2005, 11-23 Permit App: 05004091 ResidenceProject Number: 05004091 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/31/2005 Page 1 of 3
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 25 Left: 5 Right: 5 Rear: 51
Site Information:
ate,
Plat Key: Name: RANGE
Contact: SULLIVAN HOMES
Address: 16114 E INDIANA AVE SUITE 200
C - S - Z: SPOKANE VALLEY, WA 99216
Phone: (509) 624-4598
Group Name:
Project Name:
vtowotmvoosfomomv000smokotoaoors
District: Sout
Parcel Number: 45224.0532
SiteAddress: 916 S MAYHEW LN
Location:: CSV
Block: 1
Zoning: UR -7* Urban Residential -7*
Water District:
Lot: 10
Owner: Name: SULLIVAN HOMES
Address: 16114 E INDIANA AVE
SPOKANE VALLEY, WA 99216
Hold: ❑
Area: 6,706 Sq Ft Width: 47 Depth: 134 Right Of Way (ft): 31
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released
Plan Review
Originally Released: 10/31/2005 By: CJJANSSE
eased By:
Sewer Review
Permits:
Originally Released: 10/27/2005 By: TMELBOU
Released By:
Operator: CJJ Printed By: CJJ Print Date: 10/31/2005
Project Number: 05004091
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/31/2005
Contractor: SULLIVAN HOMES LLC
Address: 16114 E INDIANA AVE STE 200
SPOKANE VALLEY, WA 99216
Building Characteristics
Total Area
Building Height 19
Stories 1
Dwelling Units 1
1430
Building Permit
Page 2 of 3
Firm: SULLIVAN HOMES INC
Phone: (509) 624-4598
Description Grp Type Notes
BASEMENT U R-3 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
This Application: Total Project:
Sq Ft Valuation Si Ft Valuation
1,415 $21,225.00 1,415 $21,225.00
444 $8,436.00 444 $8,436.00
1,430 $106,792.40 1,430 $106,792.40
Totals: 3,289 $136,453.40 3,289 $136,453.40
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Contractor: COMFORT CENTRAL HEATING
Address: PO BOX 28924
SPOKANE WA 99228
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Fee Amount
$1,200.95
$4.50
$480.38
Permit Total Fees: $1,685.83
Mechanical Permit
Firm: COMFORT CENTRAL HEATING
Phone: (509) 216-1223
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: CJJ Printed By: CJJ
Permit Total Fees:
Fee Amount
$10.00
$10.00
$12.00
$4.00
$40.00
$10.00
$10.00
$10.00
$106.00
Print Date: 10/31/2005
Project Number: 05004091 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/31/2005 Page 3 of 3
Contractor: STURM HEATING
Plumbing Permit
Finn: STURM HEATING
Address: 1112 N NELSON Phone: (509) 325-4505
SPOKANE, WA 99202
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units
2
5
2
1
1
1
1
3
Fee Amount
$1,685.83
$106.00
$96.00
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$1,685.83
$106.00
$96.00
$1,887.83 $1,887.83
Fee Amount
$12.00
$30.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
$96.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$1,685.83
$106.00
$96.00
$1,887.83
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: 10/31/2005
BUILDING PERMIT APPLICATION WORKSHEET
SCITY l �� ; �= G' r 0 $0,1c net ,Valley Community Development Department
��nr ;� �� a ;' Building Division
„Th
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
vg 1 done. (509) 688-0036; Fax: (509) 688-0037
Street Address: 916 S. Mayhew Lane
Assessor's Tax Parcel Number(s):
Legal Description: Lot 10 Block 1
PERMIT DESCRIPTION: New Residential Construction
® Building Permit
❑ Relocation
❑ Change in Use ❑ Grading
❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
Owner: Sullivan Homes
Phone: 509-624-4598 Fax:
Address: 16114 E. Indiana Ave
City: Spokane Valley State: WA Zip: 99216
❑ Contractor: Same
Phone: Fax:
Address:
City: State: Zip:
WA State Contractor License #: Sullihi042JT
Applicant: Same
Phone: Fax:
Address:
City: State: Zip:
❑ Architect:
Phone: Fax:
Address:
City: State: Zip:
Contact: Evan Hughes
HEIGHT TO PEAK: 19'-10”
DIMENSIONS: 40'-0" x 58'-0"
# OF STORIES: 1
MAIN FLOOR TO SQ. FTG: 1430 sf
2ND FLOOR SQ. FTG: N/A
UNFIN BASEMENT SQ. FTG: N./Dr
FINISHED BASEMENT SQ. FTG: N/A
GARAGE SQ. FTG: 444 sf z, ,c
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: Single Family
CONSTRUCTION TYPE: Residential
HEAT SOURCE: GAS
# OF BEDROOMS: 2
TOTAL HABITABLE SPACE: 1313 sf
IMPERVIOUS SURFACE AREA:
COST OF PROJECT: $180,000
30% SLOPES ON PROPERTY: NO
SEWER OR ON-SITE SEPTIC
SYSTEM? Sewer
MANUFACTURED HOME
Width:
Manufacturer:
Length:
Year:
Pit Set:
Previous Address:
Proposed Use:
Fire Sprinkler:
Tent:
Valuation:
Plans Examiner:
Address:
Inspector:
Address:
# of Heads Fire Alarm:
Fireworks Display: Blasting:
Above/Underground Storage Tank Size:
Paint Booth:
Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Phone:
City, State, Zip:
Phone:
City, State, Zip:
Fax:
Fax:
❑ BOLTING ❑ CONCRETE
Firm Name:
Inspector(s):
❑ REINFORCEMENT
Phone:
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 Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Cali (509) 688-0054
Project Address: 916 S Mayhew Lane Spokane
Owner: Sullivan Homes
Mailing Address: 16114 E. Indiana Ave Spokane Valley WA 99216
Contractor: Comfort Central Heating
Mailing Address: PO BOX 28924
99228
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact): 509-624-4598
City
License #: COMFOCH995OG
Spokane
Ci
State
State
Zip Code
Phone #:
WA
Zip Code
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
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
1
X
$10.00
=
13
RANGE
1
X
$10.00
=
14
DRYER
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)
4
X
$1.00
=
18
DUCT SYSTEMS
1
X
$10.00
=
19
VENTILATING FANS
4
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
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE II HOOD
1
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
$25.00
=
28
AIR CONDITIONER
30-50 TON
X
$35.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
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 & ADDITIONS
X
$15.00
=
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 OF PAYMENT:
DATE:
❑CASH 0 CHECK 0 VISA 0 MC
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
CARD #: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
. . 1%,
ne
Vfib
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Cali (509) 688-0054
Project Address: 916 S.Mayhew Lane
Owner: Sullivan Homes
Mailing Address: 16114 E Indiana Ave
Contractor: Sturm Heating & Plumbing
4505
Mailing Address:
City
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use: Residential
Phone (Daytime Contact): 509-624-4598
State Zip Code
License #: STURMI*210QF
1112 N. Nelson, Spokane WA 99202
Phone #: 325 -
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
2
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
1
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
2
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
5
X
$6.00
=
6
DISHWASHER
1
X
$6.00
=
7
CLOTHES WASHER
1
X
$6.00
=
8
GARBAGE DISPOSAL
1
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
3
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 DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK 0 VISA 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SULLIVAN HOMES
INCORPORATED
TRANSMITTAL SHEET
TO: SPOKANE COUNTY FROM:
Sullivan Homes
CONTACT: EVAN HUGHES DATE:
10/20/05
PHONE NUMBER: 509-624-4598
RE: 916 S Mayhew Lane Building Permit
0 URGENT X FOR REVIEW 0 PLEASE COMMENT 0 PLEASE REPLY 0 PLEASE RECYCLE
CONTENTS:
(2) FULL PLAN SETS 24" X 36"
(2) PLOT PLANS
(1) BUILDING PERMIT APPLICATION
(1) MECHANICAL PERMIT APPLICATION
(1) PLUMBING PERMIT APPLICATION
(1) SEWER CONNECTION PERMIT APPLICATION FORM
(1) RESIDENTIAL GLAZING COMPLIANCE FORM
(1) GENERAL FACILITIES CHARGE
***PLEASE CONTACT US IF ALL OF LISTED ITEMS ARE NOT INCLUDED***
3004 N. SULLIVAN ROAD, SUITE A • SPOKANE, WASHINGTON • 99216
PHONE: 509.624.4598 • FAX: 509.624.4630