) 218-8510 Units Unit Desc 3 NUMBER OF 5 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 2 NUMBER OF Operator: CJJ Printed By: CJJ Permit Total Fees: Fee Amount $18.00 $30.00 $6.00 $6.00 $6.00 $6.00 $12.00 $84.00 Print Date: 08/09/2005 Project Number: 05002830 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/09/2005 Page 4 of 4 See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $50.00 $1,483.05 $ 82.00 $84.00 Invoice Amount $50.00 $1,483.05 $82.00 $84.00 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,483.05 $82.00 $84.00 $1,699.05 $1,699.05 $0.00 $1,699.05 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: CJJ Printed By: CJJ Print Date: 08/09/2005 Spokane _.Vaiiey BUILDING PERMIT APPLICATION WORKSHEET IIey Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 • (509) 688-0036; Fax: (509) 688-0037 eitrofpokan REQUIRED SITE INFORMATION Street Address: _ i d 5 s -,____/..a -)412e) Assessor's Tax Parcel Number(s): Legal Description: %' L 1 (I3 1 K 2_ C r1 ZS- 71-11°S PERMIT DESCRIPTION: Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home n Relocation ❑ Tenant Improvement ❑ Fire Safety D Other 11 OWNER/APPLICANT INFORMATION Owner: D; ntottc1 Lt., /t- (coq S r = Phone: L/2LI Y96t1 Fax: 92C- -Yc`l�( Address: (5 :3'z f_'. , tiss;0,4 c ' Nada [e Li, - ' 9o3'7 City State Zip Code ❑ Contractor: ' c:isiv .Anal) 12.0c 6,4.5 T Phone:Fax: Address: �� ❑ Applicant: Phone: Fax: Address: City ❑ Architect: Phone: Address: City State Zip Code City WA State Contractor License #: Contact: State Zip Code Fax: State Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: % DIMENSIONS: t 5& x y # OF STORIES: 2 MAIN FLOOR.TO SQ.. FT G:1 (5 „ .•..2""FLOOR SQ. FTG: L; 3$ji( `.`.;; -7 = �47 5 GARAGE SQ. FTG: 1-45? t -:UNFIN BASEMENT SQ. FTG: '-'< I 095 DECK/COV. PATIO SQ. FTG:10 FINISHED BASEMENT SQ. FTG:, OCCUPANCY GROUP: r J CONSTRUCTION TYPE: ,. /G c� HEAT SOURCE: ,rle lure, i 6,,s' ---At, 6 # OF BEDROOMS: 3 TOTAL HABITABLE SPACE:_ „F. 2. 73(7i IMPERVIOUS SURFACE AREA: COST OF PROJECT: fi (0C COC 30% SLOPES ON PROPERTY: Ai SEWER OR ON-SITE SEPTIC SYSTEM? 5,e, t,. s' MANUFACTURED HO E Width: Manufacturer: Length: Year: Pit Set: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth: Tent: Fireworks Display: Blasting: Valuation: Above/Underground Storage Tank Size: Date/Time: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Address: Inspector: Address: Phone: Fax: City Phone: State Fax: Zip City State Zip SPECIAL INSPECTIONS ❑ BOLTING Firm Name: Fax: Inspector(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 permission to represent the property owner in this transaction. 4) AU construction is to be done in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review et 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 perm' re to the property owner. Print Name Pa 14 1 ( /1-c, p v Signature D CONCRETE ❑ REINFORCEMENT Phone: • ❑ WELDING Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check Bankcard #: Authorized Signature: ❑ Mastercard Expires: ❑ VISA VIN#: ❑ Other 56 AMOUNT I Sfitikane .11CY Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 PROJEC? ADDRESS: 1 OS s LCh" 2d. OWNER: Q -6/711-64 it e. rt S t MAILING ADDRESS: j S 3 Z/ '� s ,"6V1 (street) (street) 509-688-0036 Phone S09-688-0037 - Pax FERHAT USE: PHONE (Daytime Contact): 9 Z Y^ 4 6 C/ CONTRACTOR! %d e%3 (city/state) .3 (up) b 14401 MAILING ADDRESS: 5/1- /AL- , (street) 10 DESCRJPI7ON TOILETS URINALS SHOwERS (PER TRAP) SINKS DISHWASHER CLOT} ES WASHER GARBAGE DISPOSAL WATER SOFTENER ELECT. HOT WATER TANK 11 FLOOR DRAINS 12 FOUNTAINS, DRINIQNc WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL SEWAGE EJECTOR (city/State) PLUMBING FIXTURES DETAILS WATER CLOSET, BIDETS BATH, STALL„ ON-SITE BUILT LAVS/BASNS, BAR, FLOOR, KITCHEN, LAUNDRY, UTII.T -r. JANTTDR PHOTO, X- RAY, FOOD: PREP/CULINARY/MEAT NOTE: IF GAS, SEE MECHANICAL AREA, CASE. COIL„ TRENCH CONDENSATE IWATER USING DEVICE CROSS CONNECTION DEVICE SPRINKLER SYSTEM INTERCEPTORS • MEDICAL GAS per outlet INSTALLATION, ALTERATION, REPAIR, REVERSALS. GRINDER, SUMP PUMP ICE AND/OR COFFEE MAKER,HOSE BIB STEAMER, TROOPER, CARBONATOR, SWAMP COOLER VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR VATS, TANKS, Roams GRESASEZRAP. SAND TRAP, CHEMICAL HOLDING TANK NITROUS, OXYGEN 20 MISC. PLUMBING FIXTURE OF LThI1TS 111. 3 COST $5 €s im....58., mwill5, 1 1 i i.H x x X HOD OF PAY yT '•SH 0 CHECK CARD NUMBER EXPIRES: OR1iED SIGNATURE; cA/b i'rl V6099E6 Ol X 56 56 SUBTOTAL: PLUS PROCESSING FEE: TOTAL PERMIT FEE DUE: Z S3SA0 \I I 1. ("A . I r ter.. -a-, ..-i �-•r. AMOUNT MEM inning 579 5100 5100 w td BTU laRilSE1 o0� s1a MiNnivionl 1.11121=11110/11111E11 no • OR c 10000[}1y( �1 i s10 MI Inn ** st3 d9dd 10101 ** Valley Mechanical Permit Application. 11707 East Sprague Avenue, Suite 106 Spokane Valiey,WA 99206 PROJECT ADDRESS: 05 OWNER: Ne MARLING ADDRESS: • — • / 5 3 2. 1 E ,i°1 s_ evk (street) CONTRACTOR: 1.-N\ MAILING ADDRESS: • fid s f PERMIT TJSE: 509688-0036 - Phone 509-688-0037 - Fax PRONE (Daytime Contact): G 267 yv 64/ hot 03 (City/state) Pa) ems: (street) Cch (city/state) H DESCRIPTION OF WORK FUEL BURNING APPLIANCE UM.ISTED APPLIANCE (ADDTI7ONAL PFS) UNLISTED APPLIANCE (ADDr ZONAL FEE) USED APPLIANCE (WSEC nun. APUE rung) USED APPLIANCE (WSEC min. AFJE rating) Bort ER/REF91GERATIQN BOR.ER/REFRIGERATION SO:LER/REFRIGERAIION BOILERFREFRICERATioN BOILER/REFRIGERATION LICENSE th PHONE t: .•oRe100,0o0 >100,000 -ORc400,000 arS400,010 )400,030 1-100MBTU QF UNIT$ COST EQU I 515 101 • SOOM BTU S01- ],OOoM BTU 1001.1,1S0m{ 8 MISG FUEL BURNING APDL, GAS PIPING Dmato DUCT SYSTEMS VENTR.ATING FANS AIR HANDLER (DOES N0T indud4 dueling) AIR HANDLER (DOES NOT Include duetin ) EVAPORATIVE CQOCEPS TYPE I1100D TYPE II HOOD HEAT PUMP/MR CONDITIONER AIT( CONDrIONE.R > 10,000 CFM AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER =STORAGE TANK WOOD OR PELLET.4('OVE/tN56Al' WOOD STOVE • FREE STANDING METHOD OF PAYMFNT' 0-3 TON 3.15 TON 1540 TON 30.50 TON 450 TON [] CASH 0 CHECK ❑MOMS DATE: EXPIRES: BANKCARD NUMBS AUTI-1011117) SIGNATURE: fsCj OO'C MINIM SUBTOTAL: PLUS PROCESSING FEE TOTAL PERMIT 1 EE DUE: 4 \k*4 j�ley c3 DEPARTMENT OF COMMUNITY DEVELOPMENT CURRENT PLANNING ADMINISTRATIVE EXCEPTION APPLICATION AND DETERMINATION PART I APPLICANT: Di APvtand Roc K Ca&S MAILING ADDRESS: 1 S 3 21 % Mis r d n ,4,e 4' CITY: ve+�.rSc, r e STATE: _ ZIP! 910 3 PHONE: (HOME) (WORK) nt f- O / 6 G/ (CELL) ) ZIP'- 2 C/ NOTE: IF APPLICANT IISSNOT THE OWNER, IJCLUDE WRITTEN OWNER AUTHORIZATION FROM THE LEGAL OWNER BELOW DI a vKoytS 213G l Co/tS MAILING ADDRESS: CITY: PHONE: (HOME) LEGAL OWNER: STATE: (WORK) (CELL) TAX PARCEL NO: Z'7 'Z STREET ADDRESS OF SITE: MS. LEGAL DESCRIPTION: �4 ��Q�Z 1 /S/,( S l� crr" 1�w ZONING CLASSIFICATION: COMPREHENSIVE PLAN CATEGORY: TYPE OF ADMINISTRATIVE EXCEPTION REQUESTED: 0 , Espy i avtd o SECTIONS TOWNSHIP ZIP: RANGE EXPLAIN REASON FOR REQUEST: lav eo trt tl APPLICABLE SECTION(S) OF ZONING CODE: NOTE: A SITE PLAN AND SUPPORTIVE DOCUMENTS SHALL BE INCLUDED WITH THIS APPLICATION ea/,- APPLICABLE v/f" 4 PART II LEGAL OWNER SIGNATURE i(Signature of legal owner or representative as authorized by legal owner) latii ( Cr -a o , (print name) SWEAR OR AFFIRM THAT THE ABOVE RESPONSES ARE MADE TRUTHFULLY AND TO THE BEST OF MY KNOWLEDGE. I FURTHER SWEAR OR AFFIRM THAT I AM THE OWNER OF RECORD OF THE AREA PROPOSED FOR THE ABOVE IDENTIFIED LAND USE ACTION, OR, IF NOT THE OWNER, ATTACHED HEREWITH IS WRITTEN PERMISSION FROM THE OWNER AUTHORIZING MY ACTIONS ON HIS/HER BEHALF. ADDRESS: 6 /7 S. A-17-10,5 l !tel PHONE: y9 Z L� pd v / r ZIP: Q'Io l� i (State) (Signature) (Date) STATE OF WASHINGTON ) ss: COUNTY OF SPOKANE ) SUBSCRIBED AND SWORN to before me this NOTARY (For Part II above) day of I, ,2005 (-NOT LA'°1(' SIGNATURE Notary Public in and for the State of Washington Residing at: S� d'- l%l -!.4'i My appointment expires: 5" i - 0 DATE SUBMITTED: FEE: kJ/ !4 /CA 41 PART III (To be completed by the Planning Staff) RECEIVED BY: FILE NO.: { PART IV DETERMINATION File No: Alk_22D 0 The Department of Community Development finds that the information provided by the applicant and required compliance with the City of Spokane Valley Zoning Code and all other development regulations, does / does not adverse affect on the adjacent properties nor the public's general health, safety and welfare. The Department of Community Developmen approve / denies this "Administrative Exemption" as conditioned below, for the property described in Part I, pursuo 'ections 14.506.000 and 14.506.020 of the Zoning Code. This administrative exception is subject to the following conditions of approval: 1) This administrative decision shall apply to the subject property indefinitely and may be transferred to future property owners, heirs or any successor in interest to the property subject to the conditions of approval contained herein. 2) The applicant and property owner shall comply with all requirements and regulations of the Zoning Code. 3) The applicant shall comply with all applicable development regulations and standards. 4) The applicant and property owner shall comply with the following additional conditions: - This administrative e ception ' hereby a ved this day of , 200 Cr Approved by: Title: / Under Section 14.412.041 of the City Zoning Code, any person aggrieved by this administrative determination has the right to appeal this administrative decision to the City of Spokane Valley Hearing Examiner. An appeal must be filed by submitting the appropriate appeal application together with the required fee to the Department of Community Development Current Planning, within fourteen (14) calendar days after the decision is issued. Upon receipt of a complete appeal application, a public hearing will be scheduled. For information or questions, please call (509) 921-1000 Rev 6/03 Idc I )4k IMPF SPOKAXE COIATY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 1 Site Information Project Information Site Address: 105 S LONG RD Parcel Number: 55191.0405 Subdivision: RANGE Block: Lot: Zoning: UNK Unknown Owner: DIAMOND ROCK CONSTRUCTION Address: 15321 E MISSION AVE VERADALE, WA 99037 Building Inspector: BOBBY STONE Water Dist: Project Number: 05005075 Inv: 1 Issue Date: 7/14/2005 Permit Use: SEWER CONNECTION - CORBIN EST Applicant: DIAMOND ROCK CONSTRUCTION 15321 E MISSION AVE SPOKANE VALLEY, WA 99037 Phone: (509) 924-8964 Contact: DIAMOND ROCK CONSTRUCTION 15321 E MISSION AVE SPOKANE VALLEY, WA 99037 Phone: (509) 924-8964 Setbacks - Front: Group Name: Project Name: Left: Right: Rear: 1 Permits Sewer Connection Permit Contractor: DIAMOND ROCK CONSTRUCTION License #: DIAMORC032OQ SEWER CONNECTION 1 $85.00 PROCESSING FEE Total Permit Fee: FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY 1 $15.00 $100.00 Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED. Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation. Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure. This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc. CALL BEFORE YOU DIG, (509)456-8000. STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000. Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including those related to trench safety. Payment Summary Total Fees AmountPaid AmountOwing $100.00 $100.00 $0.00 Tran Date Receipt # Payment Amt 7/14/2005 4083 $100.00 Processed By: BURRIS, ROBIN Printed By: WENDEL, GLORIA Page 1 of 1 PERMIT Project Number: 05002830 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/11/2005 Page 1 of 4 Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Name: Corbin Estates Long Plat Contact: DIAMOND ROCK CONSTRUCTION Address: 15321 E MISSION AVE C - S - Z: SPOKANE VALLEY, WA 99037 Phone: (509) 924-8964 Group Name: Project Name: District: East Parcel Number: 55191.2721 SiteAddress: 105 S LONG RD Location:: CSV Zoning: UR -7* Water District: Area: 7,700 Sq Ft Block: 2 Urban Residential -7* Lot: 21 Owner: Name: DIAMOND ROCK CONSTRUCTIO Address: 15321 E MISSION AVE SPOKANE VALLEY, WA 99037 Hold: ❑ Width: 77 Depth: 100 Right Of Way (ft): 40 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: GIVEN TO PLANNING 8/9/05 Plan Review Released By: Approach / Drainage Originally Released: 08/08/2005 By: TMELBOU Released By: Sewer Review Permits: Originally Released: 08/09/2005 By: cjjanssen Released By: Operator: CJJ Printed By: CJJ Print Date: 08/11/2005 Project Number: 05002830 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/11/2005 Page 2 of 4 Approach Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 15706 E VALLEYWAY AVE Phone: (509) 218-8510 VERADALE, WA 99037 Item Description APPROACH INSPECTION CONST IN ROW - APPROACH Contractor: DIAMOND ROCK Units Unit Desc 1 NUMBER OF 1 NUMBER OF Fee Amount $25.00 $25.00 Permit Total Fees: $50.00 Building Permit Firm: DIAMOND ROCK CONSTRUCTIO Address: 15706 E VALLEYWAY AVE Phone: (509) 218-8510 VERADALE, WA 99037 Building Characteristics Total Area 2739 Building Height 23 Stories 2 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes SQ Ft Valuation Si Ft Valuation 2ND FLOOR R-3 VB 549 $40,999.32 549 $40,999.32 DECK R-3 VB 100 $1,500.00 100 $1,500.00 GARAGE U-1 VB 458 $8,702.00 458 $8,702.00 RESIDENCE R-3 VB 1,095 $81,774.60 1,095 $81,774.60 Item Description RESIDENTIAL PERMIT FEE ENVIRONMENTAL REVIEW STATE SURCHARGE RESIDENTIAL PLAN REVIEW Totals: 2,202 $132,975.92 2,202 $132,975.92 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT 1 SELECT Fee Amount $1,178.55 $300.00 $4.50 $471.42 Permit Total Fees: $1,954.47 Operator: CJJ Printed By: CJJ Print Date: 08/11/2005 Project Number: 05002830 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/11/2005 Page 3 of 4 Contractor: DIAMOND ROCK Address: 15706 E VALLEYWAY AVE VERADALE, WA 99037 Item Description DUCT SYSTEMS GAS WATER HEATER GAS PIPING VENTILATING FANS CLOTHES DRYER HOOD -TYPE II Contractor: DIAMOND ROCK Address: 15706 E VALLEYWAY AVE VERADALE, WA 99037 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS CLOTHES WASHER WATER USING DEVICES Mechanical Permit Firm: DIAMOND ROCK CONSTRUCTIO Phone: (509) 218-8510 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 2 # OF UNITS 4 NUMBER OF 1 NUMBER OF 1 NUMBER OF Units 3 5 1 1 1 1 2 Operator: CJJ Printed By: CJJ Fee Amount $10.00 $10.00 $2.00 $40.00 $10.00 $10.00 Permit Total Fees: $82.00 Plumbing Permit Firm: DIAMOND ROCK CONSTRUCTIO Phone: (509) 218-8510 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $18.00 $30.00 $6.00 $6.00 $6.00 $6.00 $12.00 $84.00 Print Date: 08/11/2005 Project Number: 05002830 Inv: 1 Notes: Application ' ' THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/11/2005 Page 4 of 4 See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $50.00 $1,954.47 $82.00 $84.00 Invoice Amount $50.00 $1,954.47 $82.00 $84.00 $2,170.47 $2,170.47 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,954.47 $82.00 $84.00 $0.00 $2,170.47 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: CJJ Printed By: CJJ Print Date: 08/11/2005